Telmisatran- Concurrent use increases digoxin concentrationm. Increase risk of lithium toxicity Increases risk of hyperkalemia with K sparing diuretics Heparin

Hypertension

Telmisartan- URTI , dizziness, back pain, sinusitis, pharyngitis, and diarrhoea Slight elevation in liver enzymes Rarely angioedema, rash, pruritus, and urticaria

Telmisatran- Severe hepatic impairment Biliary obstructive disorders Pregnancy Lactation

Special precautions-

Hepatic insufficiency, Biliary obstructive , renal impairment,  Renal  artery stenosis.

Correct volume depletion before initiating treatment

Monitor serum K levels regularly, especially in elderly and renally impaired patients

Hypertension Adult- Temistran

Dosage-

- 40mg once daily Max dose 80mg/day

Use contraindicated during pregnancy and lactation. Observe caution if use is needed