Telmiduce Ch Tablet (10 Tab)

TELMIDUCE CH TABLET (10 TAB) by MACLEODS PHARMACEUTICALS LTD.

Name

• Common Name: TELMIDUCE CH TABLET
• Brand Name: TELMIDUCE CH TABLET (10 TAB)

Composition

TELMIDUCE CH TABLET contains a combination of two active ingredients:

• Telmisartan (40 mg): An angiotensin II receptor blocker (ARB) that works by relaxing and widening blood vessels, allowing blood to flow more smoothly and the heart to pump more efficiently.
• Chlorthalidone (12.5 mg): A thiazide diuretic (often called a "water pill") that helps the kidneys eliminate excess water and salt from the body, thereby reducing fluid retention and lowering blood pressure.

Uses

TELMIDUCE CH TABLET is primarily prescribed for:

• Hypertension (High Blood Pressure): It effectively lowers high blood pressure, especially when a single medication is not sufficient to control the condition.
• Reduction of Cardiovascular Risk: By controlling hypertension, it helps to reduce the risk of serious cardiovascular events such as heart attack, stroke, and other related complications.
• Management of Fluid Retention: The chlorthalidone component helps in reducing fluid retention associated with certain heart conditions, kidney disorders, and liver cirrhosis.
• Prevention of Kidney Stones: It may also be used in patients with high calcium levels to prevent kidney stones.

Dosage and Administration

• Swallow the tablet whole with a glass of water. Do not chew, crush, or break it.
• It can be taken with or without food.
• For maximum effectiveness, take the medicine at the same time each day.
• Avoid taking this medicine close to bedtime, as the diuretic component (chlorthalidone) may increase urination.
• The dosage will be determined by your doctor based on your medical condition and response to treatment.
• Do not stop taking TELMIDUCE CH TABLET without consulting your doctor, as sudden discontinuation can lead to adverse effects.

Side Effects

Common Side Effects:

• Dizziness, headache, fatigue, feeling tired
• Nausea, diarrhea, abdominal pain, indigestion
• Back pain, sinus congestion, cold/flu symptoms
• Dry mouth, muscle weakness
• Altered blood lipids, decreased potassium level in the blood, increased uric acid level in the blood

Serious Side Effects (Seek immediate medical attention if experienced):

• Severe skin rash, unusual bleeding, swelling of the face
• Sore throat with fever
• Difficulty breathing
• Signs of hypokalemia (low potassium level), such as muscular weakness, racing heartbeat, or extreme tiredness.

Precautions

• Pregnancy and Breastfeeding: TELMIDUCE CH TABLET is not recommended during pregnancy (Category D) due to the risk of fetal harm and should be avoided by breastfeeding mothers as it can pass into breast milk.
• Allergies: Do not take this medication if you are allergic to Telmisartan, Chlorthalidone, or any other components of the tablet, or if you have an allergy to penicillin or sulfa drugs.
• Medical Conditions: Use with caution in patients with liver disease, kidney problems (severe renal impairment is a contraindication), diabetes (chlorthalidone can affect blood glucose levels), low blood pressure, cardiogenic shock, aortic stenosis, glaucoma, or those with high or low levels of magnesium or potassium in the blood. It is contraindicated in patients with anuria (no urine production) or severe kidney disease.
• Alcohol Consumption: Avoid consuming alcohol while taking TELMIDUCE CH TABLET, as it may increase the risk of side effects such as drowsiness, dizziness, further lowering blood pressure, and liver damage.
• Drug Interactions: Inform your doctor about all other medications, supplements, and herbal products you are taking. Interactions can occur with NSAIDs (e.g., ibuprofen, naproxen), lithium, other antihypertensives (e.g., aliskiren, ramipril), and potassium supplements or salt substitutes.
• Dietary Interactions: Avoid excessive intake of high-potassium foods (e.g., dried fruits, spinach, lentils) and high-sodium foods, as they can interfere with the medicine's effectiveness or cause adverse effects.
• Driving and Operating Machinery: This medicine may cause dizziness or drowsiness, so exercise caution when driving or performing tasks that require alertness.
• Pediatric Use: Not recommended for use in children below 6 years of age.

Storage

• Store in a cool, dry place away from direct sunlight.
• Maintain storage at room temperature, ideally below 30°C.
• Keep the medicine in its original container, tightly closed, and protect it from excessive light and moisture.
• Keep out of sight and reach of children.

TELMIDUCE CH TABLET is a combination medicine containing Telmisartan (40mg) and Chlorthalidone (12.5mg), primarily prescribed for the management of high blood pressure (hypertension). It is manufactured by MACLEODS PHARMACEUTICALS LTD..

Here are some frequently asked questions about TELMIDUCE CH TABLET:

What is TELMIDUCE CH TABLET used for?

TELMIDUCE CH TABLET is primarily used to treat high blood pressure (hypertension). It helps reduce the risk of cardiovascular events such as heart attacks, strokes, and kidney damage associated with hypertension. It may also be prescribed in certain cases for chronic kidney disease, diabetic nephropathy, and to manage fluid retention (edema) linked with hypertension.

How does TELMIDUCE CH TABLET work?

TELMIDUCE CH TABLET combines two active ingredients: Telmisartan and Chlorthalidone. Telmisartan is an angiotensin II receptor blocker (ARB) that works by relaxing and widening blood vessels, allowing blood to flow more easily and reducing the strain on the heart. Chlorthalidone is a thiazide-like diuretic ("water pill") that helps the body eliminate excess salt and water through increased urine output, which further helps to lower blood pressure. This dual action effectively controls blood pressure.

What is the usual dosage of TELMIDUCE CH TABLET?

The dosage of TELMIDUCE CH TABLET is determined by your doctor based on your specific condition. It is typically taken once daily, with or without food. It's important to take the medication at the same time each day to maintain a consistent routine and maximize its benefits. Do not adjust the dosage or stop taking the medication without consulting your healthcare professional.

What are the possible side effects of TELMIDUCE CH TABLET?

Common side effects may include dizziness, headache, fatigue, increased urination, muscle cramps or weakness, and symptoms of low blood pressure such as feeling faint or lightheaded. Other common side effects can include stuffy nose, sinus pain, back pain, and diarrhea. Serious side effects, though rare, can include allergic reactions, severe dizziness, fainting, high potassium levels, electrolyte imbalances, and liver or kidney problems. If you experience any severe or persistent side effects, seek immediate medical attention.

Is TELMIDUCE CH TABLET safe during pregnancy or breastfeeding?

TELMIDUCE CH TABLET is contraindicated during pregnancy, especially in the second and third trimesters, as it can cause harm or even death to the developing fetus. If you become pregnant while taking this medication, stop taking it and contact your doctor immediately. The medication is also not recommended during breastfeeding, as its components may pass into breast milk and potentially affect the nursing infant. Your doctor will discuss the potential risks and benefits to determine the best course of action.

Can TELMIDUCE CH TABLET be taken with other medications?

TELMIDUCE CH TABLET can interact with several other medications. It's crucial to inform your doctor about all prescription, over-the-counter, and herbal medications you are taking. Avoid using potassium supplements or salt substitutes containing potassium, as this medicine can increase blood potassium levels (hyperkalemia). It may interact with medications for mood disorders (like lithium), heart conditions (like digoxin), blood thinners (like aspirin), diabetes medications (like metformin, insulin), erectile dysfunction treatments (like sildenafil), cholesterol-lowering medications (like simvastatin), immunosuppressants (like cyclosporine), and other blood pressure medications (including aliskiren, especially in diabetic patients, and NSAIDs like ibuprofen).

What precautions should be taken while using TELMIDUCE CH TABLET?

Before taking TELMIDUCE CH TABLET, inform your doctor about any existing medical conditions, especially kidney or liver problems, diabetes, heart failure, gout, asthma, lupus, or electrolyte imbalances. Regular monitoring of blood pressure, electrolyte levels, kidney function, and blood glucose levels is important. This medication may cause dizziness, so avoid driving or operating heavy machinery until you know how it affects you. Stay hydrated and avoid excessive sunlight exposure. Alcohol consumption should be avoided as it can increase the risk of side effects like dizziness and may cause liver damage. Do not stop taking the medicine abruptly without consulting your doctor, as this can lead to a sudden rise in blood pressure.

What happens if a dose of TELMIDUCE CH TABLET is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one, as this can cause too much fluid and potassium loss or dangerously lower blood pressure.

How should TELMIDUCE CH TABLET be stored?

Store TELMIDUCE CH TABLET in its original container, tightly closed, at room temperature (below 30°C). Protect it from heat, moisture, and direct light. Do not remove the tablets from the blister pack until immediately before administration, as they are moisture-sensitive. Keep this medicine out of the sight and reach of children and pets.