Micardis HCT (Telmisartan/Hctz)

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Micardis HCT Brand
Dosage Quantity & Price
Telmisartan/Hctz (Generic alternate to Micardis HCT) Generic
Dosage Quantity & Price
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Table of contents:

Micardis HCT is a prescription medication used to treat hypertension (high blood pressure). It can help to lower blood pressure and reduce the risk of stroke, heart attack, and kidney problems. Micardis HCT is a combination medication made up of two drugs called telmisartan and hydrochlorothiazide.

Telmisartan belongs to a group of drugs called angiotensin receptor blockers (ARBs), which work by relaxing blood vessels to help blood flow more easily. Hydrochlorothiazide is a diuretic (water pill) that increases the excretion of salt and water from the body, leading to decreased blood volume and lowered blood pressure. Together, these two drugs help to lower blood pressure and reduce the risk of heart attack or stroke in patients with hypertension.

Use and Dosage

Micardis HCT is available in tablet form to be taken orally, with or without food, as prescribed by your doctor, usually once daily. Ensure to avoid taking the tablet within four hours of your bedtime to minimize the need to wake up to urinate. If you have any questions about your dosing schedule, do not hesitate to consult your doctor or pharmacist.

The dosage of Micardis HCT is based on how you respond to treatment and the state of your medical condition. However, the usual dosage may be initiated with 40 mg/12.5 mg, 80 mg/12.5 mg once daily, and it can be titrated up to 160 mg/25 mg after 2 to 4 weeks, if necessary. Dosage adjustment is recommended for patients with biliary obstructive disorders or hepatic insufficiency.

Take the tablet at the same time each day to ensure consistent absorption. Do not stop taking the medication even if you feel fine because most people with high blood pressure do not experience any symptoms. It may take up to four weeks before experiencing the full benefits of the drug.

If you are also taking bile acid-binding resins such as cholestyramine or colestipol for lowering your cholesterol, take the tablet at least four hours before or four to six hours after taking these medications. In case your condition remains the same or worse, such as constantly high or increasing blood pressure readings, immediately inform your doctor.

Side Effects

Common Side Effects of Micardis HCT (Telmisertan/Hctz):

  • Back pain
  • Cold or flu symptoms
  • Diarrhea
  • Dizziness
  • Feeling tired
  • Nausea

Serious Side Effects of Micardis HCT (Telmisertan/Hctz):

  • Confusion
  • Dark colored urine
  • Difficulty breathing
  • Drowsiness
  • Dry mouth
  • Easy bruising
  • Eye pain
  • Fast heartbeats
  • Feeling restless
  • Fever
  • Hives
  • Increased thirst
  • Lack of energy
  • Lightheadedness
  • Little or no urine
  • Muscle pain
  • Seizure
  • Swelling in your hands or feet
  • Swelling of your face lips tongue or throat
  • Tenderness
  • Unusual bleeding
  • Unusual tiredness
  • Unusual weight gain
  • Vision problems
  • Vomiting
  • Weakness
  • Yellowing of the skin or eyes (jaundice)

Forms and Strength

Micardis HCT (Telmisertan/Hctz) is available in the following forms and strength:

Micardis HCT: Tablet

  • 40/12.5mg
  • 80/25mg
  • 80/12.5mg

Telmisertan/Hctz: Tablet

  • 40/12.5mg
  • 80/25mg
  • 80/12.5mg


  • Not for use during pregnancy due to the risk of fetal toxicity. Micardis HCT should be discontinued as soon as possible when pregnancy is detected.
  • People who have an allergy to telmisartan, hydrochlorothiazide, or any other components in the medication should not take Micardis HCT.
  • Micardis HCT should be used with caution in patients with renal impairment or hepatic impairment and those with hypovolemia (low blood volume) or hyponatremia (low blood sodium levels).
  • People with high potassium levels in their blood should also use Micardis HCT with caution, as this medication may increase the levels of potassium in the blood.
  • There may be drug interactions with other medications, inform your healthcare provider of all medications you are taking. Talk to your healthcare provider and follow their instructions when taking Micardis HCT or any other medication.
  • Micardis HCT may cause drowsiness, dizziness, or lightheadedness. Avoid driving or operating heavy machinery until you know how this medication affects you.
  • If you experience symptoms such as swelling of the face, lips, tongue, or throat, difficulty breathing, or hives, seek medical attention immediately, as these may be signs of a severe allergic reaction.
  • Micardis HCT may cause an electrolyte imbalance, which can lead to symptoms such as muscle weakness, irregular heartbeat, and decreased urination. Monitor your electrolyte levels regularly while taking this medication.
  • Telmisartan, one of the components of Micardis HCT, has been associated with an increased risk of non-melanoma skin cancer. Patients taking this medication should protect themselves from sunlight and report any skin changes to their healthcare provider.

Frequently Asked Questions (FAQ)

Can I stop taking Micardis HCT if my blood pressure improves?

No, you should not stop taking Micardis HCT without consulting your healthcare provider. Continue taking the medication as directed, even if your blood pressure improves.

Can Micardis HCT be taken with other medications?

There may be drug interactions with other medications, inform your healthcare provider of all medications you are taking, including over-the-counter medications, supplements, and herbal remedies.

How long does it take for Micardis HCT to start working?

Micardis HCT may take several weeks to start working to reduce blood pressure. Continue taking the medication as directed and to follow up with your healthcare provider regularly to monitor your blood pressure.

Is Micardis HCT safe during pregnancy?

No, Micardis HCT should not be used during pregnancy due to the risk of fetal toxicity. It should be discontinued as soon as possible when pregnancy is detected.


It's important to purchase Micardis HCT from verified Canadian pharmacy.

Additional information

Generic name:





40/12.5mg, 80/12.5mg, 80/25mg

Quantities Available:

28, 84, 90, 100