Zilokem 40MG Tab

Tablet

Treatment of hypertension (high blood pressure); reduction of cardiovascular risk in high-risk patients (as per physician advice).

Telmisartan is an angiotensin II receptor blocker (ARB). It blocks AT1 receptors, causing relaxation of blood vessels and reduced aldosterone effects, which lowers blood pressure and decreases strain on the heart.

Tablet for oral use. Take exactly as prescribed, usually once daily at the same time, with or without food. Swallow with water; do not stop abruptly without consulting your doctor.

Dizziness, headache, fatigue, nausea, diarrhoea, back pain, upper respiratory tract infection, increased potassium (hyperkalaemia), low blood pressure

Avoid use in pregnancy (especially 2nd/3rd trimester) due to risk of fetal harm. Use caution in kidney disease, renal artery stenosis, dehydration/low salt states, severe liver impairment, and in elderly due to hypotension risk. Monitor blood pressure, kidney function (creatinine) and serum potassium, especially after starting or dose changes. Do not use together with aliskiren in diabetes; caution with ACE inhibitors/dual RAAS blockade. Seek medical help for severe dizziness/fainting, swelling/angioedema, or signs of high potassium (weakness, palpitations).

Potassium supplements/salt substitutes, potassium-sparing diuretics (spironolactone, eplerenone, amiloride), ACE inhibitors, aliskiren, NSAIDs (ibuprofen/diclofenac) may reduce effect and worsen kidney function, diuretics may increase first-dose hypotension, lithium (increased lithium levels/toxicity), other antihypertensives (additive BP lowering)

Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep in original blister pack and out of reach of children.

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