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Blood pressure medicine micardis: RxList Page Not Found


Micardis Plus – Uses, Side Effects, Interactions

How does this medication work? What will it do for me?

This is a combination product that contains two medications used to lower hypertension (high blood pressure): telmisartan and hydrochlorothiazide. It is used to treat high blood pressure for people who require treatment with both telmisartan and hydrochlorothiazide.

Telmisartan belongs to a class of medications called angiotensin II blockers, which help to lower blood pressure by relaxing blood vessels. Hydrochlorothiazide is a diuretic (water pill) that helps control blood pressure by getting rid of excess salt and water.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

What form(s) does this medication come in?

80 mg/12.5 mg
Each bilayered, oblong, uncoated tablet, the telmisartan layer being white and the hydrochlorothiazide layer being red, marked “BOEHRINGER INGELHEIM” and “H8” on the white layer, contains 80 mg of telmisartan and 12.5 mg of hydrochlorothiazide. Nonmedicinal ingredients: iron oxide (red), lactose monohydrate, magnesium stearate, maize starch, meglumine, microcrystalline cellulose, povidone, sodium hydroxide, sodium starch glycolate, and sorbitol.

80 mg/25 mg
Each bilayered, oblong, uncoated tablet, the telmisartan layer being white and the hydrochlorothiazide layer being yellow, marked “BOEHRINGER INGELHEIM” and “H9” on the white layer, contains 80 mg of telmisartan and 25 mg of hydrochlorothiazide. Nonmedicinal ingredients: iron oxide yellow, lactose monohydrate, magnesium stearate, maize starch, meglumine, microcrystalline cellulose, povidone, sodium hydroxide, sodium starch glycolate, and sorbitol.

How should I use this medication?

The recommended dose is 1 tablet once daily. This medication is intended to be used by people who have not had their blood pressure well-controlled with just telmisartan, or by people who have had doses of telmisartan and hydrochlorothiazide already established.

The medication can be taken with or without food, but it should be taken the same way every time (i.e., always with food or always without food).

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important that this medication be taken exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children. It should be left in the protective blisters until immediately before you take it.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Who should NOT take this medication?

Do not take telmisartan – hydrochlorothiazide if you:

  • are allergic to telmisartan, hydrochlorothiazide, or any ingredients of the medication
  • are allergic to sulfa (sulfonamide) medications (e.g., sulfamethoxazole)
  • are pregnant or breast-feeding
  • have anuria (able to pass little or no urine)
  • have diabetes or kidney disease and are taking aliskiren
  • have fructose intolerance (a rare hereditary condition)
  • have galactose intolerance (a rare hereditary condition)

What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • abdominal pain
  • anxiety
  • back or leg pain
  • cold-like symptoms (e.g., runny or stuffy nose, sore throat, headache)
  • constipation
  • decreased appetite
  • diarrhea
  • dizziness or lightheadedness when rising from a lying or sitting position
  • drowsiness
  • dry mouth
  • flu-like symptoms
  • gas
  • headache
  • joint or muscle pain
  • muscle spasms
  • nausea
  • pins and needles sensation
  • restlessness
  • sexual difficulties
  • skin rash
  • swollen glands (in mouth)
  • tiredness
  • trouble sleeping
  • vomiting
  • weakness

Although most of these side effects listed below don’t happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • pounding, rapid heartbeat
  • signs of anemia (low red blood cells; e.g., dizziness, pale skin, unusual tiredness or weakness, shortness of breath)
  • signs of bleeding (e.g., unusual nosebleeds, bruising, blood in urine, coughing blood, bleeding gums, cuts that don’t stop bleeding)
  • signs of depression (e.g., poor concentration, changes in weight, changes in sleep, decreased interest in activities, thoughts of suicide)
  • signs of electrolyte changes (e.g., confusion, drowsiness, dry mouth, muscle fatigue, nausea, thirst, weakness)
  • signs of gout (e.g., joint pain, swelling and warmth of joints)
  • signs of infections (symptoms may include fever or chills, severe diarrhea, shortness of breath, prolonged dizziness, headache, stiff neck, weight loss, or listlessness)
  • signs of kidney problems (e.g., decreased urination, nausea, vomiting, swelling of the feet and ankles)
  • signs of liver damage (yellowing of skin or whites of eyes, abdominal pain, loss of appetite, brown urine, light-coloured stools, tiredness, or weakness)
  • signs of non-melanoma skin cancer (e.g., lump or discoloured patch on skin, pink/red firm lumps, or flat and scaly patches)
  • signs of pancreatitis (e.g., abdominal pain on the upper left side, back pain, nausea, fever, chills, rapid heartbeat, swollen abdomen)
  • swelling legs, ankles, or hands
  • symptoms of high blood sugar (e.g., frequent urination, increased thirst, excessive eating, unexplained weight loss, poor wound healing, infections, fruity breath odour)
  • symptoms of low blood sugar (e.g., cold sweat, cool pale skin, headache, fast heartbeat, weakness)
  • symptoms of a urinary tract infection (e.g., pain when urinating, urinating more often than usual, low back or flank pain)
  • unexplained muscle tenderness or weakness
  • vision changes, blurred vision, or eye pain

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • chest pain
  • severe skin rash, including skin blistering and peeling (possibly with headache, fever, coughing, or aching before the rash begins)
  • signs of a serious allergic reaction (e.g., swelling of face or throat, hives, difficulty breathing)
  • symptoms of sepsis (blood poisoning; e.g., confusion, chills, fever or low body temperature, shakiness, irregular heartbeat)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Allergic reaction: Some people who are allergic to sulfonamide medications also experience allergic reactions to hydrochlorothiazide. Before you take this medication, tell your doctor about any previous reactions you have had to medications, especially to sulfonamide antibiotics or diabetes medications. Contact your doctor at once if you experience signs of an allergic reaction, such as skin rash, itching, difficulty breathing, or swelling of the face and throat.

Angioedema: This medication may cause a serious allergic reaction called angioedema, which may be fatal if not treated promptly. If you have difficulty breathing or notice hives or swelling of the face, lips, tongue, or throat, stop taking this medication and get emergency medical help immediately. Other angiotensin II receptor antagonists should not be taken in the future. People who have had angioedema caused by other substances may be at increased risk of angioedema while taking this medication.

Cholesterol: Cholesterol and triglyceride levels may increase when taking hydrochlorothiazide. If you have increased cholesterol or triglyceride levels, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Diabetes: Hydrochlorothiazide may make it more difficult for people with diabetes to control their blood sugar levels. High blood sugar may occur, glucose tolerance may change, and diabetes may worsen. A dose adjustment of diabetes medications, including insulin, may be required. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Electrolytes: The use of hydrochlorothiazide can reduce the levels of electrolytes such as potassium, sodium, magnesium, and chloride and increase the levels of calcium. Your doctor will periodically check to see if these levels are in balance, and a potassium supplement may be recommended. Warning signs or symptoms of fluid and electrolyte imbalance include:

  • confusion
  • drowsiness
  • dryness of mouth
  • lethargy
  • low blood pressure
  • muscle pains or cramps
  • muscular fatigue
  • nausea and vomiting
  • racing heartbeat
  • restlessness
  • seizures
  • thirst
  • weakness

Hereditary fructose or galactose intolerance: Due to the sorbitol and lactose content in the medication, this medication is not suitable for people with hereditary fructose or galactose intolerance.

Gout: An acute gout attack may occur in some patients taking telmisartan – hydrochlorothiazide as a result of high levels of uric acid in the blood. Symptoms of an acute gout attack include sudden pain, swelling, and stiffness in the affected joint, often the big toe. You may also experience a fever. If this is your first attack, seek medical attention as soon as possible. If you have had gout attacks before, follow your doctor’s instructions for dealing with the attack.

Kidney function: Telmisartan – hydrochlorothiazide can cause changes to kidney function that may result in decreased kidney function, kidney failure, or possibly death. Certain people have experienced changes in kidney function (e.g., people with narrowed blood vessels in their kidneys, or those with severe congestive heart failure). The use of diuretics (water pills), nonsteroidal anti-inflammatory drugs (NSAIDs), or aliskiren may further increase risk of kidney problems for people already at risk for this problem. If you have reduced kidney function, renal artery stenosis (narrowing of blood vessels in the kidneys), or congestive heart failure, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. If you have reduced kidney function, you may require lower doses of this medication.

Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. If you have reduced liver function or liver disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. This medication is not recommended for people with severe liver impairment.

This medication may also cause a decrease in liver function. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.

Low blood pressure: Occasionally, a greater-than-expected drop in blood pressure occurs after taking this medication. It is more likely to occur if you are taking additional diuretics (water pills) or the medication aliskiren, have reduced salt intake, are on dialysis, or are experiencing diarrhea or vomiting. Blood pressure should be monitored more often in these situations. To reduce the risk of dizziness, people with low blood pressure or who are just starting to take this medication should stand or sit up slowly when getting up from a lying down or sitting position.

If low blood pressure causes you to faint or feel lightheaded, contact your doctor.

Excessive sweating and lack of fluid intake may lead to an extreme drop in blood pressure because of reduced fluid in your blood vessels. Vomiting or diarrhea may also lead to a drop in blood pressure. Consult your doctor if you feel your blood pressure is too low.

Lupus: There have been reports of a worsening or activation of lupus in people taking hydrochlorothiazide. If you have lupus or a history of lupus, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Sensitivity to sunlight: This medication may increase the sensitivity of the skin to sunlight, increasing the risk of sunburn. Avoid exposure to sunlight for long periods of time, particularly between the hours of 10 am and 2 pm, while you are taking this medication. Wear a broad-spectrum sunscreen with an SPF of 30 or higher. If you notice any unusual skin rash or peeling, contact your doctor immediately.

Skin cancer: Recent studies of hydrochlorothiazide have suggested that long-term use of hydrochlorothiazide may be associated with an increased risk of developing non-melanoma skin cancer. Regularly check your skin for new moles or lesions or changes to any existing ones and let your doctor know if you have any concerns.

Vision changes: Hydrochlorothiazide occasionally causes vision changes, including increased eye pressure and myopia (nearsightedness). If you experience any eye symptoms, such as pain or change in vision, contact your doctor as soon as possible.

Pregnancy: Telmisartan can cause injury or death to the developing fetus if taken by a woman who is pregnant. This medication should not be taken by pregnant women. If you become pregnant while taking telmisartan – hydrochlorothiazide, consult your doctor immediately as the medication should be stopped as soon as possible.

Breast-feeding: It is not known if telmisartan passes into breast milk. Hydrochlorothiazide does pass into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children and is not recommended.

Seniors: Seniors may be more sensitive to the side effects of this medication.

What other drugs could interact with this medication?

There may be an interaction between telmisartan – hydrochlorothiazide and any of the following:

  • aclidinium
  • alcohol
  • aldesleukin
  • aliskiren
  • allopurinol
  • alpha-agonists (e.g., clonidine, methyldopa)
  • alpha-adrenergic blocking agents (e.g., alfuzosin, doxazosin, prazosin, terazosin)
  • amifostine
  • amiodarone
  • amphetamines (e.g., dextroamphetamine, lisdexamfetamine)
  • angiotensin-converting enzyme inhibitors (ACEIs; captopril, enalapril, ramipril)
  • other angiotensin receptor blockers (ARBs; e.g., candesartan, irbesartan, losartan)
  • antihistamines (e.g., cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine)
  • antipsychotics (e.g., chlorpromazine, clozapine, haloperidol, olanzapine, quetiapine, risperidone)
  • apomorphine
  • atropine
  • azelastine
  • barbiturates (e.g., butalbital, pentobarbital, phenobarbital)
  • belladonna
  • benztropine
  • beta-blockers (e.g., atenolol, carvedilol, propranolol)
  • beta-2 agonists (e.g., salbutamol, formoterol, terbutaline)
  • bortezomib
  • bromocriptine
  • calcium carbonate, calcium citrate
  • calcium channel blockers (e.g., amlodipine, diltiazem, nifedipine, verapamil)
  • carbamazepine
  • cholestyramine
  • colestipol resins
  • conivaptan
  • oral corticosteroids (e.g., dexamethasone, hydrocortisone, prednisone)
  • cyclophosphamide
  • cyclosporine
  • darifenacin
  • dexmethylphenidate
  • diabetes medications (e.g., canagliflozin, glyburide, insulin, linagliptin, liraglutide, metformin,  rosiglitazone)
  • digoxin
  • disopyramide
  • diuretics (water pills; e.g., furosemide, hydrochlorothiazide, triamterene)
  • drospirenone
  • duloxetine
  • eplerenone
  • flavoxate
  • ginger
  • ginseng
  • glycopyrrolate
  • guanfacine
  • heparin
  • hydralazine
  • ipratropium
  • iron sucrose
  • ivabradine
  • ketotifen
  • levodopa
  • lithium
  • licorice
  • low-molecular-weight heparins (e.g., dalteparin, enoxaparin, tinzaparin)
  • medications that increase blood levels of potassium (e.g., potassium chloride, salt substitutes containing potassium)
  • methylphenidate
  • minoxidil
  • monoamine oxidase inhibitors (MAOIs; e.g., moclobemide, phenelzine, rasagiline, selegiline, tranylcypromine)
  • multivitamins/minerals
  • muscle relaxants (e.g., baclofen, cyclobenzaprine, orphenadrine, tizanidine)
  • nabilone
  • narcotic pain relievers (e.g., codeine, fentanyl, morphine)
  • nitrates (e.g., nitroglycerin, isosorbide dinitrate, isosorbide mononitrate)
  • nonsteroidal anti-inflammatory drugs (NSAIDs; e.g., ibuprofen, naproxen)
  • obinutuzumab
  • oxcarbazepine
  • oxybutynin
  • pentoxifylline
  • phosphodiesterase-5 inhibitors (e.g., sildenafil, tadalafil, vardenafil)
  • porfimer
  • pramipexole
  • quinidine
  • quinine
  • riociguat
  • ropinirole
  • rotigotine
  • sacubitril
  • scopolamine
  • selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, paroxetine, sertraline)
  • sodium phosphates
  • solifenacin
  • sulfonamide antibiotics (“sulfas”; sulfadiazine, sulfamethoxazole)
  • tacrolimus
  • tamsulosin
  • tiotropium
  • tolcapone
  • tolterodine
  • tolvaptan
  • topiramate
  • tricyclic antidepressants (e.g., amitriptyline, clomipramine, desipramine, trimipramine)
  • trimethoprim
  • umeclidinium
  • vitamin D analogues (e.g., alfacalcidol, calcitriol, cholecalciferol)
  • warfarin
  • yohimbine

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

All material copyright MediResource Inc. 1996 – 2021. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Micardis-Plus

Micardis HCT | Healthgrades | (telmisartan and hydrochlorothiazide tablet)

Brand Name: Micardis HCT



Route: ORAL

Dosage Form: TABLET

Data Current As Of: 2018-11-15

MICARDIS HCT (telmisartan and hydrochlorothiazide)is indicated for the treatment of hypertension, to lower blood pressure.Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascularevents, primarily strokes and myocardial infarctions. These benefitshave been seen in controlled trials of antihypertensive drugs froma wide variety of pharmacologic classes including the classes to whichthis drug principally belongs. There are no controlled trials demonstratingrisk reduction with MICARDIS HCT.

Control of high blood pressure should bepart of comprehensive cardiovascular risk management, including, asappropriate, lipid control, diabetes management, antithrombotic therapy,smoking cessation, exercise, and limited sodium intake. Many patientswill require more than one drug to achieve blood pressure goals. Forspecific advice on goals and management, see published guidelines,such as those of the National High Blood Pressure Education Program’sJoint National Committee on Prevention, Detection, Evaluation, andTreatment of High Blood Pressure (JNC).

Numerous antihypertensive drugs, from a varietyof pharmacologic classes and with different mechanisms of action,have been shown in randomized controlled trials to reduce cardiovascularmorbidity and mortality, and it can be concluded that it is bloodpressure reduction, and not some other pharmacologic property of thedrugs, that is largely responsible for those benefits. The largestand most consistent cardiovascular outcome benefit has been a reductionin the risk of stroke, but reductions in myocardial infarction andcardiovascular mortality also have been seen regularly.

Elevated systolic or diastolicpressure causes increased cardiovascular risk, and the absolute riskincrease per mmHg is greater at higher blood pressures, so that evenmodest reductions of severe hypertension can provide substantial benefit.Relative risk reduction from blood pressure reduction is similar acrosspopulations with varying absolute risk, so the absolute benefit isgreater in patients who are at higher risk independent of their hypertension(for example, patients with diabetes or hyperlipidemia), and suchpatients would be expected to benefit from more aggressive treatmentto a lower blood pressure goal.

Some antihypertensive drugs have smallerblood pressure effects (as monotherapy) in black patients, and manyantihypertensive drugs have additional approved indications and effects(e.g., on angina, heart failure, or diabetic kidney disease). Theseconsiderations may guide selection of therapy [see ClinicalStudies (14)].

MICARDIS HCT is not indicatedfor initial therapy for the treatment of hypertension [seeDosage and Administration (2.1)].

MICARDIS HCT maybe used alone or in combination with other antihypertensive agents.

patient counseling information

Advise the patient to read the FDA-approvedpatient labeling (Patient Information).

Advise female patients of childbearing age aboutthe consequences of exposure to MICARDIS HCT during pregnancy. Discusstreatment options with women planning to become pregnant. Tell patientsto report pregnancies to their physicians as soon as possible [see Warnings and Precautions (5.1) and Use in Specific Populations (8.1)].

Advise nursingwomen not to breastfeed during treatment with MICARDIS HCT [see Use in Specific Populations (8.2)].

Symptomatic Hypotension and Syncope
Advise patients that lightheadedness can occur, especiallyduring the first days of therapy, and to report it to their healthcareprovider. Inform patients that inadequate fluid intake, excessiveperspiration, diarrhea, or vomiting can lead to an excessive fallin blood pressure, with the same consequences of lightheadedness andpossible syncope. Advise patients to contact their healthcare providerif syncope occurs [see Warnings and Precautions (5.2)].

Potassium Supplements
Advise patients not to use potassium supplementsor salt substitutes that contain potassium without consulting theprescribing healthcare provider [see Warnings and Precautions(5.4) and Drug Interactions (7.1)].

Acute Myopia and SecondaryAngle-Closure Glaucoma
Advise patientsto discontinue MICARDIS HCT and seek immediate medical attention ifthey experience symptoms of Acute Myopia or Secondary Angle-ClosureGlaucoma [see Warnings and Precautions (5.6)].

Distributed by:
Boehringer Ingelheim Pharmaceuticals,Inc.
Ridgefield, CT 06877 USA

Licensed from:
Boehringer IngelheimInternational GmbH
Ingelheim, Germany

Copyright © 2018 Boehringer Ingelheim InternationalGmbH

MICARDIS® isa registered trademark of and used under license from Boehringer IngelheimInternational GmbH.
The other brands listed are trademarksof their owners.


Patient Information

(telmisartan and hydrochlorothiazide)

Read this Patient Information before you start taking MICARDIS HCTtablets and each time you get a refill. There may be new information. This information does not take the place of talking to your doctorabout your medical condition or your treatment.

What is the most important informationI should know about MICARDIS HCT tablets?

MICARDIS HCT can cause harm or death toan unborn baby. Talk to your doctor about other ways to lower yourblood pressure if you plan to become pregnant. If you get pregnantwhile taking MICARDIS HCT, tell your doctor right away.


MICARDIS HCT isa prescription medicine used to treat high blood pressure (hypertension).
MICARDIS HCT contains:

  • telmisartan, an angiotensin receptor blocker (ARB)
  • hydrochlorothiazide, a water pill or diuretic

Your doctor may prescribeother medicines for you to take along with MICARDIS HCT to treat yourhigh blood pressure.

It is not known if MICARDIS HCT is safe and effective in children.

    Do not take MICARDIS HCT tablets if you:

  • have low or no urine output
  • are allergic (hypersensitive) to the active ingredients(telmisartan or hydrochlorothiazide) or any of the other ingredientslisted at the end of this leaflet

What should I tellmy doctor before using MICARDIS HCT tablets?

Before you take MICARDIS HCT tablets, tellyour doctor if you:

  • are pregnant or are planning to become pregnant. See “What is the most important information I should know about MICARDISHCT tablets?”
  • are breast-feeding or plan to breast-feed. MICARDIS HCTcan pass into your breast milk and may harm your baby. You and yourdoctor should decide if you will take MICARDIS HCT or breast-feed.You should not do both. Talk with your doctor about the best way tofeed your baby if you take MICARDIS HCT tablets.
  • have been told that you have abnormal body salt (electrolytes)levels in your blood
  • have liver problems
  • have asthma or history of asthma
  • have lupus
  • have diabetes
  • have kidney problems
  • have any other medical conditions

Tell your doctorabout all the medicines you take, including prescription andnon-prescription medicines, vitamins, and herbal supplements. Also,tell your doctor if you drink alcohol.

MICARDIS HCT may affect the way other medicineswork, and other medicines may affect how MICARDIS HCT works. Especiallytell your doctor if you take:

  • aliskiren
  • digoxin (Lanoxin®)
  • lithium (Lithobid®, lithium carbonate,lithium citrate)
  • other medicines used to treat your high blood pressure ora heart problem
  • water pills (diuretic)
  • aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs)
  • potassium supplements or a salt substitute containing potassium
  • medicine used to treat diabetes, including insulin
  • narcotic pain medicines
  • sleeping pills
  • steroid medicine or Adrenocorticotrophic Hormone (ACTH)
  • barbiturates
  • certain cholesterol lowering medicines (resins that areused for cholesterol reduction, e.g., cholestyramine and colestipolresins)

Ask your doctor if youare not sure if you are taking one of the medicines listed above.

Know the medicines you take. Keep a list of them and show it to your doctor or pharmacist whenyou get a new medicine.

How should I take MICARDIS HCT tablets?

  • Take MICARDIS HCT tablets exactly as your doctor tells youto take it.
  • Your doctor will tell you how much MICARDIS HCT to takeand when to take it.
  • Do not change your dose unless your doctor tells you to.
  • Take MICARDIS HCT once each day.
  • Take MICARDIS HCT tablets with or without food.
  • If you take too much MICARDIS HCT, call your doctor, orgo to the nearest hospital emergency room right away.
  • Read the “How to open the blister” at the endof this leaflet before you use MICARDIS HCT. Talk with your doctorif you do not understand the instructions.

What are the possibleside effects of MICARDIS HCT tablets?

MICARDIS HCT tablets may cause seriousside effects, including:

  • Injury or death to your unborn baby. See “What is the most important information I should know about MICARDISHCT tablets?”
  • Low blood pressure (hypotension) is most likelyto happen if you also:
    • take water pills (diuretics)
    • are on a low-salt diet
    • get dialysis treatments
    • have heart problems
    • get sick with vomiting or diarrhea
    • do not drink enough fluids
    • sweat a lot

    If you feel faint or dizzy, lie down and call your doctorright away.

  • Kidney problems, which may get worse if youalready have kidney disease. You may have changes in your kidney testresults, and you may need a lower dose of MICARDIS HCT tablets. Callyour doctor if you get:
    • swelling in your feet, ankles, or hands
    • unexplained weight gain

    Call your doctor right away if you get any of the symptomslisted above.

  • Liver problems, which may get worse in peoplewho already have liver problems and take MICARDIS HCT.
  • Eye problems. One of the medicines in MICARDISHCT can cause eye problems that may lead to vision loss. Symptomsof eye problems can happen within hours to weeks of starting MICARDISHCT. Tell your doctor right away if you have:
  • Allergic reactions. Tell your doctor rightaway if you get any of these symptoms:
    • swelling of the face, tongue, throat
    • difficulty breathing
    • Worsening of lupus. Tell your doctor if yourlupus gets worse or becomes active while taking MICARDIS HCT.
  • Change in body salts (electrolytes) level in yourblood and fluid problems. Your doctor may do tests to checkyour blood. Call your doctor right away if you have:
    The most common side effects of MICARDIS HCT tablets include:

  • upper respiratory tract infections, including sinus pain/congestionand sore throat
  • dizziness
  • feeling tired
  • flu-like symptoms
  • back pain
  • diarrhea
  • nausea

These are not all the possibleside effects with MICARDIS HCT tablets. Tell your doctor if you haveany side effect that bothers you or that does not go away. Call yourdoctor for medical advice about side effects. You may report sideeffects to FDA at 1-800-FDA-1088.

How should I store MICARDIS HCT tablets?

  • Store MICARDIS HCT tablets at room temperature 68°F to 77°F(20°C to 25°C).
  • Do not remove MICARDIS HCT tablets from blisters until rightbefore you take them.

Keep MICARDIS HCTtablets and all medicines out of the reach of children.

General information aboutMICARDIS HCT tablets:

Medicines are sometimes prescribed for purposesother than those listed in a Patient Information leaflet. Do notuse MICARDIS HCT tablets for a condition for which it was not prescribed.Do not give MICARDIS HCT tablets to other people, even if they havethe same condition you have. It may harm them.

This Patient Information leaflet summarizesthe most important information about MICARDIS HCT tablets. If youwould like more information, talk with your doctor. You can ask yourpharmacist or doctor for information about MICARDIS HCT tablets thatis written for health professionals.

For current prescribing information, scanthe code below or call Boehringer Ingelheim Pharmaceuticals, Inc.at 1-800-542-6257 or (TTY) 1-800-459-9906.

What are the ingredients in MICARDISHCT tablets?

Active Ingredients: telmisartan and hydrochlorothiazide

Inactive Ingredients: sodiumhydroxide, meglumine, povidone, sorbitol, magnesium stearate, lactosemonohydrate, microcrystalline cellulose, maize starch, and sodiumstarch glycolate

The40 mg/12.5 mg and 80 mg/12.5 mg tablets also contain: ferric oxidered.

The 80 mg/25 mgtablets also contain: ferric oxide yellow.

What is high blood pressure (hypertension)?

Blood pressure isthe force in your blood vessels when your heart beats and when yourheart rests. You have high blood pressure when the force is too much. Medicines that lower your blood pressure lower your chance of havinga stroke or heart attack.

High blood pressure makes the heart work harder to pump blood throughthe body and causes damage to the blood vessels. MICARDIS HCT tabletscan help your blood vessels relax so your blood pressure is lower.

How to open the blister:

1. Tear (You mayalso use scissors to tear the blister apart)

2. Peel (Peel off the paper layer from thealuminum foil)

3. Push (Push the tablet through the foil)

This Patient Information has been approvedby the U.S. Food and Drug Administration.

Distributed by:
Boehringer IngelheimPharmaceuticals, Inc.
Ridgefield, CT 06877 USA

Licensed from:
BoehringerIngelheim International GmbH
Ingelheim, Germany

Copyright © 2018 Boehringer IngelheimInternational GmbH

MICARDIS® is aregistered trademark of and used under license from Boehringer IngelheimInternational GmbH.

The other brands listed are trademarks of their owners.

Revised: February 2018


Micardis HCT

80 mg/25 mg

30 Tablets

NDC 0597-0042-37

Micardis HCT

40 mg/12.5 mg

30 Tablets

NDC 0597-0043-37

Micardis HCT

80 mg/12.5 mg

30 Tablets

NDC 0597-0044-37

Micardis | healthdirect

What it is used for

MICARDIS is indicated for: Treatment of hypertension. Prevention of cardiovascular morbidity and mortality in patients 55 years or older with coronary artery disease, peripheral artery disease, previous stroke, transient ischaemic attack or high risk diabetes with evidence of end organ damage (see CLINICAL TRIALS).

How to take it

The way to take this medicine is: Oral.
This medicine is taken by mouth.

  • Store below 30 degrees Celsius
  • Protect from Moisture
  • Protect from Light
  • Shelf lifetime is 4 Years.

You should seek medical advice in relation to medicines and use only as directed by a healthcare professional.

Always read the label. If symptoms persist see your healthcare professional.

Visual appearance

White to off-white, oblong tablet one face marked with “52H” and the other face marked with the Boehringer Ingelheim company symbol.

Images are the copyright of the Pharmacy Guild of Australia

Do I need a prescription?

What is the medicines and poisons schedule?

All medicines and poisons in Australia are categorised by how they are made available to the public. Medicines with a low safety risk are usually less tightly controlled than medicines with a higher safety risk. This system is called ‘scheduling’.

You can read more about the scheduling of medicines as well as the different scheduling categories on our Scheduling of medicines and poisons information page.

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This medicine is available from a pharmacist and requires a prescription. It is
Schedule 4 : Prescription Only Medicine.

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