TwinTel Tablet 40/10mg

Adult dose

The recommended dosage of this medication is one tablet once daily, to be taken with water, irrespective of meals. It is advisable to take it at the same time each day (e.g., in the morning). In patients with renal impairment: Dose adjustment is not needed for mild to moderate renal impairment; however, in patients with severe renal impairment, treatment should start at a lower dose and be gradually increased. In patients with hepatic impairment: Patients with mild or moderate hepatic impairment should be monitored closely.

Child dose

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

This medication should not be used during pregnancy, especially during the second and third trimesters, as it can pose a serious risk to the fetus. Patients with allergies to any of the components in this medication or with certain heart diseases, liver impairment, severe hypotension, etc., should not take this medication. Caution is needed for patients with compromised liver or kidney function, older adults, and patients with certain heart diseases when using this medication. During treatment, side effects such as dizziness or edema may occur, and if symptoms are severe, medical consultation is advised. When taking this medication with other drugs, interactions may occur; therefore, it is essential to inform your healthcare provider about any other medications currently being taken. Women who are pregnant or breastfeeding should not take this medication, and if pregnancy is confirmed, it should be discontinued immediately. Safety and efficacy in pediatric patients have not been sufficiently established, so usage is not recommended. Overdosage can lead to severe hypotension or cardiac issues, so dosage should be adhered to closely, and immediate medical attention should be sought in case of overdose. Store this medication out of reach of children, maintaining the original packaging during storage. It is advisable to take the medication directly from the sealed package.

Serious side effects

Sepsis, anaphylaxis, syncope, myocardial infarction, ventricular tachycardia, arrhythmia, atrial fibrillation, vasculitis, dyspnea, hepatitis, jaundice, increased liver enzymes (accompanied by cholestasis), angioedema (including fatal outcomes), erythema multiforme, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, renal dysfunction (including acute renal failure), intestinal vascular edema, hepatocellular carcinoma, cerebral infarction, congestive heart failure

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory infection
• pharyngitis
• sinusitis
• urinary tract infection
• anemia
• hyperkalemia
• hypoglycemia
• hyponatremia

This medication is sensitive to light and should be stored in a light-protected container. Additionally, it is important to store it at room temperature between 1 degree and 30 degrees Celsius to maintain its efficacy.

Appearance

<For domestic use> This is a white and light gray, double-layered oval tablet with a convex shape. <For export> Rectangular tablets that are white or whitish.

Package unit

30 tablets (10 tablets/PTP X 3)