PLEOTOR T 10MG/40MG TABLET

Manufacturer : IPC-IPCA LABORATORIES LTD
Composition : TELMISARTAN-40MG+ATORVASTATIN-10MG
Dose Form : TABLET
Description : PLEOTOR T 10/40 TAB
Route Of Administration : ORAL
Pack : 10
Out of stock
SKU
PLE0033
₹108.30
Manufacturer : IPC-IPCA LABORATORIES LTD
Composition : TELMISARTAN-40MG+ATORVASTATIN-10MG
Dose Form : TABLET
Description : PLEOTOR T 10/40 TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

TELMISARTAN-40MG+ATORVASTATIN-10MG

TELMISARTAN

Information for patients
Drug Information Telmisartan belongs to a class of medicines known as angiotensin II receptor antagonists. Angiotensin II is a substance produced in your body which causes your blood vessels to narrow, thus increasing your blood pressure. Telmisartan blocks the effect of angiotensin II so that the blood vessels relax, and your blood pressure is lowered. Telmisartan is used to treat essential hypertension (high blood pressure). ‘Essential’ means that the high blood pressure is not caused by any other condition. High blood pressure, if not treated, can damage blood vessels in several organs, which could lead sometimes to heart attack, heart or kidney failure, stroke, or blindness. There are usually no symptoms of high blood pressure before damage occurs. Thus it is important to regularly measure blood pressure to verify if it is within the normal range. Telmisartan is also used to reduce cardiovascular events (i.e. heart attack or stroke) in patients who are at risk because they have a 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 are at high risk for such events.
Drug Alert
Alert
Before Consuming the Medicine
Avoid Drug • if you are allergic (hypersensitive) to telmisartan or any other ingredients included in Telmisartan tablets • if you are more than 3 months pregnant. • if you have severe liver problems such as cholestasis or biliary obstruction (problems with the drainage of the bile from the liver and gall bladder) or any other severe liver disease. If any of the above applies to you, tell your doctor or pharmacist before taking Telmisartan.
Drug Special Care Please tell your doctor if you are suffering 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 trouble. • Raised aldosterone levels (water and salt retention in the body along with imbalance of various blood minerals). • 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’), low-salt diet, diarrhoea, or vomiting. • Elevated potassium levels in your blood. • Diabetes. You must tell your doctor if you think you are (or might become) pregnant. Telmisartan is not recommended in early pregnancy, and must not be taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if used at that stage. In case of surgery or anaesthesia, you should tell your doctor that you are taking Telmisartan. The use of Telmisartan in children and adolescents up to the age of 18 years is not recommended. As with all other angiotensin II receptor antagonists, Telmisartan may be less effective in lowering the blood pressure in black patients.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Your doctor may need to change the dose of these other medicines or take other precautions. In some cases you may have to stop taking one of the medicines. This applies especially to the medicines listed below taken at the same time with Telmisartan: • Lithium containing medicines to treat some types of depression. • Medicines that may increase blood potassium levels such as salt substitutes containing potassium, potassium-sparing diuretics (certain ‘water tablets’), ACE inhibitors, angiotensin II receptor antagonists, NSAIDs (non steroidal anti-inflammatory medicines, e.g. aspirin or ibuprofen), heparin, immunosuppressives (e.g. cyclosporin or tacrolimus), and the antibiotic trimethoprim. • Diuretics (‘water tablets’), especially if taken in high doses together with Telmisartan, may lead to excessive loss of body water and low blood pressure (hypotension). As with other blood pressure lowering medicines, the effect of Telmisartan may be reduced when you take NSAIDs (non steroidal anti-inflammatory medicines, e.g. aspirin or ibuprofen) or corticosteroids. Telmisartan may increase the blood pressure lowering effect of other medicines used to treat high blood pressure.
Drug Pregnancy Interaction You must tell your doctor if you think you are (or might become) pregnant. Your doctor will normally advise you to stop taking Telmisartan before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead of Telmisartan. Telmisartan is not recommended in early pregnancy, and must not be taken when more than 3 months pregnant, as it may cause serious harm to your baby if used after the third month of pregnancy.
Drug Breast feeding Interaction Breast-feeding Tell your doctor if you are breast-feeding or about to start breast-feeding. Telmisartan is not recommended for mothers who are breast-feeding, and your doctor may choose another treatment for you if you wish to breast-feed, especially if your baby is newborn, or was born prematurely.
Drug Machinery Interaction No information is available on the effect of Telmisartan on the ability to drive or operate machinery. Some people feel dizzy or tired when they are treated for high blood pressure. If you feel dizzy or tired, do not drive or operate machinery.
Drug More Information You can take Telmisartan with or without food.
How to take the Medicine
Consumption Info
Drug quanitty For treatment of high blood pressure, the usual dose of Telmisartan for most patients is one 40 mg tablet once a day to control blood pressure over the 24-hour period. Your doctor has recommended a lower dose of one 20 mg tablet daily. Telmisartan may also be used in combination with diuretics (‘water tablets’) such as hydrochlorothiazide which has been shown to have an additive blood pressure lowering effect with Telmisartan. For reduction of cardiovascular events, the usual dose of Telmisartan is one 80 mg tablet once a day. At the beginning of the preventive therapy with Telmisartan 80 mg, blood pressure should be frequently monitored. If your liver is not working properly, the usual dose should not exceed 40 mg once daily.
Drug Dose Always take Telmisartan exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.The usual dose of Telmisartan is one tablet a day. Try to take the tablet at the same time each day. You can take Telmisartan with or without food. The tablets should be swallowed with some water or other non-alcoholic drink. It is important that you take Telmisartan every day until your doctor tells you otherwise. If you have the impression that the effect of Telmisartan is too strong or too weak, talk to your doctor or pharmacist.
Excess Drug Consumption If you accidentally take too many tablets, contact your doctor, pharmacist, or your nearest hospital emergency department immediately.
Forgot Drug Consumption If you forget to take a dose, do not worry. Take it as soon as you remember then carry on as before. 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 for forgotten individual doses.
Stop Drug Consumption
Possible Side Effects
General Information Sepsis* (often called “blood poisoning”, is a severe infection with whole-body inflammatory response), rapid swelling of the skin and mucosa (angioedema); these side effects are rare but are extremely serious and patients should stop taking the product and see their doctor immediately. If these effects are not treated they could be fatal.
Common Drug Side Effects Low blood pressure (hypotension) in users treated for reduction of cardiovascular events.
Rare Drug Side Effects Sepsis* (often called “blood poisoning”, is a severe infection with whole-body inflammatory response which can lead to death), increase in certain white blood cells (eosinophilia), low platelet count (thrombocytopenia), severe allergic reaction (anaphylactic reaction), allergic reaction (e.g. rash, itching, difficulty breathing, wheezing, swelling of the face or low blood pressure), low blood sugar levels (in diabetic patients), feeling anxious, impaired vision, fast heart beat (tachycardia), dry mouth, upset stomach, abnormal liver function**, rapid swelling of the skin and mucosa which can also lead to death (angioedema also with fatal outcome), eczema (a skin disorder), redness of skin, hives (urticaria), severe drug rash, joint pain (arthralgia), pain in extremity, tendon pain, flu-like-illness, decreased haemoglobin (a blood protein), increased levels of uric acid, increased hepatic enzymes or creatine phosphokinase in the blood. *In a long-term study involving more than 20,000 patients, more patients treated with telmisartan experienced sepsis compared with patients who received no telmisartan. The event may have happened by chance or could be related to a mechanism currently not known. ** Most cases of abnormal liver function and liver disorder from post-marketing experience with telmisartan occurred in patients in Japanese patients. Japanese patients are more likely to experience this side effect.
Very Rare Drug Side Effects Urinary tract infections, upper respiratory tract infections (e.g. sore throat, inflamed sinuses, common cold), deficiency in red blood cells (anaemia), high potassium levels, difficulty falling asleep, feeling sad (depression), fainting (syncope), feeling of spinning (vertigo), slow heart rate (bradycardia), low blood pressure (hypotension) in users treated for high blood pressure, dizziness on standing up (orthostatic hypotension), shortness of breath, abdominal pain, diarrhoea, discomfort in the abdomen, bloating, vomiting, itching, increased sweating, drug rash, back pain, muscle cramps, muscle pain (myalgia), kidney impairment including acute kidney failure, pain in the chest, feeling of weakness, and increased level of creatinine in the blood.
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Keep out of the reach and sight of children. Do not use Telmisartan after the expiry date which is stated on the carton after “EXP”. The expiry date refers to the last day of that month. This medicine does not require any special temperature storage conditions. You should store your medicine in the original package in order to protect the tablets from moisture. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

ATORVASTATIN

Information for patients
Drug Information Atorvastatin belongs to a group of medicines known as statins, which are lipid (fat) regulating medicines. Atorvastatin is used to lower lipids known as cholesterol and triglycerides in the blood when a low fat diet and life style changes on their own have failed. If you are at an increased risk of heart disease, Atorvastatin can also be used to reduce such risk even if your cholesterol levels are normal. You should maintain a standard cholesterol lowering diet during treatment
Drug Alert
Alert if you are hypersensitive (allergic) to Atorvastatin or to any similar medicines used to lower blood lipids or to any of the other ingredients of the medicine – if you have or have ever had a disease which affects the liver if you have had any unexplained abnormal blood tests for liver function
Before Consuming the Medicine
Avoid Drug if you are hypersensitive (allergic) to Atorvastatin or to any similar medicines used to lower blood lipids or to any of the other ingredients of the medicine – if you have or have ever had a disease which affects the liver if you have had any unexplained abnormal blood tests for liver function if you are a woman able to have children and not using reliable contraception if you are pregnant or trying to become pregnant if you are breast-feeding.
Drug Special Care The following are reasons why Atorvastatin may not be suitable for you: if you have had a previous stroke with bleeding into the brain, or have small pockets of fluid in the brain from previous strokes if you have kidney problems if you have an under-active thyroid gland (hypothyroidism) if you have had repeated or unexplained muscle aches or pains, a personal history or family history of muscle problems if you have had previous muscular problems during treatment with other lipid-lowering medicines (e.g. other ‘-statin’ or ‘-fibrate’ medicines) if you regularly drink a large amount of alcohol if you have a history of liver disease if you are older than 70 years.
Drug Drug Interactions There are some medicines that may change the effect of Atorvastatin or their effect may be changed by Atorvastatin. This type of interaction could make one or both of the medicines less effective. Alternatively it could increase the risk or severity of side-effects, including the important muscle wasting condition known as rhabdomyolysis described Medicines used to alter the way your immune system works, e.g. ciclosporin Certain antibiotics or antifungal medicines, e.g. erythromycin, clarithromycin, telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampin, fusidic acid Other medicines to regulate lipid levels, e.g. gemfibrozil, other fibrates, colestipol Some calcium channel blockers used for angina or high blood pressure, e.g. amlodipine,diltiazem,; medicines to regulate your heart rhythm e.g. digoxin, verapamil, amiodarone Medicines used in the treatment of HIV e.g. ritonavir, lopinavir, atazanavir, indinavir,darunavir, etc. Other medicines known to interact with Atorvastatin include ezetimibe (which lowers cholesterol),warfarin (which reduces blood clotting), oral contraceptives, stiripentol (an anti-convulsant for epilepsy), cimetidine (used for heartburn and peptic ulcers), phenazone (a painkiller) and antacids (indigestion products containing aluminium or magnesium) Medicines obtained without a prescription: St John’s Wort Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Drug Pregnancy Interaction Do not take Atorvastatin if you are pregnant, or if you are trying to become pregnant.
Drug Breast feeding Interaction Do not take Atorvastatin if you are able to become pregnant unless you use reliable contraceptive measures.
Drug Machinery Interaction Normally this medicine does not affect your ability to drive or operate machines. However, do not drive if this medicine affects your ability to drive. Do not use any tools or machines if your ability to use them is affected by this medicine.
Drug More Information Grapefruit juice Do not take more than one or two small glasses of grapefruit juice per day because large quantities of grapefruit juice can change the effects of Atorvastatin. Alcohol Avoid drinking too much alcohol while taking this medicine. See Section 2 “Take special care with Atorvastatin” for details
How to take the Medicine
Consumption Info If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
Drug quanitty The usual starting dose of Atorvastatin is 10 mg once a day in adults and children aged 10 years or older. This may be increased if necessary by your doctor until you are taking the amount you need. Your doctor will adapt the dose at intervals of 4 weeks or more. The maximum dose of Atorvastatin is 80 mg once daily for adults and 20 mg once daily for children.
Drug Dose Before starting treatment, your doctor will place you on a low-cholesterol diet, which you should maintain also during therapy with Atorvastatin. Atorvastatin tablets should be swallowed whole with a drink of water, and can be taken at any time of day, with or without food. However, try to take your tablet at the same time every day. Always take Atorvastatin exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The duration of treatment with Atorvastatin is determined by your doctor. Please ask your doctor if you think that the effect of Atorvastatin is too strong or too weak.
Excess Drug Consumption If you accidently take too many Atorvastatin tablets (more than your usual daily dose), contact your doctor or nearest hospital for advice.
Forgot Drug Consumption If you forget to take a dose, just take your next scheduled dose at the correct time. Do not take a double dose to make up for a forgotten dose.
Stop Drug Consumption If you have any further questions on the use of this medicine or wish to stop your treatment, ask your doctor or pharmacist.
Possible Side Effects
General Information Sexual difficulties •Depression •Breathing problems including persistent cough and/or shortness of breath or fever If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Common Drug Side Effects inflammation of the nasal passages, pain in the throat, nose bleed •allergic reactions •increases in blood sugar levels (if you have diabetes continue careful monitoring of your blood sugar levels), increase in blood creatine kinase •headache •nausea, constipation, wind, indigestion, diarrhoea •joint pain, muscle pain and back pain •blood test results that show your liver function can become abnormal .
Rare Drug Side Effects visual disturbance •unexpected bleeding or bruising •cholestasis (yellowing of the skin and whites of the eyes) •tendon injury
Very Rare Drug Side Effects an allergic reaction - symptoms may include sudden wheezing and chest pain or tightness, swelling of the eyelids, face, lips, mouth, tongue or throat, difficulty breathing, collapse •hearing loss •gynecomastia (breast enlargement in men and women).
Drug Side Effects Symptoms Like all medicines, Atorvastatin can cause side effects, although not everybody gets them. If you experience any of the following serious side effects, stop taking your tablets and tell your doctor immediately or go to the nearest hospital accident and emergency department.
How to Store the Medicine
How to Store the Medicine Keep out of the reach and sight of children. This medicine does not require any special storage conditions. Do not use Atorvastatin after the expiry date which is stated on the container and outer packaging after {EXP}. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

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