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Drugs reference index «amlodipine and telmisartan»

amlodipine and telmisartan

Generic Name: amlodipine and telmisartan (am LOE de peen and TEL me SAR tan)Brand Names: Twynsta

What is amlodipine and telmisartan?

Amlodipine is in a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels.

Telmisartan is in a group of drugs called angiotensin II receptor antagonists. Telmisartan keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow.

The combination of amlodipine and telmisartan is used to treat high blood pressure (hypertension). It is sometimes used together with other blood pressure medications.

Amlodipine and telmisartan may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about amlodipine and telmisartan?Do not use this medication without telling your doctor if you are pregnant. Telmisartan may cause injury and even death to the unborn baby if you take it during the second and third trimesters of pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment.

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Do not use potassium supplements or salt substitutes while you are taking amlodipine and telmisartan, unless your doctor has told you to. Call your doctor at once if you have swelling in your hands or feet, rapid weight gain, feeling short of breath, fast or pounding heartbeats, urinating less than usual or not at all, jaundice (yellowing of the skin or eyes), chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling, or if you feel like you might pass out. In rare cases, amlodipine and telmisartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have muscle pain, tenderness, or weakness especially if you also have fever, nausea or vomiting, and dark colored urine.What should I discuss with my healthcare provider before taking amlodipine and telmisartan?You should not use this medication if you are allergic to amlodipine (Norvasc) or telmisartan (Micardis).

If you have any of these other conditions, you may need a dose adjustment or special tests to safely take amlodipine and telmisartan.

  • kidney disease (or if you are on dialysis);
  • liver disease;
  • congestive heart failure, coronary artery disease;

  • an electrolyte imbalance;

  • low blood pressure;

  • if you are vomiting or having diarrhea; or

  • if you have recently had a heart attack.

FDA pregnancy category D. This medication can cause harm to an unborn baby. Telmisartan may cause injury and even death to the unborn baby if you take it during the second and third trimesters of pregnancy. Do not use amlodipine and telmisartan without your doctor's consent if you are pregnant. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. It is not known whether amlodipine and telmisartan passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take amlodipine and telmisartan?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Take this medication with a full glass (8 ounces) of water.

You may take this medication with or without food.

Some things can cause your blood pressure to get too low. This includes vomiting, diarrhea, heavy sweating, heart disease, dialysis, a low-salt diet, or taking diuretics (water pills). Follow your doctor's instructions about the type and amount of liquids you should drink while taking amlodipine and telmisartan. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting.

To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Your heart, liver, and kidney function may also need to be tested. Do not miss any scheduled visits to your doctor.

Keep using this medication even if you feel fine. High blood pressure often has no symptoms.

Store amlodipine and telmisartan at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include fast or slow heart rate, warmth or tingling, feeling light-headed, or fainting.

What should I avoid while taking amlodipine and telmisartan?

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Do not use potassium supplements or salt substitutes while you are taking amlodipine and telmisartan, unless your doctor has told you to.

Amlodipine and telmisartan side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, amlodipine and telmisartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have muscle pain, tenderness, or weakness especially if you also have fever, nausea or vomiting, and dark colored urine. Call your doctor at once if you have any other serious side effects, such as:
  • feeling like you might pass out;

  • swelling in your hands or feet, rapid weight gain, feeling short of breath;

  • slow heart rate, weak pulse, muscle weakness, tingly feeling;

  • fast or pounding heartbeats;

  • urinating less than usual or not at all;

  • jaundice (yellowing of the skin or eyes); or

  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling.

Less serious side effects include:

  • dizziness, headache;

  • back pain;

  • stuffy nose, sore throat; or

  • diarrhea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Amlodipine and telmisartan Dosing Information

Usual Adult Dose for Hypertension:

Initial dose: 40/5 to 80/5 mg orally once daily. Dosage should be individualized and may be increased after at least 2 weeks. Maximum dose: 80/10 mg orally once daily

What other drugs will affect amlodipine and telmisartan?

Before taking amlodipine and telmisartan, tell your doctor if you are using any of the following drugs:

  • digoxin (Lanoxin);

  • lithium (Eskalith, LithoBid);

  • ramipril (Altace);

  • diuretics (water pills); or

  • other medications that lower blood pressure.

This list is not complete and there may be other drugs that can interact with amlodipine and telmisartan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about amlodipine and telmisartan.
  • Remember, keep this and all other medicines out of the reach of children. Never share your medicines with others and only use this medication for the condition prescribed.
  • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.01. Revision Date: 11/09/2009 2:41:06 PM.

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