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Micardis (telmisartan, antihypertensive agent)

Uses|Precautions & warnings|Side effects|Interactions|Dosage

Micardis is the brand name of the drug telmisartan. Telmisartan is an antihypertensive agent, specifically an angiotensin receptor blocker (ARB).

telmisartan

Uses

What is Micardis used for?

Telmisartan treats high blood pressure (hypertension). It is sometimes given together with other blood pressure medications. It is also used to reduce the risk of stroke, heart attack, or death from heart problems in people who are at least 55 years old with risk factors for serious heart disorders.

How should I take Micardis?

Take this drug exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

It can be taken with or without food.

Do not crush, chew, or break the tablet. Swallow the tablet whole. Keep each tablet in its blister pack until you are ready to take it.

How do I store Micardis?

This product is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store it in the bathroom or the freezer.

There may be different brands of this drug that may have different storage needs. So, it is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush this product down the toilet or pour them into a drain unless instructed to do so. Additionally, it is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Micardis?

Before using this drug, tell your doctor if you are/have:

  • Pregnant or breastfeeding.
  • Taking any other medicines. This includes any prescription, OTC, and herbal remedies.
  • An allergy to any of the ingredients of this product.
  • Any other illnesses, disorders, or medical conditions, especially:
    • Diabetes
    • Kidney disease

Is it safe during pregnancy or breastfeeding?

Telmisartan is contraindicated (not allowed) while pregnant. There is evidence that it causes harm to the fetus, especially in the second and third trimesters. If you get pregnant while taking this drug, inform your doctor right away.

Telmisartan is a pregnancy risk category D drug, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Micardis?

Like all drugs, Micardis may have side effects. If they occur, side effects are generally mild and resolve once treatment is finished or the dose is lowered.

Some reported side effects include:

  • Cough
  • Stuffy nose
  • Sinus pain
  • Back pain
  • Diarrhea

Tell your doctor immediately if you notice these symptoms:

  • A light-headed feeling or fainting
  • Little or no urinating
  • Swelling (edema)
  • Rapid weight gain
  • Hyperkalemia (slow heart rate, weak pulse, muscle weakness, tingly feeling)

However, not everyone experiences these side effects. In addition, some people may experience other side effects. So, if you have any concerns about a side effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Micardis?

This medication may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects.

To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist.

Drugs with known interactions:

  • Digoxin
  • Lithium
  • A diuretic or “water pill”
  • NSAIDs (e.g. aspirin, ibuprofen)
  • Ramipril or other blood pressure medicines
  • Antidiabetic agents

For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Micardis?

This drug may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Micardis® (telmisartan)?

This drug may interact with underlying conditions. This interaction may worsen your health condition or alter the way the drug works. Therefore, it is important to always let your doctor and pharmacist know all the health conditions you currently have, especially:

Dosage

The information provided is not a substitute for any medical advice. Therefore, you should always consult with your doctor or pharmacist before using any medication.

What is the dose for an adult?

Hypertension:

Initial dose is 40 mg orally once a day with or without food, assuming adequate intravascular volume.

Maintenance dose is 20 mg to 80 mg orally once a day.

Cardiovascular Risk Reduction:

Cardiovascular risk reduction in patients unable to take ACE inhibitors: 80 mg orally once a day with or without food.

What is the dose for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Micardis available?

Micardis is available in the following dosage forms and strengths:

  • Tablet 40 mg, 80 mg
  • Micardis Plus tablet (contains telmisartan + HCTZ) 40/12.5 mg, 80/12.5 mg, 80/25 mg

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to the nearest emergency room.

What should I do if I miss a dose?

If you miss a dose, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

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Written by Stephanie Nicole Nera, RPh, PharmD Updated Jun 13
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