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Generic Twynsta

AMLODIPINE; TELMISARTAN is a combination of a calcium channel blocker and an angiotensin II antagonist. This medicine is used to treat high blood pressure. Compare calcium channel blocker / ARB combinations.
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Telmisartan / Amlodipine Side Effects

What should I watch for?

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her.

Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

If you are going to have surgery, tell your prescriber or health care professional that you are taking this medicine.

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Common and Rare Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Bloating or swelling of the face, arms, hands, lower legs, or feet

body aches or pain

chills

cough

difficulty breathing

ear congestion

fever

headache

loss of voice

nasal congestion

rapid weight gain

runny nose

sneezing

sore throat

tingling of the hands or feet

unusual tiredness or weakness

unusual weight gain or loss

Less common

Bladder pain

bloody or cloudy urine

blurred vision

chest pain

diarrhea

difficult, burning, or painful urination

dizziness

frequent urge to urinate

general feeling of discomfort or illness

joint pain

loss of appetite

lower back or side pain

muscle aches and pains

nausea

nervousness

pounding in the ears

shivering

slow or fast heartbeat

sweating

trouble sleeping

vomiting

Rare

Abdominal or stomach pain

arm, back, or jaw pain

black, tarry stools

bleeding gums

blistering, peeling, or loosening of the skin

blood in the urine or stools

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

chest tightness or heaviness

cold sweats

confusion

constipation

cough or hoarseness

dark urine

difficult or labored breathing

difficulty swallowing

dry mouth

extreme fatigue

fast, irregular, pounding, or racing heartbeat or pulse

feeling of warmth

flushed, dry skin

fruit-like breath odor

hives

increased hunger

increased sweating

increased thirst

increased volume of pale, dilute urine

irregular heartbeat

irritation in the mouth

joint or muscle pain

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

lightheadedness, dizziness, or fainting

loss of consciousness

muscle cramps or stiffness

pale, bluish-colored, or cold hands or feet

pinpoint red spots on the skin

rash

redness and swelling of the gums

redness, soreness, or itching skin

severe or sudden headache

sudden loss of coordination

sudden slurring of speech

swollen glands

tightness in the chest

trembling or shaking of the hands or feet

unexplained weight loss

unusual bleeding or bruising

vomiting of blood

weakness in the arms, hands, legs, or feet

weight gain

yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Acid or sour stomach

belching

difficulty with moving

heartburn

indigestion

pain or tenderness around the eyes and cheekbones

sleepiness or unusual drowsiness

Rare

Abnormal dreams

ankle, knee, or great toe joint pain

anxiety

bad, unusual, or unpleasant (after) taste

bleeding after defecation

blistering, crusting, irritation, itching, or reddening of the skin

bloody nose

burning feeling in the chest or stomach

burning, dry, or itching eyes

changes in vision

cold and clammy skin

continuing ringing or buzzing or other unexplained noise in the ears

cough producing mucus

cracked, dry, or scaly skin

decreased sexual performance or desire

depression

dry mouth

earache

excess air or gas in the stomach or intestines

feeling of constant movement of self or surroundings

feeling of warmth

full feeling

hair loss or thinning of the hair

headache, severe and throbbing

hearing loss

hives or welts

hyperventilation

inability to have or keep an erection

increased appetite

irritability

lack of feeling or emotion

lack or loss of strength

loose stools

loss of memory

redness of the skin

redness or swelling in the ear

redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid

restlessness

tenderness in the stomach area

toothache

uncomfortable swelling around the anus

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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