Twin Eco Tablet 40/10 mg

Adult dose

The recommended dose of this medication is 1 tablet once daily, taken with water regardless of meals. It is recommended to take it at the same time each day (e.g., in the morning). For patients with renal impairment, no dose adjustment is necessary for mild to moderate impairment, but severe renal impairment patients should start at a lower dose and gradually increase it. For patients with liver impairment, the daily dose should not exceed 40 mg.

Child dose

Safety and efficacy in pediatric patients under 18 years of age have not been established, so administration is not recommended.

This medication should not be used during pregnancy, especially in the second and third trimesters, as it can have serious effects on the fetus or newborn. This medication should not be used in patients with hypersensitivity to its ingredients, during pregnancy or breastfeeding, severe liver dysfunction, and patients with severe heart disease. Caution is advised when using this medication in patients with primary aldosteronism or certain heart valve diseases, liver impairment, gastrointestinal diseases, renal vascular diseases, dialysis patients, and elderly patients. The most common side effects when taking this medication are dizziness and swelling of the hands and feet, and rarely, fainting or heart-related adverse reactions may occur. Use during pregnancy may pose risks to the fetus, so if pregnancy is confirmed, discontinue use immediately and consider alternative treatments. Blood pressure may drop too low, so patients with insufficient fluid or salt should replenish these before use, and appropriate measures should be taken if symptoms of hypotension occur. Potassium levels in the blood may increase, so patients at risk for hyperkalemia should have their potassium levels checked regularly through blood tests. Patients with impaired kidney function should have their kidney function and electrolyte status monitored periodically while being treated. Caution is needed when using this medication in combination with other antihypertensives, as it may increase the risk of myocardial infarction or angina. Breastfeeding women are advised not to take this medication, and care should be taken when driving or operating machinery as drowsiness or dizziness may occur. This medication may interact with other drugs, so if taking other medications, consult with a doctor or pharmacist. In case of an overdose, severe hypotension, dizziness, or heart side effects may occur, and immediate medical attention should be sought for appropriate treatment. Store this medication out of reach of children and avoid transferring it to other containers.

Serious side effects

• Hives
• angioedema
• anaphylactic reactions
• sepsis
• thrombocytopenia
• abnormal liver function
• liver impairment
• jaundice
• Stevens-Johnson syndrome
• toxic epidermal necrolysis

Mild side effects

Dizziness, peripheral edema, fainting, palpitations, cough, changes in bowel habits (including diarrhea and constipation), abdominal pain, indigestion, nausea, vomiting, dry mouth, itching, rash, hair loss, low blood pressure, weakness, fatigue, weight changes, joint pain, muscle cramps, back pain, erectile dysfunction, changes in blood test values, etc.

This medication is sensitive to light, so it should be stored in a tightly closed container that protects it from light. It is best to store at room temperature between 1 to 30 degrees Celsius.

Appearance

White or whitish rectangular tablets

Package unit

30 tablets/bottle