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Dosage

Missed Dose

Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

Dexamethasone   (moderate)

Aliskiren   (severe)

Captopril   (severe)

Insulin   (moderate)

Antidepressants   (moderate)

Nonsteroidal anti-inflammatory medicines   (moderate)

Prescribes

Hypertension

This medicine is used in the treatment of high blood pressure which may be caused by genetic or environmental factors.

Side Effects

Increased urination   (severe)

Itching or rash   (severe)

Abdominal and stomach pain   (severe)

Dry mouth   (severe)

Dry mouthJoint pain, stiffness, and swelling  

Cramping  

Chest pain   (severe)

Changes in vision   (severe)

Dizziness   (severe)

Increased heartbeat   (severe)

Difficulty or painful urination   (severe)

Headache  

Diarrhea  

Back pain  

Weakness  

Muscle pain  

Fever  

Warnings

Systemic Lupus Erythematosus

Volume and electrolyte depletion

Renal diseases

Use in athletes

Hyperkalemia

Impaired liver function

Pediatric population

Hypersensitivity reactions

Pregnancy

Breast-feeding

When Not To Use

Allergy

This medicine is not recommended for use in patients with a known allergy to hydrochlorothiazide, other sulfonamides, telmisartan, or any other angiotensin receptor blockers.

Anuria

This medicine is not recommended for use in patients with anuria, a condition where the kidney is unable to produce urine.

Cholestasis and biliary obstructive disorders

This medicine is not recommended for use in patients with cholestasis and biliary obstructive disorders due to the increased risk of severe adverse effects.

Aliskiren

Coadministration of aliskiren and this combination medicine is not recommended due to the increased risk of serious adverse effects. This risk is especially higher in the elderly population and in patients with diabetes and kidney diseases.

Severe renal impairment

This medicine is not recommended for use in patients with severe renal impairment (CrCl < 30 ml/min) due to the increased risk of serious adverse effects.