Telpres Plus 40mg/12.5mg, 28 tablets — Made in Spain — Free Delivery

Product description

Telpres Plus tablets are used for arterial hypertension. As a combination with a fixed dose, Telpres Plus is used when telmisartan monotherapy does not provide adequate blood pressure control.

Composition

One tablet contains (active ingredients):

Telmisartan - 40 mg;

hydrochlorothiazide - 12.5 mg.

Excipients: beckons (E 421), povidone, crospovidone, meglumine, sodium hydroxide, lactose monohydrate, microcrystalline cellulose, hypromellose, sodium starch glycolate (type A), magnesium stearate, iron oxide yellow (E 172).

Contraindications

• hypersensitivity to any of the components of the preparation;
• hypersensitivity to other substances that are derivatives of sulfonamide (since hydrochlorothiazide is a sulfonamide derivative);
• pregnancy or planning a pregnancy;
• cholestatic and biliary obstructive disorders;
• severe liver dysfunction;
• anuria, severe renal dysfunction (creatinine clearance less than 30 ml / minute);
• refractory hypokalemia / hyponatremia, hypercalcemia;
• lactation;
• symptomatic hyperuricemia (gout);
• children's age (up to 18 years old);
• the simultaneous use of telmisartan and aliskiren-containing products is contraindicated in patients with diabetes mellitus or renal failure (GFR <60 ml / minute / 1.73 m2).

Mode of application

Telpres Plus should be taken by patients whose blood pressure is insufficiently controlled when using Telmisartan alone. Before switching to a fixed-dose combination, the dose of each of the components should be determined individually. According to clinical indications, it is possible to directly replace monotherapy with fixed combination therapy.

Telpres Plus can be prescribed to patients whose blood pressure is insufficiently controlled when telmisartan or hydrochlorothiazide is used alone, or to patients who have previously achieved an improvement in their condition when telmisartan and hydrochlorothiazide are used separately.

Telpres Plus (40 mg / 12.5 mg) can be prescribed once a day to patients whose blood pressure is insufficiently controlled when using Telpres tablets (40 mg).

Application features

Drivers

The study of the effect of telmisartan on the ability to drive a car and mechanisms has not been conducted. However, when driving and using machinery, it must be borne in mind that dizziness or drowsiness may occur during antihypertensive therapy.

Overdose

Information on overdose of telmisartan in humans is limited. The level of withdrawal of hydrochlorothiazide by hemodialysis has not been established.

Symptoms

With an overdose of telmisartan, the most pronounced manifestations were arterial hypotension and tachycardia; bradycardia, dizziness, vomiting, elevated serum creatinine levels, and acute renal failure have also been reported. An overdose of hydrochlorothiazide is associated with a decrease in the concentration of electrolytes (hypokalemia, hypochloremia) and hypovolemia due to excessive diuresis. The most common symptoms of an overdose are nausea and drowsiness. Hypokalemia can lead to muscle spasm and / or exacerbation of cardiac arrhythmias with the simultaneous use of digitalis glycosides or certain antiarrhythmic preparations.

Treatment

Telmisartan is not removed by hemodialysis. Patients should be closely monitored and receive symptomatic and supportive therapy. Therapy depends on the time that has passed after taking the preparation and the severity of the symptoms. Recommended interventions include inducing vomiting and / or gastric lavage. When treating an overdose, you can use activated charcoal. It is necessary to monitor the level of electrolytes and serum creatinine. If arterial hypotension occurs, the patient should be placed on his back and assistance should be provided to quickly replenish the volume of fluid and salt in the body.

Side effects

The most commonly reported side effect is dizziness.

Storage conditions

Store in its original packaging at a temperature not exceeding 25 ° C, out of the reach of children.

Shelf life is 3 years.