Telefix H Tablet (15 Tab)

TELEFIX H TABLET (15 TAB) by ERGOS LIFE SCIENCES

Name

• Brand Name: Telefix H Tablet
• Common Name: Telmisartan and Hydrochlorothiazide Tablet

Composition

TELEFIX H TABLET contains a combination of two active ingredients:

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

Uses

TELEFIX H TABLET is primarily used for the treatment of hypertension (high blood pressure). It is often prescribed when a single medicine alone is not effectively controlling blood pressure. By lowering blood pressure, it helps to:

• Reduce the risk of cardiovascular events such as heart attack and stroke.
• Reduce strain on the heart.
• Manage fluid retention (oedema) associated with conditions like heart failure, liver cirrhosis, and nephrotic syndrome.
• Protect kidney function for individuals with diabetes.

Dosage and Administration

• TELEFIX H TABLET should be taken as advised by your doctor.
• Swallow the tablet whole with a glass of water; do not crush, break, or chew it.
• It can be taken with or without food.
• It is recommended to take the medicine at the same time each day for optimal results.
• Due to its diuretic component, which increases urination, it is generally best to avoid taking this medicine within four hours of going to bed.
• Do not stop taking TELEFIX H TABLET without consulting your doctor, as this can cause blood pressure to rise and increase the risk of heart attack or stroke.

Side Effects

Common side effects may include:

• Dizziness
• Feeling tired or fatigue
• Nausea
• Diarrhea
• Back pain
• Cold/flu symptoms
• Low or high blood potassium levels
• Dry mouth, flatulence
• Erectile dysfunction
• Increased blood uric acid levels

Serious side effects, though less common, can include severe low blood pressure, rapid heartbeat, or reduced kidney function. Consult your doctor if side effects are persistent or worsen.

Precautions

• Pregnancy and Breastfeeding: TELEFIX H TABLET is not recommended during pregnancy (especially the second and third trimesters) as it may cause serious harm to the developing baby. It is also not advised for breastfeeding mothers.
• Alcohol: Avoid alcohol consumption as it may further lower blood pressure and increase the risk of dizziness and drowsiness.
• Driving: This medicine may cause dizziness or drowsiness, affecting the ability to drive or operate machinery.
• Kidney and Liver Disease: Use with caution in patients with kidney or liver problems. Not recommended for severe kidney impairment or severe liver diseases.
• Diabetes: Caution is advised, as it may affect blood sugar control.
• Other Conditions: Inform your doctor if you have low blood pressure, cardiogenic shock, aortic stenosis, glaucoma, high or low levels of magnesium or potassium, allergies (especially to penicillin or sulfa drugs), asthma, lupus, or heart disorders.
• Drug Interactions: Can interact with certain medications, including cardiac glycosides (like digoxin), anticoagulants (like warfarin), NSAIDs (like ibuprofen), ACE inhibitors (like ramipril, quinapril), lithium, potassium supplements, and some muscle relaxants. Always inform your doctor about all medicines you are taking.
• Children: Not recommended for use in children below 6 years of age.

Storage

• Store in a cool and dry place away from direct sunlight.
• Keep out of sight and reach of children.
• Store below 30°C.

What is Telefix H Tablet used for?

Telefix H Tablet is primarily used to treat hypertension, also known as high blood pressure. By lowering blood pressure, it helps reduce the risk of serious cardiovascular events such as heart attacks and strokes. It can also be used to manage fluid retention (edema) in certain conditions.

How does Telefix H Tablet work?

Telefix H Tablet contains a combination of two active ingredients: Telmisartan and Hydrochlorothiazide.

• Telmisartan is an angiotensin II receptor blocker (ARB) that works by relaxing and widening blood vessels. This action lowers blood pressure and improves the supply of blood and oxygen to the heart.
• Hydrochlorothiazide is a thiazide diuretic (often called a "water pill"). It increases the excretion of excess salt and water from the body through urine, thereby reducing fluid retention and helping to lower blood pressure.

What is the usual dosage for Telefix H Tablet?

The typical starting dose for adults is one tablet (e.g., 40 mg telmisartan and 12.5 mg hydrochlorothiazide) once daily. Your doctor may adjust the dose after 2 to 4 weeks, with a maximum dose generally not exceeding 160 mg/25 mg once daily. It can be taken with or without food, but it is recommended to take it at the same time each day for consistent blood pressure control.

What are the possible side effects of Telefix H Tablet?

Common side effects may include dizziness, fatigue, nausea, diarrhea, back pain, and cold or flu-like symptoms. More serious side effects, though less common, can include allergic reactions, dehydration, gout, kidney injury, significant low blood pressure (leading to fainting), or sudden changes in vision such as blurred vision, eye pain, or seeing halos around lights. If you experience any persistent or severe side effects, you should consult your doctor.

Is Telefix H Tablet safe during pregnancy or breastfeeding?

No, Telefix H Tablet is not recommended during pregnancy, especially in the second and third trimesters, as it can cause serious harm to the unborn baby. It is also not advised for use during breastfeeding. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor for alternative treatment options.

Can Telefix H Tablet be taken with other medications?

Telefix H Tablet can interact with other medications, supplements, and herbal products. It's important to inform your doctor about all current medications to avoid potential interactions. Some notable interactions include:

• Potassium supplements or potassium-sparing diuretics: Can increase blood potassium levels.
• ACE inhibitors (e.g., ramipril, enalapril) or aliskiren: Increased risk of low blood pressure, kidney impairment, and high blood potassium. Co-administration with aliskiren is contraindicated in patients with diabetes or kidney impairment.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen: May reduce the blood pressure-lowering effect of Telefix H Tablet.
• Cholestyramine or colestipol: Should be taken 4 to 6 hours before or 4 hours after Telefix H Tablet.

What precautions should be taken while using Telefix H Tablet?

Before taking Telefix H Tablet, inform your doctor if you have allergies to its components or if you have liver disease, severe kidney problems, glaucoma, diabetes, low blood pressure, or a history of penicillin or sulfa drug allergies. Avoid consuming alcohol as it can exacerbate side effects like dizziness and may affect the liver. Do not use potassium supplements or salt substitutes unless advised by your doctor. Due to potential dizziness, exercise caution when driving or operating machinery until you know how the medication affects you. Regular monitoring of kidney function, blood pressure, electrolyte levels, and blood sugar is recommended by your doctor.

What happens if a dose of Telefix H 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 compensate for the missed one, as this can lead to excessively low blood pressure.

How should Telefix H Tablet be stored?

Telefix H Tablet should be stored at room temperature (20-25°C) and protected from moisture. Keep the tablets in their original blister pack until you are ready to take a dose, and ensure they are kept out of the reach of children.