Tutustar Tablets 40/5 mg

Adult dose

The recommended dose for adults is 1 tablet once daily, taken with water irrespective of meals. It is advised to take it at the same time every day (e.g., in the morning). - 40/5 mg: Administered to patients whose blood pressure is not adequately controlled with 5 mg of amlodipine or 40 mg of telmisartan. - 80/5 mg: Administered to patients whose blood pressure is not adequately controlled with 5 mg of amlodipine or this medication 40/5 mg.

Child dose

Safety and efficacy in pediatric patients under 18 years have not been established, thus, administration in this group is not recommended.

This medication can pose serious risks to the fetus, especially during the second and third trimesters of pregnancy, so it should be discontinued immediately if pregnancy is confirmed. This medication should not be administered to patients with certain medical conditions or situations. For example, individuals with an allergy to the drug components, pregnant women or women who may become pregnant, nursing mothers, patients with severely impaired liver function, and those with serious heart issues should not take this medication. Caution should also be exercised in patients with primary aldosteronism or certain heart valve diseases, liver dysfunction, gastrointestinal disorders, renal vascular issues, renal failure, and elderly patients. Dose adjustments or close monitoring by a physician may be necessary. Common side effects of this medication include dizziness and peripheral edema, and while serious side effects are rare, any abnormal symptoms should prompt immediate consultation with a physician. Use of this medication should be avoided during pregnancy, and if planning to become pregnant or if already pregnant, alternatives should be discussed with a physician. Hypotension symptoms may occur during treatment, particularly in patients who are fluid or salt-constricted, necessitating caution and appropriate measures if hypotension arises. This medication poses a risk of elevated serum potassium levels, so periodic blood testing to monitor potassium levels should be conducted if combined with other medications that can increase potassium levels. Patients with impaired renal function should have regular checks of renal function and electrolyte status when taking this medication. Patients with heart disease should be cautious as this medication may increase the risk of myocardial infarction or angina; dose adjustments and monitoring are necessary. This medication may cause drowsiness or dizziness, so caution is advised when driving or operating hazardous machinery during treatment. Interaction with other medications is possible; therefore, any current medications should be disclosed to a physician or pharmacist, especially for combinations with specific heart medications, diuretics, anti-inflammatories, lithium, digoxin, etc. This medication is not recommended for children as safety and efficacy have not been established, and for the elderly, dosing should be adjusted to increase gradually for safety. In cases of overdose, symptoms such as hypotension, dizziness, and cardiac issues may occur, requiring immediate medical attention. This medication must be kept out of reach of children and it is important to open packaging only just before use to maintain product quality.

Serious side effects

Hives, severe swelling (angioedema), chest tightness, difficulty breathing, cold sweat, paleness, severe allergic reactions with high fever and rashes, blisters, skin peeling, pain in mouth/eyes’ mucosa, severe skin reactions, difficulty breathing or shortness of breath, asthma attacks, respiratory issues with cough and fever, jaundice (skin or eyes turning yellow), pronounced lethargy, liver dysfunction (jaundice), sudden and severe headaches.

Mild side effects

Dizziness, peripheral edema, lightheadedness, drowsiness, headache, migraine, paresthesia, dysgeusia, tremors, visual disturbances, cough, changes in bowel habits (including diarrhea and constipation), abdominal pain, dyspepsia, nausea, vomiting, dry mouth, itching, excessive sweating, rash, hair loss, purpura, skin discoloration, joint swelling, muscle cramps, myalgia, back pain, erectile dysfunction, asthenia, fatigue, thoracic pain, malaise, influenza-like illness, elevated liver enzymes.

This medication is sensitive to light and should be stored in a container that does not allow light to enter. It is advisable to store it at room temperature between 1 to 30 degrees Celsius. Proper storage can help maintain the drug's effectiveness over time.

Appearance

White or off-white rectangular tablet

Package unit

Domestic use - 30 tablets/Alu-Alu [10 tablets/Alu-Alu * 3]