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Prescription Required
This medication requires a valid prescription from a doctor.
Don’t Have A Prescription? Get A Consult With Our Doctor Today.
STEP 1
Checkout & review your order.
STEP 2
Make payment.
STEP 3
Our doctor will contact you within 1-hour of your purchase.
Term & Condition
100% Authentic
We ensure that all our pharmaceutical products including health supplements and traditional preparations are registered with the National Pharmaceutical Regulatory Authority (NPRA) Malaysia
Free Delivery on orders above RM120
Enjoy free delivery with a minimum spend of RM120 on our platform.
Twynsta 40/5mg Tablet Tablet can contains two type of active ingredients in it's formulation. It can be taken during the day or at night before or after meals.
It is encouraged that you try to take the medicine at the same time each day, to get the optimal outcome. Even though you feel better, it is important to keep taking it daily. Do also include changes like physical exercise, weight loss, cessation of smoking, reduction in alcohol consumption, and reduction of salt in your diet, as your doctor has recommended.
Let your doctor know if you have any kidney or liver complications before taking this medication. Before taking it, pregnant or breastfeeding mothers must check with the doctor. Your doctor can monitor your kidney function, blood pressure, and levels of potassium in your blood at periodically when you are taking this medication.
How To Use Twynsta 40/5mg Tablet 30s
This medicine is for oral use only. Swallow this medication as a whole with water. Do not chew, crush or break it. It is better to take this medication at a fixed time each day if it is indicated for everyday use.
As with all medications, you may experience some side effects. Not everyone experiences it. This is not a cause for concern. However, it is so that you are aware of it.
Apart from the list of Twynsta uses, there could be certain side-effects associated with the usage of the medication. Please refer to the list below:-
swelling hands/ankles/feet
flushing (warmth, redness, or tingly feeling)
drowsiness
tired feeling
back pain
nausea
diarrhea
vomiting
While some these symptoms are more common, there are a few rare symptoms that could also occur. If you are feeling any other symptoms (whether it is mentioned in the above list or not), please consult with a doctor immediately. Please, consult with a doctor if you are having rashes or blurry visions. Report if you experience any other symptoms as the above list may not be exhaustive. These symptoms become more prominent as when one is undergoing a long term therapy with this medication.
Please consult a doctor especially before taking Twynsta . If you have any of the following conditions & contraindications:-
Allergy to Twynsta or any of its components
It is not recommended for children & Neonates. Please keep Twynsta out of reach from them
Hypersensitivity
Liver problem
Kidney problem
Heart problem
Pregnancy or planned to get pregnant
Breastfeeding
Diabetes mellitus
Please stop using this medication if you are experiencing these symptoms and conditions.
Twynsta Drug Interactions
Drug to drug interaction reaction of Twynsta varies from a person to another person. It is advisable to check with your doctor about all the possible drug interactions before starting the medication.
aliskiren
digoxin
lithium
steroid
NSAID
ramipril
simvastatin
Diuretics
This is an incomprehensive list of drug-to-drug interactions and conditions that might interfere with Twynsta function. Do inform your doctor about all your current medications prior to consuming this drug.
Keep the following precautions in mind as well:-
Avoid Twynsta from excess exposure to sunlight
Avoid this Twynsta for a longer use
Alcohol might affect your liver if it is taken with this medication
Tell your doctor if you have any other diseases or if you are taking any other medication
Do not discontinue the prescribed course
Alcohol Warning (Not Advisable)
It is unsafe to consume alcohol with Twynsta 40/5mg Tablet 30s. Taking Twynsta 40/5mg Tablet 30s with alcohol may worsen the side effects of Twynsta 40/5mg Tablet 30s such as headache, dizziness and visual disturbance. Furthermore, Twynsta 40/5mg Tablet 30s is metabolised in the liver and alcohol consumption leads to a risk of liver damage.Avoid drinking alcohol. It can further lower your blood pressure and may exaggerate some of the side effects of Twynsta 40/5mg Tablet 30s.
Pregnancy Warning (Not Safe)
Twynsta 40/5mg Tablet 30s may be unsafe to use during pregnancy. Animal studies have shown adverse effects on the fetus, however, there are limited human studies. The benefits of using Twynsta 40/5mg Tablet 30s among pregnant women outweigh the risks. Please consult your doctor. The use of Twynsta 40/5mg Tablet 30s is not recommended in the first trimester and it is not allowed during the second and third trimester. It is proved that Twynsta 40/5mg Tablet 30s will exert toxic effects on the human foetus during the second and third trimester.
Breastfeeding Warning (Limited Data)
Twynsta 40/5mg Tablet 30s is reported to be excreted into breast milk. However, the effect of the exposure towards the babies remains unknown. There is also stated that no side effects were reported with the exposure. Please consult your doctor for further details. There is no information available regarding the use of Twynsta 40/5mg Tablet 30s during breast-feeding, therefore, it is not recommended. Alternative treatments with better-established safety profiles during breast-feeding are preferable.
Driving Warning (Not Advisable)
Do not drive unless you are feeling well. Twynsta 40/5mg Tablet 30s may cause side effects such as dizziness headache, tiredness or nausea, all of which could affect the ability to concentrate and drive.Do not drive unless you are feeling well. Twynsta 40/5mg Tablet 30s may cause side effects such as dizziness or drowsiness, all of which could affect the ability to concentrate and drive.
Kidney Warning (Use With Care)
Twynsta 40/5mg Tablet 30s should be used with caution in patients with severe kidney disease. Twynsta 40/5mg Tablet 30s is mostly excreted via urine. Thus, dose adjustment of Twynsta 40/5mg Tablet 30s may be needed. Please consult your doctor.Twynsta 40/5mg Tablet 30s effectively and safely reduces blood pressure and brought about the regression of proteinuria in diabetic and non-diabetic, hypertensive, proteinuric patients with chronic kidney disease, even in those with mild-to-moderate chronic renal failure.
Liver Warning (Use With Care)
The liver disease should use Twynsta 40/5mg Tablet 30s with caution. It is extensively metabolised in the liver. Extensive use of Twynsta 40/5mg Tablet 30s also increases the liver enzyme. Dose adjustment of Twynsta 40/5mg Tablet 30s may be needed. Please consult your doctor. Occasional elevations of liver chemistries occurred in patients treated with Twynsta 40/5mg Tablet 30s. Dose adjustment may be required in patients with mild to moderate liver impairment. It is contraindicated in patients with severe liver impairment.
Quick Tips
Take Twynsta 40/5mg Tablet at the same time regularly to help you to remember to take it.
Twynsta 40/5mg Tablet may cause a rapid decrease in your condition, particularly when you start using this medication. To decrease the risk of feeling dizzy or passing out, if you have been sitting or laying down, rise carefully.
Regular blood tests will be conducted to monitor your urea, creatinine, and potassium levels
May cause dizziness and tiredness. Use Twynsta 40/5mg Tablet with caution when driving or doing activities that require attention until you know it affects you
Avoid taking Twynsta 40/5mg Tablet with anti-inflammatory medications like ibuprofen without first seeing your doctor.
SinceTwynsta 40/5mg Tablet causes ankle or foot edema, raise your legs when sitting to minimise edema. See your doctor if it doesn't improve.
Twynsta 40/5mg Tablet has the potential to raise potassium levels in the blood. Potassium supplements and potassium-rich foods like bananas and broccoli should be avoided.
Discuss with your doctor if you are pregnant, planning a baby or breastfeeding.
FAQ
Disclaimer
Information last updated on: Thu Dec 19 2024 04:20:02 GMT+0000 (Coordinated Universal Time) The product images shown are for illustration purposes only and may not be an exact representation of the product.
The content provided on this webpage is to provide information only, to be fully-interpreted by a medical professional, and not intended as a guide to make purchase decisions, or a substitute to advice of a medical professional. Effectiveness and side effects of medication may differ from individual to individual. We do not encourage any customer to self-diagnose and/or self-medicate. Patients should always consult a medical professional before taking or using any medication. The content provided here is non-exhaustive and may not cover all aspects of the medication. Our service should only be used to support the doctor-patient dynamic, not replace it.
The fulfilment of prescription medication is subject to our review of a prescription issued by a Malaysian Medical Council (MMC) registered doctor. If required, we will provide a tele-consult service with one of our registered panel doctors. This is not an advertisement of a medicine as such an advertisement would require prior approval from the Medicines Advertisement Board of Malaysia. Twynsta 40/5mg Tablet 30s is available in many areas in Malaysia. Kuala Lumpur, Bukit Bintang, Titiwangsa, Setiawangsa, Wangsa Maju, Kepong, Segambut, Bandar Tun Razak, Cheras, Subang Jaya, Petaling Jaya, Mont Kiara, Puchong, Bandar Sunway, TTDI, Seri Kembangan, Klang, Bukit Tinggi, Damansara, Sentul, Penang, George Town, Jelutong, Gelugor, Bayan Baru, Bandar Baru Air Itam, Sungai Ara, Bukit Mertajam, Butterworth, Perai, Johor Bahru, Skudai, Bukit Indah, Gelang Patah, Senai, Pasir Gudang, Taman Daya, Taman Molek, Taman Perling, Tebrau, Danga Bay, Larkin, Nusajaya, Pontian, Masai, Setia Tropika, Desaru, Tampoi.
Twynsta 40/5mg Tablet 30s is available at many places in Singapore. Ang Mo Kio, Alexandra, Admiralty, Bedok, Bishan, Bukit Batok, Bukit Merah, Bukit Panjang, Bukit Timah, Boat Quay, Buona Vista, Beach Road, Bugis, Balestier, Boon Lay, Central Area, Choa Chu Kang, Clementi, Chinatown, Commonwealt, City Hall, Clarke Quay, Changi Airport, Changi Village, Clementi Park, Dairy Farm, Eunos, East Coast, Farrer Park, Geylang, Hougang, Harbourfront, Holland, Jurong, Jurong East, Jurong West, Kallang/ Whampoa, Lim Chu Kang, Marine Parade, Marina, Macpherson, Mandai, Newton, Novena, Orchard, Pasir Ris, Punggol, Potong Pasir, Paya Lebar, Queenstown, Raffles Place, Rochor, River Valley, Sembawang, Sengkang, Serangoon, Serangoon Rd, Seletar, Tampines, Toa Payoh, Tanjong Pagar, Telok Blangah, Tanglin, Thomson, Tuas, Tengah, Upper East Coast, Upper Bukit Timah, Upper Thomson, Woodlands, West Coast, Yishun, Yio Chu Kang.