AMLONG TL 40

Name: AMLONG TL 40 (brand name)

Composition: Each tablet contains a combination of two active ingredients:

• Amlodipine (5 mg)
• Telmisartan (40 mg)

Amlodipine is a calcium channel blocker that relaxes and widens blood vessels, improving blood flow. Telmisartan is an angiotensin II receptor blocker (ARB) that blocks the action of a hormone that narrows blood vessels, further contributing to relaxation and reduced blood pressure. This dual mechanism helps to effectively lower blood pressure.

Uses: AMLONG TL 40 is primarily prescribed for the treatment of high blood pressure, also known as hypertension. By lowering blood pressure, it helps reduce the risk of cardiovascular events such as heart attack, stroke, and other heart complications.

Dosage and Administration:

• AMLONG TL 40 should be taken orally, with or without food, as directed by a doctor.
• It is important to take the medicine regularly at a fixed time each day to achieve maximum benefit and maintain consistent blood levels.
• The dose will be determined by the doctor based on the patient's condition and response to the medicine.
• Do not chew, crush, or break the tablet; swallow it whole with a glass of water.
• Do not stop taking the medicine suddenly without consulting a doctor, as this may lead to an increase in blood pressure.

Side Effects:

• Common Side Effects: Peripheral edema (swelling in hands, feet, ankles, or lower legs), headache, dizziness, fatigue, nausea, diarrhea, upset stomach, sleepiness, back pain.
• Serious Side Effects: Severe decrease in low blood pressure, swelling of body parts and unexplained weight gain, chest pain, high blood potassium levels.
• Most common side effects are usually temporary and resolve over time. If any side effects persist or worsen, medical attention should be sought.

Precautions:

• Pregnancy and Breastfeeding: AMLONG TL 40 is not recommended during pregnancy due to potential risks to the fetus and caution is advised if breastfeeding.
• Alcohol: Avoid or limit alcohol consumption, as it may intensify the blood pressure-lowering effects and worsen dizziness.
• Driving and Operating Machinery: This medicine can cause dizziness or sleepiness, so caution is advised when driving or operating machinery until its effects are known.
• Medical Conditions: Inform your doctor if you have liver or kidney impairment, heart problems (like heart failure), diabetes, low blood pressure volume, or severe dehydration.
• Drug Interactions:
  • Avoid high-potassium foods or supplements, as this can lead to hyperkalemia.
  • Caution is needed with immunosuppressants (cyclosporine, tacrolimus), antifungals (ketoconazole, itraconazole), antivirals (ritonavir), cardiac glycosides (digoxin), aliskiren, and certain painkillers.
• Grapefruit Juice: Consumption of grapefruit juice is not recommended as it can increase the absorption of amlodipine, potentially leading to excessive blood pressure lowering or worsened side effects.
• Children: Safety and effectiveness in children have not been established, and it is not recommended for use in those under 18 years of age.

Storage:

• Store AMLONG TL 40 at room temperature (below 30°C or between 20° to 25°C).
• Store in cool, dry conditions, away from direct sunlight, excess heat, and moisture.
• Keep the tablet in its original packaging.
• Always keep it out of the reach of children.

AMLONG TL 40: Frequently Asked Questions

AMLONG TL 40 is a medication that combines two active ingredients, Amlodipine and Telmisartan, commonly used to treat high blood pressure (hypertension). It works by relaxing blood vessels and improving blood flow, thereby reducing the risk of heart attack and stroke.

What is AMLONG TL 40 used for?

AMLONG TL 40 is primarily used to manage high blood pressure (hypertension). It can also be prescribed to reduce the risk of cardiovascular events like heart attack and stroke, and in some cases, for heart failure treatment and kidney protection, especially in diabetic patients.

How does AMLONG TL 40 work?

AMLONG TL 40 contains two active ingredients: Telmisartan and Amlodipine. Telmisartan is an angiotensin II receptor blocker (ARB) that works by blocking a hormone that narrows blood vessels, allowing them to relax. Amlodipine is a calcium channel blocker (CCB) that relaxes and widens blood vessels by hindering the influx of calcium ions into muscle cells. The combination provides a dual mechanism to lower blood pressure more effectively.

What is the usual dosage of AMLONG TL 40?

The usual adult dosage for hypertension is one tablet containing Amlodipine 5 mg and Telmisartan 40 mg, taken orally once a day. Your doctor may adjust the dose as needed, but it typically does not exceed 10 mg of Amlodipine and 80 mg of Telmisartan once daily. The medication can be taken with or without food, preferably at the same time each day.

What are the possible side effects of AMLONG TL 40?

Common side effects include swelling in the ankles or feet (peripheral edema), dizziness, headache, tiredness, nausea, diarrhea, and back pain. If these side effects persist or worsen, it is important to consult your doctor.

Is AMLONG TL 40 safe during pregnancy or breastfeeding?

AMLONG TL 40 is generally not recommended during pregnancy as it may cause serious harm to the fetus. If you are pregnant or planning a pregnancy, discuss this with your doctor, as they may switch you to an alternative medicine. For breastfeeding mothers, there is limited information on the safety of AMLONG TL 40, so an alternative treatment should be preferred, or you should consult your doctor.

Can it be taken with other medications?

AMLONG TL 40 can interact with other medicines, supplements, or herbal preparations. It's crucial to inform your doctor about all medications you are taking.

• Avoid taking aliskiren, especially if you have diabetes.
• Simultaneous use with heart-related medicines like digoxin should be avoided.
• Concomitant use with painkillers (NSAIDs) should be avoided as it may impair kidney function and reduce the antihypertensive effect.
• Other medicines that require caution include lithium, water pills (diuretics), immunosuppressants like cyclosporin or tacrolimus, and certain antifungal or antibiotic medicines.
• Grapefruit juice can increase the absorption of this medicine, potentially leading to excessive lowering of blood pressure or worsening side effects.

What precautions should be taken?

• Inform your doctor if you have any liver or kidney disease, diabetes, heart problems (other than hypertension like heart failure), or high blood potassium levels.
• Be cautious when standing up from a sitting or lying position, as the medicine may cause a sudden drop in blood pressure.
• Avoid consuming alcohol, as it can worsen dizziness and enhance the blood pressure-lowering effect.
• Do not take potassium supplements or consume a high-potassium diet, as AMLONG TL 40 can increase blood potassium levels.
• This medicine may cause dizziness or sleepiness, so avoid driving or operating machinery until you know how it affects you.
• Do not stop taking the medicine abruptly without consulting your doctor, as it can cause your blood pressure to increase.

What happens if a dose is missed?

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed one and continue with your regular schedule. Do not take a double dose to compensate for the missed one.

How should it be stored?

Store AMLONG TL 40 at room temperature, typically between 20°C to 25°C (68°F to 77°F). Keep it in its original packaging, protected from light and moisture, and out of the sight and reach of children. Do not store it in the refrigerator or freeze it.