Telmisartan
ANTIHYPERTENSIVEUses of Telmisartan
- Telmisartan used to treat heart failure, high blood pressure and diabetic kidney disease. It is a reasonable initial treatment for high blood pressure.
- Additionally, it can manage diabetic nephropathy, a kidney complication associated with type 2 diabetes.
Side effects of Telmisartan
The side effects of Telmisartan are:
- Diarrhoea
- Sinus pain and congestion
- Back pain
- Upper respiratory tract infection
- Sinus inflammation
How Telmisartan works
- Telmisartan is an antihypertensive medication used to lower blood pressure.
- It works by blocking the effects of angiotensin II, a hormone that makes blood vessels constrict. By preventing this, telmisartan helps relax and widen blood vessels, which improves blood flow and helps the heart pump more efficiently.
- Additionally, it affects a protein involved in glucose and insulin metabolism, providing benefits for people with type 2 diabetes by helping to prevent heart-related issues.
Certified content
Written By
B. Pharm
Reviewed By
B. Pharm, MSc.
Expert Advice
Dosage Forms Available for Telmisartan
- Telmisartan is available for use via oral route (tablet).
Age And Dosage Restrictions for Telmisartan
- It is available for Adults only.
Overdose and Missed Dose
- Overdose of Telmisartan can potentially cause significant hypotension, leading to dizziness, fainting, increased or decreased heart rate (Tachycardia or Bradycardia), and potential onset of acute renal failure. Inform your doctor about these effects and follow the advice accordingly.
- If you miss a dose of Telmisartan, take it as soon as you remember. But, if the next dose is near, skip the missed dose and resume the regular dosing regime.
Medications To Avoid With Telmisartan
- Refrain from using ibuprofen or any other anti-inflammatory medication with Telmisartan without consulting your doctor.
Use in Pregnancy and Lactation
- Exercise caution when considering the use of Telmisartan in pregnant or breastfeeding women, as well as in elderly patients and individuals with cardiac failure or kidney dysfunction.
Use In Driving And Operating Machinery
- It is advisable to refrain from driving or operating heavy machinery while taking Telmisartan since it may lead to hypotension and drowsiness, impairing your ability to perform these activities safely.
Caution In Other Conditions
- Individuals with hypertension and coronary artery disease should consider lifestyle modifications, including dietary changes such as a low-sodium, low-carbohydrate, and low-fat diet. Regular exercise, like brisk walking for at least 30 minutes daily, five days a week, is also recommended to control blood pressure.
- Patients with hypertension are at a continuous risk of heart attacks and strokes. Hence, it is crucial to establish a routine for monitoring blood pressure through a digital blood pressure monitoring device at home or regular visits to the doctor.
Special Dietary & Lifestyle Recommendation
- Proper education on recognising the signs and symptoms of heart attacks and strokes is essential. This knowledge can lead to quicker interventions, minimising complications and ultimately promoting a faster and more complete recovery.
- To manage Telmisartan-induced hypotension, it is advisable to avoid sudden changes in position, such as quickly rising from lying down or sitting position.
Frequently asked questions
How much time does Telmisartan take to work?
Telmisartan may start lowering blood pressure within a few hours, but it may take a few weeks to achieve its full effect.
Is it safe for patients with kidney disease to use Telmisartan?
Telmisartan can be used cautiously in patients with kidney disease, but the dosage may need adjustment. It's crucial to consult a doctor to determine the suitability for your specific condition.
Is it safe for the liver with kidney disease to use Telmisartan?
Telmisartan is primarily metabolised in the liver. In patients with both kidney and liver issues, it may require careful monitoring and dose adjustments. Consult a doctor for guidance.
Does taking Telmisartan cause sleepiness?
Drowsiness is not a common side effect of Telmisartan, but hypotension associated with its use can produce a feeling of drowsiness or sleepiness.
What warnings and precautions should I take while taking Telmisartan?
You should follow your doctor's guidance, and standard precautions include regular blood pressure monitoring and blood tests to check kidney function and potassium levels.
Should I stop taking Telmisartan if I feel healthy?
No, it's essential to continue taking Telmisartan as your doctor prescribes, even if you feel well. Stopping medication without medical advice can lead to altered blood pressure profile.
Which medications should be avoided while taking Telmisartan?
Inform your doctor about all the medications you are currently taking, particularly those like digoxin, lithium, diuretics, other blood pressure medications, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, naproxen, celecoxib, diclofenac, indomethacin, meloxicam, and others.
Does Telmisartan affect fertility?
Telmisartan is not known to affect fertility. If you have concerns about fertility, consult with a doctor.
Does taking Telmisartan cause an increase in blood potassium levels (hyperkalemia)?
Telmisartan may cause hyperkalemia in some cases. Regular monitoring of potassium levels is essential.
Does taking Telmisartan cause a slow heart rate?
A slow heart rate is not a common side effect of Telmisartan. If you experience this, consult your doctor.
Does taking Telmisartan increase urination?
Telmisartan does not typically increase urination. If you notice changes in urination, discuss them with your doctor.
Is it safe to take alcohol while taking Telmisartan?
It's advisable to avoid alcohol consumption while using Telmisartan, as it may amplify dizziness and drowsiness.
Can the use of Telmisartan cause hyperkalemia (increased potassium level in blood)?
Yes, the use of Telmisartan can cause hyperkalemia, which is an increased level of potassium in the blood. Telmisartan works by blocking the angiotensin II receptor, which can reduce the excretion of potassium from the kidneys, leading to elevated potassium levels.
Does telmisartan work by increasing urine production?
No, Telmisartan does not work by increasing urine production. Instead, it lowers blood pressure by blocking the action of angiotensin II, a hormone that causes blood vessels to constrict. This action helps relax and widen the blood vessels, improving blood flow and reducing blood pressure without directly affecting urine production.
Telmisartan in other salts
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