Switching is not equal because Telmiride 40 with Akilos 200 CR (metoprolol) is a different medicine combination than Telmiride AM, which mixes telmisartan with amlodipine. Because blood pressure control and side-effect profiles vary, you should only make changes if your doctor recommends them.

Telmiride Am tablets may cause reduced sex drive or difficulty with erections, but this is quite rare. Usually, these issues are mild if they occur at all. If you notice any changes in your sexual health after starting this medicine, please talk to a doctor. Don’t stop taking the medication on your own, because uncontrolled blood pressure can cause more serious problems.