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Rx Item-Telmisartan 20Mg Tab 30 By Ascend Pharma

Telmisartan 20mg Tab 30 by Ascend PharmaBRAND: TELMISARTAN NDC: 00591-3292-15,591329215 UPC: 3-67877-48284-2,367877482842 Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,Research Co.,Uni.,VA,Vet & Wholesalers in scopWant to do Research on this Med or need a large quantity? Email Details with quantity required to:sales@AmericanPharmaWholesale.comVisit AmericanPharmaWholesale.com for over 100,000 items of Health & Beauty at Retail@Wholesale prices.Telmisartan 20mg Tab 30 by Ascend Pharma

Rx Item-Telmisartan 20Mg Tab 30 By Ascend Pharma

$144.68$165.35

Item No.: RX551578 NDC No.591329215 UPC No.:367877482842 NDC No. 67877-0482-84 67877-482-84 UPC/GTIN No. 3-67877-48284-2 MPN 329215 Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,ResearchCo.,Uni.,VA,Vet & Wholesalers in scope of practice can order this RX Item. Rx Item No. Rx551578 Telmisartan 20mg Tab 30 by Ascend Pharma Item No. 551578 NDC No. 67877048284 6787748284 UPC No. 367877-482842

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MICARDIS - telmisartan tablet
Physicians Total Care, Inc.

WARNING: FETAL TOXICITY

When pregnancy is detected, discontinue MICARDIS as soon as possible [see Warnings and Precautions (5.1)] .
Drugs that act directly on the renin-angiotensin system can cause injury and even death to the developing fetus [see Warnings and Precautions (5.1)] .
1??INDICATIONS AND USAGE

1.1??Hypertension


MICARDIS is indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive agents [see Clinical Studies (14.1)].

1.2??Cardiovascular Risk Reduction
MICARDIS is indicated for reduction of the risk of myocardial infarction, stroke, or death from cardiovascular causes in patients 55 years of age or older at high risk of developing major cardiovascular events who are unable to take ACE inhibitors.

High risk for cardiovascular events can be evidenced by a history of coronary artery disease, peripheral arterial disease, stroke, transient ischemic attack, or high-risk diabetes (insulin-dependent or non-insulin dependent) with evidence of end-organ damage [see Clinical Studies (14.2)]. MICARDIS can be used in addition to other needed treatment (such as antihypertensive, antiplatelet or lipid-lowering therapy) [see Clinical Studies (14.2)].

Studies of telmisartan in this setting do not exclude that it may not preserve a meaningful fraction of the effect of the ACE inhibitor to which it was compared. Consider using the ACE inhibitor first, and, if it is stopped for cough only, consider re-trying the ACE inhibitor after the cough resolves.

Use of telmisartan with an ACE inhibitor is not recommended [see Warnings and Precautions (5.6)].

2??DOSAGE AND ADMINISTRATION

2.1??Hypertension
Dosage must be individualized. The usual starting dose of MICARDIS tablets is 40 mg once a day. Blood pressure response is dose-related over the range of 20 to 80 mg [see Clinical Studies (14.1)].

Most of the antihypertensive effect is apparent within 2 weeks and maximal reduction is generally attained after 4 weeks. When additional blood pressure reduction beyond that achieved with 80 mg MICARDIS is required, a diuretic may be added.

No initial dosage adjustment is necessary for elderly patients or patients with renal impairment, including those on hemodialysis. Patients on dialysis may develop orthostatic hypotension; their blood pressure should be closely monitored.

MICARDIS tablets may be administered with other antihypertensive agents.

MICARDIS tablets may be administered with or without food.

2.2??Cardiovascular Risk Reduction
The recommended dose of MICARDIS tablets is 80 mg once a day and can be administered with or without food. It is not known whether doses lower than 80 mg of telmisartan are effective in reducing the risk of cardiovascular morbidity and mortality.

When initiating MICARDIS therapy for cardiovascular risk reduction, monitoring of blood pressure is recommended, and if appropriate, adjustment of medications that lower blood pressure may be necessary.

3??DOSAGE FORMS AND STRENGTHS

20 mg, white or off-white, round, uncoated tablets imprinted with BI logo on one side and 50 H on the other side
40 mg, white or off-white, oblong, uncoated tablets imprinted with BI logo on one side and 51 H on the other side
80 mg, white or off-white, oblong, uncoated tablets imprinted with BI logo on one side and 52 H on the other side
4??CONTRAINDICATIONS

?MICARDIS is contraindicated in patients with known hypersensitivity (e.g., anaphylaxis or angioedema) to telmisartan or any other component of this product [see Adverse Reactions (6.2)].
OVERDOSAGE

Limited data are available with regard to overdosage in humans. The most likely manifestation of overdosage with MICARDIS tablets would be hypotension, dizziness and tachycardia; bradycardia could occur from parasympathetic (vagal) stimulation. If symptomatic hypotension should occur, supportive treatment should be instituted. Telmisartan is not removed by hemodialysis.

11??DESCRIPTION

MICARDIS is a non-peptide angiotensin II receptor (type AT1 ) antagonist.

Telmisartan is chemically described as 4?-[(1,4'-dimethyl-2'-propyl [2,6'-bi-1H-benzimidazol]-1?-yl)methyl]-[1,1'-biphenyl]-2-carboxylic acid. Its empirical formula is C33 H30 N4 O2 , its molecular weight is 514.63
Telmisartan is a white to slightly yellowish solid. It is practically insoluble in water and in the pH range of 3 to 9, sparingly soluble in strong acid (except insoluble in hydrochloric acid), and soluble in strong base.

MICARDIS is available as tablets for oral administration, containing 20 mg, 40 mg or 80 mg of telmisartan. The tablets contain the following inactive ingredients: sodium hydroxide, meglumine, povidone, sorbitol, and magnesium stearate. MICARDIS tablets are hygroscopic and require protection from moisture.

12??CLINICAL PHARMACOLOGY

12.1??Mechanism of Action
Angiotensin II is formed from angiotensin I in a reaction catalyzed by angiotensin-converting enzyme (ACE, kininase II). Angiotensin II is the principal pressor agent of the renin-angiotensin system, with effects that include vasoconstriction, stimulation of synthesis and release of aldosterone, cardiac stimulation, and renal reabsorption of sodium. Telmisartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively blocking the binding of angiotensin II to the AT1 receptor in many tissues, such as vascular smooth muscle and the adrenal gland. Its action is therefore independent of the pathways for angiotensin II synthesis.

There is also an AT2 receptor found in many tissues, but AT2 is not known to be associated with cardiovascular homeostasis. Telmisartan has much greater affinity (>3,000 fold) for the AT1 receptor than for the AT2 receptor.

Blockade of the renin-angiotensin system with ACE inhibitors, which inhibit the biosynthesis of angiotensin II from angiotensin I, is widely used in the treatment of hypertension. ACE inhibitors also inhibit the degradation of bradykinin, a reaction also catalyzed by ACE. Because telmisartan does not inhibit ACE (kininase II), it does not affect the response to bradykinin. Whether this difference has clinical relevance is not yet known. Telmisartan does not bind to or block other hormone receptors or ion channels known to be important in cardiovascular regulation.

Blockade of the angiotensin II receptor inhibits the negative regulatory feedback of angiotensin II on renin secretion, but the resulting increased plasma renin activity and angiotensin II circulating levels do not overcome the effect of telmisartan on blood pressure.
Patient Information

MICARDIS� (my-CAR-dis)
(telmisartan)
Tablets

Read this Patient Information before you start taking MICARDIS tablets and each time you get a refill. There may be new information. This information does not take the place of talking to your doctor about your medical condition or your treatment.

What is the most important information I should know about MICARDIS tablets?

MICARDIS can cause harm or death to an unborn baby. Talk to your doctor about other ways to lower your blood pressure if you plan to become pregnant. If you get pregnant while taking MICARDIS, tell your doctor right away.

What is MICARDIS?

MICARDIS is a prescription medicine used:

to treat high blood pressure (hypertension)
in certain high risk people aged 55 years and older to help lower their risk of having certain cardiovascular problems such as stroke, heart attack, or death
It is not known if MICARDIS is safe and effective in children.

Who should not take MICARDIS?

You should not take MICARDIS tablets if you are allergic (hypersensitive) to the active ingredient (telmisartan) or any of the other ingredients listed at the end of this leaflet.

What should I tell my doctor before taking MICARDIS tablets?

Before you take MICARDIS tablets, tell your doctor if you:

have liver problems
have kidney problems
have heart problems
have any other medical conditions
are pregnant or are planning to become pregnant. See "What is the most important information I should know about MICARDIS tablets?"
are breast-feeding or plan to breast-feed. It is not known if MICARDIS passes into your breast milk. You and your doctor should decide if you will take MICARDIS tablets or breast-feed. You should not do both. Talk with your doctor about the best way to feed your baby if you take MICARDIS tablets.
Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

MICARDIS may affect the way other medicines work, and other medicines may affect how MICARDIS works. Especially tell your doctor if you take:

digoxin (Lanoxin� , Lanoxicaps�)
lithium (Eskalith� , Lithobid�)
medicines used to treat pain and arthritis, called non-steroidal anti-inflammatory drugs (NSAIDs), including COX-2 inhibitors
ramipril (Altace�) or other medicines used to treat your high blood pressure or heart problem
water pills (diuretic)
Know the medicines you take. Keep a list of them and show it to your doctor or pharmacist when you get a new medicine.

How should I take MICARDIS tablets?

Take MICARDIS tablets exactly as your doctor tells you to take it.
Your doctor will tell you how much MICARDIS to take and when to take it.
Do not change your dose unless your doctor tells you to.
Take MICARDIS one time each day at the same time.
Take MICARDIS tablets with or without food.
If you miss a dose, take it as soon as you remember. If it is close to your next dose, do not take the missed dose. Take the next dose at your regular time.
If you take too much MICARDIS, call your doctor, or go to the nearest hospital emergency room right away.
Read the "How to Open the Blister" at the end of this leaflet before you use MICARDIS. Talk with your doctor if you do not understand the instructions.
What are the possible side effects of MICARDIS tablets?

MICARDIS tablets may cause serious side effects, including:

Injury or death to your unborn baby. See "What is the most important information I should know about MICARDIS tablets?"
Low blood pressure (hypotension) is most likely to happen if you also:
take water pills (diuretics)
are on a low-salt diet
get dialysis treatments
have heart problems
get sick with vomiting or diarrhea
If you feel faint or dizzy, lie down and call your doctor right away.
Kidney problems, which may get worse if you already have kidney disease. You may have changes in your kidney test results, and you may need a lower dose of MICARDIS tablets. Call your doctor if you get:
swelling in your feet, ankles, or hands
unexplained weight gain
Call your doctor right away if you get any of the symptoms listed above.
High potassium in the blood (hyperkalemia). Your doctor may check your potassium levels as needed.
Rare, serious allergic reactions may happen. Tell your doctor right away if you get any of these symptoms:

swelling of the face, tongue, throat
difficulty breathing
skin rash
The most common side effects of MICARDIS tablets include:

sinus pain and congestion (sinusitis)
back pain
diarrhea
These are not all the possible side effects with MICARDIS tablets. Tell your doctor if you have any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store MICARDIS tablets?

Store MICARDIS tablets between 59�F to 86�F (15�C to 30�C).
Do not remove MICARDIS tablets from blisters until right before you take them.
Keep MICARDIS tablets and all medicines out of the reach of children.

General information about MICARDIS tablets

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use MICARDIS tablets for a condition for which it was not prescribed. Do not give MICARDIS tablets to other people, even if they have the same condition you have. It may harm them.

This Patient Information leaflet summarizes the most important information about MICARDIS tablets. If you would like more information, talk with your doctor. You can ask your pharmacist or doctor for information about MICARDIS tablets that is written for health professionals.

For more information, call Boehringer Ingelheim Pharmaceuticals, Inc. at 1-800-542-6257, or (TTY) 1-800-459-9906.

What are the ingredients in MICARDIS tablets?

Active Ingredient: telmisartan

Inactive Ingredients: sodium hydroxide, meglumine, povidone, sorbitol, and magnesium stearate

What is High Blood Pressure (Hypertension)?

Blood pressure is the force in your blood vessels when your heart beats and when your heart rests. You have high blood pressure when the force is too much. MICARDIS tablets can help your blood vessels relax so your blood pressure is lower. High blood pressure makes the heart work harder to pump blood throughout the body and causes damage to the blood vessels. If high blood pressure is not treated, it can lead to stroke, heart attack, heart failure, kidney failure, and vision problems.

What is Cardiovascular Risk?

Patients older than 55 years of age who have been diagnosed with blood vessel disease in the heart, legs, or brain (coronary, peripheral, or cerebral vascular disease) or diabetes with end organ damage (for example: kidney, heart, and brain) are at higher risk of cardiovascular events (for example: death from cardiovascular causes, stroke, and/or heart attack).

Telmisartan 20mg Tab 30 by Ascend Pharma
Telmisartan 20mg Tab 30 by Asc
Telmisartan 20mg Tab 30 by Ascend Pharma

BRAND: TELMISARTAN NDC: 00591-3292-15,591329215 UPC: 3-67877-48284-2,367877482842
Telmisartan 20Mg Tab 30 By Ascend Pharma
BRAND: TELMISARTAN NDC: 00591-3292-15,591329215 UPC: 3-67877-48284-2,367877482842

Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,Research Co.,Uni.,VA,Vet & Wholesalers in scop
Click above for Brand!
Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,Research Co.,Uni.,VA,Vet & Wholesalers in scop

Want to do Research on this Med or need a large quantity? Email Details with quantity required to:sales@AmericanPharmaWholesale.com
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Want to do Research on this Med or need a large quantity? Email Details with quantity required to:[email protected]

Visit AmericanPharmaWholesale.com for over 100,000 items of Health & Beauty at Retail@Wholesale prices.
AmericanPharmaWholesale.com
Visit AmericanPharmaWholesale.com for over 100,000 items of Health & Beauty at Retail@Wholesale prices.

Telmisartan 20mg Tab 30 by Ascend Pharma
Telmisartan 20mg Tab 30 by Asc
Telmisartan 20mg Tab 30 by Ascend Pharma