Telma Plus 4012.5mg+40mg

Hydrochlorothiazide + Telmisartan contains two medicines, both of which help to control high blood pressure. It is generally used when one medicine alone is not controlling the blood pressure effectively. Lowering blood pressure helps to reduce your risk of having a heart attack or a stroke in the future. You can take Hydrochlorothiazide + Telmisartan with or without food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It's important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more, so it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly even if you feel better to get the most from it. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase. The most common side effect is dizziness. Other side effects include feeling tired, nausea, diarrhea, flu-like symptoms, shortness of breath and changes to your heartbeat. Frequent urination is not a side effect of this medicine. It is the purpose of this medicine as frequent urination helps control your blood pressure. You may experience other possible side effects, but most are rare. Make sure you read the leaflet that comes with your medicines and tell your doctor if you are bothered by side effects or they do not go away. It may be possible to adjust your dose or try a different medicine. Do not use potassium supplements or salt substitutes unless your doctor has told you to. This medicine is not recommended during pregnancy or while breastfeeding. You should ask your doctor before taking it if you have kidney or liver disease, heart trouble or diabetes. Drinking alcohol can further lower your blood pressure and may cause side effects. Hydrochlorothiazide + Telmisartan is a combination of two medicines: Telmisartan and hydrochlorothiazide which lowers the blood pressure effectively. Telmisartan is an angiotensin receptor blocker (ARB). It works by blocking the hormone angiotensin, thereby relaxing the blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Hydrochlorothiazide is a diuretic that removes extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow.

• Hypertension (high blood pressure)

Hydrochlorothiazide inhibits the reabsorption of Na and chloride in the distal tubules causing increased excretion of Na and water K and hydrogen ions. Telmisartan is a nonpeptide AT1 angiotensin II receptor antagonist. It exerts antihypertensive activity by preventing angiotensin II from binding to AT1 receptors thus inhibiting the vasoconstricting and aldosterone-secreting effects of angiotensin II.

Adult Dose: Oral Hypertension Adult 1 tab (40-80 mg telmisartan/12.5-25 mg) once daily. Max: Telmisartan 160 mg & hydrochlorothiazide 25 mg daily. Hepatic Impairment Initiate therapy with low dose; titrate slowly; monitor Renal Dose: Renal impairment Dose adjustment not necessary Hemodialysis patients are more susceptible to hypotension

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. Hydrochlorothiazide + Telmisartan may be taken with or without food, but it is better to take it at a fixed time.

Common: • Fatigue • Dizziness • Nausea • Diarrhea • Sinus inflammation • Flu-like symptoms • Upper respiratory tract infection

[UNSAFE] Hydrochlorothiazide + Telmisartan may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. It can be taken with or without food. Hydrochlorothiazide + Telmisartan may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, very dry mouth or muscle weakness. It may cause dizziness. Get up slowly when rising from a sitting or lying position. Use of Hydrochlorothiazide + Telmisartan during pregnancy or breastfeeding is unsafe.

Severe hepatic impairment, biliary obstructive disorders. Pregnancy. Lactation.

Lithium, kaliuretic diuretics, laxatives, corticosteroids, ACTH, amphotericin, carbenoxolone, penicillin G, salicylates, K-sparing diuretics, K supplements, K salt substitutes drugs that cause hyperkalaemia, digitalis glycosides, antiarrhythmic agents, drugs known to induce torsades de pointes, alcohol, barbiturates, narcotics, oral antidiabetics, insulin, anion-exchange resins, NSAIDs, nondepolarising skeletal muscle relaxants, pressor amines, allopurinol, Ca salts, beta-blockers, diazoxide, anticholinergics, amantadine, cytotoxics.

[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Hydrochlorothiazide + Telmisartan. Please consult your doctor.

[CONSULT YOUR DOCTOR] Hydrochlorothiazide + Telmisartan 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.

[CONSULT YOUR DOCTOR] Hydrochlorothiazide + Telmisartan is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

[CAUTION] Hydrochlorothiazide + Telmisartan should be used with caution in patients with severe kidney disease. Dose adjustment of Hydrochlorothiazide + Telmisartan may be needed. Please consult your doctor. Use of Hydrochlorothiazide + Telmisartan is not recommended in patients with severe kidney disease. [CAUTION] Hydrochlorothiazide + Telmisartan should be used with caution in patients with liver disease. Dose adjustment of Hydrochlorothiazide + Telmisartan may be needed. Please consult your doctor.

What would be alternative for this medicine for same salt composition of some lower price. Name of the medicine -- ( Telmisartan 40 mg and Hydrochlorothiazide 12.5 mg tablets USP Telma h 40/12.5 I have been advised Telma 20 for my BP range 140/90, however of late it is coming 150/110. My doctor advice Telma 40. Or should I take Cilacar 10. take telma h 40 High blood pressure around 201/119 headache and stomach pain Dr can u help urgently I have given her telma h Telma H will not helpTake her to a hospitalPatient has to be monitoredTab Dipin 5mg 2 times a dayTake only if hospital unavailable Heartbeat increase suddnly bp high 96/140 taking telma H Can change to besicor t 2.5/40 Sir I have high blood pressure around 150/110.i am using metocard am and telma h 80 .is it suitable for me? Seems fine hows your kidney function 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. 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.