Telmitwin Tablets 40/10 mg

Adult dose

The recommended dosage of this medication is 1 tablet once daily and should be taken with water, regardless of meals. It is advised to take it at the same time every day (e.g., in the morning) if possible. For patients whose blood pressure is not adequately controlled, adjustments in dosage should be made individually. Caution and dosage adjustments are necessary for patients with kidney impairment, liver impairment, and elderly patients.

Child dose

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

This medication should not be used during pregnancy, particularly in the second and third trimesters, as it can cause serious harm to the fetus. If pregnancy is confirmed, the use of this medication must be discontinued immediately. Patients with hypersensitivity to this medication or with specific heart, liver, or kidney diseases should not take it. It is also advisable for nursing mothers to avoid using this medication. Patients with severe liver disease or heart problems should use this medication cautiously and may require dose adjustments. It should not be administered to patients with significantly low blood pressure or in shock. Caution is needed for patients with diabetes or severe kidney impairment, especially when combined with other medications. Side effects such as dizziness and peripheral edema may occur during treatment, so caution is necessary. Due to the blood pressure-lowering effects, patients should be careful when driving or operating machinery as drowsiness or dizziness may occur. There is a risk of hyperkalemia, so periodic monitoring of potassium levels is recommended. Co-administration with other antihypertensives may result in hypotension or changes in kidney function, thus following the physician's instructions is essential. It is recommended to avoid taking this medication with grapefruit juice as it may enhance the drug's effects. In case of overdose, severe hypotension or heart problems can occur, so the dosage must be strictly adhered to. Special caution is necessary when administering this medication to children or elderly patients; for elderly patients, the dosage should be adjusted slowly. Store this medication in a place out of reach of children, and it is advisable to take it immediately after opening.

Serious side effects

Urticaria, severe swelling (angioedema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes, severe skin adverse reactions, shortness of breath or difficulty breathing, asthma attack, respiratory abnormalities accompanied by cough and fever, jaundice (yellowing of skin or eyes), extreme lethargy, liver abnormalities (jaundice), sudden and severe headache, thunderclap headache.

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory tract infection
• urinary tract infection
• anemia
• hyperkalemia
• hypoglycemia
• psychiatric disorders
• drowsiness
• headache

This medication is sensitive to light and should be stored in a tightly sealed container that blocks light. It is crucial to maintain a storage temperature between 1°C and 30°C in order to preserve the drug's effectiveness and safety.

Appearance

A biconvex oval double tablet that is white and light gray.

Package unit

30 tablets/PTP [(10 tablets/PTP x 3)]