Pronunciation: TEL-mi-SAR-tan/am-LOE-di-peen
Generic Name: Telmisartan/Amlodipine
Brand Name: Twynsta
Do not use Telmisartan/Amlodipine if you are pregnant. It may cause birth defects or fetal or newborn death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away.
Telmisartan/Amlodipine is used for:
Treating high blood pressure. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.
Telmisartan/Amlodipine is a calcium channel blocker and angiotensin II receptor blocker combination. It works by relaxing the blood vessels.
Do NOT use Telmisartan/Amlodipine if:
- you are allergic to any ingredient in Telmisartan/Amlodipine
- you are pregnant
- you are taking ramipril
Contact your doctor or health care provider right away if any of these apply to you.
Before using Telmisartan/Amlodipine:
Some medical conditions may interact with Telmisartan/Amlodipine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are a woman of childbearing age
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you are vomiting or have diarrhea
- if you are dehydrated, have low blood volume or low blood sodium levels, or are on a low-salt (sodium) diet
- if you have gallbladder, liver, or kidney problems; high blood potassium levels; low blood pressure; blood vessel problems; or heart problems (eg, heart failure, angina, narrowing of heart blood vessels)
- if you have a history of a stroke or a heart attack
- if you have diabetes and you are also taking aliskiren
- if you are on dialysis or will be having surgery
- if you are taking another medicine for blood pressure or heart problems
Some MEDICINES MAY INTERACT with Telmisartan/Amlodipine. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased
- Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, celecoxib, ibuprofen) because the risk of kidney problems may be increased and they may decrease Telmisartan/Amlodipine's effectiveness
- Aliskiren, potassium-sparing diuretics (eg, triamterene), or potassium supplements because the risk of high blood potassium levels may be increased
- ACE inhibitors (eg, lisinopril, ramipril) because the risk of serious kidney problems and high blood potassium levels may be increase
- Potassium-sparing diuretics (eg, triamterene) or potassium supplements because high blood potassium levels may occur
- Certain azole antifungals (eg, itraconazole, ketoconazole), conivaptan, or HIV protease inhibitors (eg, ritonavir) because they may increase the risk of Telmisartan/Amlodipine's side effects
- Digoxin, lithium, or simvastatin because the risk of their side effects may be increased by Telmisartan/Amlodipine
This may not be a complete list of all interactions that may occur. Ask your health care provider if Telmisartan/Amlodipine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Telmisartan/Amlodipine:
Use Telmisartan/Amlodipine as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with Telmisartan/Amlodipine. Talk to your pharmacist if you have questions about this information.
- Take Telmisartan/Amlodipine by mouth with or without food.
- Do not take a tablet out of the blister until you are ready to take Telmisartan/Amlodipine.
- To remove a tablet from the blister, peel the paper layer away from the foil, then push the tablet through the foil.
- Be sure to drink enough liquids while you are taking Telmisartan/Amlodipine. If you do not, you may become dehydrated, which may increase your risk of low blood pressure. Discuss any questions or concerns with your doctor.
- Take Telmisartan/Amlodipine on a regular schedule to get the most benefit from it. Taking Telmisartan/Amlodipine at the same time each day will help you remember to take it.
- Continue to take Telmisartan/Amlodipine even if you feel well. Do not miss any doses.
- If you miss a dose of Telmisartan/Amlodipine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Telmisartan/Amlodipine.
Important safety information:
- Telmisartan/Amlodipine may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Telmisartan/Amlodipine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Telmisartan/Amlodipine may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
- It may take up to 4 weeks to get the full benefit from Telmisartan/Amlodipine. Do not stop using Telmisartan/Amlodipine without checking with your doctor.
- Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
- Check with your doctor before you use a salt substitute or a product that has potassium in it.
- If vomiting, diarrhea, or excessive sweating occur, you will need to take care not to become dehydrated. This could increase your risk for low blood pressure. Contact your doctor for instructions.
- Tell your doctor or dentist that you take Telmisartan/Amlodipine before you receive any medical or dental care, emergency care, or surgery.
- Talk with your doctor or pharmacist about all of your blood pressure medicines and how to use them. Do not start, stop, or change the dose of any blood pressure medicine unless your doctor tells you to.
- Lab tests, including blood pressure, liver and kidney function, and blood electrolyte levels, may be performed while you use Telmisartan/Amlodipine. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Telmisartan/Amlodipine with caution in the ELDERLY; they may be more sensitive to its effects.
- Telmisartan/Amlodipine should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Telmisartan/Amlodipine may cause birth defects, or fetal or newborn death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Telmisartan/Amlodipine is found in breast milk. Do not breast-feed while taking Telmisartan/Amlodipine.
Possible side effects of Telmisartan/Amlodipine:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Diarrhea; dizziness; flushing of the face and neck; mild back pain; nausea; stomach pain; tiredness.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); change in the amount of urine produced; chest, jaw, or left arm pain; fainting; fast, slow, or irregular heartbeat; mental or mood changes (eg, depression); muscle pain, aches, or weakness; numbness of an arm or leg; severe or persistent diarrhea, nausea, or stomach pain; severe or persistent dizziness or light-headedness; shortness of breath; sudden, severe headache or vomiting; sudden, unexplained weight gain; sudden vision changes; swelling of the feet, ankles, or hands; worsening of angina pain (eg, longer, more often, more severe); yellowing of the eyes or skin.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include fainting; fast or slow heartbeat; severe dizziness or light-headedness.
Proper storage of Telmisartan/Amlodipine:
Store Telmisartan/Amlodipine between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Telmisartan/Amlodipine out of the reach of children and away from pets.
General information:
- If you have any questions about Telmisartan/Amlodipine, please talk with your doctor, pharmacist, or other health care provider.
- Telmisartan/Amlodipine is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information is a summary only. It does not contain all information about Telmisartan/Amlodipine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
More Telmisartan/Amlodipine resources
- Telmisartan/Amlodipine Use in Pregnancy & Breastfeeding
- Telmisartan/Amlodipine Drug Interactions
- Telmisartan/Amlodipine Support Group
- 2 Reviews for Telmisartan/Amlodipine - Add your own review/rating
Compare Telmisartan/Amlodipine with other medications
- High Blood Pressure
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