Telmisartan and amlodipine tablets may be used to treat high blood pressure (hypertension):

• when one of these medicines (or a similar one) is not enough to lower your high blood pressure
• as the first medicine to lower your high blood pressure if your doctor decides you are likely to need more than one medicine.

• Take telmisartan and amlodipine tablets exactly as your doctor tells you to take it.
• Your doctor will tell you how much telmisartan and amlodipine tablets to take and when to take it. Your doctor may change your dose if needed.
• Take telmisartan and amlodipine tablets one time each day at the same time.
• Take telmisartan and amlodipine tablets with or without food.
• If you miss a dose, take it as soon as you remember. If it is close to your next dose, do not take the missed dose. Take the next dose at your regular time.
• If you take too much telmisartan and amlodipine tablets, call your doctor or go to the nearest hospital emergency room right away.

Telmisartan and amlodipine tablets may affect the way other medicines work, and other medicines may affect how telmisartan and amlodipine tablets works. Especially tell your doctor if you take:

• Aliskiren
• Digoxin
• Lithium
• Aspirin or other non-steroidal anti-inflammatory drugs
• Other medicines that may be used to treat high blood pressure or a heart problem
• Simvastatin
• Water pills (diuretics) Know the medicines you take. Keep a list of them and show it to your doctor or pharmacist when you get a new medicine.

Telmisartan and amlodipine tablets may cause serious side effects, including:

• Injury or death to your unborn baby.
• Low blood pressure (hypotension) is most likely to happen if you also:
• take water pills (diuretics)
• are on a low-salt diet
• get dialysis treatments
• have heart problems
• get sick with vomiting or diarrhea

If you feel faint or dizzy, lie down and call your doctor right away.

• Kidney problems. Kidney problems may get worse if you already have kidney disease. You may have changes in your kidney test results, and you may need a lower dose of telmisartan and amlodipine tablets. Call your doctor if you get:
• swelling in your feet, ankles, or hands unexplained weight gain
• Heart problems or heart attack. Heart problems may get worse in people that already have heart disease. This may happen when you start telmisartan and amlodipine tablets or when there is an increase in your dose of telmisartan and amlodipine tablets. Get emergency help if you get worse chest pain or chest pain that does not go away.
• High potassium in the blood (hyperkalemia). Your doctor may check your potassium levels as needed.

Muscle rigidity, tremor and/or abnormal muscle movement.

Do not take Arotel-AM – if you are allergic to Telmisartan & Amlodipine or any of the other ingredients of this medicine; If you think any of these apply to you, or if you are in doubt, ask your doctor for advice before taking Arotel-AM.

For patients with diabetes, if you are taking telmisartan and amlodipine tablets you should not take aliskiren.

What should I tell my doctor before taking Arotel-AM Tablets?

Before you take Arotel-AM tablets, tell your doctor if you:

• are pregnant or are planning to become pregnant.
• are breast-feeding or plan to breast-feed. Telmisartan and amlodipine tablets can pass into your breast milk and may harm your baby. You and your doctor should decide if you will take telmisartan and amlodipine tablets or breast-feed. You should not do both. Talk with your doctor about the best way to feed your baby if you take telmisartan and amlodipine tablets.
• have liver problems
• have kidney problems
• have heart problems
• have any other medical conditions

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal supplements.