Micardis Plus® (telmisartan/hydrochlorothiazide) tablets for hypertension

What Micardis Plus® Is and How It Works

Micardis Plus® is a prescription tablet for high blood pressure. It combines telmisartan (an angiotensin II receptor blocker) and hydrochlorothiazide (a thiazide diuretic). It lowers blood pressure by relaxing blood vessels and removing extra salt and water. Most people take it once daily. Common strengths include 40/12.5 mg, 80/12.5 mg, and 80/25 mg. Many shoppers compare micardis plus price across sizes and packs, including 28-tablet formats.

YouDrugstore is a licensed Canadian pharmacy based in Manitoba. Our pharmacists review prescriptions before dispensing and can address medication questions. We offer brand and generic medicines at Canadian prices, with friendly customer-service chat during posted office hours.

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Dosage and Usage

Your prescriber sets your starting dose, often 40/12.5 mg once daily. Some patients need 80/12.5 mg or 80/25 mg for blood pressure targets. Take Micardis Plus® at the same time each day, with or without food. Swallow the tablet whole with water. Do not crush or chew. Your provider may adjust the dose after 2 to 4 weeks.

• If you miss a dose, take it when remembered the same day.
• Skip the missed dose if it is almost time for the next dose.
• Do not take two doses at once.

Limit alcohol, which can increase dizziness or fainting. Stand up slowly to reduce lightheadedness. Avoid potassium supplements or salt substitutes unless your provider approves them. Tell your care team about all medicines, including NSAIDs, lithium, and other blood pressure drugs.

• Storage: store tablets at room temperature (15–30°C), away from moisture and light.
• Keep in the original blister or bottle until use.
• Travel: carry a copy of your prescription and keep tablets in your hand luggage.
• Do not leave medicine in a hot car or near windows.

Benefits and Savings

Micardis Plus® often reduces blood pressure more than telmisartan alone. The combination targets two pathways. Telmisartan relaxes vessels, and hydrochlorothiazide lowers fluid volume. Once-daily dosing helps adherence. Many patients need fewer clinic visits after control improves.

Ordering through YouDrugstore can lower costs by 60–80% versus typical US prices. Multi-month supplies may reduce your per-month spend. Reorder reminders can help you stay on track and avoid gaps in therapy.

Side Effects and Safety

Many people tolerate Micardis Plus® well. Side effects can occur, especially when starting or after a dose change.

• Common: dizziness, headache, fatigue, back pain, cough, runny nose, stomach upset.
• Blood pressure related: lightheadedness or fainting, especially after standing.
• Electrolytes: low sodium, low potassium (from hydrochlorothiazide), or high potassium (rare with ARBs).
• Urinary: increased urination, especially early in treatment.
• Sun sensitivity: hydrochlorothiazide may increase sunburn risk.
• Metabolic: slight increases in blood sugar or uric acid.
• Serious (seek urgent care): swelling of face, lips, or throat; sudden eye pain or vision changes; severe dehydration; very low urine output; irregular heartbeat; severe rash.

Do not use during pregnancy. ARBs can harm an unborn baby. Avoid if you have a history of angioedema to ARBs. Use caution with severe kidney or liver disease, gout, or lupus. Avoid aliskiren with ARBs if you have diabetes. Ask your provider about lab monitoring for electrolytes and kidney function.

Onset Time

Blood pressure starts to drop within hours of the first dose. The full effect usually appears within 2 to 4 weeks as your body adapts. Your provider may check readings and adjust the dose after this period.

Compare With Alternatives

Some patients do well on telmisartan alone. If you do not need a diuretic, your prescriber may choose Micardis®. Micardis Plus® adds hydrochlorothiazide, which often improves control in resistant or stage 2 hypertension.

Another ARB/diuretic option is losartan/hydrochlorothiazide. Branded combinations include Hyzaar® Ds. Patients who cannot take ARBs may use an ACE inhibitor like ramipril, sometimes with a diuretic. Your prescriber will weigh cough risk, kidney function, electrolytes, and drug interactions when choosing.

The difference between Micardis® and Micardis Plus® is the added hydrochlorothiazide. This may lower blood pressure further but can increase urination and electrolyte shifts. Discuss home readings and side effects at follow-up visits to guide selection.

Combination Therapy

Many patients need more than one drug class to reach targets. Micardis Plus® can be combined with a calcium channel blocker (such as amlodipine) or a beta blocker if your prescriber recommends it. Avoid duplicate RAAS blockade, such as combining an ARB with an ACE inhibitor or aliskiren.

Lifestyle changes work together with medicine. Reduce sodium intake, keep a healthy weight, and stay active. Check your blood pressure at home if advised. Bring your readings to appointments to support dose decisions.

Patient Suitability and Cost-Saving Tips

Micardis Plus® suits adults with hypertension who need both an ARB and a diuretic. It may be preferred if cough occurred on an ACE inhibitor. It is not suitable in pregnancy or in certain liver or kidney conditions. People with gout or a sulfa allergy should review risks with their prescriber.

Compare strengths before ordering to balance dose needs and cost. Many patients use 40/12.5 mg first, then move to 80/12.5 mg or 80/25 mg if needed. You can review High Blood Pressure resources and kidney-related guidance in Kidney Disease if your provider monitors renal function.

We offer reminders for reorders so you do not run out. Multi-month supplies can lower the per-month cost compared with single packs. For current deals and bulk options, view our micardis plus coupon page.

Authoritative Sources

Review the manufacturer information for Micardis Plus® on the Boehringer Ingelheim product page. You can also read the Health Canada Product Monograph for telmisartan/hydrochlorothiazide and the FDA Prescribing Information for detailed safety data.

You can order Micardis Plus® from YouDrugstore, a licensed Canadian pharmacy. Our team supports you from checkout to delivery, and prescriptions are checked by licensed pharmacists. We provide prompt, express shipping, with cold-chain shipping for temperature-sensitive medicines.

This information supports, but does not replace, your prescriber’s advice. Always follow your provider’s instructions and local regulations. Read the patient leaflet in the package before starting and with each refill.