Telma Bs Tablet (10 Tab)

TELMA BS TABLET by GLENMARK PHARMACEUTICALS LTD.

Name

• Brand Name: Telma-BS Tablet
• Common Name: Bisoprolol + Telmisartan

Composition

Telma-BS Tablet is a fixed-dose combination medication containing two active ingredients:

• Bisoprolol: 2.5 mg or 5 mg (depending on the specific variant)
• Telmisartan: 40 mg

Bisoprolol is a beta-blocker that reduces heart rate and the force of heart contractions, thereby lowering blood pressure. Telmisartan is an angiotensin II receptor blocker (ARB) that relaxes blood vessels by inhibiting the hormone angiotensin, allowing blood to flow more smoothly. Together, they enhance the heart's pumping efficiency and improve blood flow.

Uses

Telma-BS Tablet is primarily used for the following conditions:

• Hypertension (High Blood Pressure): It helps to lower elevated blood pressure, reducing the risk of complications.
• Cardiovascular Risk Reduction: It helps to reduce the risk of serious cardiovascular events such as heart attack, stroke, and cardiovascular death, especially in patients with existing heart problems or those at high risk due to diabetes.
• Angina (Chest Pain): It can be used to manage angina by reducing the heart's workload.
• Heart Failure: In select cases, it is used for the management of heart failure.

Dosage and Administration

• Telma-BS Tablet is typically prescribed for oral use, usually once a day.
• It can be taken with or without food.
• It is recommended to take the medicine at a fixed time each day to maintain consistent blood levels and effectiveness.
• Swallow the tablet whole with a glass of water; do not chew, crush, or break it.
• Do not stop taking this medication abruptly without consulting your doctor, as it can cause a sudden increase in blood pressure.

Side Effects

Common side effects may include:

• Headache
• Dizziness or lightheadedness, especially when rising from a sitting or lying position
• Fatigue/Tiredness
• Slow heart rate (bradycardia)
• Cold extremities (hands and feet)
• Numbness of extremities
• Decreased blood pressure (hypotension)
• Increased potassium level in blood (hyperkalemia)
• Nausea
• Diarrhea
• Back pain
• Congested feeling / Nasopharyngitis
• Peripheral edema (swelling in the hands or feet)

Serious side effects are rare but can include severe allergic reactions or significant drops in blood pressure.

Precautions

• Pregnancy: Telma-BS Tablet is contraindicated in early pregnancy and must not be taken after 3 months of pregnancy due to definite evidence of risk to the developing baby.
• Breastfeeding: It is generally not recommended for use in breastfeeding women.
• Alcohol: Avoid consuming alcohol, as it can enhance the blood pressure-lowering effect and increase the risk of dizziness or drowsiness.
• Driving and Operating Machinery: This medicine may cause dizziness or fatigue, which could affect your ability to drive or operate machinery.
• Kidney Problems: Use with caution in patients with kidney disease. Dose adjustment and regular monitoring of kidney function and electrolytes may be required. Avoid if you have severe kidney impairment or are on aliskiren for diabetes.
• Liver Problems: Use with caution in patients with liver disease. Not recommended for those with severe liver problems like cholestasis or biliary obstruction.
• Heart Conditions: Contraindicated in conditions like cardiogenic shock, severe bradycardia (very slow heartbeat), certain heart blockages, or uncontrolled heart failure.
• Diabetes: Bisoprolol may mask symptoms of low blood sugar, especially a fast heartbeat. Monitor blood sugar carefully.
• Drug Interactions: Inform your doctor about all other medicines, including over-the-counter drugs, herbal supplements, and other treatments, especially other antihypertensives (e.g., ACE inhibitors like ramipril, lisinopril, or aliskiren), potassium supplements, potassium-sparing diuretics, NSAIDs (e.g., ibuprofen), and digoxin.
• Dietary: Avoid potassium-rich foods and supplements without consulting your doctor, as Telma-BS can increase blood potassium levels.

Storage

• Store in a cool and dry place, away from direct sunlight.
• Keep out of the sight and reach of children.
• Typically stored at room temperature (10°C to 25°C or below 30°C).

What is TELMA BS TABLET used for?

TELMA BS TABLET is primarily used to treat high blood pressure (hypertension). It also helps to reduce the risk of cardiovascular events such as heart attack, stroke, and cardiovascular death, particularly in patients unable to take ACE inhibitors. Additionally, it can be used to manage angina (chest pain) and heart failure.

How does TELMA BS TABLET work?

TELMA BS TABLET contains two active ingredients: Telmisartan and Bisoprolol. Telmisartan is an angiotensin II receptor blocker (ARB) that works by blocking a substance in the body (angiotensin II) that causes blood vessels to tighten, leading to their relaxation and widening. Bisoprolol is a beta-blocker that acts directly on the heart to slow the heart rate and reduce the force of the heart's contractions, thereby decreasing the workload on the heart and lowering blood pressure. Together, these actions improve blood flow and the heart's pumping efficiency.

What is the usual dosage for TELMA BS TABLET?

The dosage of TELMA BS TABLET will be determined by your doctor, depending on your medical condition and response to treatment. For hypertension, Telmisartan is typically started at 40 mg once daily and can be adjusted to 20-80 mg once daily. TELMA BS TABLET is a fixed-dose combination, with common strengths including Telmisartan 40mg + Bisoprolol 2.5mg. It is usually taken once a day, with or without food, at the same time each day to maintain consistent levels of medication in the body. It is important to follow your doctor's instructions precisely.

What are the possible side effects of TELMA BS TABLET?

Common side effects may include dizziness, lightheadedness, fatigue, headache, back pain, sinus pain and congestion, and diarrhea. Some individuals might also experience nausea, upset stomach, muscle pain, or swelling in the extremities (peripheral edema). More serious, but less common, side effects can include hyperkalemia (high potassium levels in the blood), renal dysfunction (decline in kidney function), or severe allergic reactions like angioedema (swelling of the face, lips, tongue, or throat). If you experience any severe or persistent side effects, contact your doctor immediately.

Is TELMA BS TABLET safe during pregnancy or breastfeeding?

TELMA BS TABLET is contraindicated during the second and third trimesters of pregnancy due to the risk of serious harm or death to the unborn baby. It is not recommended for use during the first trimester either, and if pregnancy is detected, the medication should be stopped immediately. For breastfeeding mothers, use of TELMA BS TABLET is generally not recommended as it is unknown if Telmisartan passes into breast milk and could potentially cause serious effects in a nursing infant. Your doctor will weigh the potential benefits against the risks.

Can TELMA BS TABLET be taken with other medications?

TELMA BS TABLET can interact with several other medications. It is important to inform your doctor about all medicines, supplements, and herbal products you are taking. Significant interactions include:

• Other blood pressure medications: Concomitant use with ACE inhibitors, other ARBs, or aliskiren (especially in diabetic patients or those with moderate kidney disease) is generally not recommended as it can increase the risk of low blood pressure, high potassium, and kidney problems.
• NSAIDs (Nonsteroidal Anti-inflammatory Drugs): Medicines like ibuprofen and naproxen can reduce the blood pressure-lowering effect and increase the risk of kidney problems.
• Potassium supplements or potassium-sparing diuretics: These can significantly increase potassium levels in the blood when taken with TELMA BS TABLET.
• Digoxin and Lithium: TELMA BS TABLET may increase the levels of these drugs in your blood, requiring careful monitoring.
• Alcohol: Consuming alcohol with this medication can increase the risk of low blood pressure.

What precautions should be taken while taking TELMA BS TABLET?

Regular monitoring of blood pressure, kidney function, and potassium levels is essential. You may experience dizziness or lightheadedness, especially when standing up quickly. Avoid driving or operating machinery until you know how the medication affects you. Dehydration from vomiting, diarrhea, or excessive sweating can lead to very low blood pressure. Inform your doctor if you have kidney disease, liver disease, heart failure, or electrolyte imbalances. Do not stop taking the medication abruptly without consulting your doctor, as this can worsen your condition.

What happens if a dose of TELMA BS TABLET is missed?

If you miss a dose of TELMA BS TABLET, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for a missed one, as this can lead to an overdose.

How should TELMA BS TABLET be stored?

Store TELMA BS TABLET at room temperature, typically between 68°F to 77°F (20°C to 25°C). Keep the tablets in their original blister pack until immediately before use, and store them away from excess moisture and heat. Do not store in moist or damp areas like bathrooms. Keep this medicine out of the reach of children.