Telma H Tablet

This medication is used for treating high blood pressure and acute hypotension. It may also be used for kidney disorders. The medicine contains Telmisartan and Hydrochlorothiazide as its primary ingredients.

The contraindications to the medicine may include hypersensitivity to it. Other contraindications can be kidney diseases, liver diseases, diabetes, asthma, allergic reactions to the medicine, patients having high cholesterol level and obstructive biliary disorders.

The medicine has certain side effects. The most common effects are muscle pain and muscle cramps, allergic reactions to the medicine, drowsiness or dizziness, electrolyte imbalance and patients may face swelling on their face and lips.

The duration of the effect of the medicine lasts almost 24 hours after consumption. The onset of action of the medicine is observed within 2 hours of consumption. The medicine is not reported to be habit-forming or addictive.

The medicine is not considered safe with alcohol as it may cause drowsiness and fainting. It is not considered safe for pregnant and breastfeeding women. The drug should be taken under medical supervision. It is not recommended for patients having severe kidney disease and liver diseases.

Take exactly as directed. Do not miss doses, alter dosage, or discontinue without consulting prescriber. Do not alter salt or potassium intake without consulting prescriber. Monitor blood pressure on a regular basis as recommended by prescriber; at the same time each day.

You may experience postural hypotension (change position slowly when rising from sitting or lying, when climbing stairs, or bending over); or transient nervousness, headache, or dizziness (use caution when driving or engaging in tasks requiring alertness until response to drug is known).

Report unusual weight gain or swelling of ankles and hands; swelling of face, lips, throat, or tongue; persistent fatigue; dry cough or difficulty breathing; palpitations or chest pain; CNS changes; gastrointestinal disturbances; muscle or bone pain, cramping, or tremors; change in urinary pattern; or changes in hearing or vision.

• High Blood Pressure

• Kidney Disease

• Liver Disease

• Diabetes

• Asthma

• Fatigue

• Dizziness

• Nausea

• Diarrhoea

• Sinus Inflammation

• Flu-Like Symptoms

• Upper Respiratory Tract Infection

• How long is the duration of effect?

  The duration of the effect of the medicine lasts almost 24 hours after consumption.

• What is the onset of action?

  The onset of action of the medicine is observed within 2 hours of consumption.

• Are there any pregnancy warnings?

  The medicine is not considered safe for pregnant women. It should be taken under medical supervision. The benefits and risks must be taken into consideration before taking the medicine.

• Is it habit forming?

  The medicine is not reported to be habit-forming or addictive. However, in cases of addiction the doctor must be consulted immediately.

• Are there any breast-feeding warnings?

  The medicine is not considered safe for breastfeeding women. It should be taken under medical supervision and unless very necessary.

• Is It safe with alcohol?

  The medicine is not considered safe with alcohol as it may cause drowsiness and fainting. Activities that require high mental alertness are not advised for the patients.

• Is it safe to drive while on this medicine?

  The medicine is not considered safe while driving as it may cause drowsiness and lightheadedness. Activities that require high mental alertness are not advised for the patients.

• Does this affect kidney function?

  The medicine is not recommended for patients having severe kidney disease. Dosage adjustment is required with such patients along with proper consultation.

• Does this affect liver function?

  The medicine is not recommended for patients having severe liver disease. Dosage adjustment is required with such patients along with proper consultation.

Below is the list of medicines, which have the same composition, strength and form as Telma H Tablet , and hence can be used as its substitute.

• Ozotel-H Tablet

  Ozone Pharmaceuticals Ltd

• Telmiride H 40mg Tablet

  Unison Pharmaceuticals Pvt Ltd

• Xstan H 40 Mg/12.5 Mg Tablet

  Blue Cross Laboratories Ltd

• Temsan-H 40mg Tablet

  Emcure Pharmaceuticals Ltd

• Newtel-H 40 Tablet

  Systopic Laboratories Pvt Ltd

• Cortel H 40 Mg/12.5 Mg Tablet

  Corona Remedies Pvt Ltd

• Bpc Th 40 Mg/12.5 Mg Tablet

  Serve Pharmaceuticals

• Zitelmi H 40 mg/12.5 mg Tablet

  FDC Ltd

• Telmikind-H 40Mg Tablet

  Mankind Pharma Ltd

• Telvas H 40/12.5 Tablet

  Aristo Pharmaceuticals Pvt Ltd

• Are there any missed dose instructions?

  The missed dose must be taken as soon as possible. If the time for the next dose arrives, skip the missed dose and resume the normal schedule. Do not take extra dosage.

• Are there any overdose instructions?

  The doctor must be consulted if there is any case of overdose. It is recommended that you do not overdose on the medicine, as it may worsen the condition and cause poisoning.

This medication displaces angiotensin II with very high affinity from its binding site at the AT1 receptor subtype, which is responsible for the known actions of angiotensin II. It also inhibits a sodium-chloride symporter SLC12A3 in the distal convoluted tubule to inhibit water reabsorption in the nephron. The symporter reabsorbs sodium and creates an osmotic gradient for water to be reabsorbed, inhibition of which prevents water reabsorption.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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• Interaction with Alcohol

  The medicine may interact with alcohol and cause drowsiness and fainting. Activities that require high mental alertness are not advised for the patients.

• Interaction with Medicine

  • Digoxin levels may be increased.
  • Lithium: Risk of toxicity may be increased by telmisartan; monitor lithium levels.
  • Potassium-sparing diuretics (amiloride, potassium, spironolactone, triamterene): Increased risk of hyperkalemia.
  • Potassium supplements may increase the risk of hyperkalemia.
  • Trimethoprim (high dose) may increase the risk of hyperkalemia.
  • Warfarin serum concentrations may be decreased (not associated with alteration in INR); monitor INR closely.

• Interaction with Disease

  The medicine’s interaction with diabetes is moderate as it can affect the blood glucose levels. Patients having congestive heart failure must take it with caution as it can worsen their conditions and renal impairment. Patients with low sodium levels must be alert as the medicine can cause hypotension.

• Interaction with Food

  The medicine might interact with foods containing high amounts of potassium as it can cause fatigue, irregular heartbeat, and mental confusion. The unusual symptoms must be reported to the doctor.

• Ques : What is Telma H Tablet?

  Ans : Telma H Tablet belongs to a family of drugs that are used to treat high blood pressure. It contains Hydrochlorothiazide and Telmisartan as active ingredients. Telma tablet works by blocking the action of a substance responsible for narrowing the blood vessels and eliminating the fluid and salts from the body.

• Ques : What is the use of Telma H Tablet?

  Ans : Telma H Tablet is used for the treatment and prevention from conditions and symptoms of diseases like high blood pressure, heart attack, kidney failure in patients with diabetes, liver failure and hypertension.

• Ques : What are the side effects of Telma H Tablet?

  Ans : This is a list of possible side-effects which may occur due to the constituting ingredients of Telma H Tablet. This is not a comprehensive list. These side-effects have been observed and not necessarily occur. Some of these side-effects may be serious. These include Changes In Vision, Dizziness, Increased Heart Rate, Difficulty Or Painful Urination, Abdominal Pain, Diarrhoea, Back Pain, Weakness and Fever.

• Ques : Can Telma H Tablet be used for high blood pressure?

  Ans : Yes, high blood pressure is among the most common reported uses for Telma tablet. The patient should consult a doctor for its further uses and side effects and should inform the doctor about any ongoing medications and treatment before using to avoid undesirable effects.

• Ques : How long do I need to use Telma H Tablet before I see improvement of my conditions?

  Ans : This medication should be consumed, till the complete eradication of disease. Thus it is advised to use, till the time directed by your doctor and moreover taking this medication longer than it was prescribed, can also cause inadequate effect on the patient. So please consult your doctor.

• Ques : At what frequency do I need to use Telma H Tablet?

  Ans : This medication is generally used once a day, as the time interval upto which this medication has an impact, is around 24 hours, but it is not the standard frequency, for using this medication. It is advised to consult your doctor for the dosage, as the frequency also depends on the patient's condition.

• Ques : Should I use Telma H Tablet empty stomach, before food or after food?

  Ans : The action of salts involved in this medication, do not depend on using it pre-meal or post-meal. It is advised to consult a doctor before use and take it at a fixed time in a day.

• Ques : What are the instructions for storage and disposal of Telma H Tablet?

  Ans : This medicine contains salts, which are suitable to store at room temperature and keeping this medication above or below that, can cause an inadequate effect. Protect it from moisture and light. Keep this medication, away from the reach of children. It is advised to dispose of the expired or unused medication, for avoiding its inadequate effect.

• Telmisartan- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 26 April 2019]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/telmisartan

• Hydrochlorothiazide- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 26 April 2019]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/hydrochlorothiazide

• Actelsar HCT 40 mg/12.5 mg tablets- EMC [Internet]. www.medicines.org.uk. 2019 [Cited 26 April 2019]. Available from:

  https://www.medicines.org.uk/emc/product/5285/smpc

• TELMISARTAN AND HYDROCHLOROTHIAZIDE - telmisartan and hydrochlorothiazide tablet- Daily Med [Internet]. dailymed.nlm.nih.gov. 2019 [Cited 26 April 2019]. Available from:

  https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e80f232c-c1c4-4524-a0a5-d23ee0d1f3b7