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If you have liver or kidney disease, it must be used with caution. It works by blocking the effects of a hormone called angiotensin II. You can take Telma with or without food. The problem is more likely to occur if your body`s supply of water has been depleted by diuretics (water pills). If any develop or change in intensity, inform your physician as soon as possible.More common side effects may include: Back pain, diarrhea, respiratory tract infection, sinus inflammation.Rare side effects may include: Abnormal vision, allergy, anxiety, arthritis, asthma, boils, bronchitis (wheezing), constipation, depression, diabetes, difficulty breathing, drowsiness, dry mouth, earache, ear infection, eczema, fever, flushing, fungal infection, gas, gastrointestinal disorders, gout, hemorrhoids, impaired sensibility, impotence, increased urination, infection, insomnia, itching, joint pain, leg cramps, leg pain, migraine, muscle contractions, nervousness, nosebleed, pinkeye (conjunctivitis), rapid heartbeat, rash, reduced sensitivity, ringing in the ear, runny nose, stomach and intestinal problems, sweating, swollen leg, tingling or burning sensation, toothache, urinary tract infection, vomiting. It does not cure high blood pressure, it merely keeps it under control.The usual starting dose is 40 mg once a day. Do not take 2 doses at once. Only your physician can determine if it is safe for you to continue taking Telma. If necessary, the dose can be increased to a maximum of 80 mg daily. Be sure your physician is aware of either problem. Unopposed, this substance tends to constrict the blood vessels while promoting retention of salt and water - actions that tend to raise blood pressure. To avoid forgetting a dose, make a habit of taking it at the same time each day. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule.Telma can cause a severe drop in blood pressure, especially when you first start taking the drug.Side effects cannot be anticipated. Less common side effects may include: Abdominal pain, chest pain, cough, dizziness, fatigue, flu-like symptoms, headache, high blood pressure, indigestion, muscle aches, nausea, pain, sore throat, swelling, urinary tract infection. It prevents these effects and thus keeps blood pressure lower. Telma (Telmisartan) controls high blood pressure.Telma should reduce your blood pressure within a couple of weeks, although it may take a month to achieve its maximum effect. Take it as soon as you remember. You need to continue taking this drug regularly, even if you feel well. Symptoms include light-headedness, dizziness, and faintness. It can be prescribed alone or with other high blood pressure medications, such as diuretics that help rid the body of excess water. Call your physician if they occur. You may need to have your dose adjusted. NV, New York, Texas, Arkansas, Las Vegas, KY, NY, Portland, Indianapolis, California, OK, NH, Indiana, San Antonio, San Diego, Colorado Springs. Arizona, Alaska, Connecticut, WV, TN, NM, AL, UT, OH, Virginia Beach, Minneapolis, MS, Minnesota, Montana, LA, Hempstead, Michigan, Phoenix, Milwaukee, Pennsylvania, VA, Seattle, Jacksonville, Pennsylvania, WI, Nebraska, CT, CO, Delaware, Austin, Ohio, Idaho, HI, Rhode Island, District of Columbia, Maine, MA, MI, TX, MD, Georgia, PA, IL, Cleveland, South Dakota, Tennessee, Wisconsin, Virginia, Oregon, Long Beach, DE, MT, Brookhaven, Louisiana, Memphis, El Paso, NY, ME, WYID, Colorado, Washington, AK, Nevada, Oregon, Missouri, Oklahoma City, California, Arizona, Los Angeles, North Carolina, Maryland, Charlotte, Alabama, San Francisco, Columbus, Illinois, Ohio, WA, San Jose, SC, Detroit, Baltimore, Florida, IN, Massachusetts, Maryland, Texas, New Jersey, Albuquerque, Miami, Houston, Mississippi, Nevada, Oklahoma, Missouri, CA, Oklahoma, Tennessee, Atlanta, New Hampshire, West Virginia, Wisconsin, Washington, North Carolina, ND, IA, NE, GA, New York, Hawaii, FL, Minnesota, Utah, Kentucky, Sacramento, South Carolina, Denver, Fresno, Kansas City, Massachusetts, Tulsa, MO, Honolulu, New Mexico, Louisiana, Virginia, Nebraska, Dallas, MN, Kansas, Michigan, AZ, North Dakota, Oakland, Vermont, Fort Worth, Indiana, Colorado, NJ, Chicago, DC, Omaha, NC, Florida, Iowa, Mesa, OR, Georgia, Washington, Illinois, Tucson, KS, Boston, SD, New Mexico, New Orleans, RI, District of Columbia, Hawaii, Wyoming, VT, AR, Nashville-Davidson, Philadelphia,