Drug Study

Drug Name MECHANISM INDICATIONS CONTRAINDICATIONS ADVERSE REACTIONS NURSING

OF ACTION RESPONSIBILITIES
Telmisartan It works by • Cardiovascular • Dehydration • CNS- insomnia, somnolence, • Avoid
blocking the risk reduction. • High levels of potassium migraine, paresthesia, conversation with
Angiotensin effect of • Used to treat in the blood involuntary muscle others.
receptor high blood • Check the
angiotensin. • Renal artery stenosis contractions, hypoesthesia,
blocker pressure. patient's medical
This makes • Low blood pressure sinusitis.
• Prevention of record for an
20, 40 and your blood • Liver problems • ANS- impotence, increased allergy or
cardiovascular
80mg vessels relax • Blockage of a bile duct sweating and flushing contraindication
disease.
more. It also • Decreased kidney • C V- palpitation, angina to the prescribed
Oral allows your pectoris, abnormal ECG, medication.
function
kidney to get hypertension, peripheral • Check if the
• Pregnancy
rid of excess medication has
• Decreased blood volume edema.
not expired.
water and salt. • Dermatologic-Dermatitis,
• Allergies to telmisartan • Check the MAR
This helps eczema, pruritus. against the
lower your • GI-flatulence, constipation, doctor’s orders.
blood pressure. gastritis, dry mouth, • Check the label on
hemorrhoids, the medication
gastroesophageal reflux, before, during
and after drug
toothache.
administration.
• MSK- arthritis, arthralgia, • Follow the seven
leg cramps, myalgia, back rights of
pain, medication
• RS- asthma, rhinitis, preparation.
dyspnea, epistaxis. • Position the client
appropriately for
• Integumentary system-
drug
dermatitis, eczema, pruritus administration.
• Biliary system- elevations of
liver enzymes or serum
bilirubin
 Drug to laboratory test
There is no possibility that the drug can
cause an alteration to the result of any
laboratory test.
Drug to drug interaction Drug to food interaction
• Alfuzosin: May enhance the • Potassium-containing salt substitutes or
hypotensive effect of Blood Pressure over-the-counter potassium supplements:
Lowering Agents this can cause high levels of potassium in
• Aliskiren: May enhance the your blood.
hyperkalemic effect of Angiotensin II • Ethanol: may have additive effects in
Receptor Blockers. lowering your blood pressure.
• Amphetamines: May diminish the
antihypertensive effect of
Antihypertensive Agents.
• Cardiac Glycosides: Telmisartan may
increase the serum concentration of
Cardiac Glycosides.
• Dapoxetine: May enhance the
orthostatic hypotensive effect of
Angiotensin II Receptor Blockers.
• Nonsteroidal Anti-Inflammatory
Agents: Angiotensin II Receptor
Blockers may enhance the
adverse/toxic effect of Nonsteroidal
Anti-Inflammatory Agents.
• Ramipril: may increase the risk of side
effects such as low blood pressure,
kidney function impairment, and a
condition called hyperkalemia (high
blood potassium).
• Pregablin: may cause angioedema, a
condition associated with swelling of
the face, eyes, lips, tongue, throat, and
occasionally also the hands and feet.
• Sildenafil: can add to the blood
pressure-lowering effect of telmisartan.
• Insulin or certain other diabetes
medications: may increase the risk of
hypoglycemia, or low blood sugar.