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, the active ingredient in Mixor, is a angiotensin II receptor blocker and calcium channel blocker presented as a tablet 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 an angiotensin II receptor blocker with a calcium channel blocker to lower elevated blood pressure. - Essential hypertension: provides additive blood pressure reduction. - Stage 1 hypertension: helps achieve target systolic and diastolic values. - Stage 2 hypertension: offers enhanced control when monotherapy is insufficient.
What are the side effects of Telmisartan, Amlodipine Besilate?
Mixor may cause a range of adverse reactions, most of which are mild and reversible.
Common Side Effects: - Dizziness: transient light‑headedness, especially after the first dose. - Headache: mild to moderate intensity. - Peripheral edema: swelling of ankles or feet. - Flushing: warm sensation and reddening of skin. - Fatigue: general tiredness. - Nausea: mild stomach upset.
Serious or Rare Side Effects: - Angioedema: swelling of face, lips, tongue, or airway requiring immediate medical attention. - Severe hypotension: marked drop in blood pressure leading to fainting or shock. - Hepatic injury: abnormal liver function tests. - Myocardial infarction: rare occurrence of heart attack.
What precautions apply to Telmisartan, Amlodipine Besilate?
Before initiating Mixor, clinicians should evaluate patient‑specific factors and monitor for potential risks. - Monitor blood pressure: adjust therapy based on response. - Assess renal function: check creatinine and electrolytes periodically. - Caution in hepatic impairment: use only if benefits outweigh risks. - Elderly patients: start at lower dose and monitor for hypotension. - Avoid strong CYP3A4 inhibitors: may increase amlodipine levels. - Store at ambient temperature: keep in the original pack, protect from moisture.
What does Telmisartan, Amlodipine Besilate interact with?
Mixor can interact with several drug classes; awareness of the interaction level guides clinical decisions.
Major Interactions (Avoid): - ACE inhibitors or aliskiren in diabetic patients: risk of hyperkalemia and renal dysfunction. - Potassium‑sparing diuretics: may cause dangerous hyperkalemia. - Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): increase amlodipine exposure.
Moderate Interactions (Monitor Closely): - NSAIDs: may blunt antihypertensive effect. - Simvastatin: increased risk of statin‑related myopathy. - Digoxin: may require serum level monitoring.



