Telmisartan instructions for administration

Dosage and Administration
Dosage must be individualized.

Adults
PO 20 to 80 mg/day; usual starting dose, 40 mg/day.

Special Populations: Patients with depletion of intravascular volume should have the condition corrected or Micardis tablets should be initiated under close medical supervision (see WARNINGS, Hypotension in Volume-Depleted Patients). Patients with biliary obstructive disorders or hepatic insufficiency should have treatment started under close medical supervision (see PRECAUTIONS, General, Impaired Hepatic Function and  Impaired Renal Function).

Most of the antihypertensive effect is apparent within two weeks and maximal reduction is generally attained after four weeks. When additional blood pressure reduction beyond that achieved with 80 mg Micardis is required, a diuretic may be added.

No initial dosing adjustment is necessary for elderly patients or patients with renal impairment, including those on hemodialysis. Patients on dialysis may develop orthostatic hypotension; their blood pressure should be closely monitored.

Micardis tablets may be administered with other antihypertensive agents.

Micardis tablets may be administered with or without food.