Micardis tablets contain the active ingredient telmisartan, which is a type of medicine called an angiotensin II receptor antagonist. It works by preventing the action of a hormone in the body called angiotensin II.
Angiotensin II normally acts on special receptors in the body, with two main results. Firstly, it causes the peripheral blood vessels to narrow, and secondly, it stimulates the production of another hormone called aldosterone. Aldosterone causes salt and water to be retained by the kidneys, which increases the volume of fluid in the blood vessels.
Telmisartan blocks the receptors that angiotensin II acts on, and so prevents its actions. The main result of this is that the peripheral blood vessels are allowed to widen, which means that there is more space and less resistance in these blood vessels. This is the main mechanism by which the pressure in the blood vessels is lowered.
Blocking the actions of angiotensin II also reduces the action of aldosterone on the kidneys. The result of this is an increase in the amount of fluid removed from the blood by the kidneys. This decreases the amount of fluid in the blood vessels, which also lessens the resistance and pressure in the blood vessels.
The combined overall effect of these changes is to lower the blood pressure.
- This medicine may cause fatigue and dizziness. You should take care when performing potentially hazardous activites, such as driving or operating machinery, until you know how this medicine affects you and are sure you can perform such activities safely.
- Alcohol may enhance the blood pressure lowering effect of this medicine, which may result in dizziness or fainting.
- People with decreased kidney function should have regular blood tests to monitor the levels of potassium and creatinine in their blood while taking this medicine.
- People with high blood pressure due to high levels of the hormone aldosterone (primary hyperaldosteronism) do not generally respond to this type of blood pressure lowering medicine, and it is not recommended for these people.
- This medicine may be less effective at lowering blood pressure in black people than in non-blacks.
- The safety of this medicine has not been established in children and adolescents under the age of 18.
Use with caution in
- Kidney disease
- Narrowing of the artery which supplies blood to the kidneys (renal artery stenosis)
- Decreased kidney function
- Mild to moderately decreased liver function
- Decreased fluid volume in the body, eg due to diuretic therapy, low salt diet, kidney dialysis, diarrhoea, vomiting, dehydration
- Diseases of the stomach and intestines
-
Heart disease caused by inadequate blood flow to the heart
- Heart disease characterised by thickening of the internal heart muscle and a blockage inside the heart (hypertrophic obstructive cardiomyopathy)
-
Heart valve disease
- Narrowing of the main artery of the body (aortic stenosis)
-
Severe heart failure
- High levels of potassium in the blood (hyperkalaemia)
Not to be used in
.
- Severely decreased liver function
- Blockage of the bile duct (biliary obstruction)
- Inherited intolerance to fructose in the diet
-
Pregnancy
-
Breastfeeding
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.
Pregnancy and Breastfeeding
Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.
- This medicine should not be used during pregnancy, particulrly the second and third trimesters, as it may be harmful to the unborn baby. Seek medical advice from your doctor.
- There is no information available about the safety of this medicine during breastfeeding. For this reason, the manufacturer states that it should not be used during breastfeeding. Seek medical advice from your doctor.
Side effects
Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
- Abdominal pain
- Diarrhoea
- Drowsiness
- Indigestion (dyspepsia)
- Cold or flu-like symptoms
- Back pain
- Dizziness
- Inflammation of the throat (pharyngitis)
- Pain in the muscles (myalgia)
- Upper airway infections
The side effects listed above may not include all of the side effects reported by the drug's manufacturer.For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.
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