Shrintel Am 40/5 Mg Tab

SHRINTEL AM 40/5 MG TAB

Name

• Brand Name: SHRINTEL AM 40/5 MG TAB
• Common Name: Telmisartan and Amlodipine Tablets

Composition Each tablet typically contains:

• Telmisartan: 40 mg
• Amlodipine (as Amlodipine Besilate): 5 mg

Uses SHRINTEL AM 40/5 MG TAB is primarily prescribed for the treatment of essential hypertension (high blood pressure) in adults. It is particularly indicated when blood pressure is not adequately controlled with either amlodipine or telmisartan alone. By lowering blood pressure, it helps to relax blood vessels, making it easier for the heart to pump blood, thereby reducing the risk of cardiovascular events such as heart attacks and strokes. It can also be beneficial in preserving kidney function in patients with diabetes.

Dosage and Administration The typical recommended dosage for adults is one tablet once daily. It can be taken with or without food, but it is advised to take it regularly at a fixed time each day as prescribed by a doctor. This medicine is intended for long-term treatment, and the dose may be adjusted based on the patient's condition and response to therapy.

Side Effects Common side effects include:

• Swelling in ankles or feet (peripheral edema)
• Headache
• Dizziness
• Sleepiness
• Tiredness
• Upset stomach or nausea
• Back pain
• Flushing (redness of face, neck, arms, and chest)
• Palpitations (fast or pounding heartbeat)

Serious side effects are less common but require immediate medical attention, such as a sudden decrease in blood pressure, or worsening chest pain.

Precautions

• Pregnancy and Breastfeeding: Not recommended during pregnancy due to potential risks to the fetus. Caution is advised for breastfeeding women, and consultation with a doctor is essential.
• Alcohol Consumption: Avoid or limit alcohol intake as it may worsen dizziness and further lower blood pressure.
• Operating Machinery: Due to potential dizziness and sleepiness, avoid driving or operating heavy machinery until you know how the medicine affects you.
• Kidney and Liver Conditions: Use with caution in patients with kidney or liver problems. Regular monitoring of kidney function may be necessary.
• Potassium Levels: Avoid potassium supplements or salt substitutes containing potassium, unless directed by a doctor, as it can lead to high potassium levels (hyperkalemia).
• Drug Interactions: Inform your doctor about all other medications, supplements, or herbal preparations you are taking, especially other blood pressure-lowering medicines, antifungals, antibiotics, digoxin, and aliskiren (for diabetic patients). Grapefruit juice may increase the effects of amlodipine.
• Abrupt Discontinuation: Do not stop taking the medicine suddenly without consulting your doctor, as this may cause blood pressure to rise.

Storage Store SHRINTEL AM 40/5 MG TAB below 25°C or 30°C. Protect the tablets from light and moisture, and keep them out of reach of children.

SHRINTEL AM 40/5 MG TAB is a medication containing Telmisartan and Amlodipine, primarily used to treat high blood pressure.

What is SHRINTEL AM 40/5 MG TAB used for?

SHRINTEL AM 40/5 MG TAB is used to treat high blood pressure (hypertension). By lowering blood pressure, it helps reduce the risk of serious conditions like heart attacks, strokes, and kidney problems. It is often prescribed when a single medication is not sufficient to control blood pressure.

How does SHRINTEL AM 40/5 MG TAB work?

This medicine combines two active ingredients: Telmisartan and Amlodipine. Telmisartan is an angiotensin II receptor blocker (ARB), which works by blocking a substance that causes blood vessels to tighten, leading to their relaxation. Amlodipine is a calcium channel blocker (CCB) that relaxes blood vessels by affecting the movement of calcium into heart and blood vessel cells. Both components work together to relax and widen blood vessels, making it easier for the heart to pump blood and thereby lowering blood pressure.

What is the usual dosage for SHRINTEL AM 40/5 MG TAB?

The typical starting dosage for adults is one tablet (40 mg of telmisartan and 5 mg of amlodipine) once a day. Your doctor may adjust the dose as needed, but it should not exceed 80 mg of telmisartan and 10 mg of amlodipine once daily. It can be taken with or without food and should ideally be taken at the same time each day.

What are the possible side effects of SHRINTEL AM 40/5 MG TAB?

Common side effects include dizziness, swelling (especially in the ankles and feet), headache, tiredness, back pain, nausea, and upset stomach. More serious, but less common, side effects can include severe low blood pressure, high potassium levels (hyperkalemia), kidney problems, worsening chest pain, or even a heart attack, particularly when treatment begins or the dose is increased.

Is SHRINTEL AM 40/5 MG TAB safe during pregnancy or breastfeeding?

No, SHRINTEL AM 40/5 MG TAB is considered unsafe and contraindicated during pregnancy because it can cause serious harm or even death to the unborn baby. Women of childbearing potential should use effective birth control while taking this medication. It is also not recommended or contraindicated during breastfeeding, as components may pass into breast milk.

Can SHRINTEL AM 40/5 MG TAB be taken with other medications?

It's important to inform your doctor about all other medications, supplements, and herbal products you are taking. Certain drugs can interact with SHRINTEL AM 40/5 MG TAB, including:

• Diuretics (water pills): May cause excessively low blood pressure.
• Potassium supplements or potassium-containing salt substitutes: Can increase the risk of high potassium levels.
• Non-steroidal anti-inflammatory drugs (NSAIDs): May reduce the blood pressure-lowering effect and increase the risk of kidney problems.
• Aliskiren: Should not be co-administered in patients with diabetes or renal impairment.
• Certain antifungals (e.g., ketoconazole, itraconazole) and antibiotics (e.g., erythromycin, clarithromycin): May increase blood levels of telmisartan.
• Alcohol and grapefruit juice: Should be avoided as they can enhance the blood pressure-lowering effect.

What precautions should be taken while using SHRINTEL AM 40/5 MG TAB?

Regular monitoring of blood pressure, kidney function, and potassium levels is important. Use with caution if you have liver or kidney problems, or certain heart conditions like angina, heart failure, or aortic stenosis. Dehydration or electrolyte imbalances also require careful management. Since the medication can cause dizziness or sleepiness, avoid driving or operating machinery until you know how it affects you. Do not suddenly stop taking the medication, as this can lead to an increase in blood pressure.

What happens if a dose of SHRINTEL AM 40/5 MG TAB is missed?

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

How should SHRINTEL AM 40/5 MG TAB be stored?

Store the tablets in a closed container at room temperature, away from heat, moisture, and direct light. Keep this medicine out of the reach of children. Do not remove the tablets from the blister pack until you are ready to use them.