Medication info
Twin Terra Tablet 40/10 mg

Twin Terra Tablet 40/10 mg

Prescription medication경구
Ingredient · strength
Telmisartan Powder 23.9%›167.36mg / 1 tabletAmlodipine Besylate›13.87mg / 1 tablet
Manufacturer / importer
제이더블유신약(주)
Appearance
A two-sided, convex, oval-shaped double tablet with white and light gray.
Packaging
30 tablets (10 tablets/PTPX3)
Approval status
Active

MFDS item code 201605838 · Approved 2016.09.30

Summary

Main use
Improvement in blood pressure control for essential hypertension with the combination of amlodipine or telmisartan
Who takes it
Adults · Children
Adult dose
The recommended dose for this medication is 1 tablet once daily, to be taken with water independently of meals. It is advisable to take it at the same time every day (e.g., in the morning). In patients with renal impairment: no dose adjustment is needed for mild to moderate renal impairment, but for severe renal impairment, treatment should start at a lower dose and be gradually increased. In patients with hepatic impairment: for mild or moderate hepatic impairment, the dose of telmisartan should not exceed 40 mg per day.
Child dose
Safety and efficacy in pediatric patients under 18 years have not been established, so use is not recommended.

Ingredients

Manufacturer
제이더블유신약(주)

Efficacy & effects

Improvement in blood pressure control for essential hypertension with the combination of amlodipine or telmisartan

  • Essential hypertension
View approved original text

This medication is used for patients with essential hypertension whose blood pressure is not adequately controlled by monotherapy with amlodipine or telmisartan. Essential hypertension is a condition characterized by persistently high blood pressure, which increases the risk of various complications. This medication contains two active ingredients that work effectively to lower and stabilize blood pressure. Thus, it plays a significant role in the health management of patients who find it difficult to control their blood pressure. By taking this medication, patients can improve their blood pressure control and reduce the risk of complications. It is used for the treatment of essential hypertension.

How to take

Adult dose

The recommended dose for this medication is 1 tablet once daily, to be taken with water independently of meals. It is advisable to take it at the same time every day (e.g., in the morning). In patients with renal impairment: no dose adjustment is needed for mild to moderate renal impairment, but for severe renal impairment, treatment should start at a lower dose and be gradually increased. In patients with hepatic impairment: for mild or moderate hepatic impairment, the dose of telmisartan should not exceed 40 mg per day.

Child dose

Safety and efficacy in pediatric patients under 18 years have not been established, so use is not recommended.

Precautions

This medication can pose serious risks to the fetus, especially during the second and third trimesters of pregnancy, therefore it should be discontinued immediately if pregnancy is confirmed. This medication is contraindicated for patients with certain conditions or situations, so be sure to consult a doctor. Patients with impaired liver or kidney function need special attention while using this medication, and their status should be frequently checked through blood tests. During treatment, side effects such as dizziness or swelling may occur, so any unusual symptoms should be reported to medical personnel immediately. There is a possibility of blood pressure dropping too low, so if symptoms of hypotension appear, the patient should be laid down and, if necessary, receive appropriate treatment at a hospital. This medication can interact with other drugs, so if you are taking other medications, you must inform your healthcare provider. It is advisable for breastfeeding women not to take this medication, and pregnant women should choose another safe treatment option instead. Elderly patients may be more sensitive to this medication, so dosage adjustments and careful observation are necessary. In case of overdose, symptoms such as hypotension, dizziness, or heart issues may occur, so immediate treatment should be sought at a medical institution. This medication is not recommended for children, and it should be stored out of reach of children.

Side effects and when to seek care immediately

Serious side effects

  • Hives
  • severe swelling (edema)
  • severe allergic reactions
  • chest tightness
  • difficulty breathing
  • cold sweats
  • pallor
  • severe rash with high fever
  • blisters
  • skin peeling
Show 12 more
  • pain in mucous membranes of mouth/eyes
  • severe skin reactions
  • dyspnea
  • liver dysfunction (jaundice)
  • yellowing of the skin or eyes (jaundice)
  • sudden and severe headache
  • seizures
  • confusion
  • visual disturbances
  • paralysis
  • severe neurological symptoms
  • marked decrease in urine output

Mild side effects

  • Dizziness
  • peripheral edema
  • upper respiratory tract infection
  • urinary tract infection
  • anemia
  • hyperkalemia
  • hypoglycemia
  • hyponatremia
  • hyperglycemia
  • depression
Show 27 more
  • insomnia
  • anxiety
  • confusion
  • drowsiness
  • migraine
  • headache
  • paresthesia
  • syncope
  • peripheral neuropathy
  • taste disturbance
  • tremors
  • extrapyramidal symptoms
  • muscle rigidity
  • visual disturbances
  • vertigo
  • tinnitus
  • palpitations
  • bradycardia
  • tachycardia
  • flushing
  • hypotension
  • orthostatic hypotension
  • cough
  • abdominal pain
  • dyspepsia
  • nausea
  • vomiting

Not everyone experiences these, and they can vary from person to person.

Storage

This medication is sensitive to light and should be stored in a special container that blocks light. Additionally, it is important to maintain a temperature between 1°C and 30°C when storing the medication. By doing so, the efficacy and safety of the medication can be well preserved.

Appearance and packaging

Appearance

A two-sided, convex, oval-shaped double tablet with white and light gray.

Package unit

30 tablets (10 tablets/PTPX3)

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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For anything that needs medical judgment, consult a doctor or pharmacist.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.