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Twynsta 40/5mg Tablet

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RM 116.90
RM 69.00

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Manufactured by

Boehringer Ingelheim

Active Ingredient

amlodipine telmisartan 

How To Use Twynsta 40/5mg Tablet

This medicine is for oral use only. Swallow this medication as a whole with water. Do not chew, crush or break it. It is better to take this medication at a fixed time each day if it is indicated for everyday use.
Precautionary Steps of Twynsta 40/5mg Tablet

Please consult a doctor especially before taking Twynsta . If you have any of the following conditions & contraindications:-
  • Allergy to Twynsta  or any of its components
  • It is not recommended for children & Neonates. Please keep Twynsta  out of reach from them
  • Hypersensitivity
  • Liver problem 
  • Kidney problem 
  • Heart problem 
  • Pregnancy or planned to get pregnant 
  • Breastfeeding
  • Diabetes mellitus 

Please stop using this medication if you are experiencing these symptoms and conditions.

Twynsta  Drug Interactions

Drug to drug interaction reaction of Twynsta  varies from a person to another person. It is advisable to check with your doctor about all the possible drug interactions before starting the medication.
  • aliskiren 
  • digoxin 
  • lithium 
  • steroid 
  • ramipril 
  • simvastatin 
  • Diuretics 

This is an incomprehensive list of drug-to-drug interactions and conditions that might interfere with Twynsta  function. Do inform your doctor about all your current medications prior to consuming this drug. 

Keep the following precautions in mind as well:-
  • Avoid Twynsta  from excess exposure to sunlight
  • Avoid this Twynsta  for a longer use
  • Alcohol might affect your liver if it is taken with this medication
  • Tell your doctor if you have any other diseases or if you are taking any other medication
  • Do not discontinue the prescribed course
Alcohol Warning( Not Advisable )
It is unsafe to consume alcohol with Twynsta 40/5mg Tablet. Taking Twynsta 40/5mg Tablet with alcohol may worsen the side effects of Twynsta 40/5mg Tablet such as headache, dizziness and visual disturbance. Furthermore, Twynsta 40/5mg Tablet is metabolised in the liver and alcohol consumption leads to a risk of liver damage.Avoid drinking alcohol. It can further lower your blood pressure and may exaggerate some of the side effects of Twynsta 40/5mg Tablet.

Pregnancy Warning (Not Safe)
Twynsta 40/5mg Tablet may be unsafe to use during pregnancy. Animal studies have shown adverse effects on the fetus, however, there are limited human studies. The benefits of using Twynsta 40/5mg Tablet among pregnant women outweigh the risks. Please consult your doctor. The use of Twynsta 40/5mg Tablet is not recommended in the first trimester and it is not allowed during the second and third trimester. It is proved that Twynsta 40/5mg Tablet will exert toxic effects on the human foetus during the second and third trimester.

Breastfeeding Warning ( Limited Data )
Twynsta 40/5mg Tablet is reported to be excreted into breast milk. However, the effect of the exposure towards the babies remains unknown. There is also stated that no side effects were reported with the exposure. Please consult your doctor for further details. There is no information available regarding the use of Twynsta 40/5mg Tablet during breast-feeding, therefore, it is not recommended. Alternative treatments with better-established safety profiles during breast-feeding are preferable.

Driving Warning ( Not Advisable )
Do not drive unless you are feeling well. Twynsta 40/5mg Tablet may cause side effects such as dizziness headache, tiredness or nausea, all of which could affect the ability to concentrate and drive.Do not drive unless you are feeling well. Twynsta 40/5mg Tablet may cause side effects such as dizziness or drowsiness, all of which could affect the ability to concentrate and drive.

Kidney Warning ( Use With Care )
Twynsta 40/5mg Tablet should be used with caution in patients with severe kidney disease. Twynsta 40/5mg Tablet is mostly excreted via urine. Thus, dose adjustment of Twynsta 40/5mg Tablet may be needed. Please consult your doctor.Twynsta 40/5mg Tablet effectively and safely reduces blood pressure and brought about the regression of proteinuria in diabetic and non-diabetic, hypertensive, proteinuric patients with chronic kidney disease, even in those with mild-to-moderate chronic renal failure.

Liver Warning ( Use With Care )
The liver disease should use Twynsta 40/5mg Tablet with caution. It is extensively metabolised in the liver. Extensive use of Twynsta 40/5mg Tablet also increases the liver enzyme. Dose adjustment of Twynsta 40/5mg Tablet may be needed. Please consult your doctor. Occasional elevations of liver chemistries occurred in patients treated with Twynsta 40/5mg Tablet. Dose adjustment may be required in patients with mild to moderate liver impairment. It is contraindicated in patients with severe liver impairment.
As with all medications, you may experience some side effects. Not everyone experiences it. This is not a cause for concern. However, it is so that you are aware of it.

Apart from the list of Twynsta  uses, there could be certain side-effects associated with the usage of the medication. Please refer to the list below:-
  1. swelling hands/ankles/feet
  2. flushing (warmth, redness, or tingly feeling)
  3. drowsiness
  4. tired feeling
  5. back pain
  6. nausea
  7. diarrhea
  8. vomiting

While some these symptoms are more common, there are a few rare symptoms that could also occur. If you are feeling any other symptoms (whether it is mentioned in the above list or not), please consult with a doctor immediately. Please, consult with a doctor if you are having rashes or blurry visions. Report if you experience any other symptoms as the above list may not be exhaustive. These symptoms become more prominent as when one is undergoing a long term therapy with this medication.
Peripheral oedema, Hypotension, Chest pain, Thrombocytopenia, Visual disturbances, Tinnitus, Nausea, Headache, Dizziness

Hypotension, Orthostatic hypotension, Hyperkalaemia, Bradycardia, Chest pain, Tachycardia, Palpitation, Difficulty in breathing, Hypertension, Peripheral oedema, Intermittent claudication, Increased serum creatinine, Tinnitus, Vertigo.

1. What should I do when I missed a dose of Twynsta ?

If you have missed a dose by chance, try to consume it as soon as possible when you notice. If the time to your next dosage is close, simply skip the medicine. In such cases, try to not double the dosage. 

2. I  think I have accidentally overdosed from the prescribed quantity of Twynsta . Do I need to see a doctor?

If you feel that you might have used more than the prescribed quantity of Twynsta , please talk to a physician immediately as overdosage more than the prescribed quantity might lead to undesirable side-effects. 

3. Will the consumption of Twynsta   affect the child that I am bearing?

No Information is available about the usage of Twynsta  during pregnancy. You’re advised to consult an obstetrician for detailed information before start consuming this drug. Pregnant women can weigh the pros and cons of the drug with the help of a doctor before it is used.

4. I am currently nursing my baby. Is it safe to use Twynsta  during breastfeeding or lactation?

No Information is available about the usage of Twynsta  during breastfeeding or lactation. You’re advised to consult an obstetrician for detailed information before start consuming this drug. Lactating mother can weigh the pros and cons of the drug with the help of a doctor before it is used.

5. What should I do if I mistakenly took an expired dose of Twynsta ?

Consuming an expired dose of Twynsta  by accident might not be harmful but do consult your physician for advice just to be safe in this matter. 

6. Can you explain on the safety of the usage of Twynsta ?

Twynsta  is safe to use if taken in the prescribed dosage as suggested by the physician.

7. In a day, how many times should I take Twynsta ?

The dosage and frequency of Twynsta  is based on your condition. Use the drug as instructed by your doctor. You can also follow the instruction that has been printed on the product insert.

Return/Cancellation Policy

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KL Wong
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Information last updated on: : Fri Oct 22 2021 14:05:02 GMT+0800 (Malaysia Time)

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The content provided on this webpage is to provide information only, to be fully-interpreted by a medical professional, and not intended as a guide to make purchase decisions, or a substitute to advice of a medical professional. Effectiveness and side effects of medication may differ from individual to individual. We do not encourage any customer to self-diagnose and/or self-medicate. Patients should always consult a medical professional before taking or using any medication. The content provided here is non-exhaustive and may not cover all aspects of the medication. Our service should only be used to support the doctor-patient dynamic, not replace it.

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Twynsta 40/5mg Tablet is available in many areas in Malaysia. Kuala Lumpur, Bukit Bintang, Titiwangsa, Setiawangsa, Wangsa Maju, Kepong, Segambut, Bandar Tun Razak, Cheras, Subang Jaya, Petaling Jaya, Mont Kiara, Puchong, Bandar Sunway, TTDI, Seri Kembangan, Klang, Bukit Tinggi, Damansara, Sentul, Penang, George Town, Jelutong, Gelugor, Bayan Baru, Bandar Baru Air Itam, Sungai Ara, Bukit Mertajam, Butterworth, Perai, Johor Bahru, Skudai, Bukit Indah, Gelang Patah, Senai, Pasir Gudang, Taman Daya, Taman Molek, Taman Perling, Tebrau, Danga Bay, Larkin, Nusajaya, Pontian, Masai, Setia Tropika, Desaru, Tampoi.

Twynsta 40/5mg Tablet is available at many places in Singapore. Ang Mo Kio, Alexandra, Admiralty, Bedok, Bishan, Bukit Batok, Bukit Merah, Bukit Panjang, Bukit Timah, Boat Quay, Buona Vista, Beach Road, Bugis, Balestier, Boon Lay, Central Area, Choa Chu Kang, Clementi, Chinatown, Commonwealt, City Hall, Clarke Quay, Changi Airport, Changi Village, Clementi Park, Dairy Farm, Eunos, East Coast, Farrer Park, Geylang, Hougang, Harbourfront, Holland, Jurong, Jurong East, Jurong West, Kallang/ Whampoa, Lim Chu Kang, Marine Parade, Marina, Macpherson, Mandai, Newton, Novena, Orchard, Pasir Ris, Punggol, Potong Pasir, Paya Lebar, Queenstown, Raffles Place, Rochor, River Valley, Sembawang, Sengkang, Serangoon, Serangoon Rd, Seletar, Tampines, Toa Payoh, Tanjong Pagar, Telok Blangah, Tanglin, Thomson, Tuas, Tengah, Upper East Coast, Upper Bukit Timah, Upper Thomson, Woodlands, West Coast, Yishun, Yio Chu Kang.

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