Telmidipine Pro Tablet 40/5/12.5 mg (Telmisartan, Amlodipine, Chlorthalidone)

Adult dose

This medication should be taken once daily, with one tablet taken with water regardless of meals. It is recommended to take it at the same time every day (e.g., in the morning). For patients whose blood pressure is not controlled with the combination of telmisartan and amlodipine, this drug at 40/5/12.5 mg may be administered, adjusting the dose after considering the patient's blood pressure response at intervals of more than 2 weeks. The maximum dose of this medication is 80/5/25 mg.

This medication can cause serious harm to the fetus if taken during pregnancy, especially in the second and third trimesters, so women who are pregnant or could become pregnant should not take it. Patients with severe liver or kidney impairment need to be cautious when taking this medication. Those with impaired liver function are at risk of hepatic encephalopathy, and patients with severe kidney dysfunction may experience side effects due to drug accumulation in the body. Patients allergic to this medication or similar drugs, or who have had hypersensitivity reactions, should not take this medication. Nursing women are advised against taking this medication, and patients with biliary obstructive disease, severe liver dysfunction, severe aortic stenosis, or in a state of shock should also avoid it. Patients with low blood pressure or conditions such as kidney failure, anuria, refractory hypokalemia, hyponatremia, hypercalcemia, or a history of gout should use this medication with caution. Because this medication lowers blood pressure, dizziness or symptoms of hypotension may occur when first starting, so it is recommended to lie down and rest if symptoms arise. It is important to regularly check potassium levels in the blood and kidney function during treatment with this medication to ensure there are no abnormalities. Additionally, when taking this medication alongside other blood pressure medications, diuretics, or potassium supplements, there may be interactions leading to side effects, so consultation with a physician or pharmacist is necessary. Caution is needed when driving or operating machinery, as dizziness or drowsiness may occur during treatment with this medication. In case of overdose, severe hypotension, dizziness, heart problems, etc. may occur, and immediate consultation with healthcare professionals is required; emergency treatment should be sought if necessary. The safety and efficacy of this medication have not been established in children, so use is not advised. In the elderly, the effect of this medication may be stronger, therefore starting with a lower dose and gradually adjusting is recommended. Lastly, this medication should be stored in a light-proof container away from direct sunlight and kept in a cool, dry place away from children.

Serious side effects

• Hives, angioedema, chest tightness, difficulty breathing, severe allergic reactions
• Severe rash with fever, blisters, skin peeling, pain in mouth/eye mucosa, severe skin adverse reactions
• Shortness of breath, asthma attack, respiratory issues accompanying cough and fever
• Skin or eyes turning yellow (jaundice), profound malaise, liver dysfunction (jaundice)
• Sudden and very severe headache, lightning-like headache, seizures, confusion, vision disturbances

Mild side effects

• Dizziness
• dyslipidemia
• back pain
• rash
• orthostatic dizziness
• headache
• abdominal pain
• anal bleeding
• nausea
• hemorrhagic gastritis

This medication is sensitive to light, so it should be kept in a light-resistant container and stored at room temperature between 1 degree and 30 degrees Celsius. Proper storage will help maintain the medication's effectiveness and prevent deterioration.

Appearance

White oval biconvex tablet

Package unit

30 tablets/box [(10 tablets/PTP*3)]