Hepatic impairment. Discontinue immediately during pregnancy. Not recommended during lactation. Elderly >75 yr. Telmisartan: Symptomatic hypotension may occur in patients w/ an activated renin-angiotensin system eg, vol- or salt-depleted patients. Hyperkalemia may occur in patients w/ advanced renal impairment, heart failure, on renal replacement therapy, or on K supplements, K-sparing diuretics, K-containing salt substitutes or other drugs that increase K levels. Reduced clearance in patients w/ biliary obstructive disorders. Amlodipine: Symptomatic hypotension in patients w/ severe aortic stenosis.