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Micardis HCT® Tablets for Hypertension
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Telmisartan HCT is a combination medicine for high blood pressure. It helps reduce cardiovascular risk by lowering blood pressure and easing fluid buildup. This page explains how it works, who it suits, and how to order with US shipping from Canada without insurance.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
What Micardis HCT Is and How It Works
Micardis HCT® combines telmisartan, an angiotensin II receptor blocker, with hydrochlorothiazide, a thiazide diuretic. Together, they help relax blood vessels and reduce excess salt and water. The result is a sustained reduction in blood pressure.
This medicine is the brand-reference for the combination. Many patients also use Telmisartan alone when a diuretic is not needed. As generic telmisartan hydrochlorothiazide tablets became available in several markets, prescribers often select the version that best fits patient needs and coverage.
The ARB component blocks angiotensin II from tightening blood vessels. The diuretic component increases urinary sodium excretion. The two mechanisms can complement each other for steady blood pressure control.
Who It’s For
This treatment is used in adults with hypertension when a single agent does not provide adequate control, or when starting with a combination is appropriate. It may be suitable for people needing both vasodilation and a mild diuretic effect.
Micardis HCT generic options exist, but your prescriber will decide which version is right for you. Do not use this therapy if you are pregnant. Avoid it with aliskiren if you have diabetes. People with severe kidney or liver problems, gout, or sulfonamide allergy should discuss risks before starting.
Dosage and Usage
Take the tablets once daily, at the same time each day. Swallow whole with water. You can take it with or without food. Many people prefer morning dosing because the diuretic can increase urination.
Do not split or crush unless directed by your prescriber. If you become dehydrated due to vomiting, diarrhea, or heavy sweating, contact your healthcare professional. Alcohol can enhance blood pressure–lowering effects; use caution.
If you also take bile acid sequestrants, your prescriber may separate administration times. Always follow the directions on your prescription label. When uncertain, defer to the official product information.
Strengths and Forms
Film‑coated oral tablets are commonly available in these strengths:
- Micardis HCT 40/12.5 mg tablets
- 80/12.5 mg tablets
- 80/25 mg tablets
Availability can vary by manufacturer and market. Your pharmacist will dispense the strength your prescriber selects.
Missed Dose and Timing
If you miss a dose, take it when remembered the same day. If it is close to your next dose, skip the missed dose. Do not double up. Try to take the medicine at a consistent time to help adherence.
Because the diuretic increases urination, late-evening dosing may cause nighttime bathroom trips. Ask your prescriber about a schedule that fits your routine.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from moisture and heat. Keep the bottle tightly closed and out of reach of children and pets. Do not store in a bathroom or a hot car.
When traveling, carry your medication in original packaging with your prescription label. Pack it in your hand luggage to avoid extreme temperatures. For international trips, bring a copy of your prescription and a medication list for security checks.
Benefits
This combination can simplify therapy by providing two mechanisms in one pill. Consistent use may help lower blood pressure and reduce fluid retention. A single daily dose can support adherence, which is important for long-term control.
Many patients appreciate predictable once-daily dosing and the ability to take it with or without food. Your prescriber may monitor electrolytes and kidney function to ensure steady benefit and safety.
Side Effects and Safety
- Dizziness or lightheadedness, especially when standing
- Increased urination
- Fatigue or weakness
- Leg cramps or muscle aches
- Dry mouth or thirst
- Skin sensitivity to sunlight
- Digestive upset
Serious effects are uncommon but can include significant blood pressure drops, kidney function changes, or electrolyte imbalances such as low sodium or altered potassium. Rarely, allergic reactions, liver problems, or eye issues related to sulfonamide sensitivity can occur. Seek urgent care for swelling of the face or throat, trouble breathing, or severe weakness.
Low blood sugar risk may increase when used with insulin or sulfonylureas due to improved blood pressure and fluid shifts; monitor as advised. Report severe dehydration, persistent vomiting, or diarrhea to your healthcare professional.
Drug Interactions and Cautions
Tell your prescriber about all medicines and supplements you use. Key interactions may involve:
- Potassium supplements or potassium-sparing diuretics, which can affect potassium levels
- NSAIDs, which may reduce kidney function or the antihypertensive effect
- Lithium, which may increase lithium levels and toxicity risk
- Other blood pressure medicines, which can add to the effect
- Aliskiren, particularly in diabetes or kidney disease
Use caution if you have kidney artery narrowing, severe liver disease, or a history of gout. Avoid use during pregnancy; discuss planning and contraception with your prescriber.
What to Expect Over Time
Blood pressure often improves steadily with regular use. Some people notice increased urination early on. Your clinician may check labs to monitor electrolytes and kidney function. Adjustments can occur if your response or tolerability changes.
Keep taking the therapy as prescribed. Pair it with lifestyle measures such as sodium reduction, regular activity, and weight management. See our article on practical strategies in Treat Hypertension for more guidance.
Compare With Alternatives
Other ARB-thiazide combinations may suit certain patients. Valsartan Hct is an option within the same class. Hyzaar pairs losartan with hydrochlorothiazide and is commonly prescribed. Choice depends on individual response, coexisting conditions, and prescriber preference.
Pricing and Access
Canadian pharmacies often offer competitive pricing for this class. You can order Micardis HCT online with a valid prescription and have it filled by our team. Many compare Micardis HCT price options to manage out-of-pocket spending. We provide transparent information so you can plan refills and discuss choices with your prescriber.
We provide fulfillment that Ships from Canada to US. See our Cardiovascular category for related options and our Hypertension page for condition-focused choices. If you’re looking for offers, check Promotions. We use encrypted checkout to protect your information.
Availability and Substitutions
If your preferred presentation is unavailable, your prescriber may recommend a therapeutically similar alternative. Pharmacy staff will contact you before any substitution. We do not promise restock dates, but we can help you and your clinician consider comparable options.
Patient Suitability and Cost-Saving Tips
This medicine may suit adults with essential hypertension who benefit from an ARB plus thiazide. It may not suit those who are pregnant, severely dehydrated, or who have certain kidney or liver conditions. People with sulfonamide allergy should discuss risks with their clinician.
To manage costs, consider a 90-day supply if approved by your prescriber and plan refills ahead of travel. Set refill reminders so you don’t run out. Review generic options, compare pharmacies, and ask about manufacturer-sourced products that meet your clinician’s requirements. Category pages like Cardiovascular and condition pages such as Hypertension can help you find suitable alternatives. You can also learn about combined therapy considerations in our Caduet Guide.
Questions to Ask Your Clinician
- Is this combination appropriate for my blood pressure goals?
- Should I take it in the morning to reduce nighttime urination?
- How often will you check electrolytes and kidney function?
- What signs of dehydration should I watch for?
- Do any of my medicines or supplements interact?
- Could I use a different ARB or dose if side effects occur?
Authoritative Sources
Health Canada Drug Product Database
Boehringer Ingelheim (Manufacturer)
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How does this combination lower blood pressure?
The ARB component helps relax blood vessels by blocking angiotensin II activity. The thiazide diuretic increases excretion of salt and water, reducing blood volume. Together, they can lower blood pressure more than either alone. Your prescriber may check kidney function and electrolytes to ensure safe use, especially during dose changes or if you have fluid loss from illness.
When is the best time to take a dose?
Many people take the tablet in the morning because the diuretic can increase urination. You can take it with or without food, but try to use it at the same time each day. If bedtime dosing causes nighttime bathroom trips, ask your clinician about a morning schedule. Always follow the directions on your prescription label.
What lab tests might my clinician monitor?
Your healthcare professional may order periodic checks of kidney function (such as creatinine) and electrolytes, including potassium and sodium. These help ensure the therapy remains safe and effective. Monitoring can be more frequent if you have kidney disease, are elderly, or take medicines that affect electrolytes or kidney function.
Can I drink alcohol while using this medicine?
Alcohol can add to the blood pressure–lowering effect and may increase dizziness or lightheadedness. If you drink, do so in moderation and rise slowly from sitting or lying positions. Discuss your typical intake with your prescriber, especially when starting or adjusting therapy.
Is sun sensitivity a concern with this treatment?
Yes, the thiazide diuretic can increase sensitivity to sunlight in some people. Consider using sunscreen, wearing protective clothing, and avoiding prolonged sun exposure, particularly when you first start. Report severe sunburn or skin reactions to your clinician for advice on next steps.
What if I become ill with vomiting or diarrhea?
Fluid loss can increase the risk of low blood pressure or kidney effects. Contact your healthcare professional if you develop significant vomiting, diarrhea, or sweating. They may advise temporary adjustments or evaluation. Keep hydrated and avoid over-the-counter NSAIDs unless your clinician says they are appropriate for you.
Can I switch from single-agent therapy to this combination?
Your prescriber may consider switching if a single agent does not adequately control blood pressure or if you need a diuretic. The choice depends on your response, side effects, and medical history. Do not change your regimen on your own; speak with your clinician to determine the safest approach for you.

