Monograph Details

Cardiovascular System > Hypertension
MICARDIS
Manufacturer
Boehringer Ingelheim Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Angiotensin II receptor blocker.
Generic Name
Telmisartan 20mg, 40mg, 80mg; tabs.
Indications
Hypertension.
Children
Not recommended.
Adults
Not volume-depleted: initially 40mg once daily; usual range 20–80mg/day. Salt/volume depleted: monitor closely or consider alternative therapy. May add diuretic if insufficient response at 80mg/day.
Contraindications
Pregnancy (Cat.D in 2nd and 3rd trimesters).
Precautions
Correct hypovolemia before starting therapy or monitor closely. Hepatic insufficiency. Biliary obstruction. Severe renal impairment or CHF. Renal artery stenosis. Dialysis (monitor for orthostatic hypotension). Pregnancy (Cat.C in 1st trimester). Nursing mothers: not recommended.
Interactions
Hyperkalemia with K+ supplements, K+ sparing diuretics, K+ containing salt substitutes. May potentiate digoxin.
Adverse Reactions
Back pain, upper respiratory tract infection, sinusitis, diarrhea, pharyngitis, angioedema, rhabdomyolysis (rare).
How Supplied
Tabs—28
Additional Resources
Related Prescribing Note