Twin Kera Tablet 40/10 mg

Adult dose

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

Child dose

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

This medication may pose serious risks to the fetus during pregnancy, particularly in the second and third trimesters, thus it should not be used during pregnancy. If pregnancy is confirmed, the use of this medication should be discontinued immediately. It should not be administered to patients with allergies to any of its ingredients or with certain heart, liver, or kidney diseases. Additionally, it should not be taken by pregnant or breastfeeding women, nor by patients with significantly impaired liver or heart function. Patients with certain heart valve diseases, liver dysfunctions, gastrointestinal diseases, and renal vascular diseases should use this medication with caution, and elderly patients require particular attention while taking it. Adverse effects such as dizziness or peripheral edema may occur when taking this medication, and rarely, syncope or heart issues may also arise. If side effects are severe or suspected, consult medical personnel immediately. This medication may interact with other drugs, so it is crucial to inform healthcare providers about any other medications being taken, especially since there is a risk of increased potassium levels that require monitoring through blood tests. Women who are pregnant or planning to become pregnant should use other antihypertensive agents with proven safety instead of this medication, and breastfeeding women are also advised not to take this medication. The safety and efficacy of this medication have not been adequately established in children, so its use is not recommended. Elderly patients may react more sensitively to this medication, so it is safer to start with a lower dose and gradually increase it. Overdose may result in excessively low blood pressure and irregular heartbeats, necessitating immediate medical attention for appropriate treatment. This medication should be kept out of reach of children and should not be transferred to other containers.

Serious side effects

Hives, severe swelling (angioedema), chest tightness, difficulty breathing, cold sweats, pallor, severe allergic reactions, severe rash with fever, blisters, skin peeling, pain in the mucous membranes of the mouth/eyes, severe skin adverse reactions, shortness of breath or breathing difficulties, asthma attacks, respiratory issues accompanying cough and fever, jaundice (yellowing of the skin or eyes), profound fatigue, liver abnormalities (jaundice), sudden

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory tract infection
• pharyngitis
• sinusitis
• urinary tract infection
• cystitis
• anemia
• hyperkalemia
• hypoglycemia

This medication is sensitive to light and should be stored in a container that blocks light. It is important to maintain a storage temperature between 1 and 30 degrees Celsius at room temperature. Proper storage ensures the medication's efficacy and safety.

Appearance

White or off-white rectangular tablet

Package unit

30 tablets/bottle