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Telmisartan/hydrochlorothiazide

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Chemical compound

Pharmaceutical compound
Telmisartan/hydrochlorothiazide
Combination of
TelmisartanAngiotensin II receptor antagonist
HydrochlorothiazideThiazidediuretic
Clinical data
Trade namesMicardis Plus, Micardis HCT, others
AHFS/Drugs.comProfessional Drug Facts
License data
Pregnancy
category
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Identifiers
CAS Number
PubChemCID
KEGG
CompTox Dashboard(EPA)
Chemical and physical data
FormulaC40H38ClN7O6S2
Molar mass812.36 g·mol−1
3D model (JSmol)
  • CCCC1=NC2=C(N1CC3=CC=C(C=C3)C4=CC=CC=C4C(=O)O)C=C(C=C2C)C5=NC6=CC=CC=C6N5C.C1NC2=CC(=C(C=C2S(=O)(=O)N1)S(=O)(=O)N)Cl
  • InChI=1S/C33H30N4O2.C7H8ClN3O4S2/c1-4-9-30-35-31-21(2)18-24(32-34-27-12-7-8-13-28(27)36(32)3)19-29(31)37(30)20-22-14-16-23(17-15-22)25-10-5-6-11-26(25)33(38)39;8-4-1-5-7(2-6(4)16(9,12)13)17(14,15)11-3-10-5/h5-8,10-19H,4,9,20H2,1-3H3,(H,38,39);1-2,10-11H,3H2,(H2,9,12,13)
  • Key:OZCVMXDGSSXWFT-UHFFFAOYSA-N
  (verify)

Telmisartan/hydrochlorothiazide, sold under the brand nameMicardis HCT among others, is afixed-dose combination medication used to treathigh blood pressure.[3] It is a combination oftelmisartan anangiotensin II receptor antagonist withhydrochlorothiazide adiuretic.[3] It may be used if telmisartan by itself is not sufficient.[6] It is takenby mouth.[6]

Common side effects include dizziness, upper respiratory tract infections, nausea, diarrhea, and tiredness.[3] Severe side effects may includekidney problems,electrolyte problems, andallergic reactions.[3] Use duringpregnancy may harm the baby.[3] Telmisartan works by blocking the effects ofangiotensin II while hydrochlorothiazide works by decreasing thekidneys' ability to retain water.[3]

The combination was approved for medical use in the United States in November 2000,[7][8] and in the European Union in April 2002.[4][5] The combination is on theWorld Health Organization's List of Essential Medicines.[9] It is available as ageneric medication.[6]

References

[edit]
  1. ^"Micardis Plus Product information".Health Canada. 16 August 2001. Retrieved17 February 2025.
  2. ^"MicardisPlus 40 mg/12.5 mg Tablets - Summary of Product Characteristics (SmPC)".(emc). 28 May 2020. Retrieved23 November 2020.
  3. ^abcdefg"Micardis HCT- telmisartan and hydrochlorothiazide tablet".DailyMed. 27 August 2020. Retrieved4 October 2020.
  4. ^ab"MicardisPlus EPAR".European Medicines Agency (EMA). 17 September 2018. Retrieved4 October 2020.
  5. ^ab"PritorPlus EPAR".European Medicines Agency (EMA). 17 September 2018. Retrieved4 October 2020.
  6. ^abcBritish national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 178.ISBN 9780857113382.
  7. ^"Drug Approval Package: Micardis HCT (telmisartan/hydrochlorothiazide) NDA #021162".U.S.Food and Drug Administration (FDA). 11 March 2004. Retrieved4 October 2020.[dead link]
  8. ^"Hydrochlorothiazide and telmisartan Uses, Side Effects & Warnings".Drugs.com. Retrieved29 October 2019.
  9. ^World Health Organization (2019).World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization.hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
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