Telpres H 40

TELPRES H 40 is a medication manufactured by Abbott Healthcare Pvt. Ltd..

Name

• Brand Name: TELPRES H 40
• Common Name: Telmisartan and Hydrochlorothiazide Tablets

Composition

TELPRES H 40 contains two active ingredients:

• Telmisartan: 40 mg (an angiotensin II receptor blocker)
• Hydrochlorothiazide: 12.5 mg (a thiazide diuretic or "water pill")

Uses

TELPRES H 40 is primarily prescribed for the following medical conditions:

• Hypertension (High Blood Pressure): It is used to manage high blood pressure, especially when a single medication is not effectively controlling it. This helps reduce the risk of cardiovascular events such as strokes and heart attacks.
• Edema (Fluid Retention): The medication can also help manage fluid retention in certain conditions like heart failure, cirrhosis of the liver, and nephrotic syndrome.

Dosage and Administration

• TELPRES H 40 should be taken as prescribed by your doctor.
• Swallow the tablet whole with water; do not chew, crush, or break it.
• It can be taken with or without food.
• It is advisable to take the medicine at the same time each day for optimal results.
• Since it contains a diuretic, it is best to avoid taking this medicine within four hours of going to bed as it increases urine output.
• Do not stop taking the medication without consulting your doctor, as sudden discontinuation can lead to an increase in blood pressure and a higher risk of heart attack or stroke.

Side Effects

While most side effects are temporary and mild, consult your doctor if they persist or worsen.

Common Side Effects:

• Dizziness
• Headache
• Nausea
• Diarrhea
• Back pain
• Feeling tired (fatigue)
• Dry mouth
• Stomach pain
• Increased urination
• Cold/flu symptoms, sore throat, sinus inflammation
• Muscle pain or spasms
• Low blood pressure (hypotension), especially when standing up
• Erectile dysfunction
• Increased blood uric acid levels

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

• Symptoms of overdose like severe low blood pressure, severe dizziness, weakness, vomiting, rapid or slow heartbeat, or reduced urine output.
• Unexplained muscle pain, tenderness, or weakness, especially with fever or unexplained tiredness, as this could indicate skeletal muscle problems leading to kidney failure.
• Changes in vision.
• Alterations in blood volume and electrolyte levels, such as low or high potassium.

Precautions

• Pregnancy and Breastfeeding: Not recommended during the second and third trimesters of pregnancy due to definite risks to the baby. It is also generally not advised for nursing mothers.
• Alcohol: Alcohol may increase the risk of dizziness.
• Liver Disease: Use with caution; inform your doctor if you have liver conditions.
• Kidney Disease: Not recommended for severe kidney problems and should be used with caution in patients with other kidney issues. Regular monitoring of kidney function is advised.
• Diabetes: May affect blood sugar control, requiring close monitoring of glucose levels.
• Allergies: Inform your doctor if you have allergies to any components of Telpres H 40, or a history of allergy to penicillin or sulfa drugs.
• Other Conditions: Use with caution in patients with low blood pressure (less than 90 mm of Hg), a history of heart attack, cardiogenic shock, aortic stenosis, glaucoma, or low/high levels of magnesium or potassium in the blood.
• Driving and Operating Machinery: May cause dizziness, affecting alertness, vision, or causing sleepiness, so caution is advised.
• Drug Interactions: Inform your doctor about all current medications, supplements, or herbal products, especially cardiac glycosides (e.g., digoxin), anticoagulants (e.g., warfarin), NSAIDs (e.g., ibuprofen), skeletal muscle relaxants (e.g., tubocurarine), medicines for fungal infections, antibiotics, immunosuppressants, medicines for diabetes, and medicines for Parkinson's disease.
• Diet: A diet low in sodium and regular physical activity can help manage high blood pressure.

Storage

• Store at room temperature in a cool, dry place.
• Protect from excessive light and moisture.
• Keep it out of the reach of children and pets.
• Always check the expiration date before taking the tablet.

Frequently Asked Questions About TELPRES H 40

TELPRES H 40 is a medication prescribed for the management of high blood pressure (hypertension). It is a combination of two active ingredients: Telmisartan and Hydrochlorothiazide. This medication works to lower blood pressure and reduce the risk of serious cardiovascular events such as heart attacks and strokes.

What is TELPRES H 40 used for?

TELPRES H 40 is primarily used to treat hypertension (high blood pressure). It is often prescribed when a single medication is not effectively controlling blood pressure. Additionally, it can help reduce the risk of cardiovascular events like heart attacks and strokes, manage fluid retention (edema), and protect kidney function in hypertensive patients.

How does TELPRES H 40 work?

TELPRES H 40 contains two active ingredients that work together:

• Telmisartan (40 mg): This is an angiotensin II receptor blocker (ARB). It works by relaxing and widening blood vessels, allowing blood to flow more easily and reducing the strain on the heart.
• Hydrochlorothiazide (12.5 mg): This is a thiazide diuretic, also known as a "water pill." It increases the excretion of excess salt and water from the body through urine, which helps to lower blood pressure and prevent fluid retention.

What is the usual dosage of TELPRES H 40?

The usual adult dosage is one tablet (containing 40 mg of telmisartan and 12.5 mg of hydrochlorothiazide) once a day. It can be taken with or without food, but it's often recommended to take it at the same time each day. Your doctor will determine the appropriate dose based on your condition and response to the medicine.

What are the possible side effects of TELPRES H 40?

Common side effects can include dizziness, headache, fatigue, nausea, diarrhea, back pain, and cold/flu symptoms. Other reported side effects include dry mouth, increased urination, muscle pain or weakness, low or high blood potassium levels, pins and needles, and erectile dysfunction. Most of these side effects are usually mild and may resolve over time. However, if any side effects are persistent or severe, you should contact your doctor.

Is TELPRES H 40 safe during pregnancy or breastfeeding?

TELPRES H 40 is generally not recommended during pregnancy, especially during the second and third trimesters, as it can cause serious harm or death to the unborn baby. If you become pregnant while taking this medication, stop taking it immediately and consult your doctor.

It is also generally not recommended for use during breastfeeding, as at least one component passes into breast milk, and it may be unsafe for the nursing infant. Consult your doctor if you are breastfeeding or plan to breastfeed.

Can TELPRES H 40 be taken with other medications?

TELPRES H 40 can interact with several other medications. For example, taking it with potassium supplements or certain other medications that increase potassium levels (like some ACE inhibitors) can lead to high potassium in the blood. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may reduce the blood pressure-lowering effect of TELPRES H 40. Other interactions can occur with cardiac glycosides (like digoxin) and anticoagulants (like warfarin). It is crucial to inform your doctor about all medicines, supplements, or herbal products you are currently taking to avoid potential interactions.

What precautions should be taken with TELPRES H 40?

• Kidney and Liver Conditions: Use with caution if you have kidney or liver problems. Your doctor may monitor your kidney function regularly.
• Electrolyte Imbalance: This medicine may alter blood volume and electrolyte levels. Report symptoms like weakness, dry mouth, or irregular heartbeat to your doctor.
• Diabetes: It should be used with caution in patients with diabetes, as it may affect blood sugar control.
• Dizziness: The medication can cause dizziness, so be cautious when driving or operating machinery.
• Alcohol: Avoid alcohol consumption as it can further lower blood pressure and increase dizziness.
• Dehydration: Drink plenty of fluids to avoid dehydration, especially during exercise or hot weather.
• Sudden Stoppage: Do not stop taking TELPRES H 40 without consulting your doctor, as it can cause a sudden rise in blood pressure, potentially leading to a heart attack or stroke.

What happens if a dose is missed?

If you miss a dose of TELPRES H 40, 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 TELPRES H 40 be stored?

Store TELPRES H 40 tablets at room temperature, ideally between 20°C to 25°C (68°F to 77°F), protected from direct sunlight, moisture, and heat. Keep it out of the reach of children and pets. Always check the expiration date before taking the tablet and discard it if it has expired.