Treatment and Prevention

How to use the drug Mikardis 40?

The drug maintains blood pressure within normal limits and prevents vasoconstriction. It has a hypotensive and mild diuretic effect. It is used in the treatment of hypertension. With long-term use prevents the increase in myocardial mass in adults and elderly patients.



The drug maintains blood pressure within normal limits and prevents vasoconstriction.

Forms of release and composition

The manufacturer produces a tool in the form of oval tablets. The active substance is telmisartan in an amount of 40 mg. The package contains 14 or 28 tablets.

pharmachologic effect

The active substance blocks the angiotensin vasoconstrictor action. Contributes to lowering blood pressure.


It is rapidly absorbed, penetrates the bloodstream and binds to plasma proteins. In the liver undergoes metabolism with the formation of inactive components. Excreted in the feces and partly with the urine.

Indications for use

The drug is used in the treatment of hypertension. May be prescribed to prevent cardiovascular complications on the background of high blood pressure.


To take the means is contraindicated in some cases:

  • bile duct obstruction;
  • increased education in the body aldosterone;
  • allergic to the components of the drug;
  • abnormal liver and kidney function;
  • the period of pregnancy and breastfeeding;
  • hereditary metabolism of fructose.
Renal failure refers to contraindications for the use of the drug.
Liver failure refers to contraindications for the use of the drug.
The drug is not prescribed for breastfeeding.
The drug is not prescribed during pregnancy.
Patients under 18 do not prescribe this drug.

Patients under 18 do not prescribe this drug.

How to take Mikardis 40

It is necessary to accept means according to the instruction for application.

For adults

It is necessary to begin reception with 20 mg a day. To achieve a more pronounced effect, some patients increase the dosage to 40-80 mg per day. In severe cases, the dose may be increased to 160 mg per day. If the functioning of the liver is impaired, you can take no more than 1 tablet per day. Patients on hemodialysis with impaired renal function do not need to adjust the dose. Accept simultaneously with food or after. The duration of treatment is from 1 to 2 months.

For children

Safety of admission in children under 18 years old has not been studied.

Is it possible to take the drug in diabetes

The drug can be used for type 2 diabetes. The tool has a positive effect in diabetic nephropathy and hypertension.

The drug can be used for type 2 diabetes.

Side effects

The tool can cause various undesirable reactions from organs and systems. Tablets stop taking if side effects are observed.

Gastrointestinal tract

Digestive upset, nausea, epigastric pain and changes in the liver profile occur.


Anemia, hypercreatininemia, orthostatic hypotension may occur. In rare cases, admission leads to an increase in creatinine in the blood.

central nervous system

Involuntary muscle contraction, fatigue, headache, depression and dizziness.

One of the side effects of the gastrointestinal tract is nausea.

On the part of the urinary system

Infectious diseases, edema.

On the part of the respiratory system

A cough may appear that indicates an infection of the respiratory system.

From the musculoskeletal system

There are muscle spasms, pain in the back.


Allergy occurs as a swelling of tissues, urticaria, skin rashes.

special instructions

If diuretic treatment was carried out, diarrhea or vomiting is observed, the dose is reduced. With unilateral or bilateral stenosis of the renal arteries, a remedy is prescribed with caution. The risk of increasing the concentration of potassium in the blood in the case of severe liver, kidney or heart disease increases. Therefore, you need to control the level of creatinine and potassium in the bloodstream.

Compatibility with alcohol

It is forbidden to combine the drug with the use of ethanol-containing beverages.

It is forbidden to combine the drug with the use of ethanol-containing beverages.

Influence on ability to operate mechanisms

While driving, care must be taken, because the drug may cause dizziness and fatigue. The tool affects the concentration of attention.

Use during pregnancy and lactation

It is forbidden to use during pregnancy. Before taking the drug should stop breastfeeding.


With an overdose, the pressure decreases to critical values. Dizziness, pain in the temples, sweating and weakness may appear. Symptomatic treatment is prescribed, the drug is stopped.

Interaction with other drugs

Before use, it is necessary to study the interaction with other drugs. The tool enhances the effect of taking antihypertensive drugs and increases the concentration of digoxin in the plasma. With NSAID therapy, the risk of renal dysfunction increases. It is necessary to control the concentration of potassium in the combined use of additives and drugs that contain potassium (heparin). With simultaneous use with lithium preparations increases the toxic effects on the body.

In case of drug overdose, dizziness may appear.

Analogs Mikardisa 40

The pharmacy releases other prescription drugs that help with elevated pressure. You can purchase analogues of domestic and imported:

  • Cardosal;
  • Atacand;
  • Diovan;
  • Walz;
  • Valsartan.
  • Angiakand;
  • Block octane;
  • Aprovel;
  • Candesartan;
  • Losartan;
  • Telpres (Spain);
  • Telsartan (India);
  • Telmista (Poland / Slovenia);
  • Teseo (Poland);
  • Praitor (Germany);
  • Tsart (India);
  • Hypotel (Ukraine);
  • Twinsta (Slovenia);
  • Telmisartan-Teva (Hungary).

These drugs may have contraindications and cause side effects. Before taking the drug and its analogs, you should consult with a specialist.

Using Walz H tablets for pressure

Pharmacy vacation terms

At the pharmacy, you can purchase Micardis with a prescription.


The cost of a pharmacy from 400 rubles. up to 1100 rub.

Storage conditions Mikardisa 40

Keep the tablets in the package at a temperature of up to +30 ° C.

Shelf life

Shelf life of the drug for 4 years. After the expiration date of the drug is prohibited to take.

Reviews for Mikardis 40

Mikardis 40 - a drug from the manufacturer Beringer Ingelheim Pharma GmbH and Co. KG, Germany. Well tolerated by patients, quickly begins to act. In the first 2-3 weeks of therapy, side effects may occur that disappear on their own.


Andrey Savin, cardiologist

Telmisartan is an angiotensin II receptor antagonist. The active ingredient prevents the narrowing of the lumen of blood vessels. Blood pressure decreases and aldosterone concentration in blood plasma decreases. The drug helps to eliminate fluid from the body, increasing renal blood flow.

Kirill Efimenko

I prescribe to patients 1 tablet per day. Depending on the severity of the disease, you can increase the dosage. In severe cases, it can be combined with hydrochlorothiazide in an amount up to 25 mg per day. Therapy can lead to elevated liver enzymes. If pregnancy is established, taking is stopped so as not to harm the fetus. When planning a pregnancy drug is not used.

Of patients

Anna, 38 years old

Sometimes pressure rises and a headache is severe. The condition improves after taking antihypertensive drugs. It does not begin to act immediately, but the effect lasts up to 24 hours. Great feeling when you do not have a headache and pressure is within normal limits.

Elena, 45 years old

After taking the drug appears drowsiness, swelling of the legs and heart rate increases. I do not recommend taking more than 20 mg per day. The symptoms disappeared after 2-3 weeks, and I decided not to stop taking it. Feeling great, and the pressure returned to normal. I plan to take 2-3 months.

Eugene, 32 years old

Parents bought this tool. Effective, reduces pressure for long term. We use in the treatment of hypertension. During treatment, my father bought a spray for the throat because of coughing. It turned out that this is a side effect that disappeared after 6-7 days. It is expensive, helps quickly. The result pleased.

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