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Telvas H 40/12.5 Tablet 10’S
Original price was: ₹92.00.₹83.00Current price is: ₹83.00.
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* Country of Origin: India
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Introduction About TELVAS H 40MG TABLET
Telvas H 40/12.5 Tablet is a medication used to manage high blood pressure (hypertension) and certain heart conditions. This combination drug contains Telmisartan (40mg) and Hydrochlorothiazide (12.5mg) and is often prescribed to improve heart health and reduce the risk of stroke and heart attacks.
You can take Telvas H 40/12.5 Tablet with or without food. The dosage will depend on your condition and how your body responds to the medication. It is best to take it at the same time each day. Continue taking this medicine as directed by your doctor, even if you start feeling better. This medication contains a diuretic (water pill), which can cause increased urination. Therefore, it is advisable to avoid taking it within four hours of bedtime. Even if you feel fine, it is important to keep taking this medicine regularly to achieve the best results. Since high blood pressure often has no symptoms, stopping the medication could raise your risk of heart attack or stroke.
Common side effect of this medication includes headache, dizziness, fatigue, low blood pressure, electrolyte imbalances, nausea, shortness of breath, and changes in heartbeat. Frequent urination is not a side effect of this medicine. It is the purpose of this medicine as frequent urination helps control your blood pressure. While other side effects may occur, they are uncommon. Be sure to read the leaflet that accompanies your medication, and inform your doctor if you are concerned about any side effects or if they persist. It may be possible to adjust your dosage or switch to a different medication.
Avoid taking potassium supplements or salt substitutes unless instructed by your doctor. This medication is not recommended during pregnancy or breastfeeding. If you have kidney or liver disease, heart issues, or diabetes, consult your doctor before taking it. Consuming alcohol may lower your blood pressure further and increase the risk of side effects.
Uses Of TELVAS H 40MG TABLET
- High blood pressure (hypertension)
- Certain heart conditions
Benefits of TELVAS H 40MG TABLET
- Effective Blood Pressure Control: Helps lower high blood pressure, reducing the risk of heart disease.
- Heart Health Support: Can protect against heart failure and reduce the risk of strokes.
- Combination of Two Active Ingredients: Combines the effects of Telmisartan and Hydrochlorothiazide for enhanced effectiveness.
- Improved Kidney Function: May help protect the kidneys in people with high blood pressure.
- Low Risk of Side Effects: Generally well-tolerated with fewer side effects compared to some other blood pressure medications.
How TELVAS H 40MG TABLET Works
Telvas H 40/12.5 Tablet works through a dual mechanism to lower blood pressure. It contains two active ingredients: Telmisartan and Hydrochlorothiazide. Telmisartan is an angiotensin II receptor blocker (ARB) that relaxes blood vessels by inhibiting the action of angiotensin II, a hormone that constricts blood vessels. This helps to reduce the overall resistance the heart faces when pumping blood. Hydrochlorothiazide, a thiazide diuretic, works by increasing the excretion of sodium and water through urine, which decreases blood volume and further lowers blood pressure. Together, these actions effectively reduce both the force and volume of blood flow, leading to lower blood pressure and reduced strain on the heart.
How to use TELVAS H 40MG TABLET
Follow your doctor’s instructions regarding the exact dosage. Do not exceed the recommended daily dosage.
How to Take Telvas H 40/12.5 Tablet?
- Take one tablet daily, with or without food.
- Swallow the tablet whole with a glass of water. Do not crush or chew the medication.
- For best results, take the tablet at the same time each day.
What if I forgot to take TELVAS H 40MG TABLET
- If you forget to take your dose, take it as soon as you remember.
- Do not take two doses to make up for a missed dose. This could increase your risk of side effects.
- If it is almost time for your next dose, skip the missed dose and take your regular dose at the usual time.
Side Effects Of TELVAS H 40MG TABLET
Like all medicines, Telvas H 40/12.5 Tablet may cause certain side effects in some individuals, although not everybody gets them.
The most common side effects of taking Telvas H 40/12.5 Tablet are:
- Headache
- Dizziness
- Fatigue
- Low blood pressure
- Electrolyte imbalances
- Nausea
- Shortness of breath
- Changes in heartbeat
When to consult your doctor?
- Allergic Reactions symptoms such as swelling of the face, lips, tongue, or throat (which may cause difficulty breathing or swallowing), severe rash, itching, or hives
- Heart problems symptoms such as severe dizziness or fainting, irregular heartbeat, or palpitations, chest pain
- Kidney problems symptoms such as decreased urine output or blood in the urine, swelling in the legs, ankles, or feet, unusual tiredness, or weakness
- Low potassium or sodium levels symptoms such as severe weakness or muscle cramps
- Electrolyte Imbalance symptoms such as severe weakness or muscle cramps
- Liver problems symptoms such as yellowing of the skin or eyes (jaundice), dark urine or pale stools
- Severe fatigue
How To Manage Side Effects
Dizziness Or Drowsiness
- Sit or Lie Down: If you feel dizzy, sit down or lie down immediately to prevent falling. Keep your head still and close your eyes if needed.
- Hydrate: Dehydration can cause dizziness, so drink water or electrolyte-replenishing drinks like sports drinks.
- Avoid Sudden Movements: When standing or sitting, do so slowly to avoid triggering dizziness. Take your time when getting up.
- Eat Small, Regular Meals: Low blood sugar can cause dizziness, so eat small meals throughout the day and avoid skipping meals.
- Fresh Air: Sometimes dizziness can be alleviated by taking slow, deep breaths in a well-ventilated area.
Headache
- Rest in a Quiet, Dark Room: Find a calm, quiet space away from bright lights and loud noises. Lie down and close your eyes.
- Hydrate: Dehydration can contribute to headaches, so drink plenty of water.
- Apply a Cold or Warm Compress: A cold pack on your forehead may reduce pain, or a warm compress on your neck or shoulders can relieve tension.
- Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like acetaminophen or ibuprofen if appropriate for you. Follow the recommended dosage.
- Practice Relaxation Techniques: Deep breathing exercises, meditation, or gentle stretching can help reduce stress and alleviate headache symptoms.
Nausea And Vomiting
- Eat Small, Frequent Meals: Avoid heavy or greasy foods. Opt for bland foods like crackers, toast, or bananas.
- Stay Hydrated: Sip on clear fluids like water, ginger tea, or electrolyte drinks, Avoid caffeinated and carbonated beverages.
- Ginger: Ginger is a natural remedy for nausea. Try ginger tea, ginger candies, or ginger ale (ensure it contains real ginger).
- Avoid Strong Odors: Minimize exposure to smells that might trigger nausea, such as perfumes or cooking odors.
Warning & Precautions
Pregnancy
Contraindicated
Telvas H 40/12.5 Tablet is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking Telvas H 40/12.5 Tablet if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with Telvas H 40/12.5 Tablet, stop taking it and consult your doctor immediately.
Breastfeeding
Contraindicated
Telvas H 40/12.5 Tablet is not recommended for use in breast-feeding women. It is important to consult your doctor before taking this medication.
Driving and Using Machines
Use with Caution
Do not drive or operate machines if you experience dizziness or drowsiness.
Alcohol
Consult your doctor
Avoid consumption of alcohol while taking Telvas H 40/12.5 Tablet as it might make you feel dizzier and drowsier.
Kidney
Consult your doctor
Telvas H 40/12.5 Tablet is not recommended for use in patients with severe kidney problems and should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries). Consult your doctor before taking it.
Liver
Consult your doctor
Telvas H 40/12.5 Tablet is not recommended for use in patients with severe liver impairment (such as cholestasis, jaundice, biliary obstruction) and should be used with caution in patients with mild to moderate liver problems. Consult your doctor before taking it.
Allergy
Contraindicated
Do not take this medication if you are allergic to Telmisartan or Hydrochlorothiazide or any other ingredients of this medicine.
Heart Disease
Use with Caution
Telvas H 40/12.5 Tablet should be used with caution in patients with heart problems (such as irregular heart rhythm, problems with heart muscle or valves). Consult your doctor before taking it.
Use In Pediatrics
Contraindicated
Telvas H 40/12.5 Tablet is not recommended for use in children and adolescents (aged below 18 years). Consult your pediatrician before giving it.
Use In Geriatrics
Use with Caution
Telvas H 40/12.5 Tablet should be used with caution in elderly patients. Consult your doctor before taking it.
Other Warnings for TELVAS H 40MG TABLET
Before taking Telvas H 40/12.5 Tablet, inform your doctor if you:
- Have primary hyperaldosteronism (problems in adrenal gland)
- Have low blood pressure
- Are severely dehydrated (due to diarrhea, vomiting or excess sweating)
- Are on a low-salt diet
- Have diabetes
- Have gout (painful joints)
- Have had skin cancer
- Have an auto-immune disease condition affecting the skin (such as SLS)
- Are scheduled for any upcoming surgery
Who should not take [GBNKEYWORD
Telvas H 40/12.5 Tablet is not recommended for use if you:
- Have diabetes related kidney problems
- Have low potassium levels in blood
- Have high calcium levels in blood
Safety Advice
- Follow your doctor’s instructions regarding the exact dosage.
- Do not exceed the recommended daily dosage.
- Take one tablet daily, with or without food.
- Swallow the tablet whole with a glass of water. Do not crush or chew the medication.
- For best results, take the tablet at the same time each day.
- Consistently check your blood pressure as directed by your doctor to ensure the medication is working properly.
- Hydrochlorothiazide is a diuretic, which means it can increase urination and may cause dehydration or disrupt your electrolyte balance. It is important to stay hydrated by drinking plenty of fluids, unless your doctor advises you not to.
- Make sure to avoid excessive alcohol intake as it can also increase dehydration.
- Hydrochlorothiazide can lead to low potassium or sodium levels in the blood, resulting in an electrolyte imbalance. Your doctor may monitor your electrolyte levels throughout the management.
- Let your doctor know if you have kidney problems or liver problems
- Let your doctor know If you are pregnant or planning to become pregnant or breastfeeding women.
- If you are taking Telvas H, do not use salt substitutes containing potassium unless your doctor has approved it, as they may raise your potassium levels in the blood.
Diet and Lifestyle Advice
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Lifestyle & Diet Tips |
Description |
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1. Follow a Low-Salt Diet |
Reducing salt intake is crucial for managing high blood pressure. Limit processed foods, canned soups, and salty snacks. Use herbs and spices to flavor meals instead of salt. |
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2. Eat a Balanced Diet |
Focus on a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats (like those from olive oil, nuts, and fish). The DASH diet is particularly beneficial. |
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3. Maintain a Healthy Weight |
Being overweight can strain the heart and raise blood pressure. Aiming for a healthy weight through proper diet and regular exercise can improve blood pressure levels. |
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4. Exercise Regularly |
Engaging in at least 150 minutes of moderate-intensity aerobic exercise per week (e.g., brisk walking, cycling) can help lower blood pressure and improve heart health. |
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5. Limit Alcohol Intake |
Excessive alcohol consumption can raise blood pressure. It’s recommended to limit intake to one drink per day for women and two for men. |
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6. Manage Stress Effectively |
Practice relaxation techniques like yoga, meditation, deep breathing, or mindfulness to reduce stress, which can contribute to high blood pressure. |
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7. Avoid Smoking |
Smoking raises blood pressure and damages blood vessels. Quitting smoking is essential for improving overall cardiovascular health. |
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8. Monitor Your Blood Pressure Regularly |
Regularly check your blood pressure to track how well your medication and lifestyle changes are working. This can be done at home or during doctor visits. |
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9. Stay Hydrated |
Proper hydration supports heart health and helps maintain healthy blood pressure. Drink plenty of water throughout the day. |
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10. Get Enough Sleep |
Aim for 7-9 hours of sleep each night, as inadequate sleep can negatively impact blood pressure and overall health. |
Drug – Drug interaction
Inform your physician if you are taking any of the following medicine before taking Telvas H 40/12.5 Tablet:
1. Other Antihypertensive Medications
- Interactions: Combining Telvas H with other antihypertensive agents, such as ACE inhibitors (e.g., enalapril), ARBs (e.g., losartan), beta-blockers (e.g., atenolol), or calcium channel blockers (e.g., amlodipine), may result in an additive effect, potentially causing excessive reduction in blood pressure.
- Effects: Severe hypotension, dizziness, fainting, fatigue, or weakness.
- Management: Close monitoring of blood pressure is essential. Dose adjustments may be necessary. Ensure gradual increases in dosages, especially in high-risk patients, and monitor regularly for any symptoms of hypotension.
2. Potassium-Sparing Diuretics and Potassium Supplements
- Interactions: Co-administration with potassium-sparing diuretics (e.g., spironolactone) or potassium supplements can increase the risk of hyperkalemia, as Telvas H can already reduce potassium excretion.
- Effects: Elevated potassium levels, which can lead to arrhythmias, muscle weakness, or cardiac arrest in severe cases.
- Management: Monitor serum potassium levels regularly. Avoid concurrent use of potassium-sparing diuretics or potassium supplements unless absolutely necessary, and adjust dosages accordingly.
3. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
- Interactions: NSAIDs (e.g., ibuprofen, naproxen) may reduce the antihypertensive effect of Telvas H, and long-term use can also increase the risk of kidney damage.
- Effects: Reduced effectiveness of blood pressure control, potential kidney impairment, fluid retention.
- Management: Monitor kidney function and blood pressure regularly. If an NSAID is required, use the lowest effective dose for the shortest duration and ensure adequate hydration.
4. Lithium
- Interactions: Telvas H may reduce renal clearance of lithium, leading to increased lithium levels and toxicity.
- Effects: Symptoms of lithium toxicity include nausea, vomiting, diarrhea, tremors, and confusion.
- Management: Monitor lithium levels regularly. If needed, adjust the lithium dose, and ensure proper hydration.
5. Other Diuretics
- Interactions: Concurrent use with other diuretics (e.g., furosemide, hydrochlorothiazide) can increase the risk of dehydration and electrolyte imbalances, particularly hypokalemia and hyponatremia.
- Effects: Dehydration, low blood sodium levels, dizziness, and increased risk of electrolyte imbalances.
- Management: Monitor electrolytes and fluid status closely. Adjust doses of either diuretic as needed, and ensure that the patient remains adequately hydrated.
6. Rifampicin
- Interactions: Rifampicin, a potent inducer of cytochrome P450 enzymes, can decrease the plasma concentration of Telmisartan, reducing its effectiveness in controlling blood pressure.
- Effects: Reduced antihypertensive efficacy.
- Management: Increased blood pressure monitoring. Dose adjustments of Telvas H may be necessary when starting or stopping rifampicin therapy.
7. ACE Inhibitors, ARBs, and Direct Renin Inhibitors
- Interactions: Concomitant use with Telvas H increases the risk of hyperkalemia and renal impairment due to the combined effects on the renin-angiotensin-aldosterone system.
- Effects: Hyperkalemia, renal dysfunction, hypotension.
- Management: Avoid using Telvas H with other RAAS inhibitors unless necessary. Monitor renal function, electrolytes (especially potassium), and blood pressure regularly.
8. Corticosteroids
- Interactions: Corticosteroids (e.g., prednisone) can cause fluid retention, increasing blood pressure and potentially counteracting the antihypertensive effects of Telvas H.
- Effects: Elevated blood pressure, fluid retention, edema.
- Management: Monitor blood pressure and fluid status. Dose adjustments for Telvas H or corticosteroid therapy may be required.
9. Antidiabetic Medications
- Interactions: Telvas H may enhance the blood-glucose-lowering effects of antidiabetic drugs (e.g., insulin, sulfonylureas), potentially increasing the risk of hypoglycemia.
- Effects: Symptoms of hypoglycemia, including sweating, shaking, dizziness, and confusion.
- Management: Close monitoring of blood glucose levels is necessary, particularly when initiating or adjusting Telvas H therapy. Adjust the dose of antidiabetic medications accordingly.
10. Alcohol
- Interactions: Alcohol can enhance the blood pressure-lowering effect of Telvas H, leading to an increased risk of hypotension, especially during the initiation phase of therapy.
- Effects: Dizziness, fainting, excessive drowsiness, and a sudden drop in blood pressure.
- Management: Limit alcohol intake while on Telvas H. Advise patients to avoid heavy drinking, especially when adjusting the medication dose or starting treatment.
Drug – Food interaction
Potassium-rich Foods:
- Telmisartan (the ARB in the medication) does not typically cause potassium loss but can increase potassium levels. Combining Telvas H with potassium-rich foods (such as bananas, oranges, spinach, potatoes) or potassium supplements can lead to hyperkalemia (elevated potassium levels in the blood), which may cause serious heart-related issues. It is important to monitor potassium intake and talk to your doctor about your diet.
Salt Substitutes:
- Many salt substitutes contain potassium. If you are using Telvas H, it is advisable to avoid these substitutes because they can increase potassium levels, potentially leading to hyperkalemia.
High-Salt Foods:
- Since Telvas H contains Hydrochlorothiazide (a diuretic), it can lead to an increased loss of sodium. A very high-salt diet can counteract the effect of Hydrochlorothiazide and potentially reduce its effectiveness. Maintaining a balanced, moderate intake of salt is important.
| Weight | 17.5 g |
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