Twintel Tablets 40/5mg

Adult dose

The recommended dose is 1 tablet once daily, to be taken with water regardless of meals. It is advisable to take it at the same time each day (e.g., morning). For patients with kidney dysfunction, treatment should start at a low dose in severe cases, and the dose should be gradually increased. For patients with liver dysfunction, the daily dose of telmisartan should not exceed 40 milligrams. In elderly patients (75 years and older), low dosing should be initiated.

Child dose

The safety and efficacy of this medication in pediatric patients under 18 years of age have not been established; therefore, administration is not recommended.

This medication can cause serious harm to the fetus if taken during pregnancy, particularly in the second and third trimesters; therefore, women who are pregnant or may become pregnant should not take it. Additionally, patients with hypersensitivity to any ingredient of this medication, biliary obstruction, severe liver disease, serious heart issues, severe hypotension, or those in cardiac shock should not use this medication. Patients with primary aldosteronism, certain heart valve diseases, liver disease, gastrointestinal diseases, renal artery hypertension, dialysis patients, and the elderly require special caution when taking this medication. This medication may cause various side effects such as dizziness, peripheral edema, palpitation, hypotension, dyspepsia, and liver dysfunction; if any abnormal symptoms occur, consultation with medical professionals should be sought immediately. During pregnancy, the use of this medication may lead to fetal kidney dysfunction, oligoamnios, and skull formation abnormalities; if pregnancy is confirmed, it should be stopped immediately. Women who are breastfeeding should also refrain from taking this medication as its ingredients may be transmitted through breast milk. The safety and efficacy of this medication have not been established in pediatric patients under 18 years of age, and it is not recommended for them. In elderly patients, dosage should be adjusted and increased slowly to ensure safety. Overdose may result in severe hypotension, dizziness, and heart rate abnormalities, requiring immediate emergency treatment. This medication may interact with other drugs, so patients, especially those with impaired kidney function or specific heart diseases, must consult a physician or pharmacist before taking it. While taking this medication, drowsiness or dizziness may occur, hence caution is needed while driving or operating machinery. Finally, it is important to keep this medication out of the reach of children, store it in its original packaging, and take it immediately after opening.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in oral/ocular mucosa, difficulty breathing or breathlessness, asthma attacks, respiratory distress accompanied by cough and fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headaches, lightning headaches, seizures, confusion of consciousness, visual disturbances, paralysis, reduced urine output.

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory tract infection
• urinary tract infection
• anemia
• hyperkalemia
• hypoglycemia
• hyponatremia
• hyperglycemia
• depression

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

Appearance

<For domestic use> A white and light gray double-faced oval-shaped tablet. <For export> A white or whitening rectangular tablet.

Package unit

30 tablets (10 tablets/PTP*3)