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Serious side effects may include kidney problems, low blood pressure, and angioedema. [6] Use in pregnancy may harm the baby and use when breastfeeding is not recommended. [1] It is an angiotensin II receptor antagonist and works by blocking the effects of angiotensin II. [6] Telmisartan was patented in 1991 and came into medical use in 1999. [7]
It may be used if telmisartan by itself is not sufficient. [5] It is taken by mouth. [5] Common side effects include dizziness, upper respiratory tract infections, nausea, diarrhea, and tiredness. [2] Severe side effects may include kidney problems, electrolyte problems, and allergic reactions. [2] Use during pregnancy may harm the baby. [2]
It is a combination of telmisartan, an angiotensin II receptor antagonist, and amlodipine, as the besilate, a calcium channel blocker. [2] It is taken by mouth. [2] Common side effects include dizziness, swelling, and back pain. [2] Severe side effects may include low blood pressure, kidney problems, electrolyte problems, and a heart attack. [2]
The procedure is to take the child's weight in pounds, divide by 150 lb, and multiply the fractional result by the adult dose to find the equivalent child dosage.For example, if an adult dose of medication calls for 30 mg and the child weighs 30 lb, divide the weight by 150 (30/150) to obtain 1/5 and multiply 1/5 times 30 mg to get 6 mg.
The rates as listed in the U.S. Food and Drug Administration (FDA) Package Inserts (PIs) for inhibition of this effect at the 24th hour for the ARBs are as follows: Valsartan – 30% at 80 mg; Telmisartan – 40% at 80 mg; Losartan – 25–40% at 100 mg; Irbesartan – 40% at 150 mg; 60% 300 mg; Azilsartan – 60% at 32 mg
Telmisartan is, on the other hand, in part metabolized by glucuronidation and olmesartan is excreted as the unchanged drug. [23] Telmisartan is the only ARB that can cross the blood–brain barrier and can therefore inhibit centrally mediated effects of Ang II, contributing to even better blood pressure control.
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For many drugs, severe toxicities in humans occur at sublethal doses, which limit their maximum dose. A higher safety-based therapeutic index is preferable instead of a lower one; an individual would have to take a much higher dose of a drug to reach the lethal threshold than the dose taken to induce the therapeutic effect of the drug.
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