TELMISARTAN+AMLODIPINE

Indications & Dose:

Hypertension, not adequately controlled by amlodipine or telmisartan.

• BY MOUTH

Adults: 1 tab daily using the strtength as clinically appropriate.

Children: Not recommended.

PREGNANCY: X (Contraindicated in pregnancy).

LACTATION: v (Contraindicated or not recommended).

Contraindications:

Cardiogenic shock, aortic stenosis, unstable angina. Pregnancy, lactation. Hypersensitiv-ity to dihydropyridines. Cholestasis & biliary obstructive disorderds, severe hepatic impairment. Refractory hypokalaemia, hypercalcaemia.

Side Effects:

Cautions:

Precautions:

Within one month of Ml. Impaired hepatic function. Hypertensive crisis. Bilateral renal artery stenosis or stenosis of the artery to single functioning kidney. Mild to moderate renal impairment. Patients who are vol-&/or Na-depleted by vigorous diuretic therapy, dietary salt restriction, diarrhoea or vomiting. Severe CHF; primary aldos-teronism; aortic or mitral stenosis, obstructive hy-pertrophic cardiomyopathy. May impair glucose tolerance. Hereditary fructose intolerence; ischemic cardiopathy or CV disease. Monitor serum K in patients at risk of hyperkalaemia.

Interaction:

Monitor digoxin & lithium levels during concomitant use. Other kaliuretic diuretics, laxatives. Corticosteroids, ACTH, amphotericin, car-benoxolone, penicillin-G potassium, salisylic acid & derivatives

Warnings:

Adverse Effects:

Headache, edema, fatigue, nausea, flushing and dizziness, rash, gingival hyperpla-sia. Rarely, alopecia, pruritus, angioedema, palpitations, dyspnoea, abdominal pain, back pain, dyspepsia, muscle cramps, asthenia, somnolence, altered bowel habit, diarrhoea, myalgia, arthralgia, peripheral neuropathy, pancreatitis, mood changes, dry mouth, increased micturition, hyperglycaemia, impotence, sweating, syncope, thrombocytopenia, vasculitis, visual disturbances. Upper resp tract infection, sinusitis, pharyngitis. Influenza-like symptoms, pain, chest pain, fever.

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: