Telma Lnc Tablet (15 Tab)

TELMA LNC TABLET (15 TAB) by GLENMARK PHARMACEUTICALS LTD.

TELMA LNC TABLET is a prescription medicine used to manage hypertension, commonly known as high blood pressure. It is particularly prescribed when blood pressure cannot be effectively controlled by a single medication. This combination medicine helps to lower elevated blood pressure and reduces the risk of serious cardiovascular complications such as heart attack and stroke. It may also aid in reducing fluid retention (edema).

Composition

TELMA LNC TABLET contains a combination of three active ingredients:

• Telmisartan (40mg)
• Cilnidipine (10mg)
• Chlorthalidone (6.25mg)

These ingredients work synergistically: Telmisartan (an angiotensin II receptor blocker) and Cilnidipine (a calcium channel blocker) relax and widen blood vessels, while Chlorthalidone (a diuretic) helps the body remove excess water and salts, thereby reducing blood volume and pressure.

Uses

• Management of essential hypertension (high blood pressure) in adults.
• Reduction of the risk of heart attack, stroke, and kidney problems associated with high blood pressure.

Dosage and Administration

TELMA LNC TABLET should be taken as directed by your doctor. It can be taken with food to avoid stomach upset. Swallow the tablet whole with a glass of water; do not chew, crush, or break it. For optimal results, it is recommended to take the medicine at the same time each day. Due to its diuretic component, which increases urination, it is advisable to avoid taking this medication within four hours of bedtime. The dose will be determined by your medical condition and response to the treatment.

Side Effects

Common side effects may include:

• Dizziness, headache, tiredness, sleepiness
• Ankle swelling (edema)
• Low blood pressure (hypotension), palpitations
• Stomach upset, nausea, vomiting, constipation, diarrhea, abdominal pain
• Increased blood uric acid levels, glucose intolerance, altered blood lipid levels
• Taste changes, flushing (feeling of warmth)
• Muscle cramps or weakness
• Blurred vision, increased sensitivity to sunlight
• Itching, increased sweating, drug rash, back pain, chest pain, feeling of weakness

Serious side effects, though less common, warrant immediate medical attention and may include severe dizziness, chest pain, difficulty breathing, irregular heartbeat, eye pain, sudden changes in vision, or signs of an allergic reaction (such as rash, swelling, or difficulty swallowing).

Precautions

• Pregnancy and Breastfeeding: TELMA LNC TABLET is not recommended during pregnancy, especially after the first three months, as it can cause serious harm to the unborn baby. It is also not recommended for breastfeeding women, as it may pass into breast milk.
• Allergies: Inform your doctor if you are allergic to any of the ingredients in TELMA LNC TABLET or other medicines.
• Medical Conditions: Use with caution and inform your doctor if you have severe liver or kidney problems (avoid in severe cases), low blood pressure, diabetes, heart conditions (such as cardiogenic shock, myocardial infarction, acute unstable angina, aortic stenosis), renal artery stenosis, gout, kidney stones, Addison's disease, or high blood calcium levels.
• Children: This medicine is not recommended for individuals under 18 years of age.
• Driving and Machinery: As TELMA LNC TABLET may cause dizziness or tiredness, avoid driving or operating heavy machinery if you experience these effects.
• Alcohol and Grapefruit: Avoid alcohol consumption as it may increase the risk of low blood pressure and other side effects. Avoid consuming grapefruit or grapefruit juice, as it can increase the levels of cilnidipine in the bloodstream.
• Hydration: Drink plenty of fluids to counteract potential dehydration, muscle weakness, dry mouth, or extreme thirst, especially due to the diuretic component.
• Drug Interactions: Inform your doctor about all other medicines, supplements, and herbal products you are taking to prevent potential interactions.

Storage

Store TELMA LNC TABLET in a cool and dry place, protected from moisture, sunlight, and heat. The ideal storage temperature is between 10ºC to 25ºC or below 30ºC. Keep this medicine out of the reach and sight of children and pets.

Telma LNC Tablet, manufactured by Glenmark Pharmaceuticals Ltd., is a combination medication containing Telmisartan, Cilnidipine, and Chlorthalidone. It is primarily used to treat essential hypertension (high blood pressure) in adults, particularly when blood pressure is not adequately controlled by a single medication. By effectively managing blood pressure, it helps reduce the risk of cardiovascular complications such as heart attack and stroke.

Here are some frequently asked questions about Telma LNC Tablet:

What is Telma LNC Tablet used for?

Telma LNC Tablet is used to treat hypertension (high blood pressure) in adults. It is prescribed when blood pressure cannot be effectively controlled by individual medications (Telmisartan, Cilnidipine, or Chlorthalidone) alone. This medication helps to lower elevated blood pressure, thereby reducing the risk of heart attack, stroke, and kidney problems.

How does Telma LNC Tablet work?

Telma LNC Tablet contains three active ingredients that work together to lower blood pressure:

• Telmisartan: An angiotensin II receptor blocker (ARB) that works by blocking a hormone called angiotensin II, which causes blood vessels to narrow. By blocking its action, Telmisartan helps to relax and widen blood vessels, leading to a decrease in blood pressure.
• Cilnidipine: A calcium channel blocker that relaxes muscle cells in the artery walls, widening blood vessels and improving blood flow.
• Chlorthalidone: A diuretic (often called a "water pill") that increases the removal of excess water and salts (like sodium and potassium) from the body through urine, which reduces blood volume and lowers pressure in the blood vessels.

What is the usual dosage of Telma LNC Tablet?

The dosage of Telma LNC Tablet will be determined by your doctor based on your specific condition and how you respond to the medicine. It is typically taken once daily, with or without food, at the same time each day. Do not chew, crush, or break the tablet; swallow it whole with a glass of water. It is advisable to avoid taking this medication within four hours of bedtime, as it contains a diuretic that increases urination.

What are the possible side effects of Telma LNC Tablet?

Some common side effects may include dizziness, headache, low blood pressure, stomach upset, tiredness, ankle swelling, palpitations, sleepiness, increased blood uric acid levels, glucose intolerance, taste changes, and flushing (feeling of warmth). Most of these side effects are usually mild and resolve over time. If any side effects persist, worsen, or concern you, it is important to consult your doctor. Serious side effects are rare but can include severe dizziness, chest pain, irregular heartbeat, or signs of an allergic reaction.

Is Telma LNC Tablet safe during pregnancy or breastfeeding?

Telma LNC Tablet is generally not recommended during pregnancy, especially after the first three months, as it may cause serious harm to the unborn baby. If you are pregnant or planning to become pregnant, consult your doctor. Information regarding its safety during breastfeeding is limited, and it may be excreted in human milk, potentially harming the baby. Therefore, it is advisable to avoid taking Telma LNC Tablet while breastfeeding and consult your doctor.

Can Telma LNC Tablet be taken with other medications?

It is crucial to inform your doctor about all other medications, including over-the-counter drugs, supplements, and herbal products, you are taking to prevent potential drug interactions. Some medications, such as lithium, other blood pressure medicines (e.g., aliskiren), certain heart medications (e.g., digoxin), anti-cancer medicines (e.g., aldesleukin), and certain steroids (e.g., prednisone), may interact with Telma LNC Tablet. Grapefruit or grapefruit juice should be avoided as it can increase the levels of cilnidipine in the bloodstream.

What precautions should be taken?

• Alcohol: Avoid alcohol consumption as it can increase the risk of low blood pressure and adverse effects like dizziness.
• Driving: Telma LNC Tablet may cause dizziness or tiredness, so avoid driving or operating machinery if you experience these symptoms.
• Kidney/Liver Problems: Inform your doctor if you have any pre-existing kidney or liver problems. The medication should be used with caution, and dosage adjustments may be necessary. It is not recommended for severe liver or kidney disease.
• Electrolyte Imbalances: This medication can affect electrolyte levels, particularly potassium. Your doctor may recommend regular monitoring of blood pressure, kidney function, electrolyte levels, and blood sugar.
• Dehydration: Drink plenty of fluids to counteract potential dehydration, muscle weakness, dry mouth, and extreme thirst.
• Other Conditions: Inform your doctor if you have diabetes, low blood pressure, gout, heart conditions, or are undergoing surgery/anesthesia.

What happens if a dose is missed?

If you miss a dose of Telma LNC Tablet, 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 the missed one.

How should it be stored?

Store Telma LNC Tablets in a cool and dry place, protected from moisture, sunlight, and heat. Keep the medicine out of reach and sight of children and pets. Do not freeze the medicine, and ensure it is stored below 30°C.