Uses of Bosagas 40

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1. What is Bosagas?

What is Bosagas drug? Bosagas 40mg medicine has the main ingredient containing the active ingredient Telmisartan with a concentration of 40mg and excipients just enough for 1 tablet, made in the form of tablets, packaged in a box of 3 blisters, each blister has 10 tablets.

2. Effects of Bosagas 40mg

Bosagas 40 is indicated for use in the following cases:
Used to treat hypertension: Bosagas 40 can be used alone or in combination with other antihypertensive drugs. Bosagas 40 as well as angiotensin II receptor antagonists may also replace ACE inhibitors in the treatment of diabetic kidney disease or heart failure (official indication). Essential hypertension. Bosagas 40 is not indicated in the following cases:
In patients with hypersensitivity to any component of the drug, including telmisartan and other excipients contained in Bosagas 40. Do not use in subjects who are pregnant women. pregnant women (especially the first and third trimesters) and women who are breastfeeding. Do not use for patients with liver failure, severe renal failure, biliary obstruction.

3. Usage and dosage of Bosagas 40mg

3.1. How to use Bosagas 40 Bosagas 40 tablets should be taken orally, each time with a full glass of water. Bosagas 40 can be taken before, during and after meals.
3.2. Dosage of Bosagas 40 In adults: 40mg once daily, the patient can be increased to 80mg, once a day, the maximum antihypertensive effect should be noted before increasing the dose. Bosagas 40 can be used as monotherapy or in combination with thiazide diuretics. No dose adjustment is required in subjects with renal impairment or the elderly. In patients with mild to moderate hepatic impairment, the maximum dose should be 40 mg/day.
In children < 18 years: the efficacy and safety of Bosagas 40 have not been established, and Bosagas 40 should not be used in this population.

4. Undesirable effects when using Bosagas 40mg

During the use of Bosagas 40mg, in addition to the effects that the drug brings, patients may also experience unwanted effects. However, these side effects are usually transient and mild, rarely requiring discontinuation of the drug. In the reports, there was no relationship between the adverse events and the sex, age, dose or race of the patients.
Uncommon side effects: headache, fatigue, dizziness, excessive sweating, edema of the limbs, agitation, nausea, dry mouth, acid reflux, abdominal pain, indigestion, loss of appetite, bloating gas, diarrhea, decreased kidney function, urinary tract infection, increased blood urea nitrogen (BUN) and creatinine, sinusitis, pharyngitis, upper respiratory tract infection (congestion, cough, earache, nasal congestion) , fever, sneezing, runny nose, sore throat), muscle pain and spasms, back pain, cramps, hyperkalemia. Rare side effects: angioedema, visual disturbances, hypotension or syncope (this side effect is often seen in patients on diuretic therapy or with hypovolemia or salt depletion, especially in standing position), tachycardia, gastrointestinal bleeding, pruritus, rash, urticaria, increased liver enzymes, decreased neutrophils, decreased hemoglobin, increased blood cholesterol, increased blood uric acid. Recommendation: Patients need to notify their doctor when experiencing adverse effects during the use of the drug for timely and effective treatment and treatment.

5. Drug interactions

The concentration of Digoxin in the serum increases when co-administered with Bosagas 40, so it is necessary to monitor the concentration of Digoxin in the blood or the use of Bosagas 40 can be discontinued to avoid an overdose of Digoxin. The antihypertensive effect of Bosagas 40 is enhanced when co-administered with diuretics. BOSAGAS 40 potentiates the antihypertensive effect of beta-adrenergic blockers or ACE inhibitors. However, there are currently insufficient data to assess the efficacy and safety of these drugs co-administered. Co-administration of Bosagas 40 with Warfarin for 10 days slightly decreased the blood levels of Warfarin but did not change the IRN (a blood clot-forming test). Bosagas 40 itself has a hyperkalemic effect, so the use of potassium-sparing diuretics or a high-potassium supplement regimen may enhance this effect of Bosagas 40.

6. Pay attention to using Bosagas 40mg

When the use of Bosagas 40 is indicated, it should be noted and cautious for the following subjects:
When used for people with renal failure or the elderly, it is necessary to monitor blood potassium levels and reduce the starting dose in these patients. Caution in patients with mitral and aortic stenosis, hypertrophic obstructive cardiomyopathy, severe congestive heart failure, dehydration (loose diarrhea, hypovolaemia and hyponatremia due to vomiting, dialysis, drug administration) prolonged diuretics, salt-restricted diets) increase the risk of developing symptomatic hypotension. Before starting treatment with Bosagas 40, this disorder must be corrected or the dose of Bosagas 40 adjusted under close monitoring. In patients with active peptic ulcer or other gastro-intestinal diseases, mild and moderate hepatic impairment, renal artery stenosis, and mild and severe renal impairment. average caution should be considered before using Bosagas 40 . Warning about possible symptoms such as dizziness, dizziness due to low blood pressure in patients when driving or working related to the ability to concentrate and operate machines. Bosagas 40 should be stored in a cool, dry place, away from direct sunlight, the appropriate storage temperature is from 25 to 30oC. Keep out of reach of children, avoid misuse, bring unwanted symptoms and effects.
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