くすりのしおり

Internal
Published: 5/2013

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Micamlo Combination Tablets BP
 Active ingredient:
Telmisartan
Amlodipine besilate
 Dosage form:
pale red tablets (diameter: 11mm, thickness: 4.9mm)
 Print on wrapping:
(Face) Micamlo配合錠BP テルミサルタン80mg アムロジピン5mg ミカムロBP A3 (Back) ミカムロ配合錠BP Boehringer Ingelheim astellas テルミサルタン80mg アムロジピン5mg 高血圧治療剤

Effects of this medicine

Micamlo is a combination drug of an angiotensin receptor blocker (ARB) and calcium blocker: the ARB inhibits vasoconstriction caused by angiotensin II in vascular smooth muscle to lower blood pressure and the calcium blocker decreases Ca2+ inflow into the cell and relaxes the vascular smooth muscle to lower blood pressure.
Usually, this medicine is used in the treatment of hypertension.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
    If you have a hepatic disorder, poor bile secretion or diabetes mellitus.
  • If you are pregnant, possibly pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, for adults, take 1 tablet at a time, once daily. Strictly follow the instructions.
  • For patients taking the medicine before meals, if you miss a dose, take as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.
    For patients taking the medicine after meals, if you miss a dose, take as soon as possible after taking a snack. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • Use caution when driving, operating machinery, working at high places or engaging in other hazardous activities. This medicine may cause dizziness or light-headedness due to decrease in blood pressure.
  • Do not take grapefruit juice and the medicine together as it may intensify the effect of the medicine.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include dizziness, eczema and rash. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • swelling of the eyelids, lips, tongue, or throat; breathing difficulty, decrease in blood pressure  [angioedema, anaphylaxis]
  • numbness of the hands and lips, muscle weakness, paralysis of limbs [hyperkalemia]
  • cold sensation, vomiting, faint [shock, syncope, loss of consciousness]
  • lassitude, hunger, cold sweat  [hypoglycemia]
  • a decrease in urine volume, edema, general fatigue [renal dysfunction]
  • dry cough, fever, breathing difficulty (shortness of breath on exertion) [interstitial pneumonia]
  • lassitude, muscle pain, brown urine [rhabdomyolysis]
  • bradycardia, dizziness [atrioventricular block]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store away from heat, moisture and direct sunlight.
  • Discard unused medicine. Ask the pharmacy or medical institutions how to discard.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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