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Nepal Pharmaceuticals Laboratory

Telmi-h Tab

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TELMI-H TAB is the combination of Telmisartan (40mg) and Hydrochlorthiazide (12.5 mg) used to treat high blood pressure, prevent stroke and other heart diseases. A proper diet and regular exercise should be maintained along with taking this medicine. This medicine is effective in elderly population who are at higher risk of developing heart diseases.

 

Indications:

  • Hypertension
  • Cardiovascular risk reduction

Dosage:

  • 1 tablet a day.

Onset of Action: Peak concentrations of telmisartan are reached in 0.5 – 1.5 h after dosing and of hydrochlorothiazide are reached in approximately 1.0 – 3.0 hours after dosing.

Duration of Action: With hydrochlorothiazide, onset of diuresis occurs in 2 hours,while the action persists for approximately 6-12 hours. After the first dose of telmisartan, the antihypertensive activity gradually becomes evident within 3 hours

 

Side Effects:

  • Changes in vision
  • Dizziness
  • Increased heartbeat
  • Difficulty or painful urination
  • Abdominal pain
  • Diarrhea
  • Back pain
  • Weakness
  • Muscle pain
  • Fever

Interactions:

  1. Interaction with Medicines: Moderate to severe interaction with Dexamethasone, Diclofenac, Aliskiren, Captopril, Insulin.
  2. Interaction with Diseases: The medicine is used with caution in patients with congestive heart failure (especially in volume or sodium depletion).
  3. Interaction with Foods: Information not available.

 

Contraindications:

  • Known allergy to Telmisartan or Hydrochlorthiazide or any medicine of the same class.

Warnings:

  • Hypotension: Symptomatic hypotension may occur in patients with volume depletion or those who treated with high dose diuretics. Correct the condition before starting medication or start the treatment at reduced doses.
  • Hyperkalemia: Telmisartan may cause hyperkalemia (a condition with an increase in the potassium levels in the blood). Use with caution in patients with concomitant use of potassium-sparing diuretics or potassium supplements and in patients with impaired kidney function.
  • Impaired liver function: The elimination of telmisartan is reduced in liver disease. Start treatment at low doses and titrate slowly.
  • Pediatric population: The safety and efficacy of the medicine has not been established in children and adolescents age below 18 years.
  • Pregnancy: This medicine is not recommended for use in pregnant women unless absolutely necessary. Discuss all the risks and benefits with your doctor before taking this medicine.
  • Lactation: This medicine is not recommended for use in breastfeeding women unless absolutely necessary. Discuss all the risks and benefits with your doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
  • Safety with alcohol: Consumption of alcohol with this medicine will lower the blood pressure and can cause dizziness, headache and changes in heart rate. Avoid driving or operating heavy machinery if you have these symptoms.

General Instructions:

  • Take the medicine with or without food.
  • Do not take in larger amounts than advised.
  • Inform the doctor if you experience any undesirable side effects.
  • Do not stop the use of this medicine without consulting your doctor.

Storage Conditions:

  • Store the medicine at room temperature from 56–89°F (15– 30°C).
  • The medicine shouldn’t be removed from its packaging (blister pack) until right before you take your dose.

Substitutes:

Disclaimer
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of the physician or other qualified health provider with any question you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.
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