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Micardis
Micardis (generic name: telmisartan) is an angiotensin II receptor blocker (ARB) used primarily for the treatment of hypertension (high blood pressure). It helps lower blood pressure by blocking the action of angiotensin II, a substance in the body that causes blood vessels to constrict, thus relaxing blood vessels and improving blood flow.
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Frequently Asked Questions
How quickly does Micardis work?
Micardis may start to lower blood pressure within 3 to 6 hours, but it may take several weeks for the full effect to be seen.
Can I take Micardis with food?
Yes, Micardis can be taken with or without food.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Are there any dietary restrictions while using Micardis?
There are no specific dietary restrictions while using Micardis, but monitor your potassium intake.
Is Micardis safe during pregnancy or breastfeeding?
Micardis should not be used during pregnancy, especially in the second and third trimesters. Consult your healthcare provider if you are breastfeeding to discuss its use.
Comprehensive Drug Guide
How Does Micardis Work?
Telmisartan works by selectively blocking the binding of angiotensin II to its receptors, which results in vasodilation (widening of blood vessels) and decreased blood pressure. This mechanism also helps reduce the workload on the heart.
Common Dosages
- Tablets: 20 mg, 40 mg, and 80 mg.
Typical Dosing
- The usual starting dose for adults is 40 mg taken orally once daily, which may be increased to a maximum of 80 mg per day based on blood pressure response.
Typical Dosing
FDA Approved Indications
- Hypertension: for the treatment of high blood pressure in adults.
- Cardiovascular Risk Reduction: to reduce the risk of myocardial infarction (heart attack) and stroke in certain patients.
Who Shouldn't Take Micardis?
- Known hypersensitivity to telmisartan or any component of the formulation.
- Pregnancy, especially in the second and third trimesters.
- Severe liver impairment or cholestasis.
Advice From The Pharmacist
- Take Micardis exactly as prescribed, and do not stop taking it abruptly without consulting your healthcare provider.
- Monitor blood pressure regularly to ensure effectiveness and adjust the dosage as necessary.
- Be cautious when engaging in activities that require alertness, as Micardis may cause dizziness.
Side Effects of Micardis
Common Side Effects
- Dizziness
- Fatigue
- Headache
- Nasal congestion
- Diarrhea
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, itching, swelling)
- Hypotension (low blood pressure)
- Kidney dysfunction.
Risks and Warnings of Micardis
- Pregnancy: Use during pregnancy can harm the fetus; discuss with your healthcare provider if you become pregnant while on this medication.
- Kidney Function: Regular monitoring of kidney function is recommended, especially in patients with pre-existing kidney issues.
Interactions with Micardis
Common Drug Interactions
- Other Antihypertensives: Use caution when combined with other medications that lower blood pressure.
- Potassium Supplements: Avoid potassium supplements or salt substitutes containing potassium, as telmisartan can increase potassium levels.
Alternatives to Micardis
- Other ARBs: Such as losartan or valsartan for managing hypertension.
- ACE Inhibitors: As alternative treatments for high blood pressure.
