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Micardis (Telmisartan)

Prescription Required.

Product of Canada.

Express Ships from Canada.

Prescription Required.
Product of Canada.
Express Ships from Canada.

Micardis (Telmisartan)

What is Micardis (Telmisartan)?

Micardis (telmisartan) is an angiotensin receptor blocker medication that is prescribed for the treatment of hypertension in adult patients above the age of 18 years old. It may also be used for reducing a patient’s risk of heart-related events such as heart attack or stroke. Micardis may be used for treatment alongside additional medications or solely by itself.

How is Micardis Used?

Micardis is a tablet that should be taken orally once per day. This medication should be taken at the same time each day for maximum efficacy, and patients may require two to four weeks before noticing improvement in their condition.

It may be consumed with or without food, and patients should take this medication exactly as instructed by their prescribing physician.

In addition to using Micardis, some patients may be able to improve their condition further by making changes to their diet and exercise habits, avoiding smoking, managing their diabetes, and lowering their cholesterol. Most patients that require the use of Micardis remain on the medication for life.

While using Micardis for treatment, patients will also require regular checks of their kidney function, liver function, and blood pressure.

Storage

Micardis tablets should be stored at room temperature. Ideally, these tablets should remain at a constant temperature of 77°F (25°C). It may be temporarily exposed to temperatures as low as 59°F (15°C) and as high as 86°F (30°C).

Keep this medication out of the reach of children at all times.

As Micardis is a hygroscopic medication, it should not be exposed to moisture. It is recommended to keep Micardis in its original packaging to avoid exposure to any damaging elements.

Uses

Micardis is prescribed for a variety of cardiovascular conditions, including but not limited to:

  • Cardiovascular disease
  • Eclampsia
  • Hypertension
  • Hypertensive congestive heart failure
  • Hypertensive encephalopathy
  • Hypertensive heart disease
  • Hypertensive renal disease
  • Hypertensive retinopathy
  • Pre-eclampsia
  • Reduction of cardiovascular risks
  • Renovascular hypertension

How Does Micardis Work?

As an angiotensin II receptor blocker (ARB), Micardis functions by improving a patient’s blood flow within the body by relaxing the blood vessels. Angiotensin II proteins are those that bind to receptors within a person’s blood and result in the narrowing of the blood vessels. This causes hypertension and an increased risk of adverse cardiovascular events.

By reducing the action of these proteins, ARB medications like Micardis are able to reduce this narrowing of the affected vessels, improve blood flow, and reduce the likelihood of certain cardiovascular events while improving an individual’s overall blood pressure levels.

Dosage

Micardis is available as a tablet in the following strengths:

  • 20 mg
  • 40 mg
  • 80 mg

Patients using Micardis for the treatment of high blood pressure will most commonly take between 40 mg to 80 mg per day to manage their condition. These individuals will often begin with a starting dose of 40 mg until it can be determined how well the medication impacts their hypertension, and their physician will then make adjustments to the dosage as needed.

When used for the purpose of reducing a patient’s risks of stroke or heart attack, individuals taking Micardis will typically start with the maximum dose of 80 mg once per day and continue taking this same dosage for the duration of treatment.

Overdose

Individuals that have somehow taken too much Micardis or have intentionally overdosed on this medication may experience overdose symptoms such as fainting, extreme dizziness, or a rapid heart rate.

If an overdose has occurred or is suspected, the patient’s prescribing physician or the individual’s local Poison Control Center should be contacted. If severe reactions such as difficulty breathing or unconsciousness occur, emergency medical attention should be sought right away.

Side Effects

Micardis is associated with a variety of side effects, with some being more common in most patients using the medication and others indicating a serious reaction to taking this medication. Please discuss any unusual symptoms or concerns regarding any side effects of the medication with your prescribing physician.

The most common side effects include:

  • back pain
  • diarrhea
  • sinus pain
  • stuffy nose

Some of the following side effects may occur and should be reported to your doctor immediately. These side effects are considered serious and indicate a significant health event taking place that requires emergency medical attention:

  • arrhythmia
  • chest pain
  • difficulty moving
  • feeling lightheaded
  • nausea
  • rapid weight gain
  • reduction in or lack of urination
  • skin ulcers
  • swelling
  • symptoms of high potassium
  • tightness or pain in the lower body
  • tingly sensations
  • weakness

Please seek emergency medical attention if you experience any of the following symptoms of an allergic reaction while using Micardis:

  • difficulty breathing
  • hives
  • swelling of the throat, tongue, lips, or face

Warnings & Precautions

The use of Micardis in certain individuals is associated with a number of different risks. Please be sure to discuss any current medication, medical conditions, or relevant medical history with your physician before beginning treatment.

Children

The safety and efficacy of Micardis have not been studied or determined in patients below the age of 18 years.

Impaired Liver Function

As Micardis is processed through the patient’s liver before excretion, patients using this medication that also have hepatic insufficiency or certain biliary obstructive disorders are at risk of not being able to properly and sufficiently eliminate Micardis from their systems as intended. If a patient has a history of liver problems or is currently diagnosed with a related condition that may impact liver function, a lower dose may be required in these individuals, and other dosage modifications may be necessary to safely use the medication.

Kidney Disease

Patients with any history of or current kidney-related impairments or disease are at an increased risk of changes in their renal function when using Micardis. This medication is capable of altering the levels of creatinine, albumin, and potassium in those using it, and this may result in impacts on a patient’s kidney health. Patients with concerns associated with renal function may require regular testing to monitor the impact on the kidneys.

Potassium

Patients using Micardis are advised to avoid supplements, medications, and salt substitutes that may increase their potassium levels, as hyperkalemia is a common risk associated with using an ARB medication. Individuals with heart failure or advanced renal impairment are at an increased risk of developing this condition while using it.

Pregnancy

Micardis is not safe for use during pregnancy and may result in serious injury or death occurring in a developing child, especially if the medication is used during the last two trimesters of pregnancy. Patients that are wanting to become pregnant or may become pregnant while using Micardis are advised to discuss the risks and appropriate measures to be taken regarding treating the condition for which Micardis may be prescribed as well as ensuring a healthy pregnancy.

Additional Medical Conditions

If you have any of the following medical conditions, exercise caution when taking Micardis and discuss your medical history with your doctor before beginning this medication:

  • if you are currently on dialysis
  • if you are currently on a low-sodium diet
  • if you have any additional heart-related health conditions aside from what is currently being treated with Micardis
  • if you have a history of kidney disease
  • if you have a history of liver disease

Drug Interactions

Speak to your doctor about any medications or herbal supplements you are currently taking before beginning treatment with Micardis. Discuss any concerns you may have with your doctor or a trusted pharmacist.

The following medications are known to interact with Micardis and may increase your chances of experiencing adverse side effects, impaired absorption of medications, and reduced efficacy of treatment:

  • ACE inhibitors
  • aliskiren
  • benazepril
  • birth control pills that contain drospirenone
  • cold and cough medications
  • COX-2 inhibitors
  • diet aids
  • digoxin (Lanoxin, Lanoxicaps)
  • diuretics (water pills)
  • ibuprofen
  • lithium (Eskalith, Lithobid)
  • lisinopril
  • naproxen
  • non-steroidal anti-inflammatory drugs (NSAIDs)
  • ramipril

Additional Substances That Should Not Be Used with Micardis

The following additional substances should not be used alongside Micardis unless otherwise instructed or approved by your prescribing physician:

  • potassium supplements
  • salt substitutes

Alternative Medications

For patients who are unable to take Micardis or experiencing significant adverse side effects, alternative medications may be used to treat some of the associated conditions for which this medication is commonly prescribed:

  • acebutolol (Sectral)
  • amlodipine (Norvasc)
  • atenolol (Tenormin)
  • azilsartan (Edarbi)
  • benazepril (Lotensin)
  • betaxolol (Kerlone)
  • bisoprolol fumarate (Zeneta)
  • bumetanide (Bumex)
  • candesartan (Atacand)
  • captopril (Capoten)
  • carvedilol (Coreg)
  • chlorthalidone
  • chlorothiazide (Diuril)
  • clonidine (Catapres)
  • diltiazem (Dilt-XR)
  • doxazosin mesylate (Cardura)
  • enalapril (Vasotec)
  • eplerenone (Inspra)
  • eprosartan (Teveten)
  • fosinopril (Monopril)
  • furosemide (Lasix)
  • guanfacine (Tenex)
  • hydrochlorothiazide
  • indapamide (Lozol)
  • irbesartan (Avapro)
  • irbesartan + hydrochlorothiazide (Avalide)
  • labetalol (Normodyne, Trandate)
  • lisinopril (Zestril)
  • losartan (Cozaar)
  • losartan + hydrochlorothiazide (Hyzaar)
  • methyldopa (Aldomet)
  • metolazone (Zaroxolyn)
  • metoprolol succinate (Toprol XL)
  • metoprolol tartrate (Lopressor)
  • moexipril (Univasc)
  • nadolol (Corgard)
  • nicardipine (Cardene)
  • nebivolol (Bystolic)
  • nifedipine (Procardia)
  • nisoldipine (Sular)
  • olmesartan (Benicar)
  • olmesartan + amlodipine (Azor)
  • olmesartan + hydrochlorothiazide (Benicar HCT)
  • perindopril (Aceon)
  • pindolol (Visken)
  • prazosin (Minipress)
  • propranolol (Inderal)
  • quinapril (Accupril)
  • ramipril (Altace)
  • sotalol (Betapace)
  • spironolactone (Aldactone)
  • telmisartan + amlodipine (Twynsta)
  • telmisartan + hydrochlorothiazide (Micardis HCT)
  • terazosin (Hytrin)
  • torsemide (Demadex)
  • trandolapril (Mavik)
  • valsartan (Diovan)
  • valsartan + amlodipine (Exforge)
  • valsartan + hydrochlorothiazide (Diovan HCT)
  • verapamil (Verelan)

Frequently Asked Questions

Micardis is an angiotensin II receptor agonist. This means it works by inhibiting the actions of the angiotensin II proteins within the body, which are the chemicals that result in the tightening or constriction of blood vessels. Micardis stops these proteins from causing as much constriction, resulting in lowered blood pressure due to the improved, increased blood flow.

Using Micardis as instructed by your prescribing physician will help to lower your high blood pressure. Using this medication alongside healthy changes to your diet and exercise habits will further improve your condition. Additionally, it will help reduce an individual’s risk of serious side effects or death due to stroke or heart attack.

Micardis is available in tablet form and should be taken orally once per day. Patients should strive to take this medication at the same time each day, and it may be taken with or without food. Those using the medication should be sure to follow their prescribing physician’s instructions regarding how to safely and properly consume it for maximum efficacy of their treatment.

If you have missed your daily dose of Micardis, it is advised that you simply skip the missed dose and take your next scheduled dose. Patients using Micardis should not double their dose for any reason. Those with additional questions regarding missed doses or when to safely take another dose should consult with their prescribing physician or their pharmacist for more information.

Any individuals that are allergic to Micardis or any of its ingredients, are breastfeeding or pregnant, are trying to become pregnant, have certain sugar allergies (such as sorbitol or fructose), are taking aliskiren for treatment, have kidney disease, or have experienced the condition of angioedema after taking an ARB medication should not take this medication. Patients with additional questions about their health conditions and medical history in relation to using it should consult with their doctor.

There are a number of different side effects that may result from using Micardis. Milder symptoms are more likely to either be well-tolerated or go away as the patient adjusts to the medication. The most common symptoms of Micardis include the following: anxiety, constipation, abdominal pain, leg pain, back pain, diarrhea, fatigue, rash, nausea, vomiting, gas, eczema, dizziness, sleep difficulties, heartburn, muscle cramps, and upper respiratory tract infections. However, some symptoms may be more severe or concerning, and any patient experiencing severe or concerning side effects should either contact their doctor or seek emergency medical attention.

The active ingredient in Micardis is telmisartan. The following inactive ingredients are also present in Micardis tablets: magnesium stearate, sorbitol, povidone, meglumine, and sodium hydroxide.

If you are taking Micardis and experience any of the following serious side effects, please report them to your prescribing physician immediately: chest pain, low blood sugar, symptoms of high potassium, shortness of breath, symptoms of liver or kidney issues, weakness, fainting, dizziness, depression symptoms, vision changes, urinary tract infection symptoms, muscle pain, or swelling of the hands, feet, or ankles.

Although Micardis may begin to help lower a patient’s blood pressure within just a few hours after their first dose, its full effects on the individual’s overall daily blood pressure readings will often not be evident until about two to four weeks after beginning treatment.

This medication is not a beta-blocker. Beta-blockers are a type of medication that may also be used to treat high blood pressure, but beta-blockers and ARBS (such as Micardis) function differently within the body. Additionally, ARBs and beta blockers may be used together to lower blood pressure in some individuals.

When used properly and as instructed by your doctor, Micardis is a safe and effective medication for treating high blood pressure. However, in some cases, it has been shown to cause certain problems in the kidneys and the heart. This is why regular testing and monitoring during treatment with Micardis is essential. If the medication does not appear to be working well for you or seems to be negatively impacting other functions within your body, your doctor may be able to find a more suitable alternative for treatment.

When a patient is taking Micardis, they should be cautious when getting up from a lying or sitting position due to potential dizziness occurring as their blood pressure is lowered. Additionally, individuals using this medication should not consume salt substitutes or potassium supplements while taking this medication due to the risk of hyperkalemia.

Micardis contains the active ingredient of telmisartan. Micardis tablets also contain the following inactive ingredients: magnesium stearate, sodium hydroxide, sorbitol, povidone, and meglumine.

Micardis may cause some patients using the medication to become sleepy as a result of their blood pressure being lowered. As the individual adjusts to having lower blood pressure levels, these feelings of fatigue and sleepiness should subside. However, it is not a sedative medication by design.

Micardis is primarily used to lower blood pressure in those who have been diagnosed with hypertension. It is also used to reduce the risk of stroke, heart attack, and death in patients who are unable to take ACE inhibitors.

When used for the prevention of heart disease and other related conditions, most patients using Micardis will take 80 mg of this medication once per day. When used for the purpose of lowering a patient’s high blood pressure, the most commonly prescribed dose in these cases is between 40 mg and 80 mg, and this dose is still taken just once per day.