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Tensar What is and what it is used
Tensar belongs to a group of medicines called angiotensin-II-receptor antagonists. They lower blood pressure relaxes blood vessels.
Tensar is used to treat high blood pressure (also known as hypertension). High blood pressure can damage blood vessels in organs such as the heart, kidneys, brain and eyes. In some cases this can lead to heart attack, cardiac or renal failure, stroke and blindness. Usually high blood pressure has no symptoms. To prevent possible complications, it is important to regularly measure blood pressure.
High blood pressure can be controlled with drugs such as Tensar. Your doctor also may have been recommended to make some changes in lifestyle that will help to reduce blood pressure (eg. Weight reduction, smoking cessation, reduction of the amount of alcohol you take and decrease the amount of salt in food ). Your doctor also may recommend that you take regular exercise such as walking or swimming. It is important to follow these tips your doctor.
2. What you need to know before taking Tensar
Do not take Tensar
if you are allergic to olmesartan medoxomil or any of the other ingredients of this medicine (listed in pt. 6);
if you are pregnant after 3 months (it is also better to avoid the tablets Tensar during early pregnancy - see pregnancy section);
if you have a yellowish skin and eyes (jaundice) or a problem with the drainage of bile from the gallbladder (biliary obstruction eg. gallstones).
Warnings and Precautions
Talk to your doctor before taking Tensar
Tell your doctor if you suffer from any of the following health problems:
heart failure or problems with the heart valves and heart muscle;
profuse vomiting, diarrhea, treatment with high doses of water tablets (diuretics) or if you are on a diet low in salt;
elevated levels of potassium in the blood;
problems with the adrenal glands.
Like any drug that lowers blood pressure, severe drop in blood pressure in patients with impaired blood supply to the heart or brain can lead to heart attack or stroke. Therefore your doctor will measure your blood pressure.
You should inform your doctor if you think you are pregnant or planning a pregnancy. Tensar is not recommended in early pregnancy, and should be taken after 3 months of pregnancy, as this could seriously damage the unborn child in this period of pregnancy (see section Pregnancy).
Children and adolescents
Tensar is not recommended in children and adolescents under 18 years of age.
Other medicines and Tensar
Tell your doctor or pharmacist if you are taking or may take the following medicines:
Potassium supplements and salt substitutes containing potassium, water tablets (diuretics) or heparin (liquefaction of the blood). Using these medicines together with Tensar may increase potassium levels in the blood;
Lithium (a medicine used to treat mood swings and some types of depression) concomitantly with Tensar can increase the toxicity of lithium. If you have to take lithium, your doctor will measure the levels of lithium in blood;
Non-steroidal anti-inflammatory drugs (NSAIDs) (medicines used to relieve pain, swelling and other inflammatory symptoms including arthritis), taken together with Tensar can increase the risk of kidney failure and effects of Tensar can be reduced by NSAIDs;
Other medicines that lower blood pressure, because the effect of Tensar can be strengthened;
Some antacids (medicines for heartburn) because the effect of Tensar may slightly decrease.
If you are over 65 and your doctor decide to increase the dose of olmesartan medoxomil 40 mg, then your blood pressure regularly should be measured by the doctor to make sure that there is not much to fall.
As with other similar drugs the blood pressure lowering effect of Tensar is somewhat less in black patients.
Tensar with food and drink
Tensar may diva with or without food.
Pregnancy and lactation
You should inform your doctor if you think you are pregnant or planning a pregnancy. The doctor will normally advise you to stop taking Tensar before pregnancy or as soon as you realize you are pregnant and will appoint another medicine instead of Tensar. Tensar is not recommended in early pregnancy, and should be taken after 3 months of pregnancy because it may seriously harm the fetus if taken after 3 months of pregnancy.
Tell your doctor if you are breastfeeding or plan to breastfeed. Tensar is not recommended for mothers who are breastfeeding and your doctor may prescribe another treatment if you wish to breastfeed, especially if your baby is newborn or preterm.
Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
Tensar is not expected to affect your ability to drive or operate machinery. However, sometimes the treatment of high blood pressure can occur dizziness and fatigue. If you notice such effects, do not drive or operate machinery until the symptoms subside. Ask your doctor.
Tensar contains lactose
This medicine contains lactose (a type of sugar). If you are informed by a doctor that you have an intolerance to some sugars, talk to your doctor before taking this medicine.
3. How to take Tensar
Always take this medicine exactly as your doctor has told you. If you are unsure about something, ask your doctor or pharmacist!
The recommended starting dose is one 10 mg tablet once daily. However, if you do not achieve satisfactory control of blood pressure, your doctor may increase the dose of 20 mg or 40 mg once daily or prescribe additional medicines.
In patients with mild to moderate kidney disease, the dose should not exceed 20 mg once daily.
The tablets can be taken with or without food. Take the tablets with a little water (eg. A glass of water). If possible, take your daily dose at the same time each day, such as breakfast.
If you take more than the amount of Tensar
If you take more tablets than necessary or if a child accidentally takes the medicine, immediately see a doctor or the nearest emergency room and take the medicine pack with you.
If you forget to take Tensar
If you miss a dose, take your usual dose the next day as usual. Do not take a double dose to make up for a missed tablet.
If you stop taking Tensar
It is important to continue taking Tensar unless your doctor tells you to stop.
If you have further questions about this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. If they appear, they are often mild and do not require discontinuation of therapy.
Although not everybody gets them, these side effects can be severe.
In rare cases (may have affected up to 1 in 1,000 people) have been reported following allergic reactions that can cover the entire body, swelling of the face, mouth and / or larynx (vocal cords), together with the itching or rash may occur during treatment with Tensar. If this happens, stop taking Tensar and immediately contact a doctor.
Rarely (but slightly more often in elderly patients) Tensar can lead to excessive reductions in blood pressure in susceptible patients or as a result of an allergic response. This can cause severe dizziness or fainting. If this happens stop taking Tensar contact a doctor immediately and lie horizontally.
These are other side effects associated with the use of Tensar
Common side effects (may affect up to 1 in 10 people):
Dizziness, headache, nausea, indigestion, diarrhea, stomach pain, gastroenteritis, tiredness, sore throat, runny or stuffy nose, bronchitis, flu-like symptoms, cough, chest pain, back pain, bone and joint, infection of the urinary tract swelling of ankles, feet, legs, hands or arms, blood in the urine.
Also seen some changes in blood tests, including the following: increased levels of lipids (hypertriglyceridemia), increased levels of uric acid (hyperuricemia), an increase in indicators of liver and muscle function.
Uncommon side effects (may affect up to 1 in 100 people):
Allergic immediate reactions, which can cover the entire body and can cause breathing problems and a sharp drop in blood pressure, which can even lead to fainting (anaphylactic) reactions, dizziness, vomiting, weakness, malaise, rash, itching, exanthema (skin rash), angina (pain or discomfort in the chest).
In blood tests may occur reducing the number of a type of white blood cells known as platelets (thrombocytopenia).
Rare side effects (may affect up to 1 in 1,000 people):
Lack of energy, muscle cramps, impaired renal function, renal failure.
Also seen some changes in blood tests. These include elevated potassium levels (hyperkalemia) and elevated levels of substances linked to kidney function.
If any of the side effects with your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
5. How to store Tensar
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton and blister. For expiry date abbreviation used "EXP". The expiry date refers to the last day of that month.
This medicine does not require any special storage conditions.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
The active substance is olmesartan medoxomil (olmesartan medoxomit). Each tablet contains 10 mg, 20 mg or 40 mg olmesartan medoxomil.
Other ingredients are: microcrystalline cellulose, lactose monohydrate, hydroxypropylcellulose, hydroxypropylcellulose niskonasitena, magnesium stearate, titanium dioxide (E 171), talc and hypromellose (see item. 2 "Tensar contains lactose").
Tensar looks like and contents of the pack
Tensar 10 mg tablets are white, round, marked with "C 13" on one side.
Tensar 20 mg tablets are white, round, marked with "14" on one side.
Tensar 40 mg tablets are white, oval, marked with "C 15" on one side.
Tensar film-coated tablets are available in packs of 14, 28, 56 and 98 tablets.
Not all pack sizes may be available in the market.
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