Medication info
A-Twin Tablet 40/5 mg

A-Twin Tablet 40/5 mg

Prescription medicationTablet경구
Ingredient · strength
Telmisartan›40mg / 1 tabletAmlodipine Besylate›6.935mg / 1 tablet
Manufacturer / importer
삼천당제약(주)
Appearance
White or slightly off-white double convex oval tablet
Packaging
30 tablets (10 tablets/Alu-Alu) X 3
Approval status
Active

MFDS item code 201607295 · Approved 2016.12.27 · Insurance code 651204870

Summary

Main use
Improvement of blood pressure control in essential hypertension
Who takes it
Adults · Children
Adult dose
The recommended dosage is one tablet once daily, to be taken with water regardless of meals. It is advised to take it at the same time every day (for example, in the morning). In cases of severe renal impairment, treatment should be initiated at a lower dose, and the dose may be gradually increased. Patients with liver impairment should not exceed a daily dose of 40 mg of telmisartan. Elderly individuals (75 years and older) should be treated starting at a lower dose.
Child dose
The safety and efficacy of this medication have not been established in pediatric patients under the age of 18, so its use is not recommended.

Ingredients

Manufacturer
삼천당제약(주)

Efficacy & effects

Improvement of blood pressure control in essential hypertension

  • Essential hypertension
View approved original text

This medication is used for patients with essential hypertension who have difficulty controlling blood pressure with amlodipine or telmisartan monotherapy alone. It helps to effectively lower blood pressure and reduce the risk of cardiovascular disease. Therefore, it is recommended for individuals needing blood pressure management and is actively utilized in the treatment of hypertension.

How to take

Adult dose

The recommended dosage is one tablet once daily, to be taken with water regardless of meals. It is advised to take it at the same time every day (for example, in the morning). In cases of severe renal impairment, treatment should be initiated at a lower dose, and the dose may be gradually increased. Patients with liver impairment should not exceed a daily dose of 40 mg of telmisartan. Elderly individuals (75 years and older) should be treated starting at a lower dose.

Child dose

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

Precautions

This medication can cause serious harm to the fetus during pregnancy, especially in the second and third trimesters, so it should not be taken by pregnant women or women who may become pregnant. This medication is contraindicated in patients with certain conditions. For example, patients with severely impaired liver or kidney function, hypotensive patients, or those with serious heart problems should not take this medication. Especially for nursing women, it is advisable to avoid taking this medication, and patients who are genetically hypersensitive to any component of this medication should also refrain from using it. Some patients may commonly experience side effects such as dizziness and edema, and more serious side effects can occur infrequently, so if abnormal symptoms arise during use, it is important to consult a doctor immediately. It is essential to regularly check blood pressure, kidney function, and electrolyte levels during the use of this medication to ensure there are no abnormalities. This medication may interact with other drugs, so if you are currently taking other medications, be sure to inform your doctor or pharmacist. Caution is needed when driving or operating dangerous machinery, as drowsiness or dizziness may occur. In the case of overdose, symptoms such as hypotension and heart problems may arise, thus requiring immediate medical attention at a healthcare facility. This medication is not recommended for children as its safety and efficacy have not been adequately established in this population.

Side effects and when to seek care immediately

Serious side effects

Urticaria, angioedema, Stevens-Johnson syndrome, exfoliative dermatitis, toxic epidermal necrolysis, thrombocytopenia, leukopenia, anaphylactic reaction, sepsis, hepatitis, jaundice, increased liver enzymes (with cholestasis), vasculitis, myocardial infarction, ventricular tachycardia, arrhythmia, atrial fibrillation, dyspnea, interstitial lung disease, renal impairment (including acute renal failure), syncope, severe hypotension, heart failure, cerebral infarction, congestive heart failure

Mild side effects

  • Dizziness
  • peripheral edema
  • upper respiratory tract infection
  • pharyngitis
  • sinusitis
  • urinary tract infection
  • anemia
  • hyperkalemia
  • hypoglycemia
  • hyponatremia
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  • hyperglycemia
  • depression
  • insomnia
  • anxiety
  • confusion
  • drowsiness
  • headache
  • sensory disturbances
  • taste disturbances
  • tremors
  • visual disturbances
  • vertigo
  • tinnitus
  • palpitations
  • bradycardia
  • tachycardia
  • flushing
  • hypotension
  • orthostatic hypotension
  • cough
  • abdominal pain
  • dyspepsia
  • nausea
  • vomiting
  • dry mouth
  • itching
  • rash
  • hair loss

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 blocks light. It should also be kept at room temperature between 1 degree and 30 degrees Celsius. Proper storage will help maintain the effectiveness of the medication.

Appearance and packaging

Appearance

White or slightly off-white double convex oval tablet

Package unit

30 tablets (10 tablets/Alu-Alu) X 3

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

No questions yet.

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.