Temcard-A 5/40 Tablet 1 Strip

✔️ Telmisartan + Amlodipine is used for:

• Treatment of high blood pressure (hypertension).
• Blood pressure control when treatment with both medicines is appropriate.
• Reducing the risk of complications associated with persistently uncontrolled blood pressure.

✔️ Overdose

Taking too much of this medicine may cause a severe drop in blood pressure, dizziness, fainting, an abnormal heartbeat, or kidney complications. If an overdose is suspected, seek emergency medical assistance immediately.

✔️ Missed Dose

If you miss a dose, take it when you remember unless it is nearly time for your next dose. If it is nearly time for the next dose, skip the missed dose and resume your usual schedule. Do not take two doses together to make up for a missed dose.

✔️ Interactions with Food

Telmisartan + Amlodipine can generally be taken with or without food. Taking it at the same time each day may help maintain consistent blood pressure control.

Avoid potassium-containing salt substitutes and potassium supplements unless your doctor recommends them. You do not necessarily need to avoid all potassium-rich foods; dietary restrictions should depend on your potassium level, kidney function, and medical advice

✔️ Interaction

• Dizziness or lightheadedness
• Swelling of the ankles, feet, or legs (oedema)
• Headache
• Tiredness
• Low blood pressure
• Palpitations
• Constipation or diarrhoea
• Visual disturbances
• Increased potassium levels in the blood

✔️ Do not take Telmisartan + Amlodipine if you:

• Have a known allergy to telmisartan, amlodipine, or any of the product's ingredients.
• Are pregnant or become pregnant during treatment.
• Have severe liver impairment or certain bile duct disorders for which the product is contraindicated.
• Have a condition specifically listed as a contraindication in the product information.
• The combination may also be unsuitable for people with severe hypotension or certain serious cardiac conditions. Taking aliskiren with telmisartan is generally contraindicated in patients with diabetes, and it should be avoided in certain patients with kidney impairment. Your doctor will assess whether this medicine is appropriate for you.

✔️ Inform your doctor if you have:

• Kidney or liver disease
• Diabetes
• Narrowing of the arteries supplying the kidneys (renal artery stenosis)
• Low blood pressure or dehydration
• High potassium levels
• Heart failure, narrowing of the aortic valve, or a history of heart attack

✔️ Interaction

• Tell your doctor or pharmacist about all medicines, herbal preparations, and supplements you take. Important potential interactions include:
• Other blood pressure medicines: May cause an excessive fall in blood pressure.
• Aliskiren or ACE inhibitors: May increase the risk of kidney problems, low blood pressure, and high potassium in certain patients.
• Potassium supplements and potassium-sparing medicines: May raise potassium levels.
• NSAIDs, such as ibuprofen and celecoxib: May affect kidney function and reduce blood pressure control.
• Lithium: Telmisartan may increase lithium levels and the risk of toxicity.
• Cyclosporine or tacrolimus: May increase the risk of elevated potassium or other adverse effects.
• Simvastatin: Amlodipine can increase simvastatin exposure, so dose limits or adjustments may be required.
• Digoxin: Monitoring may be appropriate depending on the patient's condition and treatment.
• Certain antifungal medicines and antibiotics: Some can affect amlodipine levels or increase the risk of low blood pressure or other adverse effects.

✔️ Storage:

Do not store above 30°C. Protect from light and high humidity. Keep out of the reach of children.