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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Alvitel CH 40 Tablet is used to treat hypertension (high blood pressure). It contains Telmisartan and Chlorthalidone, which relaxes and widens the blood vessels. Also, it prevents the absorption of excess salt in the body, preventing fluid retention. Thus, it lowers blood pressure and prevents the risk of any future stroke, heart attack, and oedema (fluid retention). In some cases, you may experience dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Manufacturer/Marketer :

Hertis Alvidia

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Alvitel CH 40 Tablet

Alvitel CH 40 Tablet is primarily used to treat 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.

Alvitel CH 40 Tablet is a combination of Telmisartan and Chlorthalidone. This medicine helps to relax and widen the blood vessels (arteries). It also helps the body absorb excess salt, preventing fluid retention.

Not everyone who takes Alvitel CH 40 Tablet will experience these side effects. In some cases, you may experience dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Alvitel CH 40 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

You can take Alvitel CH 40 Tablet with food or empty stomach. It should be swallowed as a whole with a glass of water. Do not chew, bite, crush, or break it. Your doctor will advise you on how often you should take your tablets based on your medical condition. It is always important to complete your treatment course for better results.

Inform your doctor if you are allergic to Alvitel CH 40 Tablet . Do not use potassium supplements or its salt substitutes, unless the doctor has told you. Consult your doctor if you are pregnant or planning to get pregnant. Additionally, avoid using Alvitel CH 40 Tablet if you are unable to urinate. Before taking Alvitel CH 40 Tablet , 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 Alvitel CH 40 Tablet

Alvitel CH 40 Tablet is used in the treatment of High blood pressure (hypertension). The detailed uses of Alvitel CH 40 Tablet are as follows:

  • Treatment of Hypertension: Alvitel CH 40 Tablet controls hypertension by relaxing blood vessels and lowering blood pressure, making it easier for the heart to pump blood.
  • Reducing Cardiovascular Risk: Alvitel CH 40 Tablet helps protect against heart attack, stroke, and other cardiovascular complications by lowering blood pressure and reducing the strain on the heart and blood vessels.
  • Kidney Protection: Alvitel CH 40 Tablet provides kidney protection by reducing blood pressure and slowing the progression of kidney disease.
  • Managing Fluid Retention: Alvitel CH 40 Tablet helps to manage fluid retention (edema) associated with hypertension.tension (high blood pressure).

Directions for Use

  • Alvitel CH 40 Tablet can be taken on an empty stomach or as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow Alvitel CH 40 Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

Medicinal Benefits

  • Alvitel CH 40 Tablet 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 reducing the chances of future heart attack and stroke.
  • Alvitel CH 40 Tablet prevents excessive water and electrolytes (like sodium, potassium etc.) from the body through urine, which can raise high blood pressure.

How Alvitel CH 40 Tablet Works

Alvitel CH 40 Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Chlorthalidone 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 any future stroke, heart attack, and oedema (fluid retention).

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Alvitel CH 40 Tablet
  • Wear compression garments like stockings, sleeves, or gloves to apply pressure and help stop fluid from building up, especially after the swelling goes down.
  • Move around and do exercises to help the fluid circulate, especially in swollen limbs. Ask your doctor for specific exercises.
  • Raise the swollen area above your heart level several times a day, even while sleeping, to help reduce swelling.
  • Gently massage the swollen area with firm but not painful pressure.
  • Keep the swollen area clean and moisturized to prevent injury and infection.
  • Reduce salt intake to help prevent fluid from building up and worsening the swelling, as advised by a doctor.
  • If the swelling does not get better after a few days of home treatment or worsens, consult your doctor right away.
  • Reduce salt intake to minimize fluid buildup.
  • Use compression stockings, sleeves, or gloves.
  • Gently massage the affected area towards the heart.
  • Protect the swollen area from injury and keep it clean.
  • Use lotion or cream to keep the skin moisturized.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

What if I have taken an overdose of Alvitel CH 40 Tablet

Do not take more than the prescribed dose of Alvitel CH 40 Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

  • Alvitel CH 40 Tablet should not be given to people who are allergic to Alvitel CH 40 Tablet , have low blood pressure (less than 90 mm of Hg), have had a heart attack, or have severe kidney disease.
  • It should be used with caution in patients suffering from diabetes.
  • Alvitel CH 40 Tablet is not recommended in patients with low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem).
  • Before taking Alvitel CH 40 Tablet , 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.  
  • Pregnant and breastfeeding mothers should consult a physician before taking Alvitel CH 40 Tablet .
  • Don't stop taking Alvitel CH 40 Tablet without your doctor's advice. Suddenly stopping the use of Alvitel CH 40 Tablet may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will gradually lower your dose to help prevent these symptoms.
  • This medicine is not recommended for use in children below 6 years of age.
  • Alvitel CH 40 Tablet can cause a condition that results in skeletal muscle problems, leading to further 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.
  • If you have anuria (non-passage of urine), please do not take Alvitel CH 40 Tablet as it is not recommended and may lead to further complications.

Drug-Drug Interactions

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AmlodipineDantrolene
Critical

Drug-Drug Interactions

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AmlodipineDantrolene
Critical
How does the drug interact with Alvitel CH 40 Tablet:
Using Alvitel CH 40 Tablet together with dantrolene may increase the risk of hyperkalemia (high blood potassium).

How to manage the interaction:
Taking Alvitel CH 40 Tablet with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
How does the drug interact with Alvitel CH 40 Tablet:
Co-administration of Aliskiren with Alvitel CH 40 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Alvitel CH 40 Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Alvitel CH 40 Tablet:
Using Alvitel CH 40 Tablet and primidone together may lower Alvitel CH 40 Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Alvitel CH 40 Tablet with primidone can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Alvitel CH 40 Tablet:
Taking simvastatin with Alvitel CH 40 Tablet may result in considerably higher blood levels of simvastatin and may increase the risk of side effects (liver damage and rhabdomyolysis - an uncommon but serious illness characterized by the breakdown of skeletal muscle tissue).

How to manage the interaction:
Although taking Alvitel CH 40 Tablet with simvastatin can result in an interaction, it can be taken if a doctor has advised it. If you have unexplained muscular pain, soreness, or weakness while using simvastatin, especially if these symptoms are accompanied by fever or dark-colored urine, consult the doctor immediately. However, if you develop a fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark colored urine, and/or yellowing of the skin or eyes, consult the doctor. Do not stop using any medications without a doctor's advice.
AmlodipineFosphenytoin
Severe
How does the drug interact with Alvitel CH 40 Tablet:
When Alvitel CH 40 Tablet is taken with Fosphenytoin, it may decrease the blood levels of Alvitel CH 40 Tablet, which may make Alvitel CH 40 Tablet less effective.

How to manage the interaction:
Although taking Alvitel CH 40 Tablet and Fosphenytoin together can cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without a doctor's advice.
How does the drug interact with Alvitel CH 40 Tablet:
Coadministration of lemborexant and Alvitel CH 40 Tablet may increase the blood levels of lemborexant.

How to manage the interaction:
Although co-administration of Alvitel CH 40 Tablet with Lemborexant can result in an interaction, it can be taken if a doctor has advised it. However, consult your doctor if you experience abnormal sleep patterns, worsening of depression, changes in heartbeat, or headache. Do not discontinue any medications without consulting a doctor.
AmlodipineEnzalutamide
Severe
How does the drug interact with Alvitel CH 40 Tablet:
Using a combination of Alvitel CH 40 Tablet and enzalutamide may drastically lower Alvitel CH 40 Tablet blood levels, making the medicine less effective.

How to manage the interaction:
Taking Alvitel CH 40 Tablet with enzalutamide can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Alvitel CH 40 Tablet:
Using Alvitel CH 40 Tablet and phenytoin together may drastically lower Alvitel CH 40 Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although Alvitel CH 40 Tablet with phenytoin can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
AmlodipineNitisinone
Severe
How does the drug interact with Alvitel CH 40 Tablet:
Coadministration of Alvitel CH 40 Tablet and Nitisinone may increase the blood levels and effects of Nitisinone.

How to manage the interaction:
Taking Nitisinone with Alvitel CH 40 Tablet together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms or if you feel unwell after taking your medication, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
How does the drug interact with Alvitel CH 40 Tablet:
Coadministration of Ceritinib together with Alvitel CH 40 Tablet can slow heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Alvitel CH 40 Tablet with Ceritinib, it can be taken if a doctor has advised it. However, if you have sudden dizziness, lightheadedness, fainting, or an irregular heartbeat, consult the doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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CHLORTHALIDONE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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CHLORTHALIDONE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Taking Alvitel CH 40 Tablet with potassium-containing salt substitutes or potassium supplements can cause high levels of potassium in the blood. Avoid taking potassium-containing salt substitutes or potassium supplements while being treated with Alvitel CH 40 Tablet.

Diet & Lifestyle Advise

  • Keep your weight under control with a BMI of 19.5-24.9.
  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
  • Limit intake of sodium chloride (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
  • If you are taking alcohol, then only one serving for women and two servings is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
  • Try to include heart-healthy omega-3 fatty acids containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES
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Alcohol

Unsafe

You are recommended not to consume alcohol and Alvitel CH 40 Tablet to avoid unpleasant side effects like drowsiness, dizziness, and liver damage.

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Pregnancy

Unsafe

Alvitel CH 40 Tablet is not recommended during pregnancy as it is a category D pregnancy drug. This medicine may cause fetal damage and can affect the unborn baby (fetus).

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Breast Feeding

Consult your doctor

Alvitel CH 40 Tablet is known to pass breast milk, but its effect on the baby is not known. So, before breastfeeding, let your doctor know about this. Either you need to stop breastfeeding for using Alvitel CH 40 Tablet , or you need to stop takingAlvitel CH 40 Tablet .

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Driving

Unsafe

Drive with caution, Alvitel CH 40 Tablet usually causes drowsiness and affects driving ability.

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Liver

Caution

Alvitel CH 40 Tablet to be taken with caution, especially if you have had a history of liver disease. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Kidney

Unsafe

Alvitel CH 40 Tablet is not recommended in patients with chronic kidney disease (severe renal impairment).

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Children

Caution

Efficacy and safety of Alvitel CH 40 Tablet have not been established in children. If prescribed, it should be strictly under medical supervision and only if the benefits overweight the harms.

Have a query?

FAQs

Alvitel CH 40 Tablet belongs to the class of anti-hypertensives used to treat hypertension (high blood pressure).

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 discontinuing it.

Alvitel CH 40 Tablet 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.

It is not recommended to take Alvitel CH 40 Tablet if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity). It contains telmisartan, a category D pregnancy drug, and it is harmful to the baby.

Yes, Alvitel CH 40 Tablet can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Alvitel CH 40 Tablet . In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.

You should not take Alvitel CH 40 Tablet 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 Alvitel CH 40 Tablet (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 Alvitel CH 40 Tablet , 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 doses together. Take only one dose; taking a double dose of Alvitel CH 40 Tablet will lead to low blood pressure.

Yes, prolonged intake of Alvitel CH 40 Tablet can cause an increase in blood potassium level. So, patients taking Alvitel CH 40 Tablet should avoid taking supplements and food rich in potassium to avoid any unpleasant side-effect.

Alvitel CH 40 Tablet contains a diuretic (chlorthalidone) which may affect a man's ability to maintain or gain an erection (erectile dysfunction). However, if you have any problem, you can consult your doctor, and accordingly, your medicine can be changed as other blood pressure-lowering medication does not affect erection.

To manage high blood pressure, focus on eating more fruits, vegetables, and whole grains. Limit sodium intake by reducing consumption of processed foods. Choose lean proteins and healthy fats. Avoid excessive sugar and alcohol. If you have specific dietary needs or concerns, consult a healthcare professional.

Most of these side effects of Alvitel CH 40 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Alvitel CH 40 Tablet can cause frequent urination. This is a common side effect due to the medication's diuretic properties. If it's bothersome, talk to your doctor for advice.

Alvitel CH 40 Tablet can cause dizziness. This is due to its effects on blood pressure. If you experience dizziness, sit down and avoid sudden movements. Talk to your doctor if it's persistent or severe.

If you stop taking Alvitel CH 40 Tablet without talking to your doctor, your blood pressure might go up suddenly. This can be bad for your health. It's important to discuss any changes to your medication with your doctor.

Yes, it's usually okay to take Alvitel CH 40 Tablet for a long time, but your doctor should check you regularly. Long-term use can sometimes cause side effects, so it's important to talk to your doctor about any concerns.

If isn't helping, talk to your doctor. They can help you figure out why and decide what to do next. Don't stop taking the medicine without talking to them first.

To help your blood pressure, eat healthy, exercise regularly, and manage your weight. Try to limit alcohol and caffeine, and avoid smoking. If you have any questions, talk to your doctor.

Alvitel CH 40 Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill).

It is not recommended to take Alvitel CH 40 Tablet if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity). It contains telmisartan, a category D pregnancy drug, and it is harmful to the baby.

Common side effects of Alvitel CH 40 Tablet may include, dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms

Yes, Alvitel CH 40 Tablet can interact with other medications. So, it's important to inform your doctor about all the medications you're taking, including prescription medications, over-the-counter drugs and herbal supplements.

Store in a cool and dry place away from sunlight. Keep Alvitel CH 40 Tablet out of the sight and reach of children.

Efficacy and safety of Alvitel CH 40 Tablet have not been established in children. If prescribed, it should be strictly under medical supervision and only if the benefits overweight the harms.

Alvitel CH 40 Tablet is known to pass breast milk, but its effect on the baby is not known. So, before breastfeeding, let your doctor know about this. Either you need to stop breastfeeding for using Alvitel CH 40 Tablet , or you need to stop taking Alvitel CH 40 Tablet .

Country of origin

India
Other Info - ALV0166

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