Telma Nb Tablet (10 Tab)

Here is a detailed product description for TELMA NB TABLET:

TELMA NB TABLET (10 TAB) by GLENMARK PHARMACEUTICALS LTD.

Name:

• Brand Name: Telma-NB Tablet
• Common Name: Nebivolol + Telmisartan

Composition: Telma-NB Tablet contains a combination of two active pharmaceutical ingredients:

• Nebivolol (5 mg)
• Telmisartan (40 mg)

Uses: Telma-NB Tablet is primarily prescribed for the management of hypertension (high blood pressure), particularly when a single medication is not sufficient to control blood pressure levels effectively. By lowering blood pressure, it plays a crucial role in preventing serious cardiovascular complications such as heart attacks and strokes. This medication also aids in preventing kidney problems associated with chronic high blood pressure. It can also be beneficial for older patients (70 years and above) in managing mild to moderate heart failure.

Dosage and Administration:

• Telma-NB Tablet should be taken in the dose and duration as advised by your doctor.
• It is recommended to swallow the tablet whole with a glass of water, without chewing, crushing, or breaking it.
• For optimal results, it is best to take Telma-NB Tablet at the same time daily to maintain consistent levels of the medicine in the blood.
• This medication can be taken with or without food.
• Do not miss any doses or suddenly stop taking the tablet without consulting your doctor, as this can worsen your condition.

Side Effects: Common side effects may include:

• Headache
• Dizziness, weakness, tiredness
• Cold extremities, numbness or tingling sensation in extremities
• Increased potassium levels in the blood (hyperkalemia)
• Slow heart rate, decreased blood pressure
• Edema (swelling), particularly in the hands, feet, or ankles
• Nausea, diarrhea, constipation, stomach pain, vomiting
• Shortness of breath
• Urinary tract infections, sore throat, sinus inflammation, common cold symptoms
• Anaemia, lack of sleep, vertigo, depression, fainting
• Increased sweating, back pain, skin rash, impotency, abnormal vision changes

Serious but rare side effects can include allergic swelling, severe drops in blood pressure, heart rhythm changes, kidney dysfunction, and signs of sepsis. Seek immediate medical attention if these occur.

Precautions:

• Allergies: Do not consume if you have any known allergies to its components.
• Medical Conditions: Inform your doctor if you have existing heart (e.g., severe heart block, very low heart rate, recent heart failure, angina), kidney (e.g., severe kidney disease, kidney transplant, narrowing of renal arteries), or liver issues. Also, inform your doctor if you have low blood pressure, circulation problems in the limbs (e.g., Raynaud's disease, intermittent claudication), asthma, metabolic disorders (e.g., metabolic acidosis, diabetes), high thyroid hormone levels, psoriasis, or severe muscle weakness (myasthenia gravis).
• Pregnancy and Breastfeeding: Telma-NB Tablet is unsafe for use during pregnancy due to definite evidence of risk to the developing baby and is probably unsafe during breastfeeding. Consult your doctor if pregnant or breastfeeding.
• Alcohol: Consumption of alcohol is unsafe as it can increase the risk of side effects like dizziness, lightheadedness, irregular heart rate, and fainting.
• Driving: May cause dizziness or affect vision; avoid driving or operating heavy machinery if you experience these symptoms.
• Drug Interactions: Inform your doctor about all other medications you are taking, especially other blood pressure medications (e.g., calcium channel blockers, ACE inhibitors, ARBs), potassium-sparing diuretics, potassium supplements, or medications for heart conditions (e.g., digoxin).
• Dietary Restrictions: It is advisable to steer clear of potassium-rich foods and supplements while on this medication due to the risk of increased potassium levels.
• Monitoring: Regular monitoring of blood pressure, blood sugar levels, kidney functioning, urea, and electrolyte levels may be necessary during treatment.

Storage: Store Telma-NB Tablet below 30°C (room temperature). Protect the medicine from light and heat. Keep it out of sight and reach of children.

Here are the most frequently asked questions about TELMA NB TABLET:

What is TELMA NB TABLET used for?

TELMA NB TABLET is primarily used to manage hypertension (high blood pressure). It helps reduce the risk of serious complications associated with high blood pressure, such as strokes, heart attacks, and kidney problems. It can also be used to manage mild to moderate heart failure.

How does TELMA NB TABLET work?

TELMA NB TABLET is a combination medicine containing Telmisartan and Nebivolol. Telmisartan, an angiotensin receptor blocker (ARB), works by blocking a natural substance (angiotensin II) that causes blood vessels to narrow, thereby relaxing and widening them to improve blood flow. Nebivolol, a beta-blocker, functions by blocking certain natural substances like epinephrine, which slows the heart rate and relaxes blood vessels. Together, these actions effectively lower blood pressure and improve blood circulation.

What is the usual dosage for TELMA NB TABLET?

The dosage of TELMA NB TABLET should be taken exactly as advised by your doctor. It is typically recommended to take the tablet at a fixed time each day to maintain consistent medicine levels in the blood. It can be taken with or without food. Do not chew, crush, or break the tablet; swallow it whole with a glass of water. Your doctor will determine the appropriate dose and duration based on your condition, age, weight, and medical history.

What are the possible side effects of TELMA NB TABLET?

Common side effects may include headache, fatigue, dizziness, nausea, diarrhea, back pain, respiratory tract infection, weakness, cold extremities, numbness or tingling sensation in extremities, increased potassium levels in the blood, slow heart rate, decreased blood pressure, tiredness, and swelling (edema). If any of these side effects persist or worsen, you should consult your doctor. Serious side effects, though rare, can include severe allergic reactions, a significant drop in blood pressure, heart rhythm changes, and kidney dysfunction.

Is TELMA NB TABLET safe during pregnancy or breastfeeding?

TELMA NB TABLET is contraindicated during pregnancy as it may cause serious harm to the developing baby. It is also not recommended for use by breastfeeding women, as there is limited human data suggesting the drug might be excreted in breast milk and potentially harm the infant. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

Can TELMA NB TABLET be taken with other medications?

It is crucial to inform your doctor about all other medications you are currently taking, including prescribed drugs, over-the-counter medicines, nutritional supplements, and herbal products, to avoid potential drug interactions. TELMA NB TABLET can interact with certain medications, such as antidepressants (e.g., fluoxetine), cardiac glycosides (e.g., digoxin), calcium channel blockers (e.g., verapamil, diltiazem), NSAIDs (e.g., ibuprofen), amiodarone, sotalol, and insulin.

What precautions should be taken while using TELMA NB TABLET?

Do not stop taking TELMA NB TABLET abruptly without consulting your doctor, even if your blood pressure improves, as this can worsen your condition. Exercise caution with alcohol consumption while on this medication. Inform your doctor if you have existing heart, kidney, or liver issues (the medicine is not recommended for severe liver or kidney impairment), diabetes, low blood pressure, or circulation problems. TELMA NB TABLET may cause dizziness or fatigue, so be cautious when driving or operating heavy machinery. Regular monitoring of blood pressure, blood sugar levels, kidney function, urea, and electrolyte levels may be necessary. Avoid potassium-rich foods and supplements, as Telmisartan can increase blood potassium levels.

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

If you miss a dose of TELMA NB TABLET, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to make up for a missed dose.

How should TELMA NB TABLET be stored?

TELMA NB TABLET should be stored in a cool and dry place, typically below 30°C or at room temperature, away from direct sunlight and heat. Keep the medicine out of the sight and reach of children and pets.