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This medication comes with several critical safety warnings that are essential for ensuring your well-being. Please read through these points carefully and consult your healthcare provider if you have any questions or concerns.

• Harm to Unborn Baby: Using telmisartan (Micardis) during pregnancy, particularly in the second and third trimesters, can result in serious harm or even fatality to an unborn baby, potentially causing birth defects such as kidney issues. If you discover you are pregnant while taking this medication, discontinue use immediately and contact your healthcare provider to explore safer alternatives. Discuss with your provider if you are planning to become pregnant.

• Low Blood Pressure: Telmisartan (Micardis) may lead to a significant decrease in blood pressure, which can cause dizziness, fatigue, or lightheadedness, particularly during the initial two weeks of treatment or after dose adjustments. To mitigate these effects, ensure adequate hydration and avoid sudden changes in posture. If you experience persistent dizziness, faintness, or confusion, seek medical advice. Individuals with dehydration, low salt levels, or those on diuretics or dialysis are at an increased risk.

• Kidney Problems: While telmisartan (Micardis) can improve kidney function in those with high blood pressure and chronic kidney disease, it may exacerbate kidney issues in certain cases. This risk is heightened for individuals with kidney artery blockages or severe heart failure. Regular lab tests may be recommended to monitor kidney health. Report symptoms such as decreased urination, fatigue, nausea, or chills to your healthcare provider, as these may indicate kidney damage.

• High Levels of Potassium: Although rare, this medication can increase potassium levels, posing a health risk. Individuals with diabetes, kidney issues, or those on other potassium-raising medications are more susceptible. Inform your healthcare provider of your medical history and all current medications before starting telmisartan (Micardis). Seek immediate medical attention if you experience nausea, muscle weakness, or an irregular heartbeat.

• Liver Problems: People with a history of liver issues, such as a blocked bile duct, may accumulate higher levels of telmisartan (Micardis), increasing the risk of side effects. Notify your healthcare team of any liver conditions, as a lower starting dose may be necessary to ensure safety.

Contraindications: This medication should not be used in combination with aliskiren (Tekturna) if you have diabetes, as it may lead to serious health complications. Always consult with your healthcare provider to assess the suitability of this medication for your condition.

Common side effects:

• upper respiratory tract infections
• cough
• sore throat
• pain in the legs while walking
• skin ulcers
• back pain
• sinus infections
• diarrhea
• flu-like symptoms
• indigestion
• muscle pain
• urinary tract infection
• belly pain
• headache
• dizziness
• general pain
• fatigue
• chest pain
• nausea
• swelling in the arms and legs

Serious side effects:

• significant kidney problems
• reduced urination
• swelling in the extremities
• unexplained weight gain
• high blood potassium levels
• muscle weakness
• tingling or numbness
• pounding heart
• severely low blood pressure
• lightheadedness
• dizziness
• fainting
• tiredness
• confusion
• serious allergic reactions
• rash
• swelling
• severe dizziness
• trouble breathing

Interactions with high risk of serious adverse effects and should be avoided:

• Aliskiren

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Benazepril
• Captopril
• Digoxin
• Enalapril
• Enalaprilat
• Fosinopril
• Lisinopril
• Lithium
• Moexipril
• Mycophenolate Mofetil
• Perindopril
• Potassium Phosphate
• Quinapril
• Ramipril
• Trandolapril
• Trimethoprim

Interactions with low risk that usually do not require a change in therapy:

• NSAIDs (such as Ibuprofen, Naproxen)