Cardotel 5/405mg+40mg

Telmisartan + Amlodipine contains two medicines, both of which help to control high blood pressure. It lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body. This will reduce your risk of having a heart attack or a stroke. Telmisartan + Amlodipine may be taken on an empty stomach or along with food. However, it is better to take it regularly at a fixed time each day, as prescribed by your doctor. The dose will depend on your condition and how you respond to the medicine. It's important to keep taking this medicine even if you feel well. By lowering your blood pressure, it is reducing your risk of heart attack or stroke so do not stop taking it unless your doctor tells you to. You can help this medicine work better by making a few changes to your lifestyle such as keeping active, stopping smoking, and eating a low salt and low fat diet. The most common side effects of this medicine include swelling in your ankles or feet (oedema), headache, sleepiness, dizziness, tiredness, and upset stomach. Since it may cause sleepiness and dizziness, do not drive or do anything requiring concentration until you know how it affects you. Talk to your doctor if any of the side effects bother you or will not go away. Before taking this medicine, let your doctor know if you have any kidney or liver problems or severe dehydration. Pregnant or breastfeeding women should also consult their doctor before taking it. While using this medicine, your blood pressure will need to be checked often and your kidney function may also need to be tested. Telmisartan + Amlodipine is a combination of two medicines: Telmisartan and Amlodipine. Telmisartan is an angiotensin receptor blocker (ARB) and Amlodipine is a calcium channel blocker (CCB). They work by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body. Together, they lower blood pressure effectively.

• Hypertension (high blood pressure)

May be taken with or without food.

Adult Dose: May increase frequency and/or severity of angina during treatment initiation or dosage increments. Heart failure or hepatic impairment. Avoid fetal or neonatal exposure Hypotension: Correct any volume or salt depletion before initiating therapy. Observe for signs and symptoms of hypotension. Titrate slowly in patients with hepatic or severe renal impairment Heart failure: Monitor for worsening Avoid concomitant use of an ACE inhibitor and angiotensin receptor blocker Myocardial infarction: Uncommonly, initiating a CCB in patients with severe obstructive coronary artery disease may precipitate myocardial infarction or increased angina Lactation: Discontinue drug or do not breast feed Child Dose: Pregnancy Category: C (1st trimester); D (2nd & 3rd trimesters) Renal Dose: Telmisartan, a non-peptide angiotensin receptor blocker (ARB), is specific angiotensin II antagonist acting on the AT1 subtype. Angiotensin II is the principal pressor agent of the renin-angiotensin system, with effects that include vasoconstriction, stimulation of synthesis and release of aldosterone, cardiac stimulation, and renal reabsorption of sodium, which leads to an increase in blood pressure (hypertension). Telmisartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively blocking the binding of angiotensin II to the AT1 receptor in many tissues, such as vascular smooth muscle and the adrenal gland. Therefore, Telmisartan dilates blood vessels and reduces blood pressure without affecting pulse rate. Telmisartan has much greater affinity (>3,000 fold) for the AT1 receptor than for the AT2 receptor. It does not bind or block other hormone receptors or ion channels known to be important in cardiovascular regulation. Amlodipine, a dihydropyridine calcium-channel blocker (CCB), inhibits the transmembrane influx of calcium ion into vascular smooth muscle and cardiac muscle. Amlodipine is a peripheral arterial vasodilator that acts directly on vascular smooth muscle to cause a reduction in peripheral vascular resistance and reduction in blood pressure.

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Telmisartan + Amlodipine may be taken with or without food, but it is better to take it at a fixed time.

Common: • Sleepiness • Ankle swelling • Headache • Flushing (sense of warmth in the face, ears, neck and trunk) • Dizziness • Tiredness • Palpitations • Upset stomach • Increased potassium level in blood

[UNSAFE] Telmisartan + Amlodipine may cause side effects which could affect your ability to drive. It may cause dizziness, headaches, nausea or tiredness, all of which could affect your ability to concentrate and drive. Telmisartan + Amlodipine is a combination of two medicines that provides better blood pressure control than either medicine alone. Telmisartan + Amlodipine may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you. It may cause you to feel lightheaded or weak especially when you stand up. Rise slowly if you have been sitting or lying down. Avoid consuming alcohol as it may enhance the blood pressure lowering effect of this medicine. It can cause ankle or foot swelling. Raise your legs while you are sitting down and talk to your doctor if it does not go away. Do not take Telmisartan + Amlodipine if you are pregnant, planning to conceive or breastfeeding.

Known hypersensitivity to this product or any of its components. Pregnancy & lactation. Biliary obstructive disorders, severe hepatic impairment, hypotension, cardiogenic shock, left ventricle outflow tract obstruction.

[UNSAFE] It is unsafe to consume alcohol with Telmisartan + Amlodipine.

[CONSULT YOUR DOCTOR] Telmisartan + Amlodipine is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

[SAFE IF PRESCRIBED] Telmisartan + Amlodipine is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

[SAFE IF PRESCRIBED] Telmisartan + Amlodipine is safe to use in patients with kidney disease. No dose adjustment of Telmisartan + Amlodipine is recommended. [CAUTION] Telmisartan + Amlodipine should be used with caution in patients with liver disease. Dose adjustment of Telmisartan + Amlodipine may be needed. Please consult your doctor.

Having high blood pressure of 95/180, with severe headache Dear Sir, Need urgent reply Take tab telma AM one tab now and consult with MD physician in near by hospital at the earliest. Pulse pressure is above 60 in the evening. Systolic and diastolic in the evening are around 150 and 85 respectively. Taking Ramipril 5 mg in the morning and evening. In the morning, systolic is around 130 and diastolic around 80. Goal is to keep BP below 130/80U can take telma AM in the morning n ramipril 5in the evening. Doctor suggested me to take Telma 20 though I have no high blood pressure. I have Secondary dilated cardiomyopathy with global left ventricular wall hypokinaesia. Please advise whether I can contionue this medicine at night while using Eltroxine5o at empty stomach and Clavam625 for some infections in my body. If bp permits need to increase telma Having high blood pressure Taking TAB TELMA 40 ERACTION PROB Hello PATIENT to 1mg. My personal advice to start with life style modification, exercises, diet and stop smoking alcohol tobacco n gutkha along with increase your confidence level and decrease your unnecessary stress. Please take good antioxidant vitamins and plenty of water. After few month of your healthy lifestyle then only think of medicine of any kind. Having high blood pressure Taking TAB TELMA 40 ERACTION PROB take kapikachu seeds powder 1 spoon twice with milk, for 2 months. copntinue your bp medicine Kindly inform best substitute of telma 40mg tablet for blood pressure. Telmisartan 40mg is the composition of this medicine Having high blood pressure Taking TELMA 40 TAB OD HAVING ERACTION PROBLEM You may take Lycopodium 30, 04 drops in half cup water thrice daily for a month, but in case there is no improvement, you need to visit a sexologist so that he can examination and discuss your case in detail, get some investigations and guide you accordingly. I have been recommended telma -h 40 mg due to high blood pressure. I take my medicine regularly and also keep monitoring blood pressure daily. Over time i have observed that gaps in taking medicine ( even up to 4-5 days ) doesn't elevate my blood pressure , however if this gap in medicine intake becomes 10-15 days the blood pressure shoots up. Due to fear of side effects now I deliberately keep gap of 2-3 days between my medicine but keep monitoring my BP. Is it ok to do keep such a gap in taking medicine as long as blood pressure is monitored and in normal range? Also at my age , will there be significant side effect from telma-h 40 mg U can take plain telma 40 mg once daily its better if u take d medicine daily once