Jump to content

Telmisartan: Difference between revisions

From Pharmacopedia
[unchecked revision][unchecked revision]
parser-claude batch MedTemplate pre-fill, Top 300 #184
 
home-claude category backfill (parser-claude gap closure)
 
Line 21: Line 21:
== References ==
== References ==
<references />
<references />
[[Category:Angiotensin receptor blockers]]
[[Category:Antihypertensives]]

Latest revision as of 10:43, 23 May 2026

Experience

👥 No personal reports yet
No clinical reports yet

Log in to add your own experience.

Problems

No problems yet. Be the first to suggest one.

+ Add a problem

Titration strategies

No titration strategies yet. Be the first to suggest one.

+ Add a titration strategy

Effects

No effects listed yet. Be the first to suggest one.

+ Add an effect

Relevant anecdote

No anecdotes yet. Share a relevant one.

+ Add an anecdote

Relevant Literature

No literature entries yet.

Log in to submit relevant literature.

Pharmacy
Starting dose
40 mg PO once daily; titrate to 80 mg
Preparations
20, 40, 80 mg tablets
US FDA Max
80 mg/d
Pharmacology
Routes
Oral
Onset
BP effect within 1-2 weeks
Duration
24 hours
Half-life
~24 hours (longest of the ARB class; suits patients with morning BP surge)[1]
Bioavailability
42-58% (oral; dose-dependent)[1]
Pregnancy
Contraindicated in pregnancy (all trimesters); fetal renal injury, oligohydramnios, hypocalvaria, hypotension. Stop on detection[1]
Legal status
Rx-only in US
Purported mechanism
Telmisartan is a selective AT1 angiotensin-II receptor antagonist with partial PPAR-γ agonism at therapeutic concentrations; the latter contributes to favorable metabolic effects (lipid handling, glucose tolerance) that distinguish it modestly within the ARB class.0 The 24-hour half-life supports once-daily dosing with consistent overnight BP control. Largely hepatically cleared (~98% biliary); no significant renal clearance dependence[1].

References

  1. 1.0 1.1 1.2 1.3 FDA Prescribing Information, Micardis (telmisartan), Boehringer Ingelheim, current revision. https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/020850s039lbl.pdf