Twinex Tablets 40/5 mg

Adult dose

The recommended dosage for this medication is 1 tablet once daily, to be taken with water regardless of meals. It is advisable to take it at the same time every day (for example, in the morning). For patients with severe renal impairment, treatment should start at a lower dose, gradually increasing the dosage. Patients with liver dysfunction should not exceed a daily dose of 40 mg. Elderly patients (75 years and older) should start treatment at a lower dose.

Child dose

Administration in pediatric patients under 18 years of age is not recommended.

This medication can pose serious risks to the fetus or newborn, especially during the second and third trimesters of pregnancy, and should be discontinued immediately if pregnancy is confirmed. This medication should not be used in patients who are allergic to the active ingredients or similar components, pregnant or potentially pregnant women, breastfeeding women, or patients with severe liver or heart problems. Patients with liver or heart disease, impaired kidney function, certain heart valve diseases, and the elderly should exercise special caution when taking this medication. Common side effects may include dizziness, swelling, headache, and indigestion, and serious side effects may occur rarely, so if any unusual symptoms appear, you should consult a doctor immediately. Due to the risks of hypotension, hyperkalemia, and abnormal kidney function, it is important to regularly check blood pressure and conduct blood tests to monitor your condition. When taking this medication in conjunction with other drugs, there may be interactions, so you must inform your healthcare provider about any medications you are currently taking. It is advisable to avoid this medication during pregnancy or breastfeeding and consult for other safe alternative treatments if necessary. Safety and efficacy have not been sufficiently established for children, so its use is not recommended. In cases of overdose, severe hypotension or heart problems may occur, so it is crucial to adhere to the prescribed dosage and visit a medical facility immediately if side effects arise. This medication should be kept out of reach of children and should not be transferred to another container; it is best to open the packaging just before use.

Serious side effects

Hives, severe swelling (angioedema), chest tightness, difficulty breathing, cold sweat, pallor, severe allergic reactions, severe rash with high fever, blisters, skin peeling, pain of oral/ocular mucosa, severe skin reactions, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities accompanied by cough + fever, respiratory problems, yellowing of the skin or eyes (jaundice), severe fatigue throughout the body, liver problems (jaundice), sudden

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory infection
• pharyngitis
• sinusitis
• urinary tract infection
• cystitis
• anemia
• thrombocytopenia
• eosinophilia

This medication is sensitive to light, so it should be stored in an opaque container. Additionally, it is important to maintain a temperature between 1 degree and 30 degrees Celsius when storing the medication to preserve its effectiveness and safety.

Appearance

White or off-white rectangular tablet

Package unit

30 tablets (10 tablets/Alu-Alu × 3), 30 tablets/bottle