Telma H 40mg Tablet 10'S

Introduction About TELMA H

TELMA H 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 TELMA H 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 TELMA H 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.

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

The most common side effects of taking TELMA H 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 TELMA H

• Management of Hypertension (high blood pressure)

How TELMA H Works

TELMA H 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.

How to use TELMA H

• Take TELMA H as directed by your physician
• Swallow the medicine with a glass of water. Do not crush or chew the medicine.
• Try to take TELMA H at the same time each day.
• TELMA H 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 TELMA H for the stipulated duration instructed by your doctor without any interru

Side Effects Of TELMA H

Common Side Effects of TELMA H:

• 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 TELMA H 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

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

!### Breastfeeding

ContraindicatedTELMA H is not recommended for use in breastfeeding women. Therefore, consult
your doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or handle any heavy tools or machines if you experience dizziness
or drowsiness after taking TELMA H.

!### Alcohol

Consult your doctorAvoid consum
dizzier and drowsier.

!### Kidney

Consult your doctorTELMA H 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 doctorTELMA H 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

ContraindicatedDo not take TELMA H if you are allergic to Telmisartan or Hydrochlorothiazide or
any other ingredients of this medicine.

!### Heart Disease

Use with CautionTELMA H should be used with caution in patients with heart problems (such as
irregular heart rhythm, problems with heart muscle or valves).

!### Use In Pediatrics

ContraindicatedTELMA H is not recommended for use in children and adolescents (aged below 18
years).

!### Use In Geriatrics

Use with CautionTELMA H should be used with caution in the elderly patients.

Others

TELMA H is not recommended for use if you:

• Have diabetes related kidney problems
• Have low potassium levels in blood
• Have high calcium levels in blood

Before taking TELMA H, inform your doctor if you:

• Have primary hyperaldosteronism (problems in adrenal gland)
• Have low blood pressure
• Are severely dehydrated (due to diarrhea, vomiting or excess sweating)
• Are on a low-salt diet
• Have diabetes
• Have gout (painful joints)
• Have had skin cancer
• Have an auto-immune disease condition affecting the skin (such as SLS)
• Are scheduled for any upcoming surgery

Interactions

A. Drug-Drug interactions:

Before taking TELMA H 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 TELMA H, 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

Drug	:	Hydrochlorothiazide, Telmisartan
Pharmacological Category	:	Thiazide diuretics, Angiotensin-II Receptor blockers
Therapeutic Indication	:	High blood pressure
Dosage Forms	:	Tablet

More Information

FAQs About TELMA H

Q: What is TELMA H used for?

A: TELMA H is used to manage hypertension and its associated cardiovascular
problems.

Q: What type of a medicine is TELMA H?

A: TELMA H 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, it
reduces the strain on the heart and helps the heart to pump blood more smoothly
with less pressure.

Q: What happens when I stop taking TELMA H?

A: Do not stop taking TELMA H without consulting your doctor as your blood
pressure may raise once again. Make sure to take TELMA H for the stipulated
duration recommended by your doctor to achieve maximum results.

Q: What is the best time to take TELMA H?

A: TELMA H can be taken with or without meals. Your doctor will decide the best
time for you to take TELMA H based on your age, body weight and disease
condition.

Q: What to do if I forgot to take a dose of TELMA H?

A: If you forgot to take a dose of TELMA H, take it as soon as you remember.
However, if it is time for the next dose of TELMA H, skip the missed dose and
take the next one regularly. Do not take a double dose of TELMA H to compensate
the missed ones.

Q: What precautions should be followed while taking TELMA H?

A: Before taking TELMA H, 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 volume or are severely dehydrated. Stop taking TELMA H and
consult your doctor immediately if you become pregnant. Regularly visit your
doctor and take all the necessary blood test recommended by your doctor without
fail.

Q: Can I consume alcohol while taking TELMA H?

A: Avoid consum
dizzier and drowsier.

Q: What happens if I accidentally take more TELMA H?

A: If you or anyone else accidentally took more TELMA H, consult your doctor
immediately. Overdosage may cause low blood pressure, abnormal heartbeat,
dizziness, vomiting, decreased kidney functions, nausea, sleepiness and muscle
cramps.

Q: Can I take TELMA H daily?

A: Take TELMA H as advised by your physician. Your doctor will evaluate your
health condition and suggests whether can you take TELMA H every day or not.

Q: Is TELMA H safe to use in diabetic patients?

A: TELMA H may alter the blood sugar levels in your body. Therefore, it is
necessary to inform your doctor if you have diabetes before taking TELMA H as a
precaution. Your doctor will closely monitor you blood sugar levels to avoid the
risk of side effects.

Q: What are the side effects of TELMA H?

A: The most common side effects of taking TELMA H 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.

Q: Can I stop taking TELMA H once my symptoms subside?

A: No. Do not stop taking TELMA H without consulting your doctor. As
hypertension is a chronic condition, long term management may be necessary to
control its symptoms. Therefore, take TELMA H as advised by your doctor for the
stipulated duration. Premature discontinuation of therapy may increase your
blood pressure once again.

Q: Can TELMA H be taken during pregnancy?

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

Q: Is TELMA H safe to use in kidney disease?

A: TELMA H 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). Your doctor will access your
health condition and suggest a suitable dose for you. Therefore, it is important
to inform your doctor if you have any kidney problems before taking TELMA H as a
precaution.

Q: Can the use of TELMA H affect the liver?

A: Yes. TELMA H may affect the way your liver work. It can elevate the levels of
certain liver enzymes in your body. Therefore, it is strictly not recommended
for use in patients with severe liver diseases. It should be used with caution
in patients with other minor liver problems. Consult your doctor before taking
it.

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Useful Diagnostic Tests

• Kidney function test (KFT)
• Cardiac Risk Profile