TANIDON 80 mg. 30 tablets

WHAT TANIDON AND WHAT IT IS USED
Tanidon belongs to a group of medicines known as antagonists of angiotensin II. Angiotensin II is a substance produced in your body which causes blood vessels to narrow, thus increasing your blood pressure. Tanidon blocking the effect of angiotensin II, so that the blood vessels relax and blood pressure is lowered.
Tanidon be used for the treatment of essential hypertension (high blood pressure). 'Essential' means that the high blood pressure is not caused by another disease.
If left untreated, high blood pressure can damage blood vessels in several organs, which can sometimes lead to heart attack, heart or kidney failure, stroke and blindness. Usually high blood pressure has no symptoms before damage occurs. It is therefore important to regularly measure blood pressure to verify if it is within normal limits.
Tanidon is also used to reduce cardiovascular events (ie heart attack or stroke) in patients at risk due to reduced or blocked blood supply to the heart or legs, or have had a stroke or have high risk diabetes. Your doctor can tell you if you have an increased risk of such incidents.

2. BEFORE YOU TAKE TANIDON
Do not take Tanidon
if you are allergic (hypersensitive) to telmisartan or any other ingredients of Tanidon (see the list of other ingredients in section "Additional information");
if you "three months pregnant (it is better to avoid using the Tanidon in early pregnancy - see" Pregnancy ");
if you have severe liver problems such as cholestasis or biliary obstruction (problems with drainage of the bile from the liver and gall bladder) or any other severe liver disease.
Tell your doctor or pharmacist before taking Tanidon if any of the above applies to you.

Take special care with Tanidon
Please tell your doctor if you have or have ever suffered from any of the following conditions or illnesses:
kidney disease or kidney transplant;
renal artery stenosis (narrowing of the blood vessels to one or both kidneys);
liver disease;
heart problems;
elevated levels of aldosterone (retention of water and salt in the body accompanied by imbalance of other minerals in the blood);
low blood pressure (hypotension), likely to occur if you are dehydrated (excessive loss of body water) or have salt deficiency due to diuretic therapy (water tablets), a diet low in salt, diarrhea or vomiting ;
increased levels of potassium in the blood;
diabetes.
You should tell your doctor if you think you are (or might become) pregnant. Tanidon not recommended in early pregnancy and must not be taken after the third month of pregnancy because it may cause serious harm to your baby if used at that stage (see "Pregnancy").
In case of surgery or anesthesia, you should tell your doctor that you are taking Tanidon.
Not recommended for use Tanidon in children and adolescents up to 18 years. Like all other antagonists of angiotensin II, Tanidon may be less effective in lowering blood pressure in black patients.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. May be necessary for your doctor to change the dose of these medicines or take other precautions. In some cases it may be necessary to stop taking one of the medicines. This is particularly true for the drugs listed below, when used simultaneously with Tanidon:
drugs containing lithium used to treat certain types of depression;
drugs that may increase blood potassium levels such as potassium-containing salt substitutes, potassium-sparing diuretics (certain 'water tablets'), ACE inhibitors, angiotensin II receptor antagonists, NSAIDs (non-steroidal anti-inflammatory drugs such as aspirin or ibuprofen), heparin, immunosuppressives (eg cyclosporin or tacrolimus), and the antibiotic trimethoprim;
diuretics (water tablets), especially if taken in high doses together with Tanidon may lead to excessive loss of body water and low blood pressure (hypotension).
As with other drugs for lowering blood pressure, the effect of Tanidon may be reduced when administered with an NSAID (nonsteroidal anti-inflammatory drugs such as aspirin or ibuprofen) or steroids.
Tanidon can increase the effect of lowering the blood pressure of the other drugs used to treat high blood pressure.

Taking Tanidon with food and drink
You can take Tanidon with or without food.

Pregnancy and lactation
Pregnancy
You should tell your doctor if you think you are (or might become) pregnant. Usually, your doctor will advise you to stop taking Tanidon before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead Tanidon. Tanidon not recommended in early pregnancy and must not be taken if you are pregnant after the third month, as it may cause serious harm to your baby if used after the third month of pregnancy.

Breastfeeding
Tell your doctor if you are breastfeeding or plan to breastfeed. Tanidon not recommended for mothers who are breastfeeding, and your doctor may prescribe other treatments if you want to breast-feed, especially if your baby is newborn, or was born prematurely.

Driving and using machines
No data on the effect of Tanidon on ability to drive or operate machinery.
Some people feel dizzy or tired during the treatment of high blood pressure.
If you feel dizzy or tired, do not drive or operate machinery.

Important information about some of the ingredients of Tanidon
Tanidon contains lactose. If you have been told that you have an intolerance to some sugars, consult your doctor before you start taking this medicine.

3. HOW TO TAKE TANIDON
Always take Tanidon exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.
The usual dose is one tablet Tanidon day. Try to take the tablet at the same time each day. You can take Tanidon with or without food. The tablets should be swallowed with some water or other soft drink. It is important to take Tanidon every day until your doctor tells you otherwise. If the effect of Tanidon you are too strong or too weak, talk to your doctor or pharmacist.
For the treatment of high blood pressure, the usual dose Tanidon for most patients is one 40 mg tablet once a day to control blood pressure for a period of 24 hours. In some cases, your doctor may recommend a lower dose of one 20 mg tablet or a higher dose of 80 mg. Tanidon can also be used in combination with diuretics (water tablets) such as hydrochlorothiazide, to give a further lowering effect on blood pressure.
Reduction of cardiovascular events, the usual dose is one tablet Tanidon 80 mg once daily. At the beginning of prophylactic treatment with Tanidon 80 mg should be frequently monitored blood pressure. If your liver is not working properly, the usual dose should not exceed 40 mg once daily.

If you take more dose Tanidon
If you accidentally take too many tablets, contact your doctor, pharmacist or nearest emergency center.

If you forget to take Tanidon
If you forget to take a dose, do not worry. Take it as soon as you remember and then carry on as usual. If you do not take your tablet on one day, take your normal dose on the next day. Do not take a double dose to make up the missed dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

If you stop taking Tanidon
Do not stop taking Tanidon before checking with your doctor. May need to take medication for high blood pressure by the end of his life. If you stop taking Tanidon for several days, your blood pressure will recover their value before treatment.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines Tanidon can cause side effects, although not everybody gets them.
These side effects may occur with certain frequencies, which are defined as follows:
very common: affects more than 1 user in 10;
common: affects 1 to 10 users in 100;
uncommon: affects 1 to 10 users in 1000;
rare: affects 1 to 10 of 10,000 users;
very rare: affects less than 1 in 10,000 users;
Not known: from the available data can not be estimated frequency.
Common side effects may include:
Low blood pressure (hypotension) in patients treated for the reduction of cardiovascular events.
Uncommon side effects may include:
upper respiratory tract infection (eg sore throat, inflamed sinuses, common cold), urinary tract infection, reduced number of red blood cells (anemia), high potassium levels in the blood, feeling sad (depression), fainting (syncope) difficulty falling asleep, feeling of spinning (vertigo), slow heart rate (bradycardia), low blood pressure (hypotension in patients treated for high blood pressure, dizziness on standing (orthostatic hypotension), shortness of breath, abdominal pain, diarrhea, stomach discomfort , bloating, vomiting, increased sweating, itching, drug rash, muscle pain (myalgia), back pain, muscle spasms, renal impairment including acute renal failure, and pain in the chest, feeling of weakness, and increased level of creatinine in the blood.
Rare side effects may include:
reduced number of platelets (thrombocytopenia), allergic reaction (eg rash, itching, difficulty breathing, wheezing, swelling of the face or low blood pressure), anxiety, impaired vision, fast heartbeat (tachycardia), upset stomach, dry mouth, impaired liver function, severe drug rash, redness of skin, rapid swelling of the skin and mucosa (angioedema), eczema (a skin disorder), joint pain (arthralgia), pain in extremity, flu-like illness, increased levels of uric acid, liver enzymes or creatine phosphokinase in the blood, and decreased hemoglobin (a blood protein).
Side effects of unknown frequency may include:
increase in certain white blood cells (eosinophilia), severe allergic reaction (anaphylactic reaction), hives (urticaria), tendon pain, and sepsis (often called "blood poisoning", this is a severe infection with inflammation throughout the body, which can lead to death).
In one long-term study involving more than 20,000 patients a greater number of patients treated with telmisartan experienced sepsis compared with patients who received no telmisartan.
This event may be a chance finding or related to a mechanism that is not known for the moment.
If any of the side effects gets serious, or if you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE TANIDON
Keep out of the reach and sight of children.
Tanidon not use after the expiry date stated on the carton after "EXP" The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.