AM-Telsan (10/40mg) 14 Tablets

AM-Telsan (10/40mg) 14 Tablets

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  • Manufacturer Hilton Pharma (Pvt.) Ltd.
  • Generic Name

    Amlodipine 10mg, Telmisartan 40mg

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Food Interactions
  • Storage/Disposal
  • Quick Tips, if any
  • Laboratory Screening
  • Description

    Amlodipine 10mg and Telmisartan 40mg work synergistically in this tablet to lower blood pressure through distinct mechanisms of action. Amlodipine, a calcium channel blocker, inhibits the movement of calcium ions into vascular smooth muscle cells, leading to vasodilation and reduced peripheral vascular resistance. This relaxation of blood vessels decreases blood pressure by easing the heart's workload. On the other hand, Telmisartan is an angiotensin II receptor blocker (ARB). It blocks the angiotensin II hormone from binding to its receptors, which normally causes vasoconstriction and the release of aldosterone, a hormone that increases blood pressure. By blocking these receptors, Telmisartan promotes vasodilation, reduces blood pressure, and decreases the release of aldosterone, thus preventing sodium and water retention.

  • Ingredients

    Amlodipine 10mg, Telmisartan 40mg

  • Drug Class

    Calcium channel blocker, Angiotensin II receptor blocker.

  • Dosage Form

    Tablet

  • Uses

    The following are the uses of Amlodipine 10mg, Telmisartan 40mg Tablet:

    • Used for managing high blood pressure (hypertension)
    • Used for preventing and treating chest pain (angina)
    • Used to relax and widen blood vessels, improving blood flow
    • Used to reduce the risk of heart attack and stroke
    • Used to manage hypertension-related kidney issues
    • Used to lower blood pressure, easing the heart's workload
    • Used for patients with high blood pressure and heart disease
    • Used to treat hypertension and related complications
  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Amlodipine 10mg- Heart Failure- 2.5-10mg once daily, Hypertension- 5-10mg once daily, Angina- 5-10mg once daily
    • Telmisartan 40mg- Hypertension- 40-80mg once daily, Nephropathy- 40-80mg once daily
  • In case of Overdose

    In the case of an overdose of Amlodipine 10mg and Telmisartan 40mg tablets, it is important to recognize the potential risks. Symptoms may include severe hypotension, bradycardia, and even heart failure. Prompt medical intervention is necessary, as this combination can lead to life-threatening complications. Emergency treatment may involve gastric lavage, supportive care, and close monitoring of vital signs to ensure the patient's safety and well-being.

  • Missed Dose

    In the case of a missed dose of Amlodipine 10mg, take the missed dose as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. For Telmisartan 40mg Tablet, if you miss a dose, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and continue with your regular dosing regimen. Do not double the dose to make up for a missed one, and ensure you follow the prescribed schedule as closely as possible.

  • How To Use

    To take Amlodipine 10mg and Telmisartan 40mg Tablet, swallow the tablet whole with a glass of water, preferably at the same time each day, as directed by your healthcare provider.

  • When Not to Use

    Following are the conditions or situations when Amlodipine 10mg, Telmisartan 40mg Tablet should not be taken:

    • Avoid if you have a known allergy to Amlodipine, Telmisartan, or other related medications.
    • Do not use if you are pregnant or planning to become pregnant.
    • Not suitable for individuals with severe liver disease or impaired liver function.
    • Should not be taken if you have a history of angioedema (swelling of the face, lips, tongue, or throat) with previous use of similar medications.
    • Contraindicated in patients with severe aortic stenosis (narrowing of the aortic valve in the heart).
    • Avoid if you have severe hypotension (very low blood pressure).
    • Not recommended for individuals with severe renal impairment or patients on dialysis.
    • Do not use if you have a condition called hepatic biliary cirrhosis.
    • Should not be taken if you have a history of heart failure or cardiogenic shock.
  • Side Effects

    The side effects of Amlodipine 10mg, Telmisartan 40mg Tablet may include:

    • Dizziness or lightheadedness
    • Swelling of the ankles or feet (peripheral edema)
    • Headache
    • Fatigue or drowsiness
    • Nausea and vomiting
    • Stomach pain or discomfort
    • Skin rash or itching
    • Muscle cramps
  • Precautions & Warnings

    Following are the precautions and warnings for Amlodipine 10mg, Telmisartan 40mg Tablet:

    • Individuals with a known allergy to Amlodipine, Telmisartan, or related medications should not take this tablet.
    • Patients with a history of liver or kidney problems should exercise caution, as these conditions may affect the metabolism and excretion of the drug.
    • This medication may cause dizziness or lightheadedness; patients should avoid activities requiring alertness until they know how the medication affects them.
    • Elderly patients may be more sensitive to the effects of this medication, and dosage adjustments might be necessary.
    • Pregnant and breastfeeding women should consult their doctor, as this medication may have potential risks for the fetus or infant.
    • It is important to maintain a consistent blood pressure monitoring schedule while on this medication.
    • Inform your doctor about all other medications you are taking to prevent potential drug interactions.
    • Store the tablets in a cool, dry place, away from direct sunlight and moisture.
  • Drug Interactions

    Following are the drug interactions for Amlodipine 10mg, Telmisartan 40mg Tablet:

    • Amlodipine may enhance the blood pressure-lowering effects of other antihypertensive medications, such as beta-blockers or ACE inhibitors, leading to excessive hypotension.
    • The combination with CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) can increase amlodipine levels, potentially causing increased side effects.
    • Telmisartan may have additive effects with other medications that affect the renin-angiotensin system (e.g., ACE inhibitors, aliskiren), increasing the risk of hypotension and renal impairment.
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effects of telmisartan and amlodipine.
    • Telmisartan may increase serum lithium levels, requiring close monitoring of lithium concentrations.
    • Grapefruit juice may increase amlodipine levels, leading to enhanced blood pressure-lowering effects and potential side effects.
    • Rifampicin, a CYP3A4 inducer, may decrease amlodipine levels, potentially reducing its therapeutic efficacy.
    • Concomitant use with diuretics may increase the risk of hypotension, especially in volume-depleted patients.
  • Food Interactions

    Following are the food interactions for Amlodipine 10mg and Telmisartan 40mg Tablet:

    • Grapefruit and grapefruit juice should be consumed with caution as they can increase the blood levels of Amlodipine, potentially leading to an increased risk of side effects such as low blood pressure and dizziness.
    • High-sodium foods should be avoided or limited as Telmisartan is a blood pressure-lowering medication, and excessive sodium intake can counteract its effectiveness.
    • Limit the consumption of alcohol as it may increase the blood pressure-lowering effect of Telmisartan and Amlodipine, leading to dizziness or lightheadedness.
    • Potassium-rich foods like bananas, oranges, and spinach should be consumed in moderation as Telmisartan can increase potassium levels in the body, and excessive intake may lead to hyperkalemia.
    • Avoid or limit high-potassium foods when taking Amlodipine, as it can also affect potassium levels, and excessive intake might cause irregular heart rhythms.
    • Avoid or reduce the intake of licorice as it may decrease the effectiveness of Telmisartan and potentially increase blood pressure.
    • Caffeine intake should be monitored as it can interfere with blood pressure regulation, and excessive consumption might counteract the effects of Amlodipine and Telmisartan.
    • Always stay hydrated and maintain a balanced diet, as proper hydration and nutrition are essential for the optimal functioning of these medications.
  • Storage/Disposal

    Amlodipine 10mg and Telmisartan 40mg tablets should be stored in a cool, dry place, preferably at room temperature, ensuring protection from light and moisture. The original container should be tightly sealed to maintain its integrity and prevent contamination. It is crucial to keep the medication away from heat sources like radiators or ovens, as extreme temperatures can impact its effectiveness. Regularly check the expiration date, and if the medication is no longer needed or has expired, proper disposal is essential. Avoid flushing or pouring it down the drain; consult a pharmacist for guidance on safe disposal methods. Always keep medicines out of children's reach to prevent accidental consumption.

  • Quick Tips, if any

    Following are the quick tips for Amlodipine 10mg and Telmisartan 40mg Tablet:

    • Consult your doctor for the correct dosage and prescription.
    • Take the tablet as directed, usually once daily.
    • Consume the tablet at the same time each day for best results.
    • Swallow the tablet whole with a glass of water, do not crush or chew.
    • Take the medication regularly for optimal blood pressure control.
    • Do not stop taking the tablet without consulting your doctor.
    • Store in a cool, dry place, away from direct sunlight.
    • Inform your doctor about all medications you are currently taking.
  • Laboratory Screening

    Amlodipine and Telmisartan are two medications that are often prescribed to treat high blood pressure, a condition also known as hypertension. While taking these medications, the specific lab tests that are required depend on a variety of factors. These factors can include the age of the patient, any other medical conditions they may have, any other medications they take, and the results of previous lab tests. Generally, though, several specific lab tests are recommended to ensure that the hypertension is being controlled, and to check for any side effects of the medications.First, it is important to monitor a patient's blood pressure closely to ensure that the medications are effectively controlling the blood pressure levels. This can be accomplished with the help of a home blood pressure monitor, or by visiting a healthcare provider's office. Secondly, because Telmisartan can cause mild decreases in kidney function over long-term use, it is vital to regularly check kidney function tests, such as BUN, Creatinine, and eGFR, to ensure any changes remain within a safe range. Thirdly, given the potential for increased potassium levels, which can cause adverse effects associated with renal insufficiency, those at risk of or with already impaired kidney function must have their potassium levels monitored. Because Amlodipine can cause liver injury in rare cases, physicians may also recommend liver function tests to monitor liver enzymes and identify any potential liver damage. Furthermore, given that some blood pressure medications can cause anemia, it may be helpful to perform complete blood counts to monitor for indicators of anemia, as well as to assess the health of blood cells and identify any underlying conditions. Finally, in cases of severe kidney disease or patients already taking calcium-based medications, calcium levels may need to be monitored, as Telmisartan can cause a reaction called hyperkalemia, which increases calcium levels in the blood. Even though these are the typical tests prescribed by most physicians, it's important to emphasize that individual circumstances may

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