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The medication Micardis HCT (telmisartan / HCTZ) includes important safety warnings and precautions that should be carefully reviewed. Below are key points to consider:

• Risk to Unborn Babies: This medication can cause serious harm to an unborn child, particularly affecting kidney development, which can be life-threatening. It should not be used during pregnancy. If you are pregnant, planning to become pregnant, or suspect you might be pregnant, contact your healthcare provider immediately. Discuss effective birth control methods with your doctor while using this medication.

• Low Blood Pressure: Micardis HCT may cause a significant drop in blood pressure, resulting in dizziness, fatigue, or lightheadedness, especially at the start of treatment or with dose increases. This risk is heightened if you are dehydrated or on high doses of diuretics. Ensure adequate hydration and rise slowly from sitting to standing to reduce dizziness. Seek immediate medical attention if you experience a fall or head injury due to low blood pressure.

• Kidney Function Concerns: While beneficial for kidney protection, Micardis HCT can sometimes impair kidney function. This risk is elevated in individuals with severe heart failure, pre-existing kidney conditions, or those taking other kidney-affecting medications. Report any issues with urination to your healthcare provider promptly.

• Electrolyte and Metabolic Changes: The medication can alter sodium, potassium, magnesium, blood sugar, and cholesterol levels. Be cautious if you are taking other medications that affect these parameters.

• Allergic Reactions: There is a risk of allergic reactions, especially if you have a history of allergies or asthma. Symptoms can include rash, itchiness, hives, breathing difficulties, or facial swelling. Report these immediately to your doctor.

• Vision Problems: Hydrochlorothiazide, an ingredient in Micardis HCT, can rarely cause vision changes or eye pain. Stop taking the medication and inform your healthcare provider if you notice such symptoms to prevent potential vision loss.

• Lupus: This medication can trigger or exacerbate lupus symptoms, such as fatigue, joint pain, or a facial rash. Discuss any symptoms with your doctor if you have a history of lupus.

• Contraindications: Do not use Micardis HCT if you are unable to urinate or if you are taking aliskiren (Tekturna) and have diabetes. Consult your healthcare provider if these conditions apply to you.

Always consult with your healthcare provider for personalized advice and guidance related to your medical condition and treatment.

When taking this medication, you might experience some common side effects such as dizziness, lightheadedness, tiredness, diarrhea, and upper respiratory tract infections. These effects are generally mild and may diminish as your body adjusts to the treatment. To minimize dizziness and lightheadedness, try to rise slowly from sitting or lying positions.

There are other side effects that, while not uncommon, should be monitored. These include swelling of the sinuses, muscle cramps, nausea, vomiting, flu-like symptoms, sore throat, redness, and an upset stomach. If any of these persist or worsen, it's advisable to contact your healthcare provider.

More serious side effects are rare, but they require immediate medical attention. These include dangerously low blood pressure, characterized by dizziness, lightheadedness, and feeling faint. Symptoms of kidney problems like reduced urination, swelling, or sudden weight gain should also be urgently addressed. Abnormal electrolyte levels might manifest as nausea, vomiting, constipation, stomach pain, tingling, muscle weakness, or a fluttering heartbeat. Vision changes or eye pain, as well as severe allergic reactions such as rash, trouble breathing, and swelling of the face or throat, necessitate prompt medical care.

While a very serious allergic reaction is rare, it's crucial to seek medical help immediately if you observe symptoms like rash, itching, swelling, severe dizziness, or trouble breathing. Additionally, any changes to the skin, new moles, or bleeding sores should be assessed by a healthcare provider as these could indicate skin cancer. Always keep your healthcare provider informed about any unusual or severe side effects you experience.