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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Telmisure H 40mg Tablet is used for the treatment of hypertension (high blood pressure). It contains Telmisartan and Hydrochlorothiazide, which helps to relax and widen the blood vessels (arteries). Also, it prevents absorption of excess salt in the body, preventing fluid retention. Thus, it lowers blood pressure and prevents the risk of stroke, heart attack and oedema (fluid retention). In some cases, you may experience side effects such as dizziness, feeling tired, 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 :

Medicron Life sciences Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Telmisure H 40mg Tablet

Telmisure H 40mg Tablet is primarily used 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.

Telmisure H 40mg Tablet is a combination of Telmisartan and Hydrochlorothiazide. 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 is taking Telmisure H 40mg Tablet will get these side effects. Sometimes, Telmisure H 40mg Tablet may cause common side effects like dizziness, feeling tired, nausea, diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Telmisure H 40mg 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 Telmisure H 40mg 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 Telmisure H 40mg Tablet . Do not use potassium supplements or its salt substitutes, unless the doctor has told you. Consult your doctor if you are pregnant, planning to get pregnant. Additionally, avoid using Telmisure H 40mg Tablet if you are unable to urinate. Before taking Telmisure H 40mg 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 Telmisure H 40mg Tablet

Telmisure H 40mg Tablet is used in the treatment of High blood pressure (hypertension). The detailed uses of Telmisure H 40mg Tablet are as follows:<br/> • Treatment of Hypertension: Telmisure H 40mg Tablet controls hypertension by relaxing blood vessels and lowering blood pressure, making it easier for the heart to pump blood.<br/> • Reducing Cardiovascular Risk: Telmisure H 40mg 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.<br/> • Kidney Protection: Telmisure H 40mg Tablet provides kidney protection by reducing blood pressure and slowing the progression of kidney disease.<br/> • Managing Fluid Retention: Telmisure H 40mg Tablet helps to manage fluid retention (edema) associated with hypertension.<br/>

Directions for Use

• Telmisure H 40mg Tablet can be taken with or without food as advised by your doctor. • Follow your doctor's instructions on the dosage and timing of this medication. • Swallow Telmisure H 40mg Tablet as a whole with a glass of water. • Do not crush, break, or chew it.

Medicinal Benefits

  • Telmisure H 40mg 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.
  • Telmisure H 40mg Tablet prevents excessive water and electrolytes (like sodium, potassium etc.) from the body through urine, which can raise high blood pressure.

How Telmisure H 40mg Tablet Works

Telmisure H 40mg Tablet 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).

Storage

Keep this medicine out of the sight and reach of children.

What if I have taken an overdose of Telmisure H 40mg Tablet

Do not take more than the prescribed dose of Telmisure H 40mg Tablet as it may cause overdose. The symptoms of overdose include fainting, feeling light-headed and slow or fast heart rate. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Telmisure H 40mg Tablet should not be given to people who are allergic to Telmisure H 40mg 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. Besides this, Telmisure H 40mg 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 Telmisure H 40mg 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 Telmisure H 40mg Tablet . Don't stop taking Telmisure H 40mg Tablet without your doctor's advice. Suddenly stopping the use of Telmisure H 40mg 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. Telmisure H 40mg 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.

Store Telmisure H 40mg Tablet at room temperature. You are advised not to chew, crush or break the medicine. Keep the medicine out of reach of children. Please do not take more than the recommended dose of medicine, as it can cause undesirable effects. It is always important to check for the expiry of the medicine. Discard the medicine if it reaches the expiry date. If you experience any chest pain, call your doctor immediately.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Telmisure H 40mg Tablet:
Co-administration of Aliskiren with Telmisure H 40mg Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telmisure H 40mg 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 Telmisure H 40mg Tablet:
Taking Cisapride and Telmisure H 40mg Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Telmisure H 40mg Tablet together is generally avoided as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
Critical
How does the drug interact with Telmisure H 40mg Tablet:
Taking Dofetilide and Telmisure H 40mg Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Telmisure H 40mg Tablet together is not recommended as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Telmisure H 40mg Tablet:
Taking Telmisure H 40mg Tablet with benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisure H 40mg Tablet can be taken with benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Telmisure H 40mg Tablet:
Taking lisinopril with Telmisure H 40mg Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Telmisure H 40mg Tablet can be taken with lisinopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications.
How does the drug interact with Telmisure H 40mg Tablet:
Co-administration of Telmisure H 40mg Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Telmisure H 40mg Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Telmisure H 40mg Tablet:
Taking quinapril with Telmisure H 40mg Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisure H 40mg Tablet can be taken with quinapril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium, such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanPotassium acetate
Severe
How does the drug interact with Telmisure H 40mg Tablet:
Co-administration of Potassium acetate can make Telmisure H 40mg Tablet more likely to cause high levels of potassium in the blood.

How to manage the interaction:
Although taking Potassium acetate and Telmisure H 40mg Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without a doctor's advice.
How does the drug interact with Telmisure H 40mg Tablet:
Taking perindopril with Telmisure H 40mg Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisure H 40mg Tablet can be taken with perindopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Telmisure H 40mg Tablet:
Taking trimethoprim with Telmisure H 40mg Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Telmisure H 40mg Tablet and trimethoprim, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, and a weak pulse. Do not discontinue the medications without consulting a doctor.

Drug-Food Interactions

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

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-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:
Consumption of Telmisure H 40mg Tablet with potassium-containing salt substitutes may increase the levels of potassium in the body. Avoid potassium-containing salt substitutes while being treated with Telmisure H 40mg Tablet. Consult a doctor if you experience weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs.

Diet & Lifestyle Advise

Keep your weight under control with BMI 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 for men 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 acid-containing food drinks in your daily diet. You can also use low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil to help 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 along with Telmisure H 40mg Tablet to avoid unpleasant side effects like drowsiness, dizziness and liver damage.

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Pregnancy

Unsafe

Telmisure H 40mg Tablet is not recommended during pregnancy. This medicine may cause fetal damage and can affect the unborn baby (foetus).

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Breast Feeding

Consult your doctor

Telmisure H 40mg 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.

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Driving

Unsafe

Drive with caution, Telmisure H 40mg Tablet usually causes drowsiness and affects driving ability.

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Liver

Caution

Telmisure H 40mg Tablet to be taken with caution, especially if you have or 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

Not recommended in patients with chronic kidney disease (severe renal impairment). Inform your doctor if you have any history of renal disease.

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Children

Safe if prescribed

Telmisure H 40mg Tablet can be given safely to children aged 6 - 12 years provided; dose has been prescribed by a child specialist.

Have a query?

FAQs

Telmisure H 40mg Tablet is used for the treatment of 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 to discontinue it.

Yes, Telmisure H 40mg Tablet 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.

Telmisure H 40mg 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.

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

You should not take Telmisure H 40mg 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 Telmisure H 40mg 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 Telmisure H 40mg 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&amp;#039;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 Telmisure H 40mg Tablet will lead to low blood pressure.

No, it is not recommended to take Telmisure H 40mg Tablet if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity).

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

Avoid using high potassium-containing food and drinks, potassium supplements or salt substitutes, unless the doctor has told you. You are recommended not to consume alcohol along with Telmisure H 40mg Tablet to avoid unpleasant side effects like drowsiness, dizziness and liver damage.

Taking too much of Telmisure H 40mg Tablet may cause an overdose. The symptoms of overdose include fainting, feeling light-headed and slow or fast heart rate. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Do not discontinue Telmisure H 40mg Tablet without consulting your doctor. To treat your condition effectively, keep taking Telmisure H 40mg Tablet for the prescribed duration.

If you stop taking Telmisure H 40mg Tablet , your blood pressure may rise again. This could raise your chances of a heart attack, stroke, kidney failure, or other complications. Therefore, do not discontinue Telmisure H 40mg Tablet without consulting your doctor.

Yes, it is safe to take Telmisure H 40mg Tablet for a long time if prescribed by the doctor. Continue taking Telmisure H 40mg Tablet for the prescribed duration.

Since high blood pressure is a chronic condition, you may need to take Telmisure H 40mg Tablet for a longer duration. However, the doctor will determine the duration of treatment based on your condition.

You may not feel a difference even after taking Telmisure H 40mg Tablet as high blood pressure does not have any symptoms. This does not mean you should stop taking Telmisure H 40mg Tablet . Talk to the doctor if you have any concerns.

Telmisure H 40mg Tablet may cause erectile dysfunction in some people. Please consult the doctor if you experience any sexual problems while taking Telmisure H 40mg Tablet .

Follow a healthy diet and exercise regularly. Avoid smoking and alcohol consumption. Manage stress by doing meditation. Limit salt, fried foods, and processed foods.

The active ingredients in Telmisure H 40mg Tablet are Telmisartan (angiotensin II receptor antagonist) and Hydrochlorothiazide (thiazide diuretic or water pill).

Telmisure H 40mg Tablet can be taken on an empty stomach or with food.

Telmisure H 40mg Tablet may cause side effects like dizziness, feeling tired, nausea, diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Telmisure H 40mg Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

You are recommended not to consume alcohol along with Telmisure H 40mg Tablet to avoid unpleasant side effects like drowsiness, dizziness and liver damage.

Store Telmisure H 40mg Tablet at room temperature, in a dry place. Keep out of sight and reach of children.

Country of origin

INDIA

Manufacturer/Marketer address

2-3-237,1st floor part,road no:2/a,near rto office adarshnagar colony,nagole hyderabad hyderabad tg 500056 in
Other Info - TEL0422

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