Telma H Tablet

Composition of Telma H Tablet

Telma H Tablet contains Telmisartan (40mg) + Hydrochlorothiazide (12.5mg). It belongs to the Angiotensin II receptor blocker (ARB) + Thiazide diuretic class of medicines.

Uses of Telma H Tablet

• Treatment of essential hypertension (high blood pressure)
• especially when blood pressure is not adequately controlled with telmisartan alone; helps reduce risk of cardiovascular complications related to uncontrolled hypertension.

Key benefits

• Lowers high blood pressure effectively
• Reduces risk of stroke/heart attack linked to hypertension
• Provides additive BP control when one medicine is insufficient
• Helps reduce fluid overload through diuretic action

How Telma H Tablet works

Telmisartan is an angiotensin II receptor blocker (ARB) that relaxes blood vessels by blocking angiotensin II, lowering blood pressure. Hydrochlorothiazide is a thiazide diuretic that increases salt and water excretion via kidneys, reducing fluid volume and blood pressure. The combination provides additive BP-lowering effect.

How to take Telma H Tablet

Take as prescribed by a doctor, usually once daily at the same time each day. Can be taken with or without food; swallow tablet with water. Because it contains a diuretic, taking it in the morning is often preferred to reduce nighttime urination; do not stop suddenly without medical advice.

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

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

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. It can cause severe dehydration, a sharp fall in blood pressure and dangerous salt imbalances. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Telma H Tablet

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

• Dizziness
• low blood pressure
• increased urination
• headache
• fatigue
• nausea
• muscle cramps
• increased blood urea/creatinine
• electrolyte imbalance (low potassium/low sodium)
• increased uric acid

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 Telma H Tablet

Warnings and precautions

Not recommended in pregnancy (can harm fetus); avoid if allergic to telmisartan, hydrochlorothiazide or sulfonamides. Use caution in kidney or liver disease, dehydration, low blood pressure, heart failure, renal artery stenosis, diabetes, gout, and in elderly. Monitor blood pressure, kidney function and electrolytes periodically; risk of dehydration and electrolyte disturbances—drink adequate fluids unless advised otherwise. May cause dizziness—avoid driving/operating machinery until effects are known. Hydrochlorothiazide may increase blood sugar and uric acid; telmisartan may increase potassium (risk higher with kidney disease or potassium-sparing drugs).

Do not take Telma H 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. Not for people who are unable to pass urine, or who are severely dehydrated.

Interactions with other medicines

Potassium supplements/salt substitutes, potassium-sparing diuretics (spironolactone/eplerenone/amiloride), ACE inhibitors or aliskiren (especially in diabetes/kidney disease), NSAIDs (ibuprofen/diclofenac) may reduce effect and worsen kidney function, lithium (increased toxicity), other antihypertensives (additive hypotension), corticosteroids and laxatives (worsen low potassium), antidiabetic medicines (dose adjustment may be needed), alcohol (increases dizziness)

How to store Telma H Tablet

Store below 30°C in a cool, dry place; protect from moisture and direct light. Keep in original blister/pack and out of reach of children.

Expert advice for Telma H Tablet

You have been prescribed Telma H Tablet for the treatment of high blood pressure. It may also decrease the risk of stroke and heart attacks. It can be taken with or without food. Telma H Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth. It may cause dizziness. Get up slowly when rising from a sitting or lying position.  Use of Telma H Tablet during pregnancy or breastfeeding is unsafe.

Manufacturer and class

Manufacturer:

GLENMARK PHARMACEUTICALS

Therapeutic class:

Antihypertensive

Drug class:

Angiotensin II receptor blocker (ARB) + Thiazide diuretic