ARB + thiazide diuretic
Telmisartan with hydrochlorothiazide
Brand names: MicardisPlus
Adult dose
Dose: 40/12.5mg or 80/12.5mg or 80/25mg PO OD
Route: PO
Frequency: OD
Clinical pearls
- Hypertension when monotherapy inadequate
- Monitor electrolytes
Contraindications
- Pregnancy
- Severe renal/hepatic impairment
- Refractory hypokalaemia
- Symptomatic hyperuricaemia
Side effects
- Hypokalaemia
- Hyponatraemia
- Hyperuricaemia
- Glucose intolerance
- Hypotension
Interactions
- NSAIDs
- Lithium
- Other antihypertensives
Monitoring
- U&E
- BP
- Glucose
Reference: BNF; NICE NG136; https://bnf.nice.org.uk/drugs/telmisartan-with-hydrochlorothiazide/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines