Twin Plus Tablet 80/5mg

Adult dose

The recommended dosage for adults is 1 tablet once daily, to be taken with water regardless of meals. It is advised to take it at the same time each day (e.g., in the morning). Dose adjustment is not required for patients with mild to moderate renal impairment, but patients with severe renal impairment should start with a lower dose and gradually increase it. For patients with liver impairment, the daily dose of telmisartan should not exceed 40 milligrams.

Child dose

Safety and efficacy have not been established for pediatric patients under 18 years of age; thus, the use of this medication is not recommended.

This medication can cause serious harm to the fetus if used during pregnancy, especially in the second and third trimesters, therefore it should not be taken by women who are pregnant or may become pregnant. This medication should not be given to patients with certain conditions, such as severe liver impairment, hypotension, heart problems, or cholestatic diseases. It should be used with caution in some patients, particularly those with primary aldosteronism, heart valve abnormalities, liver impairment, gastrointestinal diseases, renal artery hypertension, dialysis patients, and elderly individuals. This medication may commonly cause side effects such as dizziness and peripheral edema, and serious side effects may occur rarely; therefore, any abnormal symptoms should be reported to a healthcare professional immediately. Blood pressure, kidney function, and electrolyte levels should be regularly monitored during treatment, with particular attention paid to hyperkalemia and hypotension. This medication may interact with other drugs; thus, if you are taking other medications, it is essential to inform your doctor or pharmacist. Drowsiness or dizziness may occur while driving or operating machinery, so caution is advised. Pregnant and breastfeeding women should not take this medication, and if pregnancy is confirmed, administration should be stopped immediately. Safety in pediatric patients has not been fully established, and its use is not recommended for individuals under 18 years of age. Overdosage can lead to severe hypotension or heart problems, so it is crucial to adhere strictly to the prescribed dosage and visit a medical facility immediately if any abnormal symptoms occur. This medication should be protected from light and stored in a tightly closed container out of the reach of children; it is recommended to take it immediately after opening.

Serious side effects

Hives, severe swelling (edema), difficulty breathing, angioedema (potentially life-threatening), Stevens-Johnson syndrome, thrombocytopenia, leukopenia, anaphylactic reaction, myocardial infarction, ventricular tachycardia, arrhythmia, atrial fibrillation, vasculitis, interstitial lung disease, hepatitis, jaundice, elevated liver enzymes, angioedema, hives, exfoliative dermatitis, Stevens-Johnson syndrome, photosensitivity reactions, severe allergic reactions, severe skin adverse reactions, respiratory issues

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory infection
• urinary tract infection
• anemia
• hyperkalemia
• hypoglycemia
• hyponatremia
• hyperglycemia
• depression

This medication is sensitive to light and should be stored in a dark, tightly closed container. It is important to maintain storage temperatures between 1 and 30 degrees Celsius. Proper storage will ensure the medication's effectiveness is safely maintained.

Appearance

White or whitish rectangular tablet

Package unit

30 tablets/box [10 tablets/Alu-Alu X 3], 30 tablets/bottle