Safety and Side Effects

• Injury or death to your unborn baby.
• Low blood pressure (hypotension). This 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, which 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 MICARDIS tablets. Call your doctor if you get:
  • Swelling in your feet, ankles, or hands
  • Unexplained weight gain
  Call your doctor right away if you get any of the symptoms listed above.
• High potassium in the blood (hyperkalemia). Your doctor may check your potassium levels as needed.

Rare, serious allergic reactions may happen. Tell your doctor right away if you get any of these symptoms:

• Swelling of the face, tongue, throat
• Difficulty breathing

• Sinus pain and congestion (sinusitis)
• Back pain
• Diarrhea

These are not all the possible side effects with MICARDIS tablets. Tell your doctor if you have any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

When Should I Talk to My Doctor?

If you experience any unpleasant effects from your medication, call your doctor right away. Never stop taking your medication, unless instructed by your doctor, as it could be dangerous.

What Should I Tell My Doctor Before Using MICARDIS?

Before you take MICARDIS tablets, tell your doctor if you:

• Have liver problems
• Have kidney problems
• Have heart problems
• Have any other medical conditions
• Are pregnant or are planning to become pregnant.
• Are breast-feeding or plan to breast-feed. It is not known if MICARDIS passes into your breast milk. You and your doctor should decide if you will take MICARDIS tablets or breast-feed. You should not do both. Talk with your doctor about the best way to feed your baby if you take MICARDIS tablets.

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

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

• Digoxin (Lanoxin®, Lanoxicaps®)
• Lithium (Eskalith®, Lithobid®)
• Ramipril (Altace®) or other medicines used to treat your high blood pressure or heart problem
• Water pills (diuretic)

Know the medicines you take. Keep a list of them and show it to your doctor or pharmacist when you get a new medicine.