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Telmisartan, Oral tel-mi-SAR-tan

What are other names for this medicine?

Type of medicine: angiotensin II antagonist; antihypertensive; angiotensin receptor blocker

Generic and brand names: telmisartan, oral; Micardis

What is this medicine used for?

This medicine is taken by mouth to treat and control high blood pressure. It may be used alone or with other medicines.

It may be used to lower the risk of problems such as stroke or heart attack in people over 55 years of age.

It may also be used to treat other conditions as determined by your healthcare provider.

What should my healthcare provider know before I take this medicine?

Before you take this medicine, tell your healthcare provider if you have ever had:

  • an allergic reaction to any medicine
  • heart failure
  • kidney problems
  • liver problems

Also, tell your healthcare provider if you are on a low-salt diet.

Females of childbearing age: Tell your healthcare provider if you are pregnant, plan to become pregnant, or are breast-feeding. Do not take this medicine after the third month of pregnancy. It can cause severe harm, or even death, to an unborn child. If you become pregnant while taking this medicine, contact your healthcare provider right away. Do not breast-feed while you are taking this medicine.

How do I take it?

Check the label on the medicine for directions about your specific dose. Take this medicine every day exactly as your healthcare provider prescribes, even if you start to feel better. Take the medicine at the same time each day to help you remember to take it. Do not stop taking this medicine without your healthcare provider's approval.

You may take this medicine with or without food. Taking it with meals may lessen the chance the drug will upset your stomach.

Your healthcare provider may increase or decrease your dosage depending on your response. Your healthcare provider might also change your dosage if you are taking a diuretic (water pill) along with this medicine. Diuretics increase the effects of this medicine. Take this medicine, and any others your healthcare provider prescribes, exactly as directed.

What if I miss a dose?

If you miss a dose, take it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.

What if I overdose?

If you or anyone else has intentionally taken too much of this medicine, call 911 or go to the emergency room right away. If you pass out, have seizures, weakness or confusion, or have trouble breathing, call 911. If you think that you or anyone else may have taken too much of this medicine, call the poison control center. Do this even if there are no signs of discomfort or poisoning. The poison control center number is 800-222-1222.

Symptoms of an acute overdose may include: fast or slow heartbeat, lightheadedness, dizziness, fainting, weakness.

What should I watch out for?

You will need to have lab tests regularly to see how this medicine affects you. You should check your blood pressure regularly while taking this medicine. Keep all appointments.

You may feel dizzy or faint when you get up quickly after sitting or lying down. Getting up slowly may help. Also, drinking alcohol may make it worse. Do not drink alcohol unless your healthcare provider approves.

If you are dehydrated (due to diarrhea, vomiting, or sweating heavily) or you have lost salt from your system, this medicine may cause low blood pressure (lightheadedness, dizziness, fainting). This is more likely to happen if you are taking a diuretic (water pill). If you feel faint, lie down until the reaction passes. Talk with your healthcare provider if this happens often. Do not drive or operate machinery unless you are fully alert.

Follow the diet and exercise program your healthcare provider recommends.

If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are taking this medicine.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Chest pain; fast or slow heartbeat; muscle weakness; fainting; swelling in hands, ankles, or feet; yellow eyes or skin; trouble urinating.

Other: Cough, upper respiratory infection, diarrhea, dizziness, runny or stuffy nose, upset stomach, back or leg pain, headache, tiredness, ringing in the ears, blurred vision, depression, change in sexual desire or ability.

What products might interact with this medicine?

When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:

  • ACE inhibitors such as benazepril (Lotensin), captopril, enalapril (Vasotec), fosinopril, lisinopril (Prinivil, Zestril), quinapril (Accupril), and ramipril (Altace)
  • digoxin (Lanoxin)
  • diuretics (water pills) such as amiloride, bumetanide, chlorothiazide (Diuril), furosemide (Lasix), hydrochlorothiazide (Microzide), spironolactone (Aldactone), torsemide (Demadex), and triamterene (Dyrenium)
  • lithium
  • natural remedies such as dong quai, ephedra, garlic, ginseng, licorice, and yohimbe
  • nonsteroidal anti-inflammatory drugs (NSAIDs) such as celecoxib (Celebrex), diclofenac (Voltaren, Cataflam), ibuprofen (Motrin, Motrin IB, Advil), indomethacin (Indocin), ketoprofen, ketorolac (Toradol), nabumetone (Relafen), naproxen (Naprosyn, Anaprox, Aleve, Naprelan), oxaprozin (Daypro), piroxicam (Feldene), and sulindac (Clinoril)
  • potassium supplements such as Epi Klor, Kaon-Cl, K-Tab, Klor-Con, Micro-K salt substitutes containing potassium. Ask your healthcare provider about these.
  • trimethoprim (Primsol) or sulfamethoxazole/trimethoprim (Bactrim, Septra)

Do not drink alcohol while you are taking this medicine unless your healthcare provider approves.

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

How should I store this medicine?

Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.

Do not remove the tablets from the blister pack until you are ready to take them.


This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.


Developed by RelayHealth.
Medication Advisor 2012.1 published by RelayHealth.
Last modified: 2011-04-18
Last reviewed: 2010-11-11
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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