Telsar Chm 25

TELSAR CHM 25

TELSAR CHM 25 by Torrent Pharmaceuticals Ltd. is a combination medication primarily used for the management of hypertension (high blood pressure) and stable coronary artery disease.

• Name:

  • Brand Name: TELSAR CHM 25
  • Common Name: Chlorthalidone + Metoprolol + Telmisartan (combination drug)

• Composition:

  • TELSAR CHM 25 Tablet contains three active ingredients:
    • Telmisartan (40 mg)
    • Metoprolol Succinate (25 mg) (some sources specify Metoprolol Tartarate)
    • Chlorthalidone (12.5 mg)

• Uses: TELSAR CHM 25 is prescribed for the treatment of:

  • Hypertension (high blood pressure), especially essential hypertension.
  • Stable coronary artery disease.
  • Reducing the chances of heart problems such as heart attack and stroke.
  • Preventing chest pain during physical activity and lowering the workload on the heart.

• Dosage and Administration:

  • Take TELSAR CHM 25 as directed by your physician.
  • It can be taken with or without food, but it is recommended to take it at the same time each day for maximum benefit.
  • Since it increases urine output, it is advisable to take it during the daytime or at least 4 hours before bedtime to avoid frequent urination at night.
  • Swallow the tablet whole; do not chew, crush, or break it.
  • Do not exceed the recommended dose or stop the medicine without consulting your doctor.

• Side Effects: Common side effects may include:

  • Dizziness, lightheadedness (especially when standing up quickly).
  • Headache.
  • Tiredness, fatigue, weakness.
  • Nausea, upset stomach, diarrhea, constipation, abdominal pain.
  • Slow heart rate.
  • Cold extremities, numbness of extremity.
  • Increased blood lipid levels, increased uric acid levels.
  • Changes in taste.
  • Upper respiratory tract infection (e.g., coughing, runny nose, throat pain, sinusitis), back pain.

• Precautions:

  • Allergies: Do not take if allergic to Chlorthalidone, Telmisartan, Metoprolol, or any other ingredients.
  • Pregnancy and Breastfeeding: TELSAR CHM 25 is generally not recommended during pregnancy due to potential risks to the fetus and should be used with caution during breastfeeding. Consult your doctor.
  • Driving and Operating Machinery: May cause dizziness, affecting alertness and vision. Avoid driving or operating heavy machinery if you feel dizzy.
  • Alcohol: Avoid consuming alcohol as it may increase dizziness.
  • Medical Conditions: Inform your doctor if you have diabetes, circulation problems, asthma, thyroid disorder, adrenal gland tumor, psoriasis, heart, kidney, or liver problems.
  • Diet: A low-salt and low-fat diet, along with regular exercise, is recommended. Avoid foods high in potassium.
  • Interactions: Inform your doctor about all other medications, supplements, or herbal products you are taking to avoid potential interactions, especially blood thinners, anti-diabetics, NSAIDs (e.g., ibuprofen), lithium, and digoxin.
  • Children: Not recommended for children and adolescents under 18 years as safety and efficacy have not been established.
  • Elderly: Use with caution in elderly patients (65 years and above); a lower dose with regular monitoring may be prescribed.

• Storage:

  • Store below 30°C.
  • Keep it in the original packaging to protect it from light.
  • Store at room temperature in an airtight container.
  • Keep out of reach and sight of children.

What is Telsar CHM 25 used for?

Telsar CHM 25 is primarily used to treat hypertension (high blood pressure). It helps to lower blood pressure, thereby reducing the risk of cardiovascular problems such as heart attacks and strokes. It is also used in the management of essential hypertension with stable coronary artery disease.

How does Telsar CHM 25 work?

Telsar CHM 25 is a combination medication containing three active ingredients: Chlorthalidone, Telmisartan, and Metoprolol. Chlorthalidone is a diuretic that helps remove excess fluid and electrolytes from the body through urine, reducing blood volume. Telmisartan is an angiotensin receptor blocker (ARB) that relaxes and widens blood vessels. Metoprolol is a beta-blocker that slows the heart rate, making it easier for the heart to pump blood. Together, these components work synergistically to effectively lower blood pressure and reduce the heart's workload.

What is the usual dosage for Telsar CHM 25?

Telsar CHM 25 is typically taken once daily, as prescribed by your doctor. It is recommended to take the tablet at the same time each day to maintain consistent blood levels and maximize its benefits. It can be taken with or without food. To minimize nighttime urination, it is often advised to take it during the day or at least 4 hours before bedtime. Always swallow the tablet whole with water and do not chew, crush, or break it. Your doctor will determine the appropriate dose based on your condition, age, and response to the medicine.

What are the possible side effects of Telsar CHM 25?

Common side effects include dizziness, headache, nausea, diarrhea, upset stomach, fatigue, a slow heart rate, and low blood pressure, especially when standing up (orthostatic hypotension). Other potential side effects may include cold extremities, numbness in extremities, changes in taste, increased uric acid levels, higher blood lipid levels, and decreased magnesium or sodium levels. If any side effects persist or worsen, it is advisable to consult your doctor.

Is Telsar CHM 25 safe during pregnancy or breastfeeding?

Telsar CHM 25 is generally considered unsafe during pregnancy due to potential risks to the developing baby and should be discontinued during the second and third trimesters. It should be used with caution in breastfeeding women, and you should consult your doctor for advice, as they will weigh the potential benefits against the risks.

Can Telsar CHM 25 be taken with other medications?

It is crucial to inform your doctor about all other medications, supplements, or herbal products you are currently taking to avoid potential drug interactions. Telsar CHM 25 may interact with certain medicines, including other blood pressure medications, heart failure medications, blood thinners, anti-diabetics (requiring close blood glucose monitoring), and some painkillers (e.g., NSAIDs like Indomethacin, Diclofenac). It's also advisable to avoid potassium supplements or salt substitutes unless specifically instructed by your doctor.

What precautions should be taken while on Telsar CHM 25?

Avoid consuming alcohol as it can further lower blood pressure and increase dizziness. Due to the possibility of dizziness, exercise caution when driving or operating heavy machinery, and rise slowly from a lying or sitting position to prevent lightheadedness. Inform your doctor if you have conditions such as diabetes, asthma, thyroid disorders, adrenal gland tumors, or liver/kidney problems, as dose adjustments or close monitoring may be necessary. Regular monitoring of your blood pressure, kidney function, and electrolyte levels is important. It is also recommended to maintain a healthy lifestyle with a low-salt, low-fat diet and regular exercise. Do not stop taking this medication without consulting your doctor, as this can lead to a sudden increase in blood pressure.

What happens if a dose of Telsar CHM 25 is missed?

If you miss a dose of Telsar CHM 25, 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 compensate for a missed one, as this can increase the risk of side effects.

How should Telsar CHM 25 be stored?

Store Telsar CHM 25 below 25°C or 30°C, at room temperature. Keep it in its original packaging to protect it from light and moisture, and ensure it is stored in an airtight container. Always keep this medicine out of the reach and sight of children and pets.