Telcadipin Tablets 40/5 mg (Telmisartan, Amlodipine)

Adult dose

The recommended dosage of this medication is one tablet once daily, taken with water regardless of meals. It is advisable to take it at the same time each day (e.g., in the morning). Dose adjustment is not required for patients with mild to moderate renal impairment, but severe renal impairment patients should start at a lower dose and gradually increase. Patients with liver impairment should not exceed a daily dosage of 40 milligrams; for elderly patients (75 years and older), special precautions are needed as mentioned in the section ‘3. Caution in Certain Patients’.

Child dose

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

This medication can pose serious risks to the fetus and newborn if taken during pregnancy, particularly in the second and third trimesters, so it should not be used by pregnant women or those who may become pregnant. Patients with allergies to the main ingredients of this drug or severe health conditions such as specific heart diseases, liver dysfunction, hypotension, or heart failure should avoid this medication. Patients with liver or kidney issues should exercise extreme caution when using this drug, and those with reduced liver function may need dose adjustments. Patients with gastrointestinal diseases or renovascular hypertension should be cautious when taking this drug, and regular monitoring of blood pressure and kidney function is necessary. Side effects such as dizziness, peripheral edema, and hypotension may occur while taking this medication, so if symptoms are severe, consultation with a doctor is advised. As this drug may interact with other medications when used as an antihypertensive, patients on other drugs should inform their doctor or pharmacist. This medication is not recommended for breastfeeding women, and it is advisable to avoid use if nursing. The safety and efficacy of this drug have not been established for children and adolescents under 18 years of age, so it is not recommended for this population. Older adults may be more sensitive to the medication, so special caution is needed when administering it, and dose adjustments may be necessary. In cases of overdose, blood pressure may drop excessively or heart problems may arise, so the dosage must be strictly adhered to, and if abnormal symptoms occur, immediate medical attention should be sought. This medication must be kept out of the reach of children and should not be transferred to other containers to maintain product quality. It is advisable to open the sealed packaging and take the medication immediately before use.

Serious side effects

Urticaria, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blistering, skin peeling, pain in mucous membranes of the mouth/eyes, severe skin reactions, shortness of breath or difficulty in breathing, asthma attacks, respiratory abnormalities with cough and fever, yellowing of the skin or eyes (jaundice), extreme exhaustion, liver abnormalities (jaundice), sudden and severe headaches, thunderclap headache, seizures

Mild side effects

Dizziness, peripheral edema, upper respiratory infections (including pharyngitis and sinusitis), urinary tract infections (including cystitis), anemia, hyperkalemia, hypoglycemia (in patients with diabetes), hyponatremia, hyperglycemia, depression, insomnia, mood changes, anxiety, drowsiness, headache, paresthesia, visual impairment, vertigo, tinnitus, palpitations, bradycardia, tachycardia, flushing, hypotension, orthostatic hypotension, cough, abdominal pain, dyspepsia, nausea, vomiting, dry mouth, itching

This medication is sensitive to light and should be stored in a container that does not allow light to enter. Furthermore, it should be stored at room temperature, between 1 to 30 degrees Celsius, to maintain its effectiveness.

Appearance

White or whitish rectangular tablet

Package unit

30 tablets/bottle