Micardis HCT® Tablets for Hypertension

Telmisartan HCT is a prescription combination used to lower high blood pressure in adults. This page explains how the treatment works, who it suits, and how to use it, with US delivery from Canada for eligible orders. You can also review options and guidance for Telmisartan HCT without insurance.

What Micardis HCT Is and How It Works

Micardis HCT® combines telmisartan, an angiotensin II receptor blocker, with hydrochlorothiazide, a thiazide diuretic. The first component helps relax blood vessels by blocking angiotensin II at the AT1 receptor. The second increases urine output to reduce excess fluid. Together, the combination lowers blood pressure more than either component alone when monotherapy has not achieved targets.

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By targeting the renin-angiotensin system and promoting gentle diuresis, Telmisartan hydrochlorothiazide provides dual-action control. It can be taken once daily and works throughout the day. The approach allows clinicians to simplify regimens and may support adherence.

Who It’s For

This medicine is indicated for adults with hypertension when a single agent does not provide adequate control. It may be used to replace separate tablets of its components. People with anuria, known sulfonamide allergy, or hypersensitivity to any component should avoid this treatment. See more about Hypertension.

Do not use during pregnancy. Drugs that act on the renin-angiotensin system can cause injury and death to the developing fetus. Breastfeeding patients should discuss risks and alternatives with a healthcare professional. Those with severe kidney or liver impairment need careful evaluation.

In people with diabetes taking aliskiren, this combination is not recommended. Individuals with volume depletion from diuretics or low-salt diets may be at higher risk of symptomatic hypotension at initiation. For kidney health content, see Diabetes And Kidney Damage.

Dosage and Usage

Follow the directions on the prescription label. One tablet is usually taken once daily, with or without food. Starting and target doses are individualized by the prescriber. If a diuretic is already being used, your clinician may assess volume status before starting.

If blood pressure remains above goal on either component alone, a fixed-dose combination can be considered. Titrate based on response and tolerability. Do not change your dose or stop therapy without consulting a prescriber. Swallow tablets whole with water.

Taking the dose in the morning may reduce nighttime urination. Try to take it at the same time each day. Limit alcohol, which can amplify dizziness or lightheadedness. If dizziness occurs, rise slowly from sitting or lying positions.

Strengths and Forms

Film-coated tablets are available in several fixed-dose strengths. Availability may vary by manufacturer.

• 40 mg/12.5 mg tablets
• Telmisartan HCT 80/12.5 mg
• 80 mg/25 mg tablets

Tablets are typically packaged in bottles or blister strips. Actual tablet appearance and imprint can differ by supplier.

Missed Dose and Timing

If a dose is missed, take it when remembered unless it is near time for the next scheduled dose. If it is close to the next dose, skip the missed one and resume the regular schedule. Do not take two doses at the same time.

Storage and Travel Basics

Store tablets at room temperature in a dry place, away from excess heat and moisture. Keep the container tightly closed and out of reach of children. Do not transfer tablets to unlabelled containers.

For travel, keep medicine in original packaging with the prescription label. Carry it in hand luggage, along with a copy of your prescription if available. If you cross borders, allow extra time for screening and do not pack tablets in checked bags. For long trips, bring more than enough doses.

Benefits

This combination offers two mechanisms in one pill, which can simplify treatment plans. A single daily tablet may support adherence compared with taking separate components. The class effect helps relax blood vessels while removing excess fluid.

Consistent control of elevated pressure is associated with fewer cardiovascular events over time. Using a fixed-dose combination can help maintain targets selected by your prescriber. Browse related options within our High Blood Pressure category.

Side Effects and Safety

• Dizziness or lightheadedness
• Headache
• Fatigue
• Nausea or stomach upset
• Frequent urination
• Muscle cramps
• Cough or sore throat
• Back or joint pain
• Rash or photosensitivity

Low blood pressure, electrolyte changes such as low potassium or sodium, elevated uric acid, and kidney function changes can occur. Rare but serious reactions include severe allergic responses, eye symptoms from sulfonamide-related reactions, and angioedema. Stop the medicine and seek urgent care for swelling of the face, lips, tongue, or throat, or for unusual shortness of breath. See also Entresto Side Effects for general safety concepts.

Drug Interactions and Cautions

Tell your prescriber about all medicines and supplements. Lithium levels can rise with thiazides. NSAIDs may reduce antihypertensive effect and impair kidney function, especially in older adults or those who are dehydrated. Avoid combining with aliskiren if you have diabetes. Resins such as cholestyramine can lower thiazide absorption. Alcohol may intensify dizziness. Monitor glucose if you use antidiabetic agents, as thiazides can affect glycemic control. Review beta-blocker use and plan monitoring; see Bystolic Helps Control for background on that class.

What to Expect Over Time

Most people take this therapy long term as part of a broader blood pressure plan. Your prescriber may assess response and tolerability and adjust the regimen if needed. Lifestyle measures such as sodium reduction, weight management, and activity can support the effect of this treatment. For related information on ACE inhibitors used for hypertension and heart protection, read Ramipril Uses.

Compare With Alternatives

When a fixed-dose ARB and thiazide suits clinical goals, alternative combinations may be considered. Options include valsartan with hydrochlorothiazide, available as Valsartan Hct, and losartan with hydrochlorothiazide, available as Hyzaar. Choice depends on individual response, comorbidities, and prescriber guidance.

Pricing and Access

Use our platform to review Telmisartan HCT price and compare options. We list current offers with clear details so you can plan your budget. Many patients value Micardis HCT Canadian pricing when considering brand versus generic. Orders are supported with US shipping from Canada for eligible addresses. To check available packs and see your total at checkout, visit the product page. For periodic discounts, see Promotions. Encrypted checkout helps protect your information.

Availability and Substitutions

Supply can vary by manufacturer and pack size. If a specific strength or supplier is unavailable, a prescriber may recommend a comparable alternative. The Telmisartan HCT generic is widely used and may be substituted for the brand when appropriate, subject to your prescriber’s guidance.

Patient Suitability and Cost-Saving Tips

This therapy may suit adults who need combination control and prefer a single daily pill. It may not be appropriate for people with marked kidney impairment, anuria, sulfonamide allergy, or during pregnancy. Discuss your full medical history and medicines with a clinician before starting.

For predictable costs and fewer pharmacy trips, consider these steps.

• Multi-month fills: 60- or 90-day supplies if approved.
• Refill reminders: set calendar alerts to avoid gaps.
• Compare manufacturers: generic suppliers may vary in tablet size or imprint.
• Budget planning: set aside funds for Telmisartan HCT self-pay needs.
• Consolidate orders: combine items to reduce separate processing.

Questions to Ask Your Clinician

• Is a fixed-dose combination right for my blood pressure goals?
• Which monitoring plan should I follow for potassium and kidney function?
• How should I time this tablet with other morning medicines?
• What symptoms mean I should contact the clinic promptly?
• Could other conditions, like gout or diabetes, affect my therapy choice?
• If I plan pregnancy, what alternatives should I consider?
• Are there any medicines or supplements I should avoid?

Authoritative Sources

• FDA DailyMed
• Health Canada DPD
• Manufacturer Information

Ready to proceed? Place your order with express shipping. Ships from Canada to US. Information here is educational and not a substitute for medical advice. Use only as directed by your prescriber and the official label.