Telmisartan 80 mg. Cardiovascular events (eg., Heart attack or stroke) in patients who are at risk due to the fact that they are reduced or blocked heart or blood supply to the legs, or they have had a stroke or have high risk diabetes.
Telmisartan ratiopharm 80 mg tablets
Telmisartan
Read all of this leaflet carefully before you start taking this medicine.
- Keep this leaflet You may need to read it.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine is prescribed for you, so others can not give. It may harm them (even if their symptoms are the same as yours).
- If you experience any serious side effects or if you notice any side effects not listed, please tell your doctor or pharmacist.
leaflet
- What is Telmisartan ratiopharm is and what it is used for
- Before you take Telmisartan ratiopharm
- How to take Telmisartan ratiopharm
- Possible side effects
- How to store Telmisartan ratiopharm
- Further information
- WHAT Telmisartan RATIOPHARM IS AND WHAT IT IS USED FOR
Telmisartan ratiopharm of medicines called angiotensin II receptor antagonists. Angiotensin II is a substance produced in the body, which constricts blood vessels and thus increases blood pressure.Telmisartan ratiopharm that blocks the effect of angiotensin II, so the blood vessels relax, blood pressure decreases.
Telmisartan ratiopharm used
Treatment of essential hypertension (high blood pressure). 'Essential' means that the high blood pressure is not caused by any other reasons.
If high blood pressure is not treated, can damage blood vessels in several organs. Sometimes this can lead to heart attack, heart or kidney failure, stroke or blindness. While the function of damaged organs, high blood pressure usually asymptomatic. Hence, it is necessary to measure blood pressure on a regular basis to determine whether it is within the normal range.
In addition, Telmisartan ratiopharm is used for cardiovascular events (eg., A heart attack or stroke) in patients who are at risk due to the fact that they are reduced or blocked heart or legs, blood supply, or they have a stroke or suffer from high risk of diabetes. If you have a high risk of these problems, tell your doctor.
- BEFORE YOU TAKE Telmisartan RATIOPHARM
Telmisartan ratiopharm should not be used:
- If you are allergic (hypersensitive) to telmisartan or any other ingredients of Telmisartan ratiopharm tablets (for a list of excipients see. Section "Other information");
- if there is more than 3 months. pregnancy (early pregnancy Telmisartan ratiopharm is also better to avoid - see section. Pregnancy and breast-feeding);
- if you have severe liver problems, eg., Cholestasis or biliary obstruction (bile flow from the liver and gall bladder) or any other severe liver disease.
If any of the above applies to you, tell your doctor or pharmacist before taking
Telmisartan ratiopharm.
Take special care with
Tell your doctor if you have or ever had any of the following conditions or illnesses:
- Kidney disease or kidney transplant;
- Renal artery stenosis (one or both renal vasoconstriction);
- liver disease;
- heart problems;
- Raised aldosterone levels (water and salt retention in the body along with various mineral imbalance in the blood);
- Low blood pressure (hypotension), likely to occur due to dehydration (large loss of body water) or have salt deficiency due to diuretic therapy ( 'water-enhancing drug) consumption, dietary salt restriction, diarrhea or vomiting;
- Increased levels of potassium in the blood;
- diabetes.
If you think that you are (or might become) pregnant, you should tell your doctor. Early pregnancy Telmisartan ratiopharm is not recommended. If pregnant, you are more than three months Telmisartan-ratiopharm, as used in later stages of pregnancy, this medication can cause serious harm to your baby (see section. Pregnancy and breast-feeding).
Before surgery or anesthesia doctor have to say about Telmisartan-ratiopharm.
Children and adolescents under 18 years of age Telmisartan ratiopharm is not recommended.
Black Telmisartan ratiopharm, as well as other angiotensin II receptor blockers, can reduce blood pressure less.
Taking other medicines
If you are taking or have recently taken any other medicines, including medicines obtained without a prescription
or pharmacist.
Your doctor may change the other medicines the dose or take other precautions. In some cases, you may need one or the other drug should be discontinued. It is particularly suitable for the medicines listed below, if they are used together with Telmisartan ratiopharm.
- Lithium some types of depression.
- Medicines that may increase blood potassium levels, eg., Salt substitutes containing potassium, potassium-sparing diuretics (certain 'water tablets'), ACE inhibitors, angiotensin II receptor blockers, non-steroidal anti-inflammatory drugs (NSAIDs, eg., aspirin or ibuprofen), heparin, immunosuppressives (eg., cyclosporin or tacrolimus), and the antibiotic trimethoprim.
- Diuretics (water tablets), especially in combination with Telmisartan ratiopharm taken in high doses, can lead to significant amounts of water excretion from the body and low blood pressure (hypotension).
Telmisartan ratiopharm, as with other blood pressure lowering medicines, the effect may be reduced when you take non-steroidal anti-inflammatory drugs (eg. Aspirin or ibuprofen) or corticosteroids.
Telmisartan ratiopharm can enhance other medicines to treat high blood pressure lowering effects.
Telmisartan ratiopharm with food and drink
Telmisartan ratiopharm may be taken with or without food.
Pregnancy and breast-feeding
pregnancy
If you think that you are (or might become) pregnant, you should tell your doctor. Your doctor will normally advise you Telmisartan ratiopharm should be discontinued before you become pregnant or as soon as soon as you know you are pregnant and will advise you instead of Telmisartan ratiopharm another treatment for early pregnancy Telmisartan ratiopharm is not recommended. If pregnant, you are more than three months Telmisartan-ratiopharm, as used after the third month of pregnancy, this medication can cause serious harm to your baby.
Lactation
If you are breast-feeding or about to start breast-feeding, tell your doctor. Breast-feeding mothers Telmisartan ratiopharm is not recommended. If the baby, especially a newborn, or was born prematurely, breast feeding you, your doctor may prescribe a different medicine.
Driving and using machines
About Telmisartan ratiopharm affects your ability to drive and use machines have not been reported.Some people are being treated for high blood pressure, feel dizzy or tired. If you feel dizzy or tired, do not drive or operate machinery.
Important information about some of the ingredients of Telmisartan-ratiopharm
Telmisartan ratiopharm contains sorbitol. If your doctor has told you that you have intolerance to some sugars, contact your doctor before taking this medicine.
- HOW TO TAKE Telmisartan RATIOPHARM
Telmisartan ratiopharm always exactly as directed by your doctor. If in doubt, ask your doctor or pharmacist.
The usual dose of Telmisartan ratiopharm is one tablet per day. Try every day to take a tablet at the same time.
Telmisartan ratiopharm can be taken with or without food. The tablets should be swallowed with water or other non-alcoholic drink. It is important Telmisartan ratiopharm drink every day until your doctor tells you otherwise. If you think that Telmisartan ratiopharm is too strong or too weak, talk to your doctor arbavaistininku.
Treat high blood pressure. For most patients the usual Telmisartan ratiopharm daily dose to control blood pressure for 24 hours, there is one 40 mg tablet. For some people, your doctor may recommend a lower dose of 20 mg daily dose or higher of 80 mg. Telmisartan ratiopharm can be used in combination with diuretics (water tablets), eg., Hydrochlorothiazide, since their effects on blood pressure are additive.
Cardiovascular effects reduce the usual dose of Telmisartan ratiopharm is one 80 mg tablet once a day. Beginning of the preventive therapy with Telmisartan ratiopharm tablets requires frequent monitoring of blood pressure.
If your liver is higher than 40 mg once daily should not be used.
If you take more Telmisartan ratiopharm dose
If you accidentally take too many tablets, contact your doctor, pharmacist or
the nearest hospital emergency department.
You forget to take Telmisartan ratiopharm
If you forgot to take a tablet, do not worry. Take it as soon as you remember, and continue to take the medicine as normal. If the product misses a full day, the next day at the usual dose. Do not take a double dose to make up for a missed dose.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
- POSSIBLE SIDE EFFECTS
Telmisartan ratiopharm, like other medicines, can cause side effects, although not everybody gets them.
The frequency of side effects may vary. It is described as follows:
- Very common (affects more than 1 user in 10);
- Common (affects 1 - 10 of 100);
- Uncommon (affects 1 - 10 of 1 000 users);
- Rare (affects 1 - 10 out of 10 000 users);
- Very rare (affects less than 1 in 10 000 users);
- Not known (can not be estimated from the available data).
Common side effects may include:
Low blood pressure (hypotension) in patients who are taking medicine for cardiovascular events reduction.
Uncommon side effects may include:
Upper respiratory tract infection (eg., Sore throat, sinuses, colds (upper respiratory catarrh)), urinary tract infection, red blood cell deficiency (anemia), high potassium levels in the blood, sad mood (depression), fainting ( syncope), difficulty falling asleep, feeling of spinning (vertigo), slow heart rate (bradycardia), low blood pressure (hypotension) in patients who are being treated for high blood pressure, dizziness on standing up (orthostatic hypotension), shortness of breath, abdominal pain, diarrhea, abdominal discomfort , bloating, vomiting, increased sweating, itching, drug rash, muscle pain (myalgia), back pain, muscle cramps, kidney impairment including acute renal failure, chest pain, weakness, and increased levels of creatinine.
Rare side effects may include:
low blood platelet count (thrombocytopenia), allergic reaction (eg., rash, itching, difficulty breathing, wheezing, swelling of the face or low blood pressure), anxiety, impaired vision, fast heart beat (tachycardia), upset stomach, dry mouth, abnormal liver activity, severe drug rash, redness of skin, rapid skin and mucosa (angioedema), eczema (a skin disorder), joint pain (arthralgia), pain in extremity, flu-like illness, uric acid, liver enzymes or creatine phosphokinase in the blood, hemoglobin (a blood protein) levels in the blood.
Side effects of unknown frequency may include:
a type of white blood cells (eosinophilia), severe allergic reaction (anaphylactic reaction), hives (urticaria), tendon pain, and sepsis * (blood poisoning ", is a severe infection with whole-body inflammatory response which can lead to death) .
* The long-term study involving more than 20 000 patients treated with telmisartan experienced sepsis than those not taking it. This phenomenon could be casual or dependent on as yet unknown mechanisms.
If the side effects gets serious, or if you notice any side effects not listed,
Tell your doctor or pharmacist.
- HOW TO STORE Telmisartan RATIOPHARM
Keep out of the reach and sight of children.
On the carton and blister after EXP / EXP after the expiry date, Telmisartan ratiopharm should not be used. The expiry date refers to the last day of the month.
After the first opening of the bottle tablets used within 6 months.
This medicinal product does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. How to manage
you do not need medication, ask your pharmacist. These measures will help to protect the environment.
- FURTHER INFORMATION
Telmisartan ratiopharm composition
- The active substance is telmisartan.
Each tablet contains telmisartan 40 mg or 80 mg of telmisartan.
- The other ingredients are mannitol, meglumine, sorbitol (E420), povidone (K-90), sodium hydroxide, hypromellose, magnesium stearate.
Telmisartan ratiopharm looks like and contents of the pack
Telmisartan ratiopharm 40 mg and 80 mg tablets are white to off-white, oblong shape with a score line on one side. The tablet can be divided into two equal parts.
The carton contains 7, 10, 14, 20, 28, 30, 50, 56, 60, 84, 90, 98 or 100 tablets in blisters.
HDPE bottle with a white cap PP:
Packaging 100 tablets and 500 tablets (for hospital).
It may not be available in all packs.
Marketing Authorisation Holder and Manufacturer
MAH
ratiopharm GmbH
Graf- Arco-Str. 3
D-89079 Ulm
Germany
manufacturer
Merckle GmbH
Ludwig-Merckle-Strasse 3
D-89143 Blaubeuren
Germany
or
AYANDA Oy
Teollisuustie 16
60100 Seinäjoki
Finland