Telmisartan - un bloqueur des récepteurs de l'angiotensine

About telmisartan

Telmisartan is an angiotensin receptor blocker (also called an angiotensin-II receptor antagonist (A2RA)). It is used to treat hypertension artérielle (hypertension). Les personnes souffrant d'hypertension artérielle ne se sentent souvent pas malades, mais si elle n'est pas traitée, l'hypertension peut nuire au cœur et endommager les vaisseaux sanguins.

Telmisartan works by blocking the effect of a natural chemical made in your bloodstream, called angiotensin II. Angiotensin II causes your blood vessels to narrow, so by blocking this effect, telmisartan allows your blood vessels to relax and widen. As this happens, the pressure within your blood vessels is reduced. This also makes it easier for your heart to pump blood around your body.

Telmisartan is also used to help prevent crises cardiaques et les AVC in people who may be at risk of these because of other medical conditions, such as diabetes.

Telmisartan is also available in a combination tablet with another medicine used to reduce high blood pressure, called hydrochlorothiazide. Taking combination tablets like this can help reduce the number of tablets you need to take each day.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking telmisartan it is important that your doctor or pharmacist knows:

• Si vous êtes enceinte, essayez d'avoir un bébé ou allaitez.

• If you have kidney problems or if you have a blockage of the artery which supplies blood to your kidneys.

• If you have liver problems.

• Si vous avez des problèmes avec vos valves cardiaques ou votre muscle cardiaque.

• Si vous avez un taux de sucre dans le sang élevé (diabète).

• Si vous prenez d'autres médicaments. Cela inclut tous les médicaments que vous prenez et qui sont disponibles à l'achat sans ordonnance, ainsi que les médicaments à base de plantes et les médecines complémentaires.

• Si vous avez déjà eu une réaction allergique à un médicament.

• Before you start this treatment, read the manufacturer's printed information leaflet from inside the pack. The leaflet will give you more information about telmisartan and a full list of possible side-effects from taking it.

• Take telmisartan exactly as your doctor has told you to. It is usual to take one tablet a day, although there are several strengths of tablet available. The usual starting dose for high blood pressure is 20-40 mg each day, although your doctor may decide to increase your dose after a few weeks. If you are taking telmisartan to reduce your risk of a heart attack or stroke, the usual dose is 80 mg each day

• Each time you collect a prescription, check to make sure it is the strength of tablet that you are expecting.

• Try to take telmisartan at the same time of day each day. This will help you to remember to take it regularly.

• You can take telmisartan before or after meals.

• Si vous oubliez de prendre une dose, prenez-la dès que vous vous en souvenez. Si vous ne vous en souvenez que le lendemain, sautez la dose oubliée. Ne prenez pas deux doses ensemble pour compenser une dose oubliée.

• Try to keep your regular appointments with your doctor. This is so your progress can be monitored. Your doctor will want you to have some blood tests from time to time to check on your kidneys, and also how much potassium is in your blood.

• If you buy any medicines, check with a pharmacist that they are suitable to take with telmisartan. This is because some anti-inflammatory painkillers (such as aspirin and ibuprofen) may interfere with the way telmisartan works, and also may increase the risk of side-effects.

• Il est très important de suivre les conseils diététiques et de mode de vie que votre médecin vous a donnés, tels que manger sainement, ne pas fumer et faire de l'exercice régulièrement.

• If you drink alcohol, ask your doctor for advice about drinking while you are on telmisartan. Alcohol will increase the risk of you feeling dizzy or faint and may not be recommended for you.

• Do not use salt substitutes which contain potassium while you are taking these tablets. This is because they increase the amount of potassium in your blood and this can cause problems.

• If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking telmisartan. This is because telmisartan taken with an anaesthetic may make your blood pressure drop too low.

• Treatment with telmisartan is usually long-term unless you experience an adverse effect. Continue to take it unless you are advised otherwise by your doctor.

Si vous prenez également de l'hydrochlorothiazide en combinaison avec ce médicament

• Des études ont suggéré que prendre des doses plus élevées d'hydrochlorothiazide pendant de longues périodes pourrait augmenter le risque de certains cancers de la peau.

• Dites à votre médecin si vous avez déjà été traité pour un cancer de la peau auparavant.

• Informez votre médecin de tout grain de beauté nouveau ou modifié, ou de toute marque inquiétante sur votre peau.

• Utilisez un écran solaire en cas de fort ensoleillement. N'utilisez pas de lits de bronzage.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. Side-effects from telmisartan are uncommon and usually improve as your body adjusts to the new medicine, but you should speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Important: if you develop any swelling of your mouth or face, speak with your doctor or go to your local accident and emergency department straightaway. These are signs of an allergic reaction.

Si vous ressentez d'autres symptômes que vous pensez être dus à ce médicament, parlez-en à votre médecin ou à votre pharmacien.

• Gardez tous les médicaments hors de la portée et de la vue des enfants.

• Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.