Twynsta 40/10mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Twynsta 40/10mg Tablet contains Telmisartan 40mg and Amlodipine 10mgmg (as amlodipine besylate) and is available as a tablet. It is classified as a prescription medicine and may only be obtained with a valid prescription from a registered medical practitioner.

Only product, safety and handling information is published here. Anything beyond that is explained to you directly by your doctor or pharmacist as part of your consultation.

DoctorOnCall is a licensed online pharmacy. Orders for Twynsta 40/10mg Tablet are processed only after a doctor has assessed your suitability and issued a prescription, and every order is checked by a registered pharmacist before it is sent out.

Directions for Use

Take the tablet once daily at the same time each day, with or without food, swallowed whole with water.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Headache
  • Dizziness or lightheadedness
  • Swelling of the ankles or feet
  • Fatigue
  • Flushing (warmth or redness in face/skin)
  • Nausea

Contraindications

  • Known hypersensitivity to telmisartan, amlodipine, dihydropyridine calcium channel blockers, or any excipient
  • Pregnancy and breastfeeding
  • Severe liver impairment or bile duct obstruction
  • Severe low blood pressure or cardiogenic shock
  • Concurrent use with aliskiren-containing medicines in patients with diabetes or kidney impairment

Drug / Food Interactions

  • NSAIDs (such as ibuprofen) may reduce the blood pressure-lowering effect and increase the risk of kidney problems.
  • Potassium-sparing diuretics, potassium supplements, or salt substitutes containing potassium may increase blood potassium levels when combined with telmisartan.
  • Grapefruit juice may increase amlodipine levels and should be used cautiously.
  • Inform your doctor of all medicines you are taking, including other blood pressure medicines.

Quick Tips

  • Rise slowly from sitting or lying positions, especially when starting treatment, to reduce dizziness.
  • Monitor your blood pressure regularly as advised by your doctor.
  • Report new or worsening ankle swelling to your doctor.
  • Do not stop this medicine suddenly without consulting your doctor.

Ingredients / Active Ingredients

  • Telmisartan 40mg
  • Amlodipine 10mgmg (as amlodipine besylate)

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandBoehringer Ingelheim
ManufacturerBoehringer Ingelheim
ClassificationPrescription medicine
Ingredients / Active IngredientsAmlodipine
Pack Size30s
DosageThe usual dose is one 40/10mgmg tablet taken once daily. Your doctor will determine the appropriate strength based on your blood pressure response and any other medicines you are taking.
Shelf LifeRefer to the expiry date printed on the packaging.

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