Telarb Plus Adverse Reactions

Hypotension; Renal Impairment; Electrolytes and Metabolic Disorders; Other adverse reactions observed for telmisartan/hydrochlorothiazide were: pain (including back and abdominal), dyspepsia, erythema, vomiting, bronchitis and pharyngitis.
Fetal Toxicity: Pregnancy Category D.
Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Resulting oligohydramnios can be associated with fetal lung hypoplasia and skeletal deformations. Potential neonatal adverse effects include skull hypoplasia, anuria, hypotension, renal failure, and death. When pregnancy is detected, discontinue Telmisartan and Hydrochlorothiazide as soon as possible.
Thiazides cross the placental barrier and appear in cord blood. Adverse reactions include fetal or neonatal jaundice and thrombocytopenia.
Telmisartan: Other adverse experiences that have been reported with telmisartan, without regard to causality, are listed as follows: Autonomic Nervous System: impotence, increased sweating, flushing.
Body as a Whole: allergy, fever, leg pain, malaise, chest pain.
Cardiovascular: palpitation, dependent edema, angina pectoris, leg edema, abnormal ECG, hypertension, peripheral edema.
CNS: insomnia, somnolence, migraine, paresthesia, involuntary muscle contractions, hypoaesthesia.
Gastrointestinal: flatulence, constipation, gastritis, dry mouth, hemorrhoids, gastroesophageal reflux, toothache.
Metabolic: gout, hypercholesterolemia, diabetes mellitus.
Musculoskeletal: arthritis, arthralgia, leg cramps, myalgia.
Psychiatric: anxiety, depression, nervousness.
Resistance Mechanism: infection, fungal infection, abscess, otitis media.
Respiratory: asthma, rhinitis, dyspnea, epistaxis.
Skin: dermatitis, eczema, pruritus.
Urinary: micturition frequency, cystitis.
Special Senses: abnormal vision, conjunctivitis, tinnitus, earache.
Hydrochlorothiazide: Other adverse experiences that have been reported with hydrochlorothiazide, without regard to causality, are listed as follows: Body as a whole: weakness.
Digestive: pancreatitis, jaundice (intrahepatic cholestatic jaundice), sialadenitis, cramping, gastric irritation.
Hematologic: aplastic anemia, agranulocytosis, leukopenia, hemolytic anemia, thrombocytopenia.
Hypersensitivity: purpura, photosensitivity, urticaria, necrotizing angiitis (vasculitis and cutaneous vasculitis), fever, respiratory distress including pneumonitis and pulmonary edema, anaphylactic reactions.
Metabolic: hyperglycemia, glycosuria, hyperuricemia.
Musculoskeletal: muscle spasm.
Nervous System/Psychiatric: restlessness.
Renal: renal failure, renal dysfunction, interstitial nephritis.
Skin: erythema multiforme including Stevens-Johnson syndrome, exfoliative dermatitis including toxic epidermal necrolysis.
Special Senses: transient blurred vision, xanthopsia.