Twinsin Tablet 40/5mg

Adult dose

The recommended dosage for this medication is 1 tablet once daily, taken with water regardless of meals. It is advisable to take it at the same time every day (e.g., in the morning). In patients with renal impairment, mild and moderate cases do not require dosage adjustment, but patients with severe renal impairment should start with a lower dose and gradually increase. For patients with liver impairment, the daily dosage of Telmisartan should not exceed 40 milligrams.

Child dose

Safety and efficacy in pediatric patients under the age of 18 have not been established; therefore, the administration of this medication is not recommended.

This medication can cause serious harm to the fetus, especially when taken during the second and third trimesters of pregnancy, and should not be used by pregnant women or women who may become pregnant. Individuals who are allergic to the components of this medicine or have specific health conditions such as certain heart diseases, liver dysfunction, hypotension, or unstable heart failure after acute myocardial infarction should not take this medication. Patients with liver or kidney problems, the elderly, and those with heart valve diseases require special caution when taking this medication and should use it carefully under the guidance of a physician. Dizziness or swelling may occur during use, so if these symptoms persist or worsen, medical consultation is advised. Interaction with other medications is possible, so patients taking other drugs must inform their doctor or pharmacist, especially when taking specific heart drugs, diuretics, lithium, or warfarin. Pregnant or breastfeeding women should not use this medication, and if pregnancy is planned or confirmed, they should stop taking it immediately and consult a healthcare professional. This medication is not recommended for children under 18 years of age due to insufficient evidence of safety and efficacy. Elderly patients may require dosage adjustments and should be cautious as they may exhibit more sensitive reactions when using this medication. In case of overdose, symptoms such as hypotension, cardiac arrhythmia, dizziness, or acute renal failure may appear, so care must be taken not to exceed the recommended dose, and if abnormal symptoms occur, medical assistance must be sought immediately. This medication should be stored out of reach of children, should not be transferred to other containers, and should ideally be taken immediately after opening. Dizziness or drowsiness may occur while driving or operating machinery, so caution is necessary.

Serious side effects

• Sepsis
• thrombocytopenia
• anaphylaxis
• syncope
• myocardial infarction
• ventricular tachycardia
• arrhythmia
• atrial fibrillation
• vasculitis
• dyspnea

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 containers that block light. Additionally, it should be stored at room temperature between 1 to 30 degrees Celsius, avoiding places that are too hot or too cold.

Appearance

A double convex oval tablet that is white to light yellow and pale blue.

Package unit

30 tablets/box [10 tablets/PTP × 3]