Europe — EMA
Mixor (Telmisartan, Amlodipine Besilate)
GNH USA supplies Mixor (Telmisartan/Amlodipine), a combined angiotensin II receptor blocker and calcium channel blocker for hypertension.
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What is Telmisartan, Amlodipine Besilate?
Telmisartan and Amlodipine Besilate, the active ingredients in Mixor, are an angiotensin II receptor blocker and a calcium channel blocker presented as oral tablets for oral use. It treats hypertension in adult patients. GNH USA supplies Mixor as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Telmisartan, Amlodipine Besilate used for?
Mixor combines telmisartan and amlodipine to treat hypertension, a condition characterized by elevated arterial pressure.
Hypertension: lowers systolic and diastolic blood pressure in adults with primary hypertension. Essential hypertension: provides additive blood‑pressure reduction when monotherapy is insufficient. High blood pressure: improves overall cardiovascular risk by maintaining target blood‑pressure levels.
What are the side effects of Telmisartan, Amlodipine Besilate?
Common Side Effects: - Dizziness or light‑headedness - Headache - Peripheral edema, especially of the ankles - Flushing or warmth sensation - Fatigue or tiredness - Nausea or abdominal discomfort
Serious or Rare Side Effects: - Angioedema involving face, lips, tongue, or airway - Severe hypotension leading to syncope - Hepatic enzyme elevations or liver injury - Myocardial infarction or unstable angina - Cardiac conduction abnormalities (e.g., heart block) - Severe skin reactions such as Stevens‑Johnson syndrome
What precautions apply to Telmisartan, Amlodipine Besilate?
Before initiating Mixor, clinicians should consider several safety aspects.
Monitor blood pressure: check regularly to avoid excessive lowering. Assess renal function: evaluate creatinine and eGFR prior to use. Avoid in severe hepatic impairment: contraindicated due to altered metabolism. Caution with potassium‑sparing diuretics: increased risk of hyperkalaemia. Pregnancy: not recommended unless benefits outweigh potential risks. Store at ambient temperature: keep in the original container, protect from moisture and light.
What does Telmisartan, Amlodipine Besilate interact with?
Mixor may interact with several medicines that affect blood pressure or drug metabolism.
Major Interactions (Avoid): - Potassium‑sparing diuretics (e.g., spironolactone): risk of hyperkalaemia. - ACE inhibitors or other ARBs: additive effect on potassium and renal function. - Strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin): increase amlodipine exposure.
Moderate Interactions (Monitor Closely): - Lithium: may raise lithium concentrations. - Simvastatin high dose (≥40 mg): increased risk of myopathy when combined with amlodipine.



