Telemar H 40mg Tablet 10'S

INTRODUCTION ABOUT TELEMAR H 40MG TABLET

TELEMAR H 40MG TABLET is used in the management of hypertension. It contains a combination of Hydrochlorothiazide+Telmisartan that works by removing excess fluids from the body and relaxing the blood vessels which reduces strain on the heart and reduces blood pressure.

Take this medicine as advised by your physician. It can be taken with or without food. During management with TELEMAR H 40MG TABLET your doctor will constantly monitor your kidney functions, blood pressure, electrolyte levels and blood sugar levels to avoid the risk of unwanted side effects.

Before taking TELEMAR H 40MG TABLET inform your doctor if you have any heart, liver, or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure or are severely dehydrated due to excessive vomiting or diarrhea.

TELEMAR H 40MG TABLET is also not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby. Stop taking TELEMAR H 40MG TABLET and inform your doctor immediately if you become pregnant while undergoing therapy with TELEMAR H 40MG TABLET.

The most common side effects of taking TELEMAR H 40MG TABLET are low blood pressure, dizziness, low or high blood potassium levels, pins and needles, muscle pain, diarrhoea, dry mouth, erectile dysfunction and increased blood uric acid levels. Contact your doctor if any of these side effect worsens.

USES OF TELEMAR H 40MG TABLET

• Management of Hypertension (high blood pressure)

HOW TELEMAR H 40MG TABLET WORKS

TELEMAR H 40MG TABLET is an antihypertensive medicine. It relaxes your blood vessels and improves blood flow across them. It also reduces thickness of the blood by removing excess fluids from the body in the form of urine. Collectively, these actions reduce the strain on the heart and helps the heart to pump blood more smoothly with less pressure.

DIRECTIONS FOR USE

• Take TELEMAR H 40MG TABLET as directed by your physician
• Swallow the medicine with a glass of water. Do not crush or chew the medicine.
• Try to take TELEMAR H 40MG TABLET at the same time each day.
• TELEMAR H 40MG TABLET can be taken with or without food.
• Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition.
• Continue to take TELEMAR H 40MG TABLET for the stipulated duration instructed by your doctor without any interruption to achieve better results.

SIDE EFFECTS OF TELEMAR H 40MG TABLET

Common Side Effects of TELEMAR H 40MG TABLET:

• Dizziness
• Low or high blood potassium levels
• Pins and needles (paraesthesia)
• Vertigo (spinning sensation)
• Fast or irregular heartbeat
• Low blood pressure causing dizziness while standing up
• Diarrhoea, dry mouth, flatulence
• Back pain, muscle spasm or pain
• Erectile dysfunction (inability to get or keep an erection)
• Increased blood uric acid levels
• Sore throat, sinus inflammation, common cold, cough
• Urinary tract infections
• Anaemia
• Kidney problems

Stop taking TELEMAR H 40MG TABLET and contact your doctor immediately if you experience any of the following side effects such as:

• Eye pain, swelling, decrease in vision (signs of fluid accumulation in the eye)
• Skin reactions or unexpected skin lesions
• Increased skin sensitivity towards sunlight, sunburn, redness, itching, swelling and blistering of skin
• Signs of severe dehydration (such as dry mouth, feeling weak or tired, drowsiness, restlessness, muscle weakness, nausea, vomiting and fast heart rate)

WARNING & PRECAUTIONS

PREGNANCY

Contraindicated

TELEMAR H 40MG TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TELEMAR H 40MG TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TELEMAR H 40MG TABLET, stop taking it and consult your doctor immediately.

BREASTFEEDING

Contraindicated

TELEMAR H 40MG TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

DRIVING AND USING MACHINES

Use with Caution

Do not drive or handle any heavy tools or machines if you experience dizziness or drowsiness after taking TELEMAR H 40MG TABLET.

ALCOHOL

Consult your doctor

Avoid consumption of alcohol while taking TELEMAR H 40MG TABLET as it might make you feel dizzier and drowsier.

KIDNEY

Consult your doctor

TELEMAR H 40MG TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries).

LIVER

Consult your doctor

TELEMAR H 40MG TABLET is not recommended for use in patients with severe liver impairment (such as cholestasis, jaundice, biliary obstruction). It should be used with caution in patients with mild to moderate liver problems.

ALLERGY

Contraindicated

Do not take TELEMAR H 40MG TABLET if you are allergic to Telmisartan or Hydrochlorothiazide or any other ingredients of this medicine.

HEART DISEASE

Use with Caution

TELEMAR H 40MG TABLET should be used with caution in patients with heart problems (such as irregular heart rhythm, problems with heart muscle or valves).

USE IN PEDIATRICS

Contraindicated

TELEMAR H 40MG TABLET is not recommended for use in children and adolescents (aged below 18 years).

USE IN GERIATRICS

Use with Caution

TELEMAR H 40MG TABLET should be used with caution in the elderly patients.

INTERACTIONS

A. Drug-Drug interactions:

Before taking TELEMAR H 40MG TABLET inform to your doctor, if you are taking any of these medicines:

• Antidepressants (such as lithium, citalopram, fluoxetine, paroxetine, nefazodone, St. John’s wort)
• Heart medicines (such as aliskiren, bosentan, methyldopa, guanethidine, captopril, enalapril, lisinopril, verapamil, diltiazem, losartan, valsartan)
• Anti-arrhythmic agents (Ex. quinidine, disopyramide, amiodarone, sotalol, digoxin)
• Potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
• Non-steroidal anti-inflammatory drugs (used for pain relief) such as indomethacin, celecoxib, ibuprofen, aspirin
• Heparin (a medicine used to manage or manage blood clots)
• Antibiotics (Ex. erythromycin, clarithromycin, telithromycin, trimethoprim, sparfloxacin, pentamidine, penicillin-G)
• Baclofen (a medicine used for relaxing muscles)
• Amifostine (a kidney protectant used along with chemotherapeutic agents)
• Antipsychotics (Ex. pimozide, amisulpride, haloperidol, thioridazine, chlorpromazine, levomepromazine)
• Corticosteroids (Ex. Prednisolone)
• Amphotericin B (a medicine used to manage fungal infections)
• Carbenoxolone (a medicine used to manage mouth ulcers)
• Allopurinol (a medicine used to manage gout)
• Anticancer agents (such as cyclophosphamide or methotrexate)
• Laxatives (used to manage constipation) Ex. lactulose
• Corticotropin (a medicine used to correct hormone problems)
• Antihyperlipidemic agents (such as cholestyramine and colestipol)
• Antidiabetic agents (such as Insulin, metformin)
• Noradrenaline (a medicine used to increase blood pressure)
• Tubocurarine, dantrolene (medicine used as a muscle relaxant)
• Calcium supplements and/or vitamin D supplements
• Atropine or biperiden used for abdominal or stomach spasms or cramps
• Amantadine (medicine used to manage Parkinson’s disease)
• Medicines used to manage allergic reactions (Ex. terfenadine)

Overdosage:

If you or anyone else accidentally take too much of TELEMAR H 40MG TABLET, consult your doctor immediately or visit the nearby hospital. Overdosage may cause undesirable effects such as low blood pressure, rapid heartbeat, vomiting, slow heartbeat, dizziness, low blood levels of potassium (resulting in nausea, sleepiness and muscle cramps or irregular heartbeat), reduced kidney function including kidney failure.

SYNOPSIS

MORE INFORMATION

FAQs ABOUT TELEMAR H 40MG TABLET

REFERENCES

1. KD. Tripathi. Antihypertensive Drugs. Drugs Affecting Renin-Angiotensin System and Plasma Kinins. Essentials of medical pharmacology. Seventh edition. 2013. Page – 559, 561 & 562.

2. Roberto Fogari, MD, Annalisa Zopppi, MD, Amedeo Mugellini, MD, Paolo Preti, MD, Maurizio Destro, MD, Andrea Rinaldi MD, and Giuseppe Derosa, MD. Effectiveness of hydrochlorothiazide in combination with telmisartan and olmesartan in adults with moderate hypertension not controlled with monotherapy: a prospective, randomized, open-label, blinded end point (PROBE), parallel-arm study. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. February 2008. [Accessed on 17th October 2024] click here

3. Kazuo Eguchi, Satoshi Hoshide, Tomoyuki Kabutoya, Kazuyuki Shimada, Kazuomi Kario. Is very low dose hydrochlorothiazide combined with candesartan effective in uncontrolled hypertensive patients? NIH. National Library of Medicine. National Center for Biotechnology Information. Pubmed.gov. December 2010. [Accessed on 17th October 2024] click here

4. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in December 2021] [Accessed on 17th October 2024] click here

5. Hikma Pharmaceuticals USA Inc. Telmisartan and Hydrochlorothiazide Tablet. Dailymed.com. [Revised in July 2021]. [Accessed on 17th October 2024 click here

6. Glenmark Arzneimittel GmbH. Electronic Medicines Compendium (EMC). [Revised in November 2019] [Accessed on 17th October 2024] click here

7. Central Drugs Standard Control Organization. Telmisartan 40mg/80mg+ Hydrochlorthiazide 12.5mg/12.5mg tablet. August 2003. [Accessed on 17th October 2024] click here

USER FEEDBACK

USEFUL DIAGNOSTIC TESTS

• Kidney function test (KFT)
• Cardiac Risk Profile

AUTHOR DETAILS

Written By Srilekha. R - B.Pharm

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 21 Nov 2024 | 10:11 AM(IST)