MISAR 40MG TAB 20S
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MISAR 40MG TABLET ONLINE AT BEST PRICE IN PAKISTAN
GENERIC: Telmisartan 40mg
MANUFACTURER: Highnoon Laboratories (Pvt) Ltd
QUANTITY:
Pack of 20 tablets
INDICATION
MISAR 40MG TAB 20S is an angiotensin II receptor blocker (ARB) indicated for the treatment of essential hypertension in adults. It is also used to reduce the risk of cardiovascular morbidity in patients with established atherosclerotic cardiovascular disease or type 2 diabetes with target organ damage who are unable to take ACE inhibitors.
MECHANISM OF ACTION
Telmisartan selectively blocks the angiotensin II type 1 (AT1) receptor, preventing angiotensin II from causing vasoconstriction, aldosterone secretion, and renal sodium and water retention. Unlike ACE inhibitors, telmisartan does not inhibit bradykinin breakdown, so it does not cause the persistent dry cough associated with ACE inhibitors. Telmisartan also has partial peroxisome proliferator-activated receptor gamma (PPAR-gamma) agonist activity, which may contribute to additional metabolic benefits including improved insulin sensitivity.
DOSAGE AND ADMINISTRATION
•     Adults: 40mg once daily as initial or maintenance dose
•     May be titrated to 80mg once daily if blood pressure is not adequately controlled
•     Take at the same time each day with or without food
•     Always follow the dosage and blood pressure targets prescribed by your doctor
SIDE EFFECTS
Common:
•     Dizziness and headache
•     Fatigue
•     Upper respiratory tract infection
•     Back pain
Less common:
•     Hyperkalemia (elevated potassium), especially with renal impairment or potassium supplements
•     Hypotension, particularly on first dose or in volume-depleted patients
•     Elevated creatinine or worsening renal function
•     Angioedema (rare but serious; discontinue immediately)
NOT RECOMMENDED IN
•     Pregnancy (telmisartan causes fontal harm; contraindicated from second trimester)
•     Concomitant use with Aliskiren in patients with diabetes or renal impairment
•     Severe hepatic impairment or biliary obstructive disorders
•     Known hypersensitivity to telmisartan or any excipient
DRUG INTERACTIONS
Potassium-sparing diuretics, potassium supplements, and other RAAS agents increase hyperkaliemia risk significantly; monitor serum potassium closely. NSAIDs reduce the antihypertensive effect of telmisartan and may worsen renal function, particularly in elderly or volume-depleted patients. Lithium levels may increase due to reduced renal clearance; monitor lithium levels. Aliskiren combined with telmisartan is contraindicated in diabetic patients and those with renal impairment.
STORAGE INSTRUCTIONS
Store below 30°C in a dry place away from direct sunlight and moisture. Keep in original blister packaging. Keep out of reach of children.
WHERE TO BUY
You can buy Misar 40mg Tab 20S online from Dawa Healthcare Pharmacy at dawahealthcare.biz, Pakistan's trusted source for authentic antihypertensive medications with pharmacist-verified products. Check the Misar 40mg tab price in Pakistan and learn about Misar 40mg tab uses directly on our product page. Our knowledgeable pharmacy team is available to answer all your questions about dosage, uses, and suitability. Same-day delivery is available for customers in Karachi, ensuring you receive your order without delay. For customers across Pakistan, Dawa Healthcare offers reliable nationwide courier service so your medicine reaches you safely and on time. You can also visit any of our Karachi branches in person or contact our responsive WhatsApp support team for quick help with Misar 40mg tab uses, pricing, and order placement.
SERVICE AREAS: KARACHI
We are available from Monday to Saturday.
Delivery Time:
- Same day delivery is available for orders placed before 8 PM in service areas.
Delivery Charges:
- Delivery charge of 100 PKR on orders over 5000 PKR.
- A delivery charge of 220 PKR applies to orders below 5000 PKR.
NON-SERVICE AREAS: KARACHI
Includes:
1. Baldia
2. Gulshan Hadeed
3. Keemari
4. Port Bin Qasim
5. Highway
ADDITIONAL NOTES FOR OTHER CITIES:
- Currently, we are not offering Cash on Delivery services outside Karachi.
- Only online payments are accepted. Thank you for your cooperation.
- Delivery in cities other than Karachi shall be considered as delivery in Non-Delivery areas.
- For all Non-Delivery areas, Dawa Healthcare is partnering with a third-party logistics provider to provide its services to customers.
- Glass items, Injections, and fridge items cannot be delivered in cities other than Karachi.
Delivery Time:
Delivery will be attempted in 3-5 working days
Delivery Charges(Non-service areas & outside Karachi)
- Orders weighing 0.5 KG or less: Rs. 300
- Orders weighing more than 0.5 kg: Rs. 150 per additional KG