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Molecule

Telmisartan

Angiotensin 2 Receptor Blocker
Available on requestCardiology
Presentations
3
Brands
0
Manufacturers
0
Available from stock
0

Telmisartan is an angiotensin 2 receptor blocker indicated for treatment of hypertension to lower blood pressure. It is available as tablets for oral use. MedsAcross supplies Telmisartan for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Angiotensin 2 Receptor Blocker, Angiotensin 2 Receptor Antagonists
ATC classification
C09CA07 Telmisartan · ACE inhibitors, sartans and other renin-angiotensin medicines, subgroup C09C, subgroup C09CA
US FDA first approval
10 November 1998
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII U5SYW473RQRxCUI 73494CAS 144701-48-4DrugBank DB00966Q733186

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Telmisartanis an angiotensin II receptor blocker (ARB) indicated for: Treatment of hypertension to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions

Source: US FDA prescribing information

How it works

Angiotensin II is formed from angiotensin I in a reaction catalyzed by angiotensin-converting enzyme (ACE, kininase II). Angiotensin II is the principal pressor agent of the renin-angiotensin system, with effects that include vasoconstriction, stimulation of synthesis and release of aldosterone, cardiac stimulation, and renal reabsorption of sodium. Telmisartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively blocking the binding of angiotensin II to the AT 1 receptor in many tissues, such as vascular smooth muscle and the adrenal gland. Its action is therefore independent of the pathways for angiotensin II synthesis. There is also an AT 2 receptor found in many tissues, but AT 2 is not known to be associated with cardiovascular homeostasis. Telmisartan has much greater affinity (>3,000 fold) for the AT 1 receptor than for the AT 2 receptor.

Source: US FDA prescribing information

Dosing overview

• May be administered with or without food. Indication Starting Dose Dose Range Hypertenstion 40 mg once daily 40 to 80 mg once daily Hypertension Dosage must be individualized. The usual starting dose of telmisartan tablets is 40 mg once a day. Blood pressure response is dose-related over the range of 20 to 80 mg. Most of the antihypertensive effect is apparent within 2 weeks and maximal reduction is generally attained after 4 weeks. When additional blood pressure reduction beyond that achieved with 80 mg telmisartan is required, a diuretic may be added. No initial dosage adjustment is necessary for elderly patients or patients with renal impairment, including those on hemodialysis. Patients on dialysis may develop orthostatic hypotension, their blood pressure should be closely monitored. Telmisartan tablets may be administered with other antihypertensive agents.

Source: US FDA prescribing information

Contraindications

Telmisartan is contraindicated in patients with known hypersensitivity (e.g., anaphylaxis or angioedema) to telmisartan or any other component of this product. Do not co-administer aliskiren with telmisartan in patients with diabetes. Known hypersensitivity (e.g., anaphylaxis or angioedema)to telmisartan or any other component of this product.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (fetal toxicity): When pregnancy is detected, discontinue telmisartan as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. WARNING: FETAL TOXICITY s. Drugs that act directly on the renin-angiotensin system can cause injury and even death to the developing fetus Avoid fetal or neonatal exposure. Hypotension: Correct any volume or salt depletion before initiating therapy. Observe for signs and symptoms of hypotension. Monitor carefully in patients with impaired hepatic or renal function. Avoid concomitant use of an ACE inhibitor and angiotensin receptor blocker

Source: US FDA prescribing information

Side effects

The following adverse reaction is described elsewhere in labeling: • Renal dysfunction upon use with ramipril Hypertension: The most common adverse events (≥1%) reported in hypertension trials are back pain, sinusitis, and diarrhea

Source: US FDA prescribing information

Interactions

Aliskiren: Do not co-administer aliskiren with telmisartan in patients with diabetes. Avoid use of aliskiren with telmisartan in patients with renal impairment (GFR <60 ml/min). Digoxin: When telmisartan was co-administered with digoxin, median increases in digoxin peak plasma concentration (49%) and in trough concentration (20%) were observed. Therefore, monitor digoxin levels when initiating, adjusting, and discontinuing telmisartan for the purpose of keeping the digoxin level within the therapeutic range. Lithium: Reversible increases in serum lithium concentrations and toxicity have been reported during concomitant administration of lithium with angiotensin II receptor antagonists including telmisartan. Therefore, monitor serum lithium levels during concomitant use.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

3 presentations of Telmisartan, sorted by availability.

MedicineManufacturerRegisterAvailability
Telmisartan 80 mg tabletOralGeneric name—US FDAAvailable on request
Telmisartan 40 mg tabletOralGeneric name—US FDAAvailable on request
Telmisartan 20 mg tabletOralGeneric name—US FDAAvailable on request

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 10 November 1998Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Telmisartan in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Telmisartan available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Telmisartan and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Telmisartan approved by the US FDA?

Yes. The US FDA first approved Telmisartan on 10 November 1998, according to Drugs@FDA.

Is Telmisartan authorised in the European Union?

Yes. Telmisartan has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Telmisartan need cold chain shipping?

No listed presentation of Telmisartan is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Telmisartan in?

Telmisartan is classified under ATC code C09CA07 (Telmisartan).

References

  1. Telmisartan prescribing information (Alembic Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 29 May 2026
  2. Micardis: European public assessment report (EPAR). European Medicines Agency. Retrieved 29 October 2026
  3. Telmisartan Actavis: European public assessment report (EPAR). European Medicines Agency. Retrieved 7 July 2026

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