Medication info
Twin Cara Tablet 40/5 mg

Twin Cara Tablet 40/5 mg

Prescription medicationTablet경구
Ingredient · strength
Telmisartan›40mg / 1 tabletAmlodipine Besylate›6.935mg / 1 tablet
Manufacturer / importer
정우신약(주)
Appearance
White or off-white rectangular tablet
Packaging
30 tablets/bottle
Approval status
Active

MFDS item code 201902891 · Approved 2019.05.07 · Insurance code 694205600

Summary

Main use
Improvement of blood pressure control in essential hypertension
Who takes it
Adults · Children
Adult dose
The recommended dosage for this medication is one tablet once daily, taken with water regardless of meals. It is recommended to take it at the same time each day (e.g., in the morning). In patients with renal impairment, dosage adjustment is not required for mild to moderate renal impairment, while patients with severe renal impairment should start treatment at a lower dose and gradually increase it. For patients with hepatic impairment, telmisartan should be administered at a daily dose not exceeding 40 mg for those with mild or moderate hepatic impairment.
Child dose
The safety and efficacy of this medication have not been established in patients under 18 years of age; therefore, administration of this medication is not recommended.

Ingredients

Manufacturer
정우신약(주)

Efficacy & effects

Improvement of blood pressure control in essential hypertension

  • Essential hypertension
View approved original text

This medication is used in patients with essential hypertension whose blood pressure is not sufficiently controlled by monotherapy with amlodipine or telmisartan. It effectively lowers blood pressure, reducing the burden on the heart and blood vessels and helping to decrease the risk of complications.

How to take

Adult dose

The recommended dosage for this medication is one tablet once daily, taken with water regardless of meals. It is recommended to take it at the same time each day (e.g., in the morning). In patients with renal impairment, dosage adjustment is not required for mild to moderate renal impairment, while patients with severe renal impairment should start treatment at a lower dose and gradually increase it. For patients with hepatic impairment, telmisartan should be administered at a daily dose not exceeding 40 mg for those with mild or moderate hepatic impairment.

Child dose

The safety and efficacy of this medication have not been established in patients under 18 years of age; therefore, administration of this medication is not recommended.

Precautions

This medication should not be used during pregnancy, especially in the second and third trimesters, as it may cause serious harm to the fetus. If pregnancy is confirmed, the administration of this medication should be discontinued as soon as possible. This medication should not be administered to individuals allergic to the active ingredients or similar substances, pregnant or potentially pregnant women, breastfeeding women, patients with severe liver disease, and patients with certain cardiac conditions. Particular caution is needed for patients with liver or gastrointestinal issues, impaired kidney function, and elderly patients when using this medication. Side effects such as dizziness, edema, and blood pressure reduction may occur while taking this medication, so if any abnormal symptoms arise, it is essential to consult healthcare professionals. There may be interactions if taken with other antihypertensive drugs, so it is crucial to inform your doctor or pharmacist if you are taking other medications. This medication is not recommended for breastfeeding women and should be avoided during pregnancy or breastfeeding. Its safety and efficacy have not been sufficiently established for children, so it is advisable not to use it in this population. Elderly patients may be more sensitive to this medication, so dosage adjustment and caution are necessary. In case of overdose, symptoms such as blood pressure reduction, dizziness, and cardiac issues may occur, so immediate contact with healthcare professionals and appropriate treatment are required. This medication should be kept out of reach of children and should not be transferred to another container.

Side effects and when to seek care immediately

Serious side effects

Hives, severe swelling (angioedema), cold sweat, pallor, severe allergic reactions, severe rash with high fever, blisters, skin peeling, pain in the oral/ocular mucosa, severe skin adverse reactions, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities accompanied by cough and fever, difficulty breathing, yellowing of the skin or eyes (jaundice), extreme fatigue, liver dysfunction (jaundice), sudden and severe headaches, lightning

Mild side effects

  • Dizziness
  • peripheral edema
  • upper respiratory infection
  • urinary tract infection
  • anemia
  • hyperkalemia
  • hypoglycemia
  • hyponatremia
  • hyperglycemia
  • depression
Show 28 more
  • insomnia
  • anxiety
  • confusion
  • drowsiness
  • migraines
  • headaches
  • sensory disturbances
  • fainting
  • peripheral neuropathy
  • visual impairment
  • dizziness
  • tinnitus
  • palpitations
  • bradycardia
  • tachycardia
  • flushing
  • hypotension
  • orthostatic hypotension
  • cough
  • abdominal pain
  • dyspepsia
  • nausea
  • vomiting
  • dry mouth
  • itching
  • rash
  • hair loss
  • vascular edema

Not everyone experiences these, and they can vary from person to person.

Storage

This medication is sensitive to light, so it should be stored in a container that shields it from light. Additionally, it is essential to store the medication safely at room temperature, between 1 to 30 degrees Celsius.

Appearance and packaging

Appearance

White or off-white rectangular tablet

Package unit

30 tablets/bottle

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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For anything that needs medical judgment, consult a doctor or pharmacist.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.