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Micardis Plus® (Telmisartan/Hydrochlorothiazide) Tablets for Hypertension
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What Micardis Plus® Is and How It Works
Micardis Plus® combines telmisartan and hydrochlorothiazide in one tablet to lower high blood pressure. Many people compare Micardis Plus 80 12.5 mg price and other strengths to manage costs without insurance. You can buy Micardis Plus online from Canadian pharmacies to access brand and generic options at value pricing. YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba; prescriptions are reviewed by licensed pharmacists before dispensing. We source through vetted, licensed partner pharmacies worldwide so you receive genuine brands, a broad selection, and affordable pricing.
Telmisartan is an angiotensin II receptor blocker (ARB). It relaxes blood vessels by blocking angiotensin II at its receptor. Hydrochlorothiazide is a thiazide diuretic that helps your body remove excess salt and water. Together, the combination lowers blood pressure more than either agent alone. Micardis Plus medication is taken by mouth once daily, with or without food. It is available as a Micardis Plus tablet in several strengths, including 40/12.5 mg, 80/12.5 mg, and 80/25 mg.
Doctors use Micardis Plus telmisartan hydrochlorothiazide for adults with hypertension when a single medicine does not control blood pressure. Lowering blood pressure helps reduce the risk of stroke, heart attack, and kidney problems. Typical dose adjustments are made every 2 to 4 weeks based on response and tolerability.
Dosage and Usage
- Take once daily at the same time each day.
- Swallow tablets whole with water; take with or without food.
- Usual starting dose: 40/12.5 mg once daily; some patients may start at 80/12.5 mg.
- Titration: reassess after 2–4 weeks; dose may increase to 80/25 mg if needed.
- Maximum approved dose: 80/25 mg once daily.
- Missed dose: take when remembered unless it is close to the next dose; skip if near the next dose. Do not double up.
- If you are volume-depleted (for example, on high-dose diuretics), your clinician may correct this before starting to reduce dizziness or low blood pressure.
- Limit alcohol, which can enhance blood pressure lowering and dizziness.
- Storage: keep at 20–25 °C (68–77 °F); excursions 15–30 °C (59–86 °F) permitted.
- Store tablets dry in the original container; protect from moisture and excessive heat.
- Keep out of reach of children and pets.
- Travel: carry in your hand luggage in the labeled container.
- Avoid leaving tablets in a hot car; do not freeze.
- If a tablet looks damaged or discolored, do not use it.
Benefits and Savings
Combining an ARB and a thiazide simplifies therapy into one daily tablet. Many patients achieve larger blood pressure reductions than with either drug alone. The 80/12.5 mg and 80/25 mg strengths fit common titration steps, while 40/12.5 mg suits moderate needs. People searching for micardis plus 80 12.5 mg uses often want improved control with a simple schedule.
Ordering from Canada can reduce your micardis plus price significantly. Shoppers often see 60–80% savings versus typical US prices, especially when they compare micardis plus cost across strengths like micardis plus 80 12.5 price, micardis plus 80 25 price, or micardis plus 40 12.5 mg price. We also list micardis plus cash price clearly so you can budget, even without insurance.
You can buy micardis plus online and choose brand or micardis plus generic telmisartan/hydrochlorothiazide when available. Multi-month supplies and occasional bulk promotions can lower your per-month cost further. For extra savings opportunities, see our micardis plus coupon page.
Side Effects and Safety
- Dizziness or lightheadedness, especially when starting or increasing dose
- Headache or fatigue
- Increased urination
- Low blood pressure, particularly in volume-depleted patients
- Electrolyte changes (low sodium, low potassium, or sometimes high potassium)
- Muscle cramps or weakness
- Photosensitivity or mild rash
- Upset stomach or diarrhea
Serious but less common risks include kidney function changes, severe hypotension, allergic reactions including angioedema, acute myopia and secondary angle-closure glaucoma (linked to thiazides), and worsening gout. Hydrochlorothiazide may increase sun sensitivity; use sun protection. Do not use during pregnancy; ARBs can harm a developing fetus, especially in the second and third trimesters. Avoid combining with aliskiren in diabetes. Tell your clinician about lithium, NSAIDs, or other blood pressure medicines, as interactions can occur. People with bilateral renal artery stenosis or severe liver disease may not be candidates.
Onset Time
You may notice increased urination within hours of the first dose due to hydrochlorothiazide. Blood pressure typically begins to fall within the first week. The full effect on blood pressure is usually seen by 2 to 4 weeks as the dose stabilizes. Risk reduction for stroke and heart attack accrues with continued control over months and years.
Compare With Alternatives
Losartan/hydrochlorothiazide is another ARB–thiazide option. If you are comparing telmisartan to losartan combinations, Hyzaar® Ds offers similar convenience with different dosing strengths and pharmacology. Some patients respond better to one ARB versus another.
Patients who do not need a diuretic may use telmisartan alone. This can be helpful if you experience diuretic-related side effects or need flexible titration. See Micardis® for single-ingredient telmisartan options.
ACE inhibitors are another class for blood pressure control. Ramipril is commonly used and can be appropriate for certain patients. Those who develop ACE inhibitor cough may switch to an ARB. You can review Altace® as an example of an ACE inhibitor alternative.
Combination Therapy
- ARB/thiazide plus calcium channel blocker (for example, amlodipine) when more reduction is needed.
- ARB/thiazide with beta-blocker for specific cardiovascular indications.
- Avoid dual renin–angiotensin system blockade (do not routinely combine ARB with an ACE inhibitor or aliskiren).
- Review potassium levels and kidney function when adding other agents that affect electrolytes or renal blood flow.
- Consider lowering diuretic dose if symptomatic hypotension or dehydration occurs during combination therapy.
Patient Suitability and Cost-Saving Tips
Micardis Plus is intended for adults with hypertension who need two medicines in one tablet. It may suit those who had partial response to an ARB or thiazide alone. It is not for use during pregnancy or breastfeeding. People with a history of angioedema, severe kidney disease, severe liver problems, or gout need careful evaluation before starting.
To manage costs, compare micardis plus 40 mg price, micardis plus 80 12.5 mg, and micardis plus 80 25 mg options and pick the strength that matches your prescribed dose. When available, consider micardis plus generic telmisartan/hydrochlorothiazide. Set simple reorder reminders in your account so you do not run out, and consider 90-day supplies if your prescription allows. These steps can help keep pricing predictable without insurance.
Authoritative Sources
Micardis HCT (telmisartan/hydrochlorothiazide) US Prescribing Information
Health Canada Drug Product Database
FDA Drugs@FDA Search for Telmisartan/Hydrochlorothiazide
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This page is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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What strengths does Micardis Plus come in?
Micardis Plus combines telmisartan and hydrochlorothiazide in once-daily tablets. Common strengths include 40/12.5 mg, 80/12.5 mg, and 80/25 mg. Your prescriber selects a starting dose based on your prior therapy and blood pressure, then may adjust every 2 to 4 weeks until control is reached and side effects are acceptable.
How soon will Micardis Plus start lowering my blood pressure?
Some effect appears within the first week, and the full blood pressure response usually develops by 2 to 4 weeks as the dose stabilizes. You may notice increased urination within hours because of hydrochlorothiazide. Keep taking it as directed unless your prescriber tells you to stop.
How much does Micardis Plus cost without insurance?
Canadian pharmacy pricing often provides 60–80% savings versus typical US retail. You can compare the Micardis Plus 80 12.5 mg price with other strengths, check the micardis plus cash price, and review generic options when available. Multi‑month supplies and occasional promotions can reduce the per‑month cost further.
Can I take Micardis Plus with other blood pressure medicines?
Yes, combination therapy is common. It may be paired with a calcium channel blocker or beta‑blocker if more reduction is needed. Avoid taking it with another ARB, ACE inhibitor, or aliskiren unless specifically directed, as dual renin–angiotensin blockade can increase risks without improving outcomes.
What side effects should I watch for with Micardis Plus?
Dizziness, lightheadedness, headache, increased urination, and mild electrolyte changes can occur. Serious issues are less common but include severe low blood pressure, kidney function changes, angioedema, and rare eye problems linked to thiazides. Use sun protection, and seek urgent care for swelling of the face, lips, tongue, or throat.
Is there a generic for Micardis Plus?
Yes, generic telmisartan/hydrochlorothiazide is available in many markets and can offer additional savings. Strengths usually mirror the brand options. If you switch between brand and generic, keep the dose the same, and continue routine monitoring as advised by your healthcare provider.
What if I miss a dose of Micardis Plus?
Take the missed dose when you remember unless it is close to your next dose. If it is almost time for the next dose, skip the missed one and resume your regular schedule. Do not double the dose. If you miss doses often, consider setting reminders in your phone or pharmacy account.