Twintela Tablet 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 each day (e.g., in the morning). For patients with renal impairment, mild to moderate renal impairment does not require dosage adjustment, but severe renal impairment patients should start with a lower dose and gradually increase. For patients with liver impairment, the daily dose of telmisartan should not exceed 40 mg.

Child dose

The safety and efficacy of this medication have not been established in pediatric patients under 18 years of age, so its use is not recommended.

This medication can cause serious harm to the fetus if taken during pregnancy, especially in the second and third trimesters, and should not be used during pregnancy. This medication should not be used in individuals with an allergy to the active ingredients or similar compounds, pregnant or potentially pregnant women, nursing mothers, individuals with severe liver disease or specific cardiac diseases, and patients with severe hypotension. Patients with impaired liver or kidney function, those with certain heart valve diseases, gastrointestinal diseases, renal artery hypertension, patients on dialysis, and elderly patients should use this medication with caution. Common side effects that may occur while taking this medication include dizziness and swelling of the ankles or legs, and severe side effects can also occur, so if any abnormal symptoms appear, you should notify the physician immediately. This medication should be avoided during pregnancy, and if pregnancy is confirmed, it should be discontinued as soon as possible and substituted with another safe treatment. This medication lowers blood pressure, which may lead to hypotension; if hypotensive symptoms arise, lying down or, if necessary, fluid therapy may be required. There is a risk of increasing potassium levels in the blood, so care should be taken when using potassium supplements or consuming foods high in potassium, and regular blood tests are recommended. Patients with impaired kidney function should periodically test their kidney function and electrolyte levels while taking this medication. This medication may interact with other drugs; if you are taking any other medications, it’s crucial to inform your doctor or pharmacist, especially when taken with specific heart medications, diuretics, anti-inflammatory pain relievers, and lithium. Dizziness or drowsiness may occur while taking this medication, so caution is needed when driving or operating machinery. In cases of overdose, severe hypotension or cardiac issues may occur, so avoid exceeding the prescribed dosage and visit a medical facility immediately if an overdose is suspected. This medication is not recommended for children as its safety and efficacy have not been established, and elderly patients should take it carefully with dosage adjustments.

Serious side effects

Hives, severe swelling (angioedema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with fever, blisters, skin peeling, pain in mucous membranes of the mouth/eyes, jaundice (yellowing of the skin or eyes), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, markedly reduced urine output, severe swelling all over the body with increased blood pressure, severe

Mild side effects

Dizziness, peripheral edema, fainting, drowsiness, headache, sensory disturbances, taste disturbances, tremors, visual impairment (including double vision), lightheadedness, tinnitus, palpitations, bradycardia, tachycardia, flushing, hypotension, orthostatic hypotension, cough, abdominal pain, indigestion, nausea, vomiting, dry mouth, itching, sweating, rash, hair loss, purpura, skin discoloration, eczema, erythema, joint swelling, muscle cramps, arthralgia, myalgia, low back pain, limb pain, tendon pain, urinary symptoms

This medication should be stored in a tightly sealed container that is not exposed to light, at a temperature between 1 to 30 degrees Celsius. Storing it this way helps to maintain the medication's effectiveness.

Appearance

White and light blue biconvex oval double-coated tablet

Package unit

30 tablets (10 tablets/PTP x 3)