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Drug List Book

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Micardis HCT<br />

(Telmisartan/<br />

Hydrochlorothiazide)<br />

TEL-mi-SAR-tan/<br />

HYE-droe-KLOR-oh-THYE-a-zide<br />

Page 113<br />

Classification: angiotensin II<br />

receptor antagonist<br />

IFU: High blood pressure<br />

Action: The angiotensin II<br />

receptor blocker works by<br />

relaxing the blood vessels.<br />

Dosage: 12.5 mg, 40mg, 80 mg<br />

Route: P.O.<br />

Adverse Reaction: Severe<br />

allergic reactions (rash; hives;<br />

itching; difficulty breathing;<br />

tightness in the chest; swelling<br />

of the mouth, face, lips, or<br />

tongue; unusual hoarseness);<br />

chest pain; confusion; decrease<br />

in sexual ability; decreased,<br />

difficult, or painful urination;<br />

Interactions: Aliskiren: Using<br />

aliskiren together with<br />

telmisartan may increase the risk<br />

of serious side effects such as<br />

kidney problems, low blood<br />

pressure, and high potassium<br />

levels in the blood. High levels<br />

of potassium can develop into a<br />

condition known as<br />

hyperkalemia, which in severe<br />

cases can lead to kidney failure,<br />

muscle paralysis, irregular heart<br />

rhythm, and cardiac arrest.<br />

These medications should<br />

generally not be used together,<br />

particularly if you are diabetic<br />

or have preexisting kidney<br />

problems.

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