Safely Buy Twynsta ( Amlodipine/Telmisartan ) from Canada Prescriptions Plus.

Indications

This product is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

This product contains 2 medications: telmisartan and amlodipine. Telmisartan is an angiotensin receptor blocker (ARB), and amlodipine is a calcium channel blocker. They both work differently to relax the blood vessels so that blood can flow more easily.

These medications are used together when one drug is not controlling your blood pressure. Your doctor may direct you to start taking the individual medications first, and then switch you to this combination product if it is the best dose combination for you.

Use and Dosage

Read the Patient Information Leaflet if available from your pharmacist before you start taking telmisartan/amlodipine and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor, usually once daily.

The dosage is based on your medical condition and response to treatment.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Keep taking this medication even if you feel well. Most people with high blood pressure do not feel sick. It may take up to 4 weeks before you get the full benefit of this drug.

Tell your doctor if your condition does not improve or if it worsens (such as if your blood pressure readings remain high or increase).

Side Effects

Get emergency medical help if you have signs of an allergic reaction to Twynsta: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In rare cases, Twynsta can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, or dark-colored urine.

Call your doctor at once if you have:

• A light-headed feeling, like you might pass out
• Shortness of breath (even with mild exertion), swelling, or rapid weight gain
• New or worsened chest pain
• Pounding heartbeats or fluttering in your chest
• Tremors, muscle stiffness or twitching
• High potassium – nausea, slow or unusual heart rate, weakness, or loss of movement

Common Twynsta side effects may include:

• Swelling in your hands or feet
• Fast or pounding heartbeats
• Dizziness or drowsiness
• Flushing (warmth, redness, or tingly feeling)
• Back pain
• Nausea, diarrhea, or stomach pain

This is not a complete list of side effects and others may occur.

Cautions

• Before taking this product, tell your doctor or pharmacist if you are allergic to either telmisartan or amlodipine; or to other calcium channel blockers (such as nifedipine); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
• Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, high level of potassium in the blood, dehydration, heart disease (such as aortic stenosis, heart failure), and bile duct blockage.
• This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
• Too much sweating, diarrhea, or vomiting may cause you to feel lightheaded. Report prolonged diarrhea or vomiting to your doctor.
• Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Forms and Strengths

Twynsta is available in the following forms and strengths:

• Twynsta Tablet:
  • 5/40 mg
  • 5/80 mg
  • 10/40 mg
  • 10/80 mg
• Amlodipine/Telmisartan Tablet:
  • 5/40 mg
  • 5/80 mg

FAQ

What happens if I miss a dose?

Take the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention.

What to avoid?

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Do not use potassium supplements or salt substitutes while you are taking Twynsta unless your doctor has told you to.

Resources:

1. https://www.webmd.com/drugs/2/drug-153194/twynsta-oral/details
2. https://www.drugs.com/twynsta.html#side-effects
3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/022401s011lbl.pdf