Telmisartan 40 mg. 30 tablets

What is Telmisartan Teva Pharma is and what it is used
Telmisartan Teva Pharma belongs to a class of drugs known as angiotensin II receptor antagonists.
Angiotensin II is a substance produced in the human body and causes constriction of blood vessels, thereby increasing blood pressure. Telmisartan Teva Pharma blocks this effect of angiotensin II, so that the blood vessels relax and blood pressure is lowered.
Telmisartan Teva Pharma is used to treat essential hypertension (high blood pressure) in adults. 'Essential' means that the high blood pressure is not caused by any other condition.
High blood pressure, if not treated, can damage blood vessels in several organs, which could in some cases lead to heart attacks, heart or kidney failure, stroke or blindness. Usually before damage occurs, high blood pressure has no symptoms. Therefore, regular blood pressure measurement is important to make sure that it is normal.
Telmisartan Teva Pharma is also used to reduce cardiovascular events (ie heart attack or stroke) in adults at risk due to reduced or blocked blood supply to the heart or legs, or have had a stroke or have high risk diabetes. Your doctor can tell you if you have an increased risk of such incidents.

2. What you need to know before taking Telmisartan Teva Pharma
Do not take Telmisartan Teva Pharma
if you are allergic (hypersensitive) to telmisartan or any other ingredients of this medicine (listed in section 6);
if you are more than 3 months pregnant (It is also better to avoid the use of Telmisartan Teva Pharma in early pregnancy - see pregnancy);
if you have severe liver problems such as cholestasis or biliary obstruction (problems sottichaneto of bile from the liver and gall bladder) or any other disease of the liver.
If any of these apply to you, tell your doctor or pharmacist before taking Telmisartan Teva Pharma.

Warnings and Precautions
Talk to your doctor if you have or have ever had any of the following conditions or illnesses:
Renal disease or renal transplant;
Renal artery stenosis (narrowing of the blood vessels to one or both kidneys);
Liver disease;
Heart problems;
Elevated levels of aldosterone (water retention and salts in the body along with imbalance of various minerals found in the blood);
Low blood pressure (hypotension), which is probably due to dehydration (severe loss of body water) or salt deficiency due to diuretic therapy ("water pills"), a diet low in salt, diarrhea or vomiting;
Increased levels of potassium in the blood;
Diabetes.
You should inform your doctor if you think you are (or might become) pregnant. Telmisartan Teva Pharma is not recommended for use during early pregnancy and must not be taken if you are pregnant after the third month, as it may cause serious harm to your baby if used at that stage (see point pregnancy).
In case of surgery or anesthesia, you should tell your doctor that you are taking Telmisartan Teva Pharma.
Telmisartan Teva Pharma may be less effective in lowering blood pressure in black patients.

Children and adolescents
The use of Telmisartan Teva Pharma in children and adolescents under 18 years of age is not recommended.
As with other angiotensin II receptor antagonists, Telmisartan Teva Pharma may be less effective in lowering blood pressure in black patients.

Other medicines Telmisartan Teva Pharma
Tell your doctor or pharmacist if you are taking, you have recently taken or might take any other medicines, including medicines obtained without a prescription. You may need your doctor may change the dose of these other medications or take other precautions. In some cases it may be necessary to stop taking one of the drugs. This applies especially to the medicines listed below, when used together with Telmisartan Teva Pharma:
Lithium-containing medicines to treat some types of depression;
Drugs that may increase potassium levels in the blood, such as potassium-containing salt substitutes, potassium-sparing diuretics (certain 'water tablets'), ACE inhibitors, angiotensin II receptor antagonists, NSAIDs (non-steroidal anti-inflammatory drugs such as aspirin or ibuprofen), heparin, immunosuppressives (eg. cyclosporin or tacrolimus), and the antibiotic trimethoprim;
Diuretics ("water" tablets), especially if taken in high doses together with Telmisartan Teva Pharma, may lead to excessive loss of body water and low blood pressure (hypotension).
Effect of Telmisartan Teva Pharma may be reduced when you take NSAIDs (non-steroidal anti-inflammatory drugs such as aspirin or ibuprofen) or corticosteroids.
Telmisartan Teva Pharma may enhance raise blood pressure lowering effect of other medicines used to treat high blood pressure.
If you have a condition called "orthostatic hypotension" (a drop in blood pressure when standing up from a sitting or lying position, causing dizziness or faintness) your condition may worsen if you take Telmisartan Teva Pharma in combination with:
Other medications used to treat high blood pressure;
Baclofen (a muscle relaxant);
Amifostine (a drug for the prevention of side effects during radiotherapy to treat cancer);
Alcohol;
Barbiturates (strong sleeping tablets);
Narcotics (strong painkillers);
Antidepressants.
Pregnancy and lactation
Pregnancy
You should inform your doctor if you think you are (or might become) pregnant. Your doctor will advise you to stop taking Telmisartan Teva Pharma before you become pregnant or as soon as possible after you are pregnant and will advise you to take another medicine instead of Telmisartan Teva Pharma. Telmisartan Teva Pharma is not recommended in early pregnancy and must not be taken if your pregnancy is after the third month, as it may cause serious harm to your baby if used after the third month of pregnancy.

Breastfeeding
Tell your doctor if you are breastfeeding or plan to breastfeed. Telmisartan Teva Pharma is not recommended for mothers who are breastfeeding, and your doctor may choose another treatment for you if you wish to breastfeed, especially if your child is a newborn or preterm.

Driving and using machines
Some people feel dizzy or tired when taking Telmisartan Teva Pharma. If you feel dizzy or tired, do not drive or operate machinery.
Telmisartan Teva Pharma contains sorbitol.
If you are intolerant to some sugars, consult your doctor before taking Telmisartan Teva Pharm.

3. How to take Telmisartan Teva Pharma
Always take Telmisartan Teva Pharma exactly as your doctor tells you. If you're not sure, ask your doctor or pharmacist.
The recommended dose of Telmisartan Teva Pharma is one tablet daily. Try to take the tablet at the same time each day. You can take Telmisartan Teva Pharma with or without food. The tablets should be swallowed with some water or other soft drink. It is important that you take Telmisartan Teva Pharma every day until your doctor tells you otherwise. If you have the impression that the effect of Telmisartan Teva Pharma is too strong or too weak, talk to your doctor or pharmacist.
For the treatment of high blood pressure, the usual dose of Telmisartan Teva Pharma for most patients is one 40 mg tablet once a day to control blood pressure over 24 hours. Your doctor may recommend a lower dose of 20 mg tablet daily. Alternatively, Telmisartan Teva Pharma can be used in combination with diuretics ("water" tablets), which are known to have an additive effect with Telmisartan Teva Pharma in lowering blood pressure.
For reduction of cardiovascular events, the usual dose of Telmisartan Teva Pharma is one 80 mg tablet once daily. At the beginning of the preventive therapy with Telmisartan Teva Pharma 80 mg should be frequently monitored blood pressure.
If your liver is not functioning properly, the usual dose should not exceed 40 mg once daily.

If you take a large dose of Telmisartan Teva Pharma than necessary
If you accidentally take too many tablets, contact your doctor, pharmacist or nearest hospital for emergency care.

If you forget to take Telmisartan Teva Pharma
If you miss a dose, do not worry. Take it as soon as you remember and then continue as before. If you do not take your tablet on the same day, take your normal dose the next day. Do not take a double dose to make up the missed dose.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
These side effects occur at a certain frequency, which is defined as follows:
very common affect more than 1 user in 10;
Common: affect 1 to 10 users in 100;
uncommon: affect 1 to 10 users in 1000;
rare: affect 1 to 10 users in 10,000;
very rare: affect less than 1 user in 10,000.
Some side effects can be serious and require immediate treatment.
You should visit your doctor immediately if you experience any of the following symptoms:
Sepsis (often called "blood poisoning", is a severe infection with inflammation throughout the body), rapid swelling of the skin and mucosa (angioedema); these side effects are rare (may affect up to 1 in 1000 people) but very serious. Patients should stop taking the drug immediately and consult a doctor. If not treated, these reactions can be fatal.
Possible side effects of telmisartan:
Common side effects (may affect up to 1 in 10 people):
Low blood pressure (hypotension) in patients treated for the reduction of cardiovascular events.
Uncommon side effects (may affect up to 1 in 100 people):
Urinary tract infections, upper respiratory tract infection (eg sore throat, inflamed sinuses, common cold), deficiency in red blood cells (anemia), high potassium levels, difficulty backfilling, feeling sad (depression), fainting (syncope) , feeling of spinning (vertigo), slow heart rate (bradycardia), low blood pressure (hypotension) in patients treated for high blood pressure, dizziness on standing (orthostatic hypotension), shortness of breath, cough, abdominal pain, diarrhea, stomach discomfort, bloating, vomiting, itching, increased sweating, drug rash, back pain, muscle cramps, muscle pain (myalgia), kidney impairment including acute kidney failure, chest pain, feeling of weakness, and increased level of creatinine in the blood .
Rare side effects (may affect up to 1 in 1000 people):
Sepsis (often called "blood poisoning" is a severe infection with an inflammatory process in the whole body, which can lead to death), increased number of certain white blood cells (eosinophilia), low platelet count (thrombocytopenia), severe allergic reaction (anaphylactic reaction), allergic reactions (such as rash, itching, difficulty breathing, wheezing, swelling of the face or low blood pressure), reduced blood sugar levels in patients (diabetes), anxiety, drowsiness, impaired vision, fast beat heart (tachycardia), dry mouth, upset stomach, abnormal liver function (probably this side effect can occur in patients of Japanese origin), rapid swelling of the skin and mucous membranes, which can lead to death (angioedema also with fatal outcome), eczema (a skin disorder), redness of skin, hives (urticaria), severe drug rash, joint pain (arthralgia), pain in extremity, tendon pain, flu-like illness, decreased hemoglobin (a blood protein) elevated levels of uric acid, increased hepatic enzymes or creatine phosphokinase in the blood.
Very rare side effects (may affect up to 1 in 10,000 people):
Progressive scarring of lung tissues (interstitial lung disease).
The event may have happened by chance or could be due to an unknown mechanism.
Cases of progressive scarring of lung tissue have been reported during administration of telmisartan. However, it is not known whether the cause is telmisartan.
If you get any side effects, contact your doctor or pharmacist. This includes all listed in this leaflet.

5. How to store Telmisartan Teva Pharma
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton and blister after "EXP". The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

6. Contents of the pack and further information
What Telmisartan Teva Pharma
The active substance is telmisartan. Each tablet Telmisartan Teva Pharma contains 40 mg telmisartan.
The other ingredients are microcrystalline cellulose (Avicel PH 102), sodium starch glycolate (type A), poloxamers, meglumine, povidone (PVP K-30), sorbitol (E402), magnesium stearate.