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Telmisartan+hydrochlorothiazide

About Telmisartan+hydrochlorothiazide

Telmisartan+hydrochlorothiazide belongs to the class of anti-hypertensives primarily taken for the treatment of hypertension (high blood pressure). Hypertension or high blood pressure is a life-long or chronic condition in which the force exerted by the blood against the artery wall becomes too high. It can lead to the risk of heart diseases, like heart attack and stroke.

Telmisartan+hydrochlorothiazide is a combination of Telmisartan (angiotensin II receptor antagonist) and Hydrochlorothiazide (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Hydrochlorothiazide is a diuretic that prevents absorption of excess salt in the body, preventing fluid retention. Together it lowers blood pressure and prevents the risk of stroke, heart attack and oedema (fluid retention).

You can take Telmisartan+hydrochlorothiazide with food or empty stomach. It should be swallowed whole with a glass of water. Your doctor will advise you how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, feeling tired, nausea, diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Telmisartan+hydrochlorothiazide do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use potassium supplements or its salt substitutes, unless the doctor has told you. In rare cases, Telmisartan+hydrochlorothiazide can cause a condition that results in the skeletal muscle problem, leading to further to kidney failure. If you notice unexplained muscle pain, dark colour urine, tenderness, or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor. Do not use if you are pregnant, planning to get pregnant, stop taking Telmisartan+hydrochlorothiazide and tell your doctor right away. Besides this, you should not use Telmisartan+hydrochlorothiazide if you are unable to urinate. If you have diabetes, do not use Telmisartan+hydrochlorothiazide with any medication that contains aliskiren (a blood pressure medicine). Before taking Telmisartan+hydrochlorothiazide, tell your doctor if you have ever had liver disease, kidney failure, glaucoma, high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or an allergy to penicillin or sulfa drugs.  

Uses of Telmisartan+hydrochlorothiazide

Hypertension (high blood pressure)

Medicinal Benefits

Telmisartan+hydrochlorothiazide works by relaxing and widening the blood vessels (arteries) making the heart more efficient at pumping blood throughout the body. It helps to lower high blood pressure thus reduces the chances of future heart attack and stroke. Besides this, it prevents excessive water and electrolytes (like sodium, potassium etc.) from the body through urine that can raise high blood pressure.

Directions for Use

Telmisartan+hydrochlorothiazide should not be used unless prescribed by a doctor. Always take Telmisartan+hydrochlorothiazide exactly as your doctor told you. Your doctor will advise you how often you take your tablets based on your medical condition. Swallow Telmisartan+hydrochlorothiazide with a full glass of water. If required tablets can be broken in half to give a smaller dose.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Telmisartan+hydrochlorothiazide

  • Dizziness
  • Feeling tired
  • Nausea
  • Diarrhoea
  • Back pain
  • Cold/flu symptoms

Patients Concern

Disease/Condition Glossary

Hypertension: It is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is the pressure when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg and, diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.

FAQs

No, you are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend to discontinue it.

Yes, Telmisartan+hydrochlorothiazide can cause ankle swelling in some cases which can be due to oedema (fluid retention). If you feel the swelling is persistent, please inform your doctor.

Telmisartan+hydrochlorothiazide can be safely taken as long as your doctor has prescribed it to you. Conditions such as high blood pressure are life-long conditions, and one should not abruptly discontinue it without discussing it with a doctor.

Yes, Telmisartan+hydrochlorothiazide can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Telmisartan+hydrochlorothiazide. In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.

You should not take Telmisartan+hydrochlorothiazide if you have ever had liver disease, kidney failure, glaucoma, high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or allergic to penicillin or sulfa drugs, anuria (reduction or absence of urine) and pregnant women in their second or third trimesters. Besides this avoid using Telmisartan+hydrochlorothiazide (in case of diabetes) with aliskiren (a blood pressure medicine) as it can lead to a life-threatening condition.

In case, you have missed a dose of Telmisartan+hydrochlorothiazide, you are advised to take it as soon as you remember. However, try not to miss a dose in the first place, if it's time for you to take your next dose, then do not take both the doses together. Take only one dose, taking a double dose of Telmisartan+hydrochlorothiazide will lead to low blood pressure.

No, it is not recommended to take Telmisartan+hydrochlorothiazide if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity).

Yes, prolonged intake of Telmisartan+hydrochlorothiazide can cause an increase in blood potassium level. So, patients taking Telmisartan+hydrochlorothiazide should avoid taking supplements and food rich in potassium to avoid any unpleasant side-effect.

Available Medicines for

Telmisartan+hydrochlorothiazide

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