Twynsta

unable to take ACE inhibitors, prophylaxis of cardiovascular event, Congestive Heart Failure + 5 more
Treatment
6 FDA approvals
20 Active Studies for Twynsta

What is Twynsta

TelmisartanThe Generic name of this drug
Treatment SummaryTelmisartan is a medication used to treat high blood pressure. It works by blocking the action of angiotensin II, a hormone that narrows your blood vessels and increases your blood pressure. Recent research suggests that telmisartan may also have additional benefits related to metabolism.
Micardis HCTis the brand name
image of different drug pills on a surface
Twynsta Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Micardis HCT
Telmisartan
2000
182

Approved as Treatment by the FDA

Telmisartan, also known as Micardis HCT, is approved by the FDA for 6 uses including Hypertension and unable to take ACE inhibitors .
Hypertension
Used to treat blood pressure inadequately controlled with monotherapy in combination with Amlodipine
unable to take ACE inhibitors
prophylaxis of cardiovascular event
Cardiovascular Events
Hypertensive disease
Helps manage High Blood Pressure (Hypertension)
no initial therapy
Used to treat no initial therapy in combination with Amlodipine

Effectiveness

How Twynsta Affects PatientsTelmisartan is a medication that works to block the effects of a hormone called angiotensin II. This hormone causes blood vessels to narrow and increases the production of aldosterone, a hormone which can affect the kidneys. Telmisartan blocks the hormone, allowing blood vessels to stay open and helping to regulate kidney function. Recent studies suggest that this drug may also have properties which are beneficial to metabolism and inflammation. This is currently being studied in clinical trials.
How Twynsta works in the bodyTelmisartan interferes with the binding of angiotensin II to the angiotensin II AT1-receptor. This reduces the constricting effects of angiotensin II on the blood vessels, and lowers systemic vascular resistance. Telmisartan also may act as a partial agonist of PPAR gamma, which is a target for antidiabetic drugs. This may help improve carbohydrate and lipid metabolism, and control insulin resistance without causing side effects.

When to interrupt dosage

The recommended dosage of Twynsta is subject to the diagnosed state, such as an inability to take ACE inhibitors, Hypertensive disease and Diabetic Nephropathy. Dosage relies on the administration approach (e.g. Tablet - Oral or Tablet, multilayer) detailed in the table below.
Condition
Dosage
Administration
unable to take ACE inhibitors
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
prophylaxis of cardiovascular event
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
Congestive Heart Failure
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
Hypertensive disease
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
Diabetic Nephropathies
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
Cardiovascular Events
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
no initial therapy
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral
Hypertension
, 40.0 mg, 80.0 mg, 20.0 mg
, Oral, Tablet, Tablet - Oral, Tablet, multilayer, Tablet, multilayer - Oral

Warnings

Twynsta Contraindications
Condition
Risk Level
Notes
Type 2 Diabetes
Do Not Combine
There are 20 known major drug interactions with Twynsta.
Common Twynsta Drug Interactions
Drug Name
Risk Level
Description
Acenocoumarol
Major
The metabolism of Acenocoumarol can be decreased when combined with Telmisartan.
Amifostine
Major
Telmisartan may increase the hypotensive activities of Amifostine.
Axitinib
Major
The metabolism of Axitinib can be decreased when combined with Telmisartan.
Clomipramine
Major
The metabolism of Clomipramine can be decreased when combined with Telmisartan.
Cyclophosphamide
Major
The metabolism of Cyclophosphamide can be decreased when combined with Telmisartan.
Twynsta Toxicity & Overdose RiskThe lowest toxic dose of telmisartan in rats is between 150-200mg/kg for males and 200-250mg/kg for females. Taking a large amount of telmisartan orally is not likely to cause any deaths or major changes in rats or dogs, as the highest dose tested was 2000mg/kg. People who overdose on telmisartan may experience low blood pressure, dizziness, and rapid heart rate; they could also have a slow heart rate due to stimulation of the vagus nerve.

Twynsta Novel Uses: Which Conditions Have a Clinical Trial Featuring Twynsta?

328 active clinical trials are in progress to assess the potential of Twynsta to provide blood pressure control in patients who have unsuccessfully been treated with monotherapy, cannot take ACE inhibitors, or have no initial therapy.
Condition
Clinical Trials
Trial Phases
no initial therapy
0 Actively Recruiting
Congestive Heart Failure
184 Actively Recruiting
Not Applicable, Phase 1, Phase 2, Phase 4, Phase 3, Early Phase 1
unable to take ACE inhibitors
0 Actively Recruiting
Cardiovascular Events
4 Actively Recruiting
Not Applicable
Hypertension
0 Actively Recruiting
prophylaxis of cardiovascular event
0 Actively Recruiting
Diabetic Nephropathies
0 Actively Recruiting
Hypertensive disease
27 Actively Recruiting
Not Applicable, Phase 1, Phase 2, Phase 3

Twynsta Reviews: What are patients saying about Twynsta?

5Patient Review
11/26/2011
Twynsta for High Blood Pressure
I've been on this medication for a little under four months now and my blood pressure has stayed within a great range. Unfortunately, in the last few weeks my feet have begun to swell and when they're swollen it's really painful to walk. I have an appointment set up tomorrow so that I can get this checked out.
5Patient Review
9/20/2013
Twynsta for High Blood Pressure
I've only been taking this for the past two weeks, but it's already made a big difference. My previous medication didn't help me much, but this one has really worked well. I'm hopeful that it will continue to be effective.
5Patient Review
3/4/2013
Twynsta for High Blood Pressure
I started taking Twynsta 40-10 a few years ago, but had to switch to the 40-5 dosage due to extreme ankle swelling. Thankfully, that's all cleared up now and my blood pressure is back to normal. I haven't experienced any other side effects from this medication.
5Patient Review
2/4/2013
Twynsta for High Blood Pressure
This is the only blood pressure medication that has been able to keep my pressure low in over 40 years. I'm really pleased with this drug!
5Patient Review
4/21/2019
Twynsta for High Blood Pressure
I've only been on this medication for the past five days, and I have already seen a significant drop in my blood pressure. It was 140/110 when I started, and after just five days it is now 127/79.
5Patient Review
3/2/2016
Twynsta for High Blood Pressure
This medicine was really effective in getting my blood pressure under control. It never went above 130/90, which is a huge improvement from where it was before.
5Patient Review
9/2/2022
Twynsta for High Blood Pressure
This medication has been very effective for me with few to no side effects that I am aware of.
5Patient Review
4/3/2010
Twynsta for High Blood Pressure
5Patient Review
10/1/2010
Twynsta for High Blood Pressure
5Patient Review
12/8/2010
Twynsta for High Blood Pressure
I personally haven't experienced any negative side effects, like dizziness or blurred vision.
5Patient Review
3/30/2012
Twynsta for High Blood Pressure
The medicine is great, but recently switched medical plans and the cost for a months supply is now quite expensive.
5Patient Review
10/11/2013
Twynsta for High Blood Pressure
This drug, in combination with others, has been very successful in treating my blood pressure.
4.7Patient Review
6/8/2011
Twynsta for High Blood Pressure
I'm very pleased with the results of this treatment.
4.7Patient Review
6/12/2012
Twynsta for High Blood Pressure
This medication is highly effective, but unfortunately the cost has become prohibitive since I changed insurance plans.
4Patient Review
8/20/2011
Twynsta for High Blood Pressure
I began using this medication two months ago to help control my blood pressure. At the time, several other medications had failed. Now, I'm seeing much better results and my blood pressure is more regulated.
4Patient Review
9/26/2022
Twynsta for High Blood Pressure
I had an unfortunate reaction of hives on my lower legs after taking the recommended dosage. However, cutting the tablets in half alleviated this issue entirely. I only have a problem now if I'm in a very dry climate or low humidity, but otherwise I've been having great results with blood pressure readings.
3.7Patient Review
1/12/2015
Twynsta for High Blood Pressure
1. Chest pain 2. Feeling light-headed and dizzy intermittently 3. Tingling of hands and right toe 4. Creeping feeling on top of head and headache located on top of head and temples (does not last long). Rare 5. Slight tremors 6. Stomach Pain (different places) 7. Early morning leg cramps (twice during the past month) 8. Aching and tender muscles (not caused by exercise) 9. Back pain
2Patient Review
4/19/2014
Twynsta for High Blood Pressure
I have found this drug to be incredibly ineffective, and the side effects are becoming more and more severe. I would rather take my chances with high blood pressure at this point than continue down this road.
1Patient Review
1/4/2014
Twynsta for High Blood Pressure
I was taking Twynsta for months and during that time I experienced severe cramping in both of my legs. The pain was unbearable, so I consulted a specialist who changed my medication to something else. Thankfully, the cramping stopped after that.
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Patient Q&A Section about twynsta

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is Twynsta good for kidneys?

"Twynsta can very rarely cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. If you experience any unexplained muscle pain, tenderness, or weakness, call your doctor right away, especially if you also have a fever, unusual fatigue, or dark-colored urine."

Answered by AI

What are side effects of Twynsta?

"If you experience any of the following side effects, call your doctor immediately: swelling of the hands, ankles, or feet; flushing (warmth, redness, or tingly feeling); drowsiness; tired feeling; back pain; nausea; diarrhea; or vomiting."

Answered by AI

What is the best time to take Twynsta?

"You can take Twynsta in the morning or evening. It works best if you take it at the same time every day."

Answered by AI

What is Twynsta tablet used for?

"This product is designed to treat high blood pressure, which can help to prevent strokes, heart attacks, and kidney problems. The product contains two medications - telmisartan, an angiotensin receptor blocker, and amlodipine, a calcium channel blocker."

Answered by AI

Clinical Trials for Twynsta

Image of U Health in Miami, United States.

Cuffless PPG Monitor for High Blood Pressure

18+
All Sexes
Miami, FL
This study aims to validate the accuracy and reliability of blood pressure (BP) estimates obtained over 24 hours using a PPG-based chest-patch device compared to the gold standard ambulatory blood pressure monitoring (ABPM) method using an upper arm cuff-based oscillometric BP device, in both hypertensive and normotensive individuals referred by their provider to undergo a 24-hours ABPM for clinical indication. The Awake/Asleep test, which is the primary test recommended for automated wearable cuffless BP devices that are cuff-calibrated (based on the 2023 European Society of Hypertension (ESH) recommendations for the validation of cuffless blood pressure measuring devices), will be conducted in this study. The secondary aim of the study is to assess the feasibility and convenience of the PPG-based device.
Waitlist Available
Has No Placebo
U Health (+1 Sites)Ziad Zoghby, M.D., M.B.A.Biobeat Technologies Ltd.
Have you considered Twynsta clinical trials? We made a collection of clinical trials featuring Twynsta, we think they might fit your search criteria.Go to Trials
Image of Los Angeles General Medical Center in Los Angeles, United States.

Supportive Management for Heart Failure and Methamphetamine Addiction

18+
All Sexes
Los Angeles, CA
Heart failure (HF) affects over 6 million people in the US and is a major cause of both hospital admissions and death. HF has many causes and contributing factors. One of the most aggressive forms of HF is associated with methamphetamine abuse, which has become its own epidemic in the US over the past twenty years. People who use methamphetamine tend to develop HF at a much younger age, with more severe disease and more serious consequences. A recent analysis using nationwide data, methamphetamine use doubled the risk of death or hospitalizations compared to non-users in patients with HF. Thus, methamphetamine users with HF represent a very high-risk group of patients from a healthcare perspective. HF may be reversible in some patients who use methamphetamine if patients can achieve 1) abstain from further methamphetamine use and 2) consistently take all the medications that can improve HF. These two goals are very difficult to achieve in practice, as the care of both methamphetamine addiction and HF requires specialized medical expertise and intensive regular follow up of patients. In general, achievement of one goal is not possible without the other. Patients who use methamphetamine have poor adherence to medical follow-up and therapies, and abstinence from methamphetamine is difficult to maintain. This is further complicated because the current model of HF care does not incorporate treatment for methamphetamine use. The current study proposes to launch a multidisciplinary clinic that treats both HF and methamphetamine use disorder at the same time. The HF care will be led by a cardiologist while the methamphetamine use treatment will be led by a psychiatric clinical pharmacist trained in addiction medicine. State-of-the-art HF care will include optimization of four pillar HF medications. Methamphetamine use treatment will include counseling and incentivized abstinence known as contingency management (CM). The investigators will manage the patients in the clinic for 6 months total. The investigators are interested in demonstrating that this integrated clinic model will result in improved delivery of care for these patients by reporting the rates of successful abstinence from methamphetamine, improved optimization of the four HF medications, and enhanced patient reported quality of life over the 6 months of follow up. The investigators will also collect data on the costs associated with providing this level of care and estimate a range of potential cost-savings.
Waitlist Available
Has No Placebo
Los Angeles General Medical Center (+1 Sites)Tien Ng, PharmD
Have you considered Twynsta clinical trials? We made a collection of clinical trials featuring Twynsta, we think they might fit your search criteria.Go to Trials
Image of Cleveland Clinic Avon Hospital in Avon, United States.

Wake and Weigh for Heart Failure

18+
All Sexes
Avon, OH
Ongoing self-care for heart failure is essential to avoid complications and hospitalization. Supportive strategies are needed; however, patients with heart failure may find many interventions complicated and overwhelming. The purpose of this pilot study is to implement a simple weight tracking tool (Wake and Weigh) to affect self-care and quality of life in a population of older adults with heart failure. This will be a randomized controlled pilot trial to test the methods to be used in a larger randomized controlled trial. The Self-care in Heart Failure Index and Kansas City Cardiomyopathy Questionnaire surveys will be given at admission and four weeks after discharge. The Wake and Weigh tool is designed to help patients track weight in the hospital and following discharge. Feasibility endpoints will be summarized descriptively.
Recruiting
Has No Placebo
Cleveland Clinic Avon Hospital
Image of Baystate Medical Center in Springfield, United States.

Consent Approaches for Heart Disease Rehabilitation

18+
All Sexes
Springfield, MA
Cardiac Rehabilitation is a lifestyle and exercise program for patients with heart disease. Cardiac Rehabilitation is strongly recommended in guidelines, but only 30% of eligible patients attend. New strategies are needed to help more patients attend cardiac rehabilitation. In this study, the investigators will see if using an $50 incentive, case management, text messages, and physical activity coaching combined into a single intervention will help more patients attend cardiac rehabilitation. In preparation for a larger trial, patients will also be randomly assigned to four different ways of seeking their permission to be in a research study. The investigators will see if these approaches affect how many people participate in the research project. The two main goals of this study is to understand: 1. If the consent approach type impacts participation rates in the research study 2. If the multi-component intervention (case management, financial incentives, text messages, and physical activity coaching) improves cardiac rehabilitation participation within 3 months.
Waitlist Available
Has No Placebo
Baystate Medical CenterQuinn R Pack, MD, MSc
Have you considered Twynsta clinical trials? We made a collection of clinical trials featuring Twynsta, we think they might fit your search criteria.Go to Trials
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