Telmisartan belongs to a class of medicines called angiotensin receptor blockers (ARBs). This medication is used to treat hypertension (high blood pressure). Get to know how Telmisartan works, its side effects, precautions, and contraindications where Telmisartan is not suggested.

Read about some other similar medications

Telmisartan composition and active ingredients

Telmisartan contains Telmisartan as an active ingredient. This tablet is manufactured & marketed by Dr. Reddys Laboratories Ltd. It is available in the market in the packaging of 10 tablets per strip. Available strengths are 20mg, 40mg and 80mg.

How does Telmisartan work?

Telmisartan belongs to the class of drugs called angiotensin receptor blockers. Telmisartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively blocking the binding of angiotensin II to the AT1 receptor in many tissues, such as vascular smooth muscle and the adrenal gland. This helps in blood vessels to relax so that blood can flow more easily. Lowering high BP helps prevent heart attacks, strokes, and kidney problems. It is also used to improve the chance of living longer after a heart attack.

Telmisartan Uses and Benefits

  • It is used to treat high blood pressure (Hypertension).
  • It is used to treat heart failure.
  • In people with type 2 diabetes and high blood pressure or albumin in the urine, valsartan is used to slow the worsening and the development of end-stage kidney disease.
  • It may be given to you for other reasons. Talk with the health expert.
  • Telmisartan is indicated for reduction of the risk of myocardial infarction, stroke, or death from cardiovascular causes in patients 55 years of age or older at high risk of developing major cardiovascular events who are unable to take ACE inhibitors.
  • High risk for cardiovascular events can be evidenced by a history of coronary artery disease, peripheral arterial disease, stroke, transient ischemic attack, or high-risk diabetes (insulin-dependent or non-insulin dependent) with evidence of end-organ damage. It can be used in addition to other needed treatment (such as antihypertensive, antiplatelet or lipid-lowering therapy).

Use of telmisartan with an ACE inhibitor is not recommended

Dr Morepen Blood Pressure Monitor BP-09 (BP Machine)

Telmisartan side effects

The below mentioned list contains possible side effects that may occur from all constituting ingredients of Telmisartan. These side effects of Telmisartan are possible, but do not always occur. Some of the side effects may be rare but serious. Consult your physician if you notice any of the following side effects, especially if they do not go away.

The following are the most common side effects of Telmisartan:

  • Stuffy nose
  • Sinus irritation
  • Headache
  • Dizziness
  • Back pain
  • Loose stools
  • Nausea
  • Weakness
  • Vomiting
  • Trouble breathing
  • Skin rash

The following are the severe side effects and you may require immediate medical attention:

  • Diarrhea
  • Unexplained weight gain
  • Swelling of the face, tongue or throat
  • Irregular heartbeat
  • Increased potassium levels in blood

Telmisartan Contraindications

Do not take Telmisartan if you are suffering from following conditions:

  • Have experienced angioedema as a reaction to any Angiotensin Receptor Blocker (ARB)
  • Are allergic to Telmisartan or any ingredients of the medication
  • Are low on bodily fluids
  • Have kidney disease

Telmisartan Dosage

The dosage and the drug form of Telmisartan depends on the patient’s age, weight and medical condition. Take Telmisartan as prescribed by your health expert. Swallow the tablet whole. Do not crush or chew the tablet. Consume the missed out dose as soon as you remember. If it is nearing the next dose schedule, skip the missed out one and continue with the regular dosage schedule. Do not take extra dose to make up for the missed dose.

The recommended dose of Telmisartan for following conditions:

  • Hypertension is 20-80 mg daily
  • Cardiovascular risk reduction is 80 mg daily.
  • Most of the antihypertensive effect is apparent within 2 weeks and maximal reduction is generally attained after 4 weeks. When additional blood pressure reduction beyond that achieved with 80 mg Telmisartan is required, a diuretic may be added.
  • No initial dosage adjustment is necessary for elderly patients or patients with renal impairment, including those on hemodialysis. Patients on dialysis may develop orthostatic hypotension; their blood pressure should be closely monitored.

Precautions while taking Telmisartan

  • Do not drive or operate heavy machinery if Telmisartan causes dizziness or blurred vision.
  • Inform your physician before taking any other drug or herbal products while on Telmisartan
  • Monitor your blood pressure on a regular basis while on Telmisartan.
  • Take the dosage as prescribed by your health expert.
  • Avoid consumption of alcohol as it may cause excessive drowsiness when taken with Telmisartan.
  • Pregnancy: Women who are trying to get pregnant should avoid consuming Telmisartan, since it can cause harm to the fetus development.
  • Breastfeeding: It is not recommended during breastfeeding.
  •  It might not be suitable for everyone, since consuming this medicine can lead to complications for patients affected by disorders such as liver disease, heart disease, kidney failure, diabetes and allergies. If you suffer from these conditions, you should inform your physician, before taking this drug.

Avoid Telmisartan if you notice following sign:

  • The foil or packaging is torn or shows signs of tampering or there is discoloration.
  • It has passed the expiry date of the medicine printed on the pack.

Telmisartan – Drug interactions

Effectiveness of this medicine may impact if used along with some other medications like over the counter medications. Telmisartan may interact with the following medicines and products:

  • Acetaminophen
  • Aspirin
  • Atorvastatin
  • Celecoxib
  • Cetirizine
  • Cholecalciferol
  • Cyanocobalamin
  • Esomeprazole
  • Formoterol
  • Metoprolol
  • Pregabalin
  • Rosuvastatin
  • Sitagliptin
  • Ubiquinone

Substitutes for Telmisartan

Here is the List of substitute’s medicines which have the same composition, strength and form as Telmisartan:

  • Telmikind 40mg – Mankind Pharma
  • Temsan 40mg – Emcure Pharma
  • Zitelmi-40 – FDC
  • Telvas-40 – Aristo Pharma
  • Hitarget-40 – Panacea Biotec
  • Teleact 40mg – Ranbaxy
  • Telday 40mg – Torrent Pharma
  • Teli-40mg – Cadila Pharma
  • Telpres 40mg – Abbott India
  • Cresar 40mg – Cipla
  • Arbitel 40mg – Micro Labs
  • Macsart – 40mg – Macleods
  • Telista 40 mg – Lupin Pharma
  • Tetan-40mg – Alembic Pharma
  • Telsartan Activ 40mg – Dr. Reddy
  • Telma-40mg – Glenmark
  • Telsar 40mg – Unichem
  • Tazloc 40mg – USV
  • Tellzy 40mg – Alembic Pharma
  • Telwin 40mg – Psychotropics India
  • Telminorm 40 mg – Ipca Labs
  • Targit-40mg – Pfizer
  • Sartel-40 – Intas Pharma

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