Temcard 20mg Tablet 1 Strip

✔️ How to Use Telsartan 40 mg Tablet

• Take Telsartan 40 mg exactly as prescribed by your doctor. Swallow the tablet whole with water. It can be taken with or without food. Try to take it at the same time each day to maintain a consistent routine.
• Do not exceed the prescribed dose or stop treatment without medical advice.

✔️ Drug Interactions

Telsartan 40 mg may interact with other medicines, potentially affecting blood pressure, kidney function, or electrolyte levels.

1. Other blood pressure medicines

ACE inhibitors, other ARBs, and diuretics may cause excessive blood pressure reduction when used together. Combining telmisartan with an ACE inhibitor or another ARB is generally avoided unless specifically directed by a specialist.

2. Nonsteroidal anti-inflammatory drugs (NSAIDs)

Medicines such as ibuprofen, naproxen, and diclofenac may reduce the blood pressure-lowering effect and increase the risk of kidney impairment, particularly in dehydrated patients or those with existing kidney disease.

3. Potassium-sparing diuretics and potassium supplements

Spironolactone, amiloride, triamterene, potassium supplements, and potassium-containing salt substitutes may increase the risk of hyperkalemia. Your doctor may need to monitor potassium levels.

4. Lithium

Telmisartan may increase lithium concentrations and the risk of toxicity. Blood lithium levels should be monitored when the combination is necessary.

5. Digoxin

Telmisartan may increase digoxin concentrations. Monitoring may be appropriate, particularly in patients with kidney impairment.

6. Rifampicin

Rifampicin may reduce telmisartan exposure and potentially affect blood pressure control. Inform your doctor if you are taking rifampicin.

7. Aliskiren

Combining aliskiren with telmisartan may increase the risk of low blood pressure, high potassium, and kidney impairment. The combination is contraindicated in patients with diabetes and should generally be avoided in significant renal impairment.

✔️ Seek medical advice if you experience:

• Severe allergic reactions: Swelling of the face, lips, tongue, or throat, or difficulty breathing. These symptoms require emergency medical attention.
• Low blood pressure: Severe dizziness, fainting, or persistent lightheadedness.
• Kidney problems: Reduced urine output, swelling of the legs or feet, or unusual fatigue.
• High potassium levels: Muscle weakness, palpitations, or an irregular heartbeat.
• Liver problems: Yellowing of the skin or eyes, dark urine, or persistent upper abdominal pain.

✔️ Side Effects:

• Dizziness
• Fatigue
• Headache
• Lightheadedness
• Diarrhea
• Back pain
• Nausea

✔️ Drug–Food Interactions

• Salt intake: Excessive sodium intake may make blood pressure more difficult to control. Follow your doctor's advice regarding dietary salt.
• Potassium-rich foods: Telmisartan can increase blood potassium in some patients. Most people do not need to avoid all potassium-rich foods, but those with high potassium levels or kidney disease may require dietary adjustments.
• Grapefruit juice: There is no established major grapefruit interaction requiring routine avoidance with telmisartan alone.

✔️ Before starting Telsartan 40 mg, inform your doctor if you have:

• High potassium levels.
• Diabetes.
• Kidney or liver impairment.
• Dehydration or significant fluid loss.
• A history of elevated aldosterone levels or renal artery stenosis.

✔️ Warnings and Precautions

Pregnancy

Telmisartan is contraindicated during pregnancy because it can cause serious fetal harm, particularly during the second and third trimesters. Contact your doctor immediately if you become pregnant while taking this medicine.

Breastfeeding

Consult your doctor before taking telmisartan while breastfeeding. An alternative medicine may be preferred, particularly when feeding a newborn or premature infant.

Driving and Operating Machinery

Avoid driving or operating machinery if you experience dizziness, lightheadedness, or fatigue.

Alcohol

Alcohol may increase the blood pressure-lowering effect and worsen dizziness. Limit or avoid alcohol as advised by your doctor.

Kidney Disease

Use with caution if you have kidney disease, renal artery stenosis, or a history of kidney transplantation. Kidney function and potassium levels may require monitoring.

Liver Disease

Telmisartan should not be used in severe hepatic impairment or biliary obstructive disorders. Patients with other liver conditions may require a lower starting dose and careful supervision.

Allergy

Do not take this medicine if you have a known allergy to telmisartan or any of its ingredients.

Heart Disease and Low Blood Pressure

Tell your doctor if you have heart disease, low blood pressure, dehydration, or significant fluid loss due to vomiting or diarrhea. These conditions may increase the risk of symptomatic hypotension.

Use in Children

Safety and efficacy have not been established for the indications described here in patients younger than 18 years. Use in children should be guided by a specialist.

Use in Older Adults

Older adults can generally use telmisartan without routine initial dose adjustment, but individual assessment and monitoring are important.

✔️ Storage:

Store in a dry place away from light and heat. Keep out of the reach of children.