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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Arbitel AV Tablet is used to treat hypertension (high blood pressure) and hyperlipidemia (high cholesterol level). Additionally, it is used to reduce the risk of heart attack or stroke in adults. It contains Telmisartan and Atorvastatin, which relaxes and widens the blood vessels. Thus, lowers high blood pressure. Also, it lowers the level of low-density lipoprotein (LDL) or bad cholesterol in the blood. It helps to decrease the production of cholesterol that may build up in the blood vessels (arteries) of the heart, brain, and other parts of the body. In some cases, it may cause a sinus infection, dizziness, hyperglycemia (excess of glucose in the bloodstream), headache, blurred vision, constipation, nausea, diarrhoea, muscle spasms, and back pain. 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 :

Micro Labs Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Arbitel AV Tablet

Arbitel AV Tablet is used to treat hypertension (high blood pressure) and hyperlipidemia (high cholesterol level). Additionally, Arbitel AV Tablet is used to reduce the risk of heart attack or stroke in adults. Hypertension is a medical condition in which the blood pressure is elevated persistently in the arteries without any known cause. Hyperlipidemia or dyslipidemia is the deposition of unhealthy levels of fats (lipids) in the blood. 

Arbitel AV Tablet is a combination of two drugs: Telmisartan (angiotensin receptor blocker) and Atorvastatin (cholesterol-lowering drugs).  Telmisartan works by blocking the action of angiotensin II in the body, which causes the narrowing of blood vessels (arteries) and leads to high blood pressure. Thereby relaxing and widening the blood vessels. Thus, it lowers high blood pressure. Atorvastatin lowers the level of low-density lipoprotein (LDL) or bad cholesterol in the blood. Arbitel AV Tablet helps to decrease the production of cholesterol that may build up in the blood vessels (arteries) of the heart, brain, and other parts of the body. 

Your doctor will advise you on how often you need to take Arbitel AV Tablet based on your medical condition. In a few cases, you may experience a sinus infection, dizziness, hyperglycemia (excess of glucose in the bloodstream), headache, blurred vision, constipation, nausea, diarrhoea, muscle spasms, and back pain. Most of these side effects of Arbitel AV Tablet do not require medical attention and gradually resolve over time. Consult your doctor immediately if you have yellowing eye/skin (jaundice), dark urine, or repeated unexplained muscular pain.

Avoid intake of potassium supplements with Arbitel AV Tablet as it may lead to high potassium levels in the blood, so the doctor may ask you to have a regular check of your potassium level. Do not consume alcohol with Arbitel AV Tablet as it may increase the risk of low blood pressure. Arbitel AV Tablet may cause a breakdown of skeletal muscle tissue, leading to kidney failure. This condition usually occurs in the elderly, people with kidney disease, and poorly controlled hypothyroidism (underactive thyroid). The efficiency of Arbitel AV Tablet can be increased by taking low-fat or cholesterol-containing food and drinks, eating a low-salt diet, and regular exercise. 

Uses of Arbitel AV Tablet

Treatment of High blood pressure (hypertension), Lowering of raised cholesterol, Prevention of heart attack and stroke.

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Directions for Use

• Take Arbitel AV Tablet with or without food or as advised by a doctor.• Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.• Swallow the medicine as a whole with glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Arbitel AV Tablet is a combination drug, namely Telmisartan (blood pressure-lowering agent) and Atorvastatin (cholesterol-lowering agent), primarily taken to prevent heart attack and stroke in people with heart problems. It also lowers the raised level of bad cholesterol (especially those at high risk of heart disease). Telmisartan is an angiotensin receptor blocker (ARB) that lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. Atorvastatin is a lipid-lowering medication that blocks the enzyme required to make cholesterol in the body. It reduces the bad cholesterol (also known as low-density lipoproteins or LDL), triglycerides (TG) and increases the levels of good cholesterol (also known as high-density lipoproteins or HDL). Together, Arbitel AV Tablet reduces the risk of heart attack and stroke.

How Arbitel AV Tablet Works

Arbitel AV Tablet is a combination of two drugs: Telmisartan (angiotensin receptor blocker) and Atorvastatin (cholesterol-lowering drugs).  Telmisartan works by blocking the action of angiotensin II in the body, which causes the narrowing of blood vessels (arteries) and leads to high blood pressure. Thereby relaxing and widening the blood vessels. Thus, it lowers high blood pressure. Atorvastatin lowers the level of low-density lipoprotein (LDL) or bad cholesterol in the blood. Arbitel AV Tablet helps to decrease the production of cholesterol that may build up in the blood vessels (arteries) of the heart, brain, and other parts of the body.

Storage

Keep Arbitel AV Tablet out of the sight and reach of children.
Side effects of Arbitel AV Tablet
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the steps to manage Joint Pain caused by medication usage:
  • Please inform your doctor about joint pain symptoms, as they may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Your doctor may prescribe common pain relievers if necessary to treat joint discomfort.
  • Maintaining a healthy lifestyle is key to relieving joint discomfort. Regular exercise, such as low-impact sports like walking, cycling, or swimming, should be combined with a well-balanced diet. Aim for 7-8 hours of sleep per night to assist your body in repairing and rebuilding tissue.
  • Applying heat or cold packs to the affected joint can help reduce pain and inflammation.
  • Please track when joint pain occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • If your joint pain is severe or prolonged, consult a doctor to rule out any underlying disorders that may require treatment.
Here are the steps to manage the medication-triggered Common Cold:
  • Inform your doctor about the common cold symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Drink plenty of fluids, such as warm water or soup, to help thin out mucus.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:
  • Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
  • To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
  • Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
  • Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
  • Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
  • Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
  • If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
  • Eat fatty fish rich in omega-3 fatty acids to reduce inflammation.
  • Add whole grains such as brown rice, quinoa, and whole wheat bread to your diet for a nutritional boost.
  • Add nuts and seeds like almonds, walnuts, chia seeds for anti-inflammatory benefits.
  • Eat dark leafy greens like spinach, kale, collard greens for antioxidants.
  • Include berries like blueberries, strawberries, raspberries for anti-inflammatory properties.
  • Rest and take a break from usual activities.
  • Apply ice for 15-20 minutes, 3 times a day to reduce pain and inflammation.
  • Use compression with a stretchable bandage or wrap to lessen swelling and provide support.
  • Avoid strenuous activities and rest the affected area.
  • Try light stretching with gentle exercises to maintain flexibility.
  • Consider OTC pain medications like ibuprofen or acetaminophen but consult a doctor before taking any medication.

What if I have taken an overdose of Arbitel AV Tablet

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

Drug Warnings

Arbitel AV Tablet should not be given to the people allergic to Arbitel AV Tablet , have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women or planning to get pregnant and breastfeeding women. It should be used with caution in patients suffering from diabetes. Avoid intake of potassium supplements with Arbitel AV Tablet as it may lead to high potassium levels in the blood, so the doctor may ask you to have a regular check of your potassium level. Taking Arbitel AV Tablet with painkillers (like aspirin and ibuprofen) can increase the risk of kidney problems and reduced the efficiency of Arbitel AV Tablet . If you are taking or have taken in the last 7 days a medicine called fusidic acid for bacterial infection orally or by injection. Arbitel AV Tablet contains Atorvastatin, the combination of fusidic acid and Atorvastatin can lead to rhabdomyolysis (serious muscle problems). Arbitel AV Tablet may cause tiredness or dizziness in some people. Make sure you are not affected before driving. Do not consume alcohol with Arbitel AV Tablet as it may increase the risk of low blood pressure.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Arbitel AV Tablet:
Taking Arbitel AV Tablet with Posaconazole can increase the blood levels of Arbitel AV Tablet. This can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between posaconazole with Arbitel AV Tablet, they can be taken together if advised by your doctor. However, contact the doctor if you experience unexplained muscle pain, weakness, fever, chills, joint pain or swelling, unusual bleeding, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark coloured urine, or yellowing of the skin or eyes. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Arbitel AV Tablet:
Co-administration of Aliskiren with Arbitel AV Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Arbitel AV 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.
AtorvastatinAmprenavir
Severe
How does the drug interact with Arbitel AV Tablet:
Using Arbitel AV Tablet together with amprenavir may significantly increase the blood levels of Arbitel AV Tablet.

How to manage the interaction:
Although taking Arbitel AV Tablet and Amprenavir together can cause an interaction, it can be taken if a doctor has suggested it. It's important to keep an eye on your health and talk to a doctor about any concerns. If you notice any of these signs - muscle pain, dark urine, fever, or fatigue - make sure to contact a doctor right away. They can help figure out what's going on and how to help you feel better. Do not stop using any medications without talking to a doctor.
AtorvastatinTroleandomycin
Severe
How does the drug interact with Arbitel AV Tablet:
Using Arbitel AV Tablet together with troleandomycin may significantly increase the blood levels of Arbitel AV Tablet.

How to manage the interaction:
Taking Arbitel AV Tablet with Troleandomycin together can result in an interaction, but it can be taken if a doctor has advised it. You should seek immediate medical attention if you develop 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. Do not stop using any medications without a doctor's advice.
How does the drug interact with Arbitel AV Tablet:
Using Arbitel AV Tablet together with danazol may significantly increase the blood levels of Arbitel AV Tablet.

How to manage the interaction:
Concomitant administration of Arbitel AV Tablet along with danazol can result in an interaction, it can be taken if a doctor has advised it. However, if you experience muscle pain, tenderness, or weakness, accompanied by fever or dark colored urine, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark colored urine, light colored stools, and/or yellowing of the skin or eyes, you should consult the doctor. Do not stop taking any medication without doctor's advice.
How does the drug interact with Arbitel AV Tablet:
When Gemfibrozil is taken with Arbitel AV Tablet, the chance of side effects such as liver damage and rhabdomyolysis, (an uncommon illness involving the breakdown of skeletal muscle tissue) increases.

How to manage the interaction:
Co-administration of Arbitel AV Tablet along with Gemfibrozil together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience muscle pain, tenderness, or weakness especially accompanied by fever or dark colored urine, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark colored urine, light colored stools, and/or yellowing of the skin or eyes, you should consult the doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Arbitel AV Tablet:
When Arbitel AV Tablet and Fluconazole are taken together, the blood levels of Arbitel AV Tablet may be significantly elevated.

How to manage the interaction:
Taking Arbitel AV Tablet in conjunction with Fluconazole can result in an interaction, it can be taken if a doctor has advised it. However, if you experience muscle pain, tenderness, or weakness, accompanied by fever or dark-colored urine, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark-colored urine, light-colored stools, and/or yellowing of the skin or eyes, you should consult the doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Arbitel AV Tablet:
Coadministration of Erlotinib with Arbitel AV Tablet can raise the chance of side effects (liver injury and rhabdomyolysis, an uncommon but serious illness that causes the breakdown of skeletal muscle tissue. Rhabdomyolysis occasionally results in kidney injury).

How to manage the interaction:
Taking Erlotinib with Arbitel AV Tablet together can result in an interaction, it can be taken if a doctor has advised it. However, if you notice any unexplained muscle pain, muscle stiffness or tenderness, fever, dark-colored urine, or weakness, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
AtorvastatinSimeprevir
Severe
How does the drug interact with Arbitel AV Tablet:
Using Arbitel AV Tablet together with simeprevir may significantly increase the blood levels of Arbitel AV Tablet.

How to manage the interaction:
Although taking Arbitel AV Tablet and Simeprevir together can cause an interaction, it can be taken if a doctor has suggested it. You should seek immediate medical attention if you develop 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. Do not stop using any medications without a doctor's advice.
How does the drug interact with Arbitel AV Tablet:
Combining Arbitel AV Tablet with darunavir may profoundly enhance Arbitel AV Tablet levels in the blood. This can raise the chance of side effects (liver injury and rhabdomyolysis, an uncommon but serious illness that causes the breakdown of skeletal muscle tissue. Rhabdomyolysis occasionally results in kidney injury).

How to manage the interaction:
Taking Arbitel AV Tablet with darunavir can result in an interaction, it can be taken if a doctor has advised it. However, if you experience muscle pain, tenderness, or weakness, accompanied by fever or dark colored urine, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark colored urine, light colored stools, and/or yellowing of the skin or eyes, you should consult the doctor. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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ATORVASTATIN-10MG+TELMISARTAN-40MGPotassium rich foods, Grapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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ATORVASTATIN-10MG+TELMISARTAN-40MGPotassium rich foods, Grapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Tomatoes, Sweet Potatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt, Grapefruit, Grapefruit Juice

How to manage the interaction:
Taking potassium rich food, grapefruit and grape juice while on the treatment with Telmisartan and Atorvastatin can increase the levels of potassium salt in blood and other side effects like nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, confusion, or slow or rapid heartbeat. Avoid or limit taking potassium rich food, grapefruit and grape juice while on the treatment with Telmisartan and Atorvastatin.

Diet & Lifestyle Advise

  • Maintain a low salt diet and minimize eating processed foods as they contain more sodium. Try to replace salt with spices or herbs to add flavour to the food.

  • Try to replace most of your saturated fats with unsaturated fats that can reduce total cholesterol and LDL cholesterol in a short span of time. Foods like avocados, olive oil, fatty fish, and nuts contain lots of heart-healthy unsaturated fats, so it’s beneficial to eat them regularly.

  • Try to adopt a Mediterranean-style diet rich in olive oil, fruits, vegetables, nuts, whole grains, and fish, and low in red meat and most dairy.

  • Try to give priority to more fruits and veggies in your daily meal as these contain antioxidants that help to lower LDL

  • Minimize the intake of added sugar. The American Heart Association (ADA) recommends, one should not eat more than 100 calories (25 grams) of added sugar for women and children, and no more than 150 calories (37.5 grams) for men every day.

  • American Heart Association recommends the intake of sodium chloride (table salt) should not exceed more than 2,300 mg per day as part of a healthy eating pattern.

  • Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day.

  • Try aromatherapy, yoga, meditation to help relax your body and mind.

  • Chronic stress may also cause high blood pressure. Therefore, avoid stress by changing your expectations, the way you react in certain situations, and making time for yourself to do activities that you enjoy.

  • As a precautionary measure, do not consume alcohol and quit smoking.

Habit Forming

No

Therapeutic Class

CARDIOVASCULAR AGENTS
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Alcohol

Unsafe

You are recommended to avoid consumption of alcohol with Arbitel AV Tablet as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache.

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Pregnancy

Caution

Arbitel AV Tablet is a Category D pregnancy drug and is considered unsafe for pregnant women especially in the second and third trimesters. Contact your doctor before taking Arbitel AV Tablet .

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Breast Feeding

Caution

Avoid breastfeeding while taking Arbitel AV Tablet as it may be unsafe for the baby

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Driving

Unsafe

Arbitel AV Tablet may cause dizziness or tiredness in some people. So, make sure you are not affected before driving or operating machinery.

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Liver

Caution

Take Arbitel AV Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required. Arbitel AV Tablet is not recommended for patients with severe liver disease.

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Kidney

Caution

Take Arbitel AV Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

It is not recommended for children below 18 years as the safety and effectiveness in children is not established.

FAQs

Arbitel AV Tablet is used to treat hypertension (high blood pressure) and hyperlipidemia (high cholesterol level). Additionally, it is used to reduce the risk of heart attack or stroke in adults.

Arbitel AV Tablet is composed of two medicines, namely: Telmisartan and Atorvastatin. Telmisartan is an angiotensin receptor blocker (ARB), that works by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body. Atorvastatin lowers raised fat/cholesterol. Thus, together Arbitel AV Tablet reduces the risk of heart attack and stroke.

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.

Arbitel AV Tablet contains atorvastatin which can raise your blood sugar a little. If you already have type 2 diabetes please consult your doctor. Your doctor may adjust the dosage of Arbitel AV Tablet .

Arbitel AV Tablet shows some side effects such as dizziness, stuffy nose, sinus pain, nausea, stomach pain, constipation, muscle pain, hypotension(low blood pressure ), and hyperglycemia ( increased glucose levels in the blood). These will gradually reduce over time and do not require any medical attention. However, please contact your doctor if these persist over time.

If you have high blood pressure you are recommended to limit salt and processed foods, using herbs and spices for flavour. Replace saturated fats with unsaturated fats from sources like avocados, olive oil, and fish. Follow a Mediterranean diet rich in fruits, vegetables, and whole grains, while low in red meat. Eat more fruits and veggies for antioxidants that lower LDL cholesterol. Limit added sugar to 25g (100 calories) for women/children and 37.5g (150 calories) for men daily. Keep sodium under 2,300 mg and avoid alcohol and smoking for better health.

Take Arbitel AV Tablet as prescribed by your doctor. Swallow Arbitel AV Tablet whole with a glass of water; do not crush, chew, or break it.

Country of origin

India

Manufacturer/Marketer address

No. 28 Sundar Industrial Estate,N.T.Y Layout Mysore Road , Bangalore - 560026, India
Other Info - ARB0014

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