Telmis Tablet 20 mg

About Telmis Tablet 20 mg

Telmis Tablet 20 mg Uses

• High blood pressure (hypertension)
• Reducing cardiovascular risk in patients with heart disease or diabetes with organ damage
• Long term blood pressure control alongside lifestyle changes

Telmis Tablet 20 mg Benefits

• Once daily dosing improves adherence to long term treatment
• Long duration of action gives steady blood pressure control through the day
• Also supports kidney protection in patients with diabetes related kidney disease
• Well tolerated with a low rate of cough compared to ACE inhibitors

What Experts Say

Telmisartan selectively blocks the angiotensin II type 1 (AT1) receptor, preventing angiotensin II from causing blood vessel narrowing and aldosterone release. Among angiotensin receptor blockers, it has one of the longest half lives, close to twenty four hours, giving smooth round the clock blood pressure control from a single daily dose.

Its high lipophilicity allows deep tissue penetration and a large volume of distribution. Unlike most antihypertensives that rely on kidney clearance, telmisartan is eliminated mainly through the liver by glucuronidation and biliary excretion, so dose adjustment is rarely needed in mild to moderate kidney impairment.

Physicians often favor telmisartan for patients who struggle with medication adherence, since its long action still controls pressure even if a dose is taken a little late. It also shows partial PPAR gamma activity, which may modestly improve insulin sensitivity, though it should be avoided in pregnancy and in bilateral renal artery narrowing.

Drug Class

• Angiotensin II Receptor Blocker (ARB)
• Antihypertensive

Telmis Tablet 20 mg formula

• Telmisartan

Available forms

• Tablet

How to use Telmis Tablet 20 mg?

• Take Telmis Tablet 20 mg once daily, at the same time each day
• Swallow the tablet with a glass of water, with or without food
• Do not stop suddenly without talking to your doctor, even if blood pressure feels normal
• Check blood pressure regularly to confirm the medicine is working

Drug Interactions

• ACE Inhibitors: Combined use raises the risk of low blood pressure, high potassium and kidney problems.
• Potassium Sparing Diuretics: Can raise blood potassium to unsafe levels when combined.
• NSAIDs: May reduce the blood pressure lowering effect and stress the kidneys.
• Lithium: Blood levels can rise, increasing the risk of lithium toxicity.
• Digoxin: Telmisartan can raise digoxin blood levels, monitoring may be needed.

Risks and warnings

• Pregnancy: Can cause serious harm to the unborn baby, stop the medicine as soon as pregnancy is confirmed.
• Kidney Artery Narrowing: Avoid in patients with bilateral renal artery stenosis, can worsen kidney function.
• Low Blood Pressure: Use cautiously in patients who are dehydrated or on high dose diuretics.
• Liver Disease: Use with caution since the drug is cleared mainly by the liver.
• High Potassium: Regular blood tests may be needed, especially with potassium supplements or certain diuretics.

Telmis Tablet 20 mg Side Effects

• Dizziness
• Back pain
• Sinus infection symptoms
• Diarrhea
• Fatigue
• Low blood pressure symptoms such as lightheadedness
• High potassium levels
• Rare swelling of the face or throat (angioedema)
• Rare kidney function changes

Storage Conditions

• Store below 30°C, protected from moisture and direct light
• Keep the blister strip inside its box until the dose is due
• Do not store in the bathroom or near a sink
• Keep out of reach of children and away from expired stock