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Why is Micardis HCT prescribed?

Micardis HCT (Telmisartan / Hydrochlorothiazide) is prescribed to treat high blood pressure (hypertension) in adults who've already taken blood pressure medication before.

What does it do?

Micardis HCT (Telmisartan/HCTZ) is a combination of two active ingredients: telmisartan (an angiotensin II receptor blocker (ARB) and hydrochlorothiazide (a diuretic or water pill) that work together to lower blood pressure. By working together, these two medications effectively reduce high blood pressure, which can help prevent strokes, heart attacks, and kidney problems.

How should I take it?

The recommended starting dose is 80 mg/12.5 mg orally once daily. Your doctor may adjust the dosage depending on how you respond to the medication, potentially raising it to 160 mg/25 mg after 2 to 4 weeks if needed.

What if I missed a dose?

If you miss a dose of Micardis HCT, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and continue with your usual dosing schedule. Avoid taking a double dose to make up for the missed one.

What are the special precautions before taking Micardis HCT?

Before taking Micardis HCT, it's always best to discuss the precautions with your doctor or healthcare provider to ensure Micardis HCT is safe and appropriate for you. For this medicine, these are the special precautions to keep in mind:

• Inform your doctor if you have any allergies to telmisartan, hydrochlorothiazide, or any other medications.
• Micardis HCT should be used with caution if you have kidney problems. Your doctor may need to monitor your kidney function regularly.
• If you have liver disease or impaired liver function, your doctor may need to adjust the dose or monitor you more closely.
• This medication can affect electrolyte levels in your body, so your doctor may monitor levels of potassium and other electrolytes.
• Inform your doctor about any other medications you are taking, as there can be interactions with other drugs, especially those affecting blood pressure or kidney function.
Does it have any side effects?
It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.
Common side effects may include:
• Back pain
• Dizziness
• Feeling tired
• Nausea
• Diarrhea
Serious side effects may include:
• Eye pain or swelling
• Fainting
• Sudden decrease in vision
• Severe headache
• Unusual changes in the amount of urine
• Muscle and joint pain
• Fast, irregular, or pounding heartbeats

Contact your doctor or seek immediate medical assistance if you have the following serious side effects:

This list doesn't include all possible side effects, and others may occur. For medical advice about side effects, always consult your doctor.

Is it safe to take it with another drug?
Micardis HCT may interact with various blood pressure medications, requiring caution. Some common medications that interact with Micardis HCT includes:
• Amlodipine
• Aspirin
• Atenolol
• Atorvastatin
• Ibuprofen

If you take Cholestyramine or Colestipol, avoid taking these medications within 4 hours before or after taking Micardis HCT.

Additionally, inform your doctor or healthcare provider about all your medications, particularly if you are taking any of the following:

• Barbiturates such as butabarbital, phenobarbital, or secobarbital
• Digoxin
• Lithium
• Diuretics or "water pills"
• Insulin or oral diabetes medicines
• Opioid pain medications
• NSAIDs (nonsteroidal anti-inflammatory drugs)
• Sleeping pills
• Steroid medicines or adrenocorticotropic hormone (ACTH)
This list is not complete always provide all medications you are taking including prescription and over-the-counter drugs, vitamins, and herbal products, may interact with Micardis HCT.
How should I store it?
Store the medicine in a sealed container at room temperature, away from heat, moisture, and direct sunlight. Keep it out of children's reach.
What action should I take in case of overdose?
In the event of an overdose with Micardis HCT, seek medical attention immediately. Common symptoms of an overdose may include severe dizziness, fainting, rapid or slow heart rate, or unusual low blood pressure. Do not wait to see if the symptoms resolve on their own. Go to the nearest emergency department for assistance.
Is it safe for pregnant or breastfeeding women?

Micardis HCT is not recommended for use during pregnancy. It should be discontinued as soon as pregnancy is detected as it contains telmisartan, which can cause harm to the fetus, especially during the second and third trimesters.

This medicine is also not advised for breastfeeding, as telmisartan can pass into breast milk, and the effects on a nursing infant are uncertain. It's crucial to discuss any plans for pregnancy or breastfeeding with your doctor, who can help you find a safer alternative if needed.

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