Telmed Ah Tablet (10 Tab)

TELMED AH TABLET (10 TAB)

TELMED AH TABLET (10 TAB) is a prescription medicine manufactured by Medley Pharmaceuticals Ltd., designed for the comprehensive management of hypertension.

• Name: Telmed AH Tablet

• Composition: Each tablet contains a combination of three active ingredients:

  • Amlodipine (5 mg)
  • Hydrochlorothiazide (12.5 mg)
  • Telmisartan (40 mg)

• Uses:

  • Primarily used for managing high blood pressure (hypertension) to reduce the risk of serious cardiovascular events such as heart attacks and strokes.
  • It is often prescribed when individual components alone are not sufficient to achieve desired blood pressure control or for initial treatment in patients requiring multiple medications.
  • The medicine works by relaxing blood vessels, improving blood flow, and increasing urine output to reduce fluid retention.

• Dosage and Administration:

  • The typical dosage is one tablet once daily, with or without food, as prescribed by your doctor.
  • It is recommended to take the medicine at the same time each day for consistent effectiveness.
  • Due to the diuretic component (Hydrochlorothiazide), it is advisable to avoid taking it within four hours of bedtime to prevent increased nighttime urination.
  • Do not stop taking this medicine suddenly without consulting your doctor, as it can lead to a rise in blood pressure and serious heart conditions.

• Side Effects:

  • Common side effects may include swelling (especially in ankles or feet), dizziness, headache, flushing, palpitations, fatigue, taste changes, muscle weakness, dry mouth, extreme thirst, diarrhea, and sinusitis.
  • Serious side effects that require immediate medical attention include allergic reactions (rash, itching, swelling of face/tongue/throat, severe dizziness, difficulty breathing), low blood pressure (fainting, extreme dizziness, lightheadedness), and electrolyte imbalance (muscle weakness, irregular heartbeat, confusion, severe dehydration).

• Precautions:

  • Pregnancy and Breastfeeding: TELMED AH TABLET is contraindicated during pregnancy due to definite evidence of risk to the developing baby and is considered unsafe during breastfeeding.
  • Alcohol: Avoid alcohol consumption as it may intensify side effects like dizziness and interfere with the medication's efficacy.
  • Driving and Operating Machinery: This medicine may cause dizziness, affecting your ability to drive or operate machinery.
  • Medical Conditions: Use with caution in patients with liver impairment, kidney disease (as it may worsen renal function or increase uric acid levels), and diabetes (as it may affect blood glucose control).
  • Drug Interactions:
    • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen may weaken its blood pressure-lowering effect and potentially worsen kidney function.
    • Central Nervous System (CNS) depressants may increase the risk of orthostatic hypotension.
    • It may interact with antidiabetic medicines, requiring close monitoring of blood glucose levels.
  • Food Interactions: Avoid excessive consumption of high-potassium foods (e.g., bananas, spinach) due to the risk of hyperkalemia. Grapefruit and grapefruit juice should also be avoided as they can interact with amlodipine, increasing the risk of side effects such as low blood pressure and dizziness.
  • Regular monitoring of blood pressure, kidney function, electrolytes, and blood sugar levels is essential during treatment.

• Storage:

  • Store in a cool and dry place, protected from moisture and heat, and away from direct sunlight.
  • Keep out of sight and reach of children and pets.
  • Typically stored at room temperature, ideally below 30°C or between 10°C to 25°C.

What is TELMED AH TABLET used for?

TELMED AH TABLET is primarily used to treat high blood pressure (hypertension). It helps to lower blood pressure, which in turn reduces the risk of serious cardiovascular events such as heart attacks, strokes, and kidney problems. This medication is often prescribed when a single medicine is not sufficient to adequately control blood pressure.

How does TELMED AH TABLET work?

TELMED AH TABLET is a combination of three active ingredients: Telmisartan, Amlodipine, and Hydrochlorothiazide, each working differently to lower blood pressure. Telmisartan is an angiotensin II receptor blocker (ARB) that relaxes blood vessels by blocking a hormone that causes them to constrict. Amlodipine is a calcium channel blocker (CCB) that widens blood vessels by inhibiting the movement of calcium ions. Hydrochlorothiazide is a thiazide diuretic that helps the kidneys remove excess salt and water from the body, thereby reducing fluid volume and blood pressure. Together, these components provide an additive effect to reduce blood pressure.

What is the usual dosage for TELMED AH TABLET?

The dosage of TELMED AH TABLET is determined by your doctor based on your individual medical condition and how you respond to the treatment. It is typically taken once daily, with or without food. You should swallow the tablet whole with a glass of water and not chew, bite, or break it. It's important to take it at the same time each day to maintain steady medication levels. Due to its diuretic component, it is generally advised to avoid taking this medicine within four hours of bedtime to prevent increased urination at night.

What are the possible side effects of TELMED AH TABLET?

Common side effects of TELMED AH TABLET can include dizziness, headache, fatigue, swelling of the ankles or feet, flushing, palpitations, diarrhea, muscle cramps or weakness, dry mouth, extreme thirst, and changes in taste.

More serious side effects, though less common, require immediate medical attention. These include severe allergic reactions (e.g., rash, swelling of the face or throat, difficulty breathing), very low blood pressure leading to fainting, significant electrolyte imbalances (such as muscle weakness or irregular heartbeat), signs of kidney damage (like a decrease in urine output), liver problems, and sudden changes in vision or eye pain.

Is TELMED AH TABLET safe during pregnancy or breastfeeding?

Pregnancy: TELMED AH TABLET is considered unsafe and is contraindicated during pregnancy, especially during the second and third trimesters. It can cause serious harm or even death to the developing fetus. If you are pregnant or plan to become pregnant, you should inform your doctor immediately, and effective birth control methods should be used while on this medication.

Breastfeeding: TELMED AH TABLET is generally not recommended during breastfeeding as at least one of its components can pass into breast milk. It is important to consult your doctor to discuss the potential risks and benefits and consider alternative medications or feeding methods.

Can TELMED AH TABLET be taken with other medications?

TELMED AH TABLET can interact with several other medications. It is crucial to inform your doctor about all prescription and over-the-counter medicines, vitamins, herbal products, and supplements you are taking.

• Contraindicated: It should not be taken with aliskiren, especially if you have diabetes, as it can lead to serious side effects like kidney problems, low blood pressure, or high potassium levels.
• Caution/Avoid with: Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen can reduce its blood pressure-lowering effect and may worsen kidney function. Lithium levels can be increased, leading to toxicity. Potassium supplements or potassium-sparing diuretics can increase the risk of high potassium. Other blood pressure medications may cause an excessive drop in blood pressure. It may also affect blood glucose levels when taken with antidiabetic medicines. If you are taking cholestyramine or colestipol, they should be taken several hours apart from TELMED AH TABLET.

Alcohol consumption should be avoided as it can amplify side effects like dizziness and interfere with the medication's effectiveness.

What precautions should be taken while taking TELMED AH TABLET?

Before starting TELMED AH TABLET, inform your doctor about any history of kidney disease, liver problems, heart conditions, diabetes, gout, electrolyte imbalances, lupus, or allergies (especially to sulfa drugs or penicillin). Regular monitoring of your blood pressure, kidney function, electrolyte levels, and blood sugar may be necessary.

This medication may cause dizziness or lightheadedness, so be cautious when driving or operating machinery until you know how it affects you. Get up slowly when moving from a sitting or lying position to prevent dizziness. Staying well-hydrated is important, but if you experience severe diarrhea, vomiting, or excessive sweating, contact your doctor as dehydration can be risky. Also, TELMED AH TABLET can increase sensitivity to the sun, so protect your skin from sun exposure. Do not stop taking the medication abruptly without your doctor's advice, as this can cause blood pressure to rise.

What happens if a dose of TELMED AH TABLET is missed?

If you miss a dose of TELMED AH 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 or extra dose to make up for the missed one, as this can lead to an excessive drop in blood pressure.

How should TELMED AH TABLET be stored?

TELMED AH TABLET should be stored at room temperature, typically between 20°C to 25°C (68°F to 77°F), with permissible excursions between 15°C to 30°C (59°F to 86°F). It should be kept in its original blister packaging to protect it from moisture and light. Do not remove the tablets from the blisters until immediately before you intend to take them. Keep this medicine out of the reach of children.