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Micardis HCT
Micardis HCT is a combination medication that includes telmisartan, an angiotensin II receptor blocker (ARB), and hydrochlorothiazide (HCTZ), a thiazide diuretic. It is primarily used to treat hypertension (high blood pressure) and may help prevent complications associated with high blood pressure, such as stroke and heart attack.
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Frequently Asked Questions
How quickly does Micardis HCT work?
Patients may begin to see a reduction in blood pressure within 1 to 2 weeks of starting treatment.
Can I take Micardis HCT with food?
Yes, it 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 HCT?
There are no specific dietary restrictions while using Micardis HCT, but a heart-healthy diet is recommended.
Is Micardis HCT safe during pregnancy or breastfeeding?
Consult your healthcare provider if you are pregnant or breastfeeding to discuss the risks and benefits of using Micardis HCT during these periods.
Comprehensive Drug Guide
How Does Micardis HCT Work?
- Telmisartan: Blocks the action of angiotensin II, leading to vasodilation (widening of blood vessels) and decreased blood pressure.
- Hydrochlorothiazide (HCTZ): Increases the excretion of sodium and water through the kidneys, reducing blood volume and further lowering blood pressure.
Common Dosages
- Tablets: Common strengths include combinations of 40 mg telmisartan with 12.5 mg HCTZ and 80 mg telmisartan with 12.5 mg HCTZ.
Typical Dosing
- The usual starting dose is 40 mg of telmisartan and 12.5 mg of HCTZ taken orally once daily, which may be adjusted based on blood pressure response.
Typical Dosing
FDA Approved Indications
- Hypertension: for the treatment of high blood pressure in adults.
Who Shouldn't Take Micardis HCT?
- Known hypersensitivity to telmisartan, HCTZ, or any component of the formulation.
- History of angioedema related to previous ARB treatment.
- Severe renal impairment or anuria.
Advice From The Pharmacist
- Take Micardis HCT exactly as prescribed, preferably at the same time each day.
- Monitor your blood pressure regularly to assess the effectiveness of the treatment.
- Be cautious of potential dizziness, especially after the first dose, and rise slowly from sitting or lying positions.
Side Effects of Micardis HCT
Common Side Effects
- Dizziness or lightheadedness
- Fatigue
- Swelling in the ankles or feet
- Nausea
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, itching, swelling)
- Low blood pressure (hypotension)
- Electrolyte imbalances (e.g., low potassium or sodium levels).
Risks and Warnings of Micardis HCT
- Kidney Function: Monitor kidney function, especially in patients with pre-existing renal conditions or those taking other medications affecting the kidneys.
- Pregnancy: Avoid use during pregnancy due to potential harm to the fetus.
Interactions with Micardis HCT
Common Drug Interactions
- Other Antihypertensives: Caution is advised when used with other blood pressure-lowering medications, as they may have additive effects.
- NSAIDs: May reduce the effectiveness of diuretics and potentially worsen renal function when combined.
Alternatives to Micardis HCT
- Single-Agent Therapy: Such as telmisartan or HCTZ alone for hypertension.
- Other Combination Therapies: Different combinations of antihypertensive agents based on patient needs.
