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Telmisartan is a medication in the class of angiotensin II receptor blockers (ARBs). Medindia+2Medthority+2
"IPï means it meets the Indian Pharmacopoeia standard.
Angiotensin II is a hormone that causes blood vessels to constrict (narrow), increasing blood pressure. Telmisartan blocks the effect of angiotensin II on its receptors, leading to vasodilation (wider blood vessels), lowering blood pressure. Practo+3Medicines.org.uk+3phaedruslifescience.in+3
It also reduces the workload on the heart and lowers risk of complications like stroke or kidney damage (in certain settings). Medindia+3Medicines.org.uk+3Practo+3
Treatment of essential hypertension (high blood pressure) in adults. MIMS+3Medicines.org.uk+3drugtodayonline.com+3
Cardiovascular risk reduction in certain adult patients ï for example those with atherosclerotic disease, or type 2 diabetes with target organ damage. Medthority+2Medicines.org.uk+2
Situation | Typical Dose |
---|---|
Starting dose for hypertension (adult) | 40mg once daily. MIMS+3drugtodayonline.com+3Medthority+3 |
Dose range | Can be adjusted between 20 mg to 80 mg once daily depending on response. The maximal approved dose is 80 mg once daily. Medthority+2Medindia+2 |
Combination with other antihypertensives | If needed, may be used with diuretics (e.g., hydrochlorothiazide) or other classes. Medicines.org.uk+2drugs.docindia.org+2 |
Telmisartan can be taken with or without food. Medindia+1
Usually once daily, same time each day to maintain steady levels. Drugs.com+2MIMS+2
Some effect on lowering blood pressure is seen within 2 weeks of starting. Drugs.com+2Medthority+2
Full/maximum effect often takes up to 4ï8 weeks. Medicines.org.uk+2Medthority+2
As with all medications, there are possible side effects. Most are mild; some rare ones are more serious.
Common / mild side effects:
Dizziness or lightïheadedness ï especially when standing up. Practo+2Medthority+2
Upper respiratory tract symptoms (e.g. sinusitis) drugtodayonline.com+2Practo+2
Back pain, fatigue, headache, stomach pain or upset, diarrhea. Practo+2drugtodayonline.com+2
Less common / more serious:
Hyperkalemia (increased potassium in blood) ï especially in patients with kidney impairment or taking potassium supplements or potassiumïsparing drugs. Practo+2MIMS+2
Renal function effects ï may worsen if kidney disease is present. MIMS+1
Severe hypotension (very low blood pressure) in certain situations (dehydration, saltïdepleted state). drugtodayonline.com+1
Caution in liver impairment; in severe hepatic disease it might be contraindicated. Medthority+2Medicines.org.uk+2
Pregnancy risk: ARBs like telmisartan are not recommended in pregnancy, especially in the 2nd and 3rd trimesters. Practo+2MIMS+2
Known hypersensitivity to telmisartan or any excipients. Medicines.org.uk+1
Severe hepatic impairment or biliary obstruction. Medicines.org.uk+1
Pregnancy (especially middle to late stages) and breastfeeding unless doctor deems benefit > risk. Practo+2MIMS+2
Probably not recommended for children (below 18 years), as safety & efficacy not established. Practo+2Medthority+2
Monitor blood pressure periodically to see if response is adequate. Adjust dose only under medical supervision.
Check kidney function and electrolytes (especially potassium) before and during treatment, particularly in kidney disease or when using other drugs that affect kidney function or potassium.
Be careful with dehydration, salt depletion (e.g. from diuretics), which may worsen blood pressure drop or kidney effects.
Inform your doctor about other medications (like potassium supplements, NSAIDs, other antihypertensives) to avoid interactions.
If you develop symptoms like swelling (face, lips), difficulty breathing, high potassium signs (muscle weakness, irregular heartbeat), stop and seek medical help.
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