Telmisartan and Amlodipine are combined in this medicine.
This medicine is used on its own or together with other medicines to help keep your blood pressure under control.
Take Telmisartan + Amlodipine exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment timeframe depending on your condition and response to the medication.
Telmisartan + Amlodipine must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- blocked bile duct (a tube-like channel which carries bile from the liver through the upper portion of the small bowel)
- very low blood pressure
- cardiogenic shock (a serious sudden condition when the heart cannot supply enough oxygen-rich blood to the brain and vital organs of the body)
- blocked blood flow from the heart
- heart failure (weakness and inability of the heart to pump blood) after a heart attack
- severe liver disease
as Telmisartan + Amlodipine may not be suitable for you.
Do not take this medicine if you are pregnant. If you become pregnant while on Telmisartan + Amlodipine therapy, alert your doctor immediately. This medicine may cause harm to your unborn child.
Do not breastfeed while you are being treated with this medicine.
Do not take this medicine with aliskiren (medicine to treat high blood pressure) if you have diabetes or kidney disease.
Inform your doctor if you have the following conditions:
- diabetes
- other heart diseases or problems e.g. narrowing of the heart valves, chest pain that occurs randomly or unexpectedly, recent heart attack
- narrowing of arteries that carry blood to one or both kidneys
- aldosteronism (a disorder wherein the adrenal glands produce too much of a steroid hormone called aldosterone)
- previously experienced angioedema (swelling of the deep layers of the skin usually around the face, throat, and lips) after taking certain medicines for high blood pressure such as captopril
- angioedema due to family history or an unknown reason
- low volume of fluids in the body and/or sodium levels in the blood
- kidney disease
- mild to moderate liver disease
Be sure to check with your doctor or pharmacist before giving Telmisartan + Amlodipine to the elderly. Elderly people may be more sensitive to the side effects.
If you are going to have an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking this medicine.
Why is it important to keep my appointments with the doctor?
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- Routine tests (e.g. liver or kidney function, electrolyte levels) may be done while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
- Your blood pressure may fall to unsafe levels without you noticing it. Monitor your blood pressure and heart rate regularly during treatment.
- Regular monitoring of signs of swelling of the ankles, feet, or hands may also be needed.
What lifestyle changes can I make to improve my blood pressure?
Regular exercise and eating a healthy diet will help control your blood pressure and improve your overall health. Engage in physical activity like walking for at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart and overall health. Speak to your doctor or pharmacist about ways to stop your smoking habit.
Telmisartan + Amlodipine may cause any of the following side effects: headache, dizziness with or without sensations of spinning, drowsiness, weakness or lack of energy, tiredness, back pain, joint or muscle pain, nausea, diarrhoea, stomach pain, and sudden reddening of the face, neck, or upper chest.
This medicine may also cause your blood pressure to fall suddenly when you get up from a sitting or lying down position and you may feel giddy. To minimise this problem, stand up slowly.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- muscle weakness, cramping or numbness; fast or irregular heartbeat
- chest pain, tightness or pressure, pain that may spread to the arms, jaw, neck, shoulder or back, shortness of breath, lightheadedness
- swelling of the ankles, feet, or hands
- pain or difficulty in passing urine, change in how much urine is passed, blood in the urine
- swelling underneath the skin, usually around the face, throat, and lips
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Do not take Telmisartan + Amlodipine with aliskiren (medicine to treat high blood pressure) if you have diabetes or kidney disease.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other medicines for high blood pressure e.g. ramipril, verapamil
- medicines for epilepsy (fits or seizures) e.g. phenobarbital
- medicines to treat depression
- corticosteroids (anti-inflammatory medicines)
- water pills or medicines for water retention e.g. amiloride, spironolactone
- NSAIDs (medicines for pain and inflammation) e.g. celecoxib, ibuprofen
- medicines used in organ transplants or certain immune disorders e.g. ciclosporin, tacrolimus, sirolimus
- certain antibiotics e.g. erythromycin, trimethoprim
- medicines for HIV infection e.g. ritonavir
- medicines to treat fungal infection e.g. ketoconazole
- baclofen (medicine used for relaxing the muscles)
- heparin (blood-thinning medicine)
- rifampicin (medicine to treat TB [an infection known as tuberculosis])
- simvastatin (cholesterol-lowering medicine)
- lithium (medicine for mood disorder)
- potassium supplements
- St. John's wort (herbal medicine)
This list does not include all medicines that may interact with Telmisartan + Amlodipine.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements, and medicines that you buy without a prescription.
Avoid alcohol.
Avoid excessive consumption of grapefruit or grapefruit juice (more than 1 litre a day).
Store in a cool, dry place away from the reach of children.
Protect from light and moisture.
Medicines must not be used past the expiry date.
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