Telmisartan with Metoprolol

Telmisartan with Metoprolol is a combination medication that contains two active ingredients: Telmisartan, an angiotensin II receptor blocker (ARB), and Metoprolol, a beta-blocker. This combination is used to treat hypertension (high blood pressure) by effectively regulating blood vessel constriction and heart rate.

Indications

Hypertension (high blood pressure): Telmisartan with Metoprolol is indicated for the treatment of essential hypertension in patients not adequately controlled with monotherapy.

Dosage

Dosage may vary depending on individual patient needs and medical history. It is crucial to follow the prescribing physician's instructions. A common starting dose might be Telmisartan 40mg with Metoprolol 25mg once daily, with possible titration based on the patient's response.

Contra-Indications

-Hypersensitivity to Telmisartan, Metoprolol, or any component of the formulation. -Severe bradycardia (slow heart rate). -Heart block greater than the first degree. -Cardiogenic shock. -Uncontrolled heart failure.

Special Precautions

-Renal Impairment: Use with caution in patients with renal impairment, as dosage adjustments may be necessary. -Hepatic Impairment: Caution is advised in patients with hepatic impairment. -Pregnancy and Lactation: Not recommended during pregnancy or lactation unless the potential benefits outweigh the risks.

Side Effects

Common side effects may include dizziness, fatigue, hypotension, and bradycardia. Serious side effects may include allergic reactions, renal impairment, or worsening heart failure. It's important to report any unusual symptoms to a healthcare professional.

Drug Interactions

-Potassium-sparing diuretics: Risk of hyperkalemia. -Nonsteroidal anti-inflammatory drugs (NSAIDs): May reduce the antihypertensive effect and increase the risk of renal impairment. -CYP2D6 inhibitors: Metoprolol metabolism may be affected.