What is Twynsta?Twynsta is used to lower high blood pressure (hypertension). It is used when either telmisartan or amlodipine (or a similar medicine) is not enough to lower your high blood pressure, or as the first medicine to lower your high blood pressure if your doctor decides you are likely to need more than one medicine.
What is the most important information I should know about Twynsta?Taking Twynsta during pregnancy can cause injury and even death to your unborn baby. If you become pregnant, stop taking Twynsta and call your doctor right away. If you plan to become pregnant, talk to your doctor about other ways to lower your blood pressure.
Twynsta may make you feel faint and dizzy. If this occurs, lie down and call your doctor immediately. If you have liver problems, your doctor may adjust your dose.
If you have kidney disease, Twynsta may worsen your condition. Alert your doctor if you get swelling in the feet, ankles, or hands, or have unexplained weight gain.
If you are taking Twynsta and have kidney disease, heart failure, or are on potassium-sparing diuretics or potassium supplements, you may have an increased risk of developing potassium toxicity. Your doctor may need to check your potassium levels periodically.
Although it is uncommon, you may experience an increase in frequency and duration of angina attacks (chest pain), or even have a heart attack, when you are starting on Twynsta or your dosage is increased, particularly if you have severe heart disease.
If you develop a serious allergic reaction causing swelling of the face, tongue, or throat that results in difficulty breathing, contact your doctor immediately.
Twynsta may also cause low blood pressure and it is most likely to happen if you also take water pills (diuretics), are on a low-salt diet, get dialysis treatments, have heart problems, or get sick with vomiting or diarrhea.
Who should not take Twynsta?Do not take Twynsta if you are allergic to it or any of its ingredients, or if you are pregnant or plan to become pregnant.
What should I tell my doctor before I take the first dose of Twynsta?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Twynsta. Also, talk to your doctor about your complete medical history, especially if you have liver, kidney, or heart problems; are pregnant, plan to become pregnant; or are breastfeeding.
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
High Blood Pressure
Adults: Your doctor will prescribe the appropriate dose for you based on your prior medications and your blood pressure level.
How should I take Twynsta?Take Twynsta exactly as your doctor tells you to, one time each day at the same time, with or without food.
What should I avoid while taking Twynsta?Avoid becoming pregnant or breastfeeding while taking Twynsta. Do not take potassium supplements or salt substitutes containing potassium while on Twynsta without first consulting your doctor.
What are possible food and drug interactions associated with Twynsta?If Twynsta is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Twynsta with the following: digoxin, lithium, potassium-containing salt substitutes, potassium-sparing diuretics (such as triamterene or amiloride), potassium supplements, or ramipril.
What are the possible side effects of Twynsta?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: swelling in your hands, ankles, or feet; feeling like your heart is pounding or racing; flushing or sudden redness of the face and neck; dizziness; back pain; feeling tired or sleepy; abdominal pain; nausea; diarrhea; low blood pressure or a sudden drop in blood pressure with fainting
Can I receive Twynsta if I am pregnant or breastfeeding?You should not take Twynsta if you are pregnant, plan to become pregnant, or are breastfeeding.
What should I do if I miss a dose of Twynsta?If you miss a dose of Twynsta, take it as soon as you remember. If it is close to the time of your next dose, do not take the missed dose. Take the next dose at your regular time. Do not take two doses at once.
How should I store Twynsta?Store at room temperature, away from light and moisture. Do not remove the tablets from the packaging until right before you take them.
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