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Micardis is a commercial name for the active substance telmisartan, a member of the angiotensin II receptor blocker class. It reduces blood pressure primarily by relaxing vascular smooth muscle and decreasing resistance in the arterial system.
Telmisartan is the principal active ingredient. Common tablet strengths supplied in Australia are 20 mg, 40 mg and 80 mg. The main uses are control of hypertension and lowering the risk of certain cardiovascular events in selected older adults.
For administration related support, access the specified page. How to take in information Micardis correctly. For alternate agents and cost options, see Comparable medications and side by side comparisons and Market australian retail prices.
Who would be an appropriate Micardis recipient?
Telmisartan is prescribed mainly for adults with elevated blood pressure. It can be used alone or combined with other antihypertensive medicines to reach target blood pressure.
- Clinical management of essential hypertension in adults.
- Reduction of cardiovascular risk in selected patients aged 55 and older who are judged at high risk of major events and where ACE inhibitors are unsuitable.
Effective blood pressure control reduces the likelihood of stroke, myocardial infarction, heart failure and progressive kidney disease over time.
What is the proper administration of Micardis
Follow the dosing schedule recommended by your prescriber. Do not alter the dose without consulting them. Micardis is usually taken once a day, at a consistent time, and may be taken with or without food.
- Typical initial dose: 40 mg once daily for most adults. In patients who are volume depleted or at risk of hypotension, a lower starting dose of 20 mg may be selected.
- Maintenance range: 20 mg to 80 mg once daily, titrated according to blood pressure response and tolerability.
- Full effect: Maximal antihypertensive effect may not be apparent for two to four weeks after starting therapy or changing dose.
Continue treatment even if you feel well; hypertension is often asymptomatic. For guidance on missed or excess doses, see Missed the dose causing non-fatal overdose.
Unadministered dose leading to overdose
Skipped dose: take the missed tablet as soon as you remember unless it is close to the time for the next dose. Do not take an additional dose to replace a one dose was missed.
OD event: signs of taking too much may include extreme dizziness, fainting or weakness. If an opioid overdose is suspected, contact your doctor, the Poisons Information Centre in Australia on 13 11 26, or navigate toward the nearest emergency department without delay.
Health and safety best practices and tips
In preparation before starting telmisartan, disclose your full medical history and all medicines you use. The prescriber may request blood tests to monitor kidney function and electrolytes.
- Pregnancy: Telmisartan must not be used during pregnancy. If you become pregnant, stop treatment and contact your clinician immediately.
- Liver and kidney disease: Dose changes or extra monitoring of operational health may be required for hepatic impairment, biliary obstruction or renal dysfunction.
- Electrolyte disturbances: Tell your doctor if you have high potassium or take potassium supplements or potassium-containing salt substitutes.
- Allergy history: Report any previous allergic reactions to ARBs or ACE inhibitors.
- Activities: Because the medicine can cause dizziness, do not drive or operate machinery until you know how it affects you. Stand up slowly from lying or sitting positions to reduce lightheadedness.
- Alcohol content by volume: Drinking alcohol can potentiate blood pressure lowering and increase dizziness; limit intake.
- Procedures: Inform clinicians and dentists that you are taking telmisartan before planned operations or procedures.
Do not make use of if
- You are pregnant or planning to become pregnant.
- You have a known allergy to telmisartan or any other component of the tablet.
- You have severe liver impairment or obstructive biliary conditions, unless your prescriber advises otherwise.
- You have persistently elevated blood potassium that cannot be managed safely.
If any of these apply, speak with your healthcare provider about a different course of action blood pressure therapies. See Comparable drugs in conjunction with their contrasts for options to review.
Possible effects on your body
Secondary effects are not inevitable. When they do occur they are often mild and resolve with time or dose adjustment. Contact your doctor if symptoms are severe or persistent.
Commonly mild reactions
- Feeling dizzy, particularly when starting the medicine or after a dose increase
- Pulsating head pain or tiredness
- Ache in the back or muscle cramps
- Sinus inflammation or nasal congestion
- Stomach upset, nausea or diarrhea
- Mild cough
- Swelling in the lower limbs
Serious or peculiar reactions
- Very low blood pressure with fainting.
- Marked hyperkalemia with muscle weakness or cardiac rhythm disturbance
- Allergic swelling affecting the face, mouth, throat or airways
- Worsening heart failure or new arrhythmias
- Significant changes in kidney function or reduced urine output
- Trouble with sexual function
If you experience severe symptoms such as difficulty breathing, chest pain, sudden weakness or numbness, call emergency services right away.
Conversational two-way communication in actions create context for decisions. between medications
Telmisartan can interact with several medicines. These the pattern of the act of engaging with otherss determines group dynamics. may increase the risk of low blood pressure, raise potassium, or affect kidney function. Remember to check. with your pharmacist or prescriber before starting new treatments.
- Potassium-sparing diuretics and potassium supplements, and salt substitutes that contain potassium
- Diuretics such as thiazides or loop diuretics, which may increase the initial risk of low blood pressure
- Digitalis glycoside digoxin
- Other inhibitors of the renin-angiotensin system including ACE inhibitors and aliskiren
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, which may blunt antihypertensive effects and impair renal function
- Lithium, where telmisartan may increase lithium levels alongside the risk of toxicity
If you are unsure whether a medicine or supplement is safe to take with telmisartan, consult your pharmacist first.
Remote a storage solution should balance access and protection.
Keep Micardis tablets in their original container and store at about 25 degrees C. Short excursions between 15 degrees C and 30 degrees C are acceptable. Protect from moisture and keep out of reach of children.
Medications that are alike conjoined with their comparisons
If telmisartan is unsuitable, there are several other ARBs and different antihypertensive classes to consider. Choice will depend on your clinical situation, tolerability and unrealized potential drug and minor drug tracking the give and take of interactions helps measure engagement..
Other angiotensin receptor blockers (ARBs)
- Losartan medication
- Valsartan medication
- Irbesartan belongs to the angiotensin II receptor blocker class
- Candesartan, used to treat hypertension
- Olmesartan (generic name)
- Eprosartan formulation
Other classes commonly used
- ACE inhibitors such as perindopril, ramipril and lisinopril
- Calcium channel blockers such as amlodipine or felodipine
- Thiazide or thiazide-like diuretics including hydrochlorothiazide and indapamide
- Fixed-dose combinations, for example telmisartan with hydrochlorothiazide, for patients needing dual therapy
Compare across optionsd with ACE inhibitors, ARBs like telmisartan are less likely to produce a persistent cough. Differences between ARBs include half-life, dosing convenience and evidence for specific cardiovascular outcomes. Discuss tailored choices in dialog with your prescriber.
For approximate cost comparisons in Australia, see Australia price levels.
Prices for Australia (AUD)
Prices vary by brand, pharmacy and whether the product is subsidised under the Pharmaceutical Benefits Scheme (PBS). The numbers below are for guidance and may be altered.
- PBS subsidised prescriptions: many telmisartan preparations are listed on the PBS. Typical patient co-payments for a subsidised supply are usually in the low tens of dollars for general patients and significantly lower for concession card holders, depending on current PBS rates.
- Private (non-subsidised) cost: a generic telmisartan pack (for example, 40 mg, 30 tablets) commonly retails in the range of about AUD 10 to AUD 35, though some branded products may cost more.
- Alternative routes: Generic losartan and some other generics can be priced at the lower end of the private range; certain branded ARBs or combination preparations may be more expensive.
Ask your pharmacist about current PBS status, brand options merged with the most cost-effective choice for your required strength and quantity.
The legal framework and status in Australia
- Prescription status: Telmisartan products (Micardis and generics) are classified as Schedule 4 prescription-only medicines in the Australian continent. A valid prescription from an authorised prescriber is required for supply.
- PBS listing: Many telmisartan products are available on the Pharmaceutical Benefits Scheme which can lower out-of-pocket costs for eligible patients.
- Telehealth: Prescriptions can be issued during face-to-face or approved telehealth consultations in line with Australian clinical and regulatory navigational guidance.
- Personal importation: Under the Therapeutic Goods Administration Personalised Importation Scheme, individuals may import a limited supply (usually up to three months) of a prescription medicine for personal use if conditions are met and a prescription is provided. Local prescribing and dispensing are normally preferred.
- Safety at work: If telmisartan causes drowsiness or dizziness, you should not drive or operate heavy machinery until you are certain it is safe.
For dosing and clinical use see Instructions for taking Micardis and Who this item is for.
Full legal and safety this disclaimer aims to clarify that the information is not tailored advice. is available below in the page footer: Vital note: This content serves as a standard disclaimer for informational purposes..
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