Telma Lnb 50 Mg Tablet (10 Tab)

TELMA LNB 50 MG TABLET

TELMA LNB 50 MG TABLET, manufactured by Glenmark Pharmaceuticals Ltd., is a combination medication primarily used for the management of high blood pressure (hypertension).

Composition Each tablet contains a triple combination of antihypertensive agents:

• Cilnidipine (10 mg)
• Metoprolol Succinate (50 mg)
• Telmisartan (40 mg)

Uses This medicine is prescribed for:

• Treatment of high blood pressure (hypertension), especially when single or dual therapy is not effective.
• Prevention of heart attacks and stroke.
• Reduction of cardiovascular risks.
• Improvement of heart function in patients with heart failure.

Dosage and Administration TELMA LNB 50 MG TABLET should be taken orally once daily, preferably at the same time each day, with or without food. Swallow the tablet whole with water; do not break or chew it. Dosage is determined by a doctor based on the patient's condition and response. Do not stop taking this medication without consulting your doctor, as abrupt discontinuation can worsen the condition.

Side Effects

• Common Side Effects: Dizziness, headache, fatigue, swelling of ankles and feet (peripheral oedema), slow heart rate (bradycardia), nausea, change in taste, stomach upset, tiredness, weakness, and cold extremities.
• Serious Side Effects (seek immediate medical attention): Trouble breathing, sudden chest pain, very slow heartbeat, fainting, swelling of the face or throat, yellowing of the skin or eyes, or unusual tiredness.

Precautions

• Pregnancy and Breastfeeding: Contraindicated during pregnancy. Caution is advised if breastfeeding.
• Alcohol: Avoid consuming alcohol as it may increase the risk of side effects like dizziness and low blood pressure.
• Medical Conditions: Use with caution in patients with liver or kidney problems, asthma, COPD, or diabetes. Not recommended for severe heart problems.
• Interactions: Inform your doctor about all other medications, herbal supplements, and vitamins you are taking. Avoid potassium-rich foods or supplements. This medicine may cause dizziness, so caution is advised when driving or operating machinery.

Storage Store TELMA LNB 50 MG TABLET at room temperature, between 15°C and 30°C (or below 30°C), in a dry place, away from direct sunlight, heat, light, and moisture. Keep it out of reach of children.

What is TELMA LNB 50 MG TABLET used for?

TELMA LNB 50 MG TABLET is primarily used to treat high blood pressure (hypertension). It is often prescribed when a single medication is not sufficient to effectively manage blood pressure. By controlling hypertension, it helps reduce the risk of serious cardiovascular events such as heart attack and stroke. It can also be beneficial for blood pressure control in diabetic patients and those with high cardiovascular risk.

How does TELMA LNB 50 MG TABLET work?

TELMA LNB 50 MG TABLET is a combination medication containing three active ingredients: Telmisartan, Cilnidipine, and Metoprolol Succinate.

• Telmisartan (an Angiotensin II Receptor Blocker - ARB) works by relaxing blood vessels by blocking the action of Angiotensin II, a substance that narrows blood vessels. This makes it easier for the heart to pump blood.
• Cilnidipine (a Calcium Channel Blocker) helps relax and widen blood vessels by blocking calcium channels, which reduces resistance to blood flow and lowers blood pressure.
• Metoprolol Succinate (a beta-blocker) slows down the heart rate and reduces the heart's workload, contributing to lower blood pressure. This triple action provides comprehensive blood pressure control.

What is the usual dosage for TELMA LNB 50 MG TABLET?

You should take TELMA LNB 50 MG TABLET exactly as directed by your doctor. It is usually taken once daily. You can take it with or without food, but it is important to take it at the same time each day to maintain consistent medication levels in your body. Swallow the tablet whole with a glass of water; do not crush, chew, or break it, as this may affect how the medication works. Your doctor may adjust the dosage based on your condition and response to treatment.

What are the possible side effects of TELMA LNB 50 MG TABLET?

Common side effects may include dizziness, headache, fatigue, nausea, changes in taste, throat infection, stomach pain, indigestion, constipation, weakness, muscle pain, back pain, increased potassium levels in the blood (hyperkalaemia), slow heart rate (bradycardia), low blood pressure (hypotension), cold extremities, tingling or numbness, difficulty sleeping, and swelling in the ankles or feet (peripheral oedema). If you experience ankle swelling, elevating your legs while sitting may help. Less common or more serious side effects could include allergic reactions (rash, itching, swelling), liver problems, kidney problems, changes in mood, trouble breathing, sudden chest pain, very slow heartbeat, fainting, swelling of the face or throat, yellowing of the skin or eyes, or unusual tiredness. Consult your doctor if any side effects are bothersome or persistent, or if you experience any serious symptoms.

Is TELMA LNB 50 MG TABLET safe during pregnancy or breastfeeding?

Pregnancy: TELMA LNB 50 MG TABLET is generally considered unsafe and is not recommended during pregnancy due to definite evidence of risk to the developing baby. If you are pregnant or planning a pregnancy, consult your doctor immediately for alternative treatment options. In rare life-threatening situations, a doctor might prescribe it if the benefits significantly outweigh the potential risks.

Breastfeeding: TELMA LNB 50 MG TABLET is not recommended while breastfeeding, and caution is advised. It is important to consult your doctor for advice on suitable alternative medications.

Can TELMA LNB 50 MG TABLET be taken with other medications?

It is crucial to inform your doctor about all medications, supplements, or herbal products you are currently taking to avoid potential interactions.

• Certain medications, such as amiodarone, disopyramide, or painkillers like indomethacin, sulindac, diclofenac, and focetan, can decrease the effect of TELMA LNB 50 MG TABLET.
• Taking it with potassium supplements can increase the risk of dangerously high potassium levels (hyperkalaemia).
• Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce its blood pressure-lowering effect and potentially worsen kidney function.
• Medicines like fluoxetine and paroxetine (CYP2D6 inhibitors) may increase metoprolol levels in your blood, potentially causing an excessive reduction in blood pressure.
• Combining with other antihypertensives like amlodipine or lisinopril may cause an excessive drop in blood pressure.

What precautions should be taken while taking TELMA LNB 50 MG TABLET?

• Do not stop suddenly: Never stop taking this medicine without consulting your doctor, even if your blood pressure is under control, as sudden discontinuation can lead to a rebound increase in blood pressure.
• Alcohol: Avoid or limit alcohol consumption, as it can worsen side effects like dizziness and low blood pressure.
• Driving and machinery: This medicine may cause dizziness or drowsiness, especially when you first start taking it. If you experience these symptoms, avoid driving or operating heavy machinery.
• Medical conditions: Use with caution if you have liver disease (dose adjustment may be needed for mild to moderate impairment, not recommended for severe liver disease), kidney disease (especially severe problems or bilateral renal artery stenosis), diabetes (it may mask symptoms of low blood sugar and requires careful monitoring), or asthma/COPD (metoprolol component may worsen breathing difficulties).
• Dietary restrictions: Avoid consuming foods or supplements high in potassium, as Telmisartan can increase blood potassium levels. Also, avoid large quantities of grapefruit or grapefruit juice, as it may interact with the medication.
• Monitoring: Regular monitoring of blood pressure, kidney function, blood sugar levels, and electrolyte levels may be required during treatment.
• Age: It is not indicated for use in children and adolescents up to 18 years old. Caution is advised in elderly patients (65 years and above) as they may be more sensitive to its effects.

What happens if a dose of TELMA LNB 50 MG TABLET is missed?

If you miss a dose, 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 TELMA LNB 50 MG TABLET be stored?

Store TELMA LNB 50 MG TABLET at room temperature, typically below 30°C or between 15°C and 30°C. Keep it in its original packaging and protect it from moisture, light, and excessive heat. Ensure it is kept out of reach of children.