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Telmisartan
Telmisartan is an angiotensin receptor blocker (ARB) used for managing high blood pressure and reducing the risk of cardiovascular events in certain patients. Common side effects include dizziness, cough, and respiratory infection, amongst others. Always consult your doctor for suitability.
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Frequently Asked Questions
Can I take Telmisartan if I am pregnant?
Telmisartan is not recommended during pregnancy as it can cause injury or death to the unborn baby. If you plan to become pregnant, discuss alternative medication options with your healthcare provider.
Do I need to avoid certain foods while taking Telmisartan?
There's no specific food that you need to avoid while on Telmisartan. However, maintaining a healthy, balanced diet can help control your blood pressure.
I missed a dose of Telmisartan, what should I do?
Take it as soon as you remember. If it's close to the time of your next dose, skip the one you missed and resume your normal schedule. Don?t take two doses at one time.
Will Telmisartan affect my sexual performance?
While it's not a common side effect, Telmisartan like other blood pressure medications can cause sexual side effects in some people. If you're noticing any changes, make sure to discuss them with your healthcare provider.
Will Telmisartan interact with my other medications?
Telmisartan can interact with certain medications like NSAIDs, diuretics, and digoxin, amongst others. To ensure safe use, always inform your healthcare provider about all the medications you're currently taking, including prescription, nonprescription drugs, and dietary supplements.
Comprehensive Drug Guide
How Does Telmisartan Work?
Telmisartan interrupts the reninangiotensinaldosterone system by specifically blocking the binding of angiotensin II to its receptor, which prevents vasoconstriction and decreases the effects of aldosterone, thus lowering blood pressure.
What is Telmisartan Used For?
FDA indications: Telmisartan is used to treat high blood pressure (hypertension). It is also used to reduce the risk of stroke, heart attack, or death from heart problems in individuals with risk factors for serious heart disorders.
Offlabel uses: Telmisartan is infrequently used in kidney disease, left ventricular hypertrophy, and recurrent atrial fibrillation prophylaxis.
Common Dosages
Tablets: 20mg, 40mg, 80mg
Typical Dosing
FDA Approved Indications
- For high blood pressure: Start at 40mg once per day. This can be increased to a maximum of 80mg per day.
- For cardiovascular risk reduction: Start at 80mg once per day.
Who Shouldn't Take Telmisartan?
- Pregnant women or women who are planning to become pregnant.
- People with an allergy to Telmisartan or any other ARBs.
- Individuals with a history of angioedema related to previous ARB therapy.
- People with severely impaired liver function, biliary obstructive disorders or hepatic insufficiency.
- Anyone with hyperkalemia (high potassium levels).
Advice From The Pharmacist
- Take it easy on the alcohol. It can lower your blood pressure further and increase side effects of Telmisartan.
- Maintain a balanced diet to manage your blood pressure.
- Take your medication around the same time every day to help you remember.
- Always take your pills exactly how your doctor prescribes them.
- Seek immediate medical help if you notice any signs of an allergic reaction, such as swelling of the face, lips, tongue, or throat, difficulty breathing, or hives.
- Stay hydrated, especially during exercise and in hot weather.
- Don?t discontinue the medication without speaking to your doctor, even if you feel well. It?s intended to control blood pressure, not cure it.
Side Effects of Telmisartan
Common Side Effects
- You might experience dizziness
- You might have back or leg pain
- Sinus infection and pharyngitis are quite common
- Urinary tract infections
- Erythema or allergic reactions affecting the whole body
- Pruritus, rash or sweating excessively
Risks and Warnings of Telmisartan
- Telmisartan, although beneficial to many, is not safe for certain individuals such as pregnant women and those with severe liver conditions.
- Caution should also be exercised in individuals with a history of angioedema related to previous ARB therapy.
- Patients with hyperkalemia should avoid Telmisartan as it can escalate the potassium levels in the blood.
- Always consult your physician if you have concerns or preexisting medical conditions before initiating your Telmisartan therapy.
Interactions with Telmisartan
Common Drug Interactions
- Nonsteroidal antiinflammatory drugs (NSAIDs)
- Diuretics
- Potassium supplements
- Lithium
- Digoxin
Alternatives to Telmisartan
- Losartan
- Olmesartan
- Valsartan
- Irbesartan
- Candesartan
