Mirtol Tablets 20 mg (Telmisartan)

Adult dose

For essential hypertension, 40 mg of Telmisartan should be taken orally once a day with water, regardless of meals. For some patients, 20 mg once a day may be effective. If necessary, the dose can be increased to 80 mg once a day, and the maximal blood pressure-lowering effect usually occurs within 4 to 8 weeks after dose escalation. For the purpose of reducing cardiovascular disease risk, it is recommended to take 80 mg orally once a day with water.

This medication can cause serious harm to the fetus and newborn, so if pregnancy is confirmed, it should be discontinued immediately. Women who are pregnant or may become pregnant, as well as nursing mothers, should not take this medication. Patients with severe liver impairment, biliary obstruction, or cholestasis should not take this medication. Patients with allergic reactions or a history of hereditary angioedema should also avoid using this medication. In diabetic patients with moderate to severe renal impairment, it is prohibited to take this medication alongside certain other medications. Elderly patients, those with hyperkalemia, and patients with mild to moderate liver dysfunction should use this medication cautiously and may require dose adjustments. Caution is also necessary for patients with heart valve disease or ischemic heart disease. This drug has a blood-lowering effect, and excessive blood pressure reduction could lead to risks of myocardial infarction or stroke. Patients with weak kidney function or renal artery stenosis should also use this medication cautiously, as there is a risk of worsening renal function, and monitoring is needed. This medication may increase the blood pressure-lowering effect when taken with other antihypertensive medications. Regular monitoring of potassium levels is necessary due to the potential for hyperkalemia. Special caution is required when used with potassium-sparing diuretics or potassium supplements, as potassium levels can become dangerously high. This medication can lead to serious side effects such as liver dysfunction, jaundice, angioedema, renal failure, shock, syncope; if symptoms occur, it should be discontinued immediately and medical attention sought. Caution is needed while driving or operating machinery as there is a possibility of dizziness or fainting. This medication contains sorbitol and is not suitable for patients with fructose intolerance. Women who are pregnant or planning to become pregnant should not take this medication, and nursing mothers are also advised to avoid it. This medication is not recommended for children under 18 years of age as safety and efficacy have not been established. Overdose may result in hypotension, dizziness, acute renal failure; immediate medical treatment should be sought. This medication should be kept out of reach of children, and transferring to another container can jeopardize quality.

Serious side effects

Hives, severe swelling (including angioedema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with fever, blisters, skin peeling, pain in the mucous membranes of the mouth/eyes, asthma attack, respiratory abnormalities accompanied by cough and fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden severe headache, lightning headache, seizures, confusion of consciousness, visual disturbances, paralysis, significant decrease in urine output, systemic hypotension

Mild side effects

• Upper respiratory infection
• pharyngitis
• sinusitis
• urinary tract infection
• cystitis
• anemia
• thrombocytopenia
• eosinophilia
• hypersensitivity
• hyperkalemia

This medication should be stored in a tightly-closed container to prevent exposure to air or moisture. It is important to maintain a storage temperature between 1°C and 30°C at room temperature to ensure the drug's efficacy is safely preserved.

Appearance

White round tablets

Package unit

30 tablets/bottle