Bilateral renal artery stenosis or stenosis of the artery to a single functioning kidney. Impaired hepatic function. Patients who are vol- &/or Na-depleted by vigorous diuretic therapy, dietary salt restriction, diarrhoea or vomiting. Monitor serum K in patients at risk of hyperkalaemia. Severe CHF; primary aldosteronism; aortic or mitral stenosis, obstructive hypertrophic cardiomyopathy; ischemic cardiopathy or CV disease. Micardis Plus May impair glucose tolerance. Perform periodic test of serum electrolytes. Increased risk of developing SLE, acute myopia & angle-closure glaucoma.