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Prescription requiredSinsan Pharmaceuticals Pvt LtdCARDIAC

Telfirst 20 Tablet

Telmisartan (20mg)

Currently out of stock

Same composition, in stock now. Check with your doctor or pharmacist before you switch.

  • Telmiride 20 Tablet₹16View
  • Telmikind 20 Tablet₹23View
  • Macsart 20 mg Tablet₹25View

Telfirst 20 Tablet is used for treatment of Hypertension (high blood pressure) Heart Failure Prevention of heart attack and stroke.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

Licensed pharmacyPharmacist-verified order

Key details

Salt: Telmisartan (20mg)
Available variants: tablet 20mg 15`S
Best price: ₹51 (₹3.38 per tablet)
MRP: ₹53
Prescription: Required
Manufacturer: SINSAN PHARMACEUTICALS PVT LTD

Ordering notes

Delivery details are shown when the medicine is back in stock.
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Same salt, lower price

Medicines with the same active ingredient and strength as Telfirst 20 Tablet.

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Telfirst 20 Tablet

tablet - 20mg - 15 S

₹51

₹3.38 per tablet

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  • Macsart 20MG Tab

    Macleods Pharmaceuticals Pvt Ltd · tablet - 20 mg - 15 S · Rx

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    Macleods Pharmaceuticals Pvt Ltd · tablet - 20 mg - 15 S · Rx

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Compare all substitutes
Same salt, different brand — what does that mean?

A substitute contains the same active ingredient (salt), in the same strength, as Telfirst 20 Tablet. The medicine inside is the same — the brand name, manufacturer and price are what differ.

All medicines sold in India, branded or generic, must meet the quality standards set by the national drug regulator (CDSCO). A lower price does not mean lower quality.

Please confirm with your doctor or pharmacist before switching brands — they will check that the strength and form match your prescription.

Composition of Telfirst 20 Tablet

Telfirst 20 Tablet contains Telmisartan (20mg). It belongs to the Angiotensin receptor blocker / ACE inhibitor class of medicines.

Uses of Telfirst 20 Tablet

Treatment of Hypertension (high blood pressure) Heart Failure Prevention of heart attack and stroke

Key benefits

  • In Treatment of Hypertension (high blood pressure) Telfirst 20mg Tablet helps lower blood pressure by relaxing blood vessels
  • making it easier for the heart to pump blood. When taken regularly as prescribed by the doctor
  • it helps reduce the risk of complications like kidney damage
  • heart disease
  • and stroke. In Heart Failure Telfirst 20mg Tablet helps in heart failure by relaxing blood vessels
  • reducing blood pressure
  • and easing the strain on the heart. This improves blood flow
  • making it easier for the heart to pump blood efficiently. It also helps reduce fluid buildup in the body
  • preventing swelling and shortness of breath
  • common symptoms of heart failure. Additionally
  • Telfirst 20mg Tablet protects the heart by lowering the risk of further damage. It is often used as an alternative for patients who cannot tolerate ACE inhibitors
  • such as Ramipril
  • due to side effects like a persistent cough. While not the first-choice treatment for heart failure
  • doctors may prescribe Telfirst 20mg Tablet
  • when appropriate
  • to support heart function and alleviate symptoms. In Prevention of heart attack and stroke Telfirst 20mg Tablet helps manage high blood pressure and reduces the strain on the heart. It also minimizes the likelihood of plaque rupture
  • blood clots
  • and vessel blockages
  • all of which are major contributors to heart attacks and strokes. When taken regularly in the right dosage with a proper diet and healthy lifestyle
  • it helps prevent heart attack and stroke
  • especially in individuals with additional risk factors like diabetes. Show More

How Telfirst 20 Tablet works

Telfirst 20mg Tablet is an angiotensin receptor blocker (ARB). It relaxes blood vessels by blocking the action of a chemical that usually makes blood vessels tighter. This lowers the blood pressure, allowing the blood to flow more smoothly to different organs and the heart to pump more efficiently.

How to take Telfirst 20 Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Telfirst 20mg Tablet may be taken with or without food.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

If you miss a dose of Telfirst 20mg Tablet, skip it and continue with your normal schedule. Do not double the dose.

If you take too much

An overdose of this medicine can cause a severe fall in blood pressure, with dizziness, fainting and a fast or slow pulse. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Telfirst 20 Tablet

Most side effects of Telfirst are mild and settle as the body adjusts. Reported side effects include:

  • Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Telfirst 20 Tablet

PregnancyPregnancy UNSAFE
BreastfeedingBreast feeding CONSULT YOUR DOCTOR
AlcoholAlcohol CAUTION
DrivingDriving UNSAFE
KidneyKidney CAUTION
LiverLiver UNSAFE
Habit formingNo

Warnings and precautions

Stand up slowly for the first few days — dizziness on rising is common when you start or your dose goes up. Stop and seek urgent care if your lips, tongue, face or throat swell, or you have difficulty breathing. A persistent dry, tickly cough can be caused by the ACE inhibitor group; tell your doctor rather than stopping on your own, as an alternative exists. Your doctor will check your kidney function and potassium after starting and after any dose change. Do not use salt substitutes containing potassium without asking your doctor.

Do not take Telfirst if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Must not be used in pregnancy — it can seriously harm the developing baby. Not for people with narrowing of both kidney arteries, or a history of swelling of the face and throat caused by this group of medicines.

Interactions with other medicines

Anti-inflammatory painkillers reduce the effect and can harm the kidneys when combined. Potassium supplements, potassium-sparing water tablets and salt substitutes can push potassium too high. Lithium levels rise when taken with these medicines.

How to store Telfirst 20 Tablet

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Telfirst 20 Tablet

Take it at the same time each day to maintain stable blood pressure levels. Drink plenty of water to stay hydrated while on this medication. Regularly check your blood pressure to ensure the medication is working effectively. Limit alcohol intake as it can lower blood pressure and increase side effects. Do not stop taking Telfirst 20mg Tablet suddenly without consulting your doctor, as this can worsen your condition. Incorporate a healthy diet and regular exercise to enhance the effectiveness of the medication.

Manufacturer and class

Manufacturer:
SINSAN PHARMACEUTICALS PVT LTD
Therapeutic class:
CARDIAC
Drug class:
Angiotensin receptor blocker / ACE inhibitor
Chemical class:
Biphenyl derivative

Substitutes for Telfirst 20 Tablet

Medicines with the same active ingredient (Telmisartan (20mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Telfirst 20 Tablet
Telmiride 20 TabletUNISON PHARMACEUTICALStablet · 10`S₹1669% cheaper
Telmikind 20 TabletMANKIND (PHARMA)tablet · 10 Tablet₹2355% cheaper
Macsart 20 mg TabletMacleods Pharmaceuticals Pvt Ltdtablet · 15`S₹2550% cheaper
Telmiduce 20 mg TabletMacleods Pharmaceuticals Pvt Ltdtablet · 15`S₹2550% cheaper
Telmiprl 20 mg TabletPRISTINE PEARL PHARMAtablet · 10S₹2944% cheaper
Telcel 20 mg TabletCELERA PHARMA PRVT LTDtablet · 10`S₹3041% cheaper
Xstan 20 TabletBlue Cross Laboratories Pvt Ltdtablet · 15`S₹3040% cheaper
Risetelmi-20 TabletRISEMARKER PHARMACEUTICALStablet · 10`S₹3139% cheaper
Telsaan 20 TabletSAAN LAB LLPtablet · 10`S₹3335% cheaper
Oritel 20 mg TabletDELLtablet · 10`S₹3335% cheaper
Telefix 20 TabletERGOS LIFE SCIENCEStablet · 15`S₹3433% cheaper
Telturn 20 mg TabletONEUS PHARMA HEALTH CAREtablet · 10`S₹3629% cheaper
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Telfirst 20 Tablet FAQs

What is Telfirst 20 Tablet used for?
Telfirst 20 Tablet is commonly used for Treatment of Hypertension (high blood pressure) Heart Failure Prevention of heart attack and stroke. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Telfirst 20 Tablet?
Telfirst 20 Tablet contains Telmisartan (20mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Telfirst 20 Tablet?
Take this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Telfirst 20 Tablet work?
Telfirst 20mg Tablet is an angiotensin receptor blocker (ARB).
Is Telfirst 20 Tablet a prescription medicine?
Yes. Telfirst 20 Tablet is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Telfirst 20 Tablet?
The side effects reported most often with Telfirst are Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Telfirst 20 Tablet be taken during pregnancy?
Pregnancy UNSAFE Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Telfirst.
Can I drink alcohol while taking Telfirst 20 Tablet?
Alcohol CAUTION
What if I miss a dose of Telfirst 20 Tablet?
If you miss a dose of Telfirst 20mg Tablet, skip it and continue with your normal schedule.
Is Telfirst 20 Tablet habit forming?
No. Telfirst 20 Tablet is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Telfirst 20 Tablet?
Telmiride 20 Tablet has the same active ingredient and strength and is listed from ₹16 on PingMeDoc Pharmacy. Ask your doctor or pharmacist before switching brands, the salt is the same, but excipients and release profiles can differ.
How much does Telfirst 20 Tablet cost on PingMeDoc Pharmacy?
Telfirst 20 Tablet starts at ₹51 (MRP ₹53) on PingMeDoc Pharmacy. Available in tablet 20mg 15`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Telfirst 20 Tablet?
Telfirst 20 Tablet is manufactured by SINSAN PHARMACEUTICALS PVT LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Telfirst 20 Tablet delivered?
Telfirst 20 Tablet is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Telfirst 20 Tablet, Quick facts

Salt
Telmisartan (20mg)
Form
tablet
Best price
₹51 (₹3.38 per tablet)
MRP
₹53
Prescription
Required (Rx)
Schedule
Schedule H
Brand
SINSAN PHARMACEUTICALS PVT LTD
Manufacturer
SINSAN PHARMACEUTICALS PVT LTD
Therapeutic class
CARDIAC
Drug class
Angiotensin receptor blocker / ACE inhibitor
Chemical class
Biphenyl derivative
Action class
Angiotensin Receptor Blockers (ARBs)
Habit forming
No
Variants
tablet 20mg 15`S
Delivery
Standard across India

References

The information on Telfirst 20 Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Telfirst 20 Tablet.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.