Tsart Ct 40 Mg Tablet (10 Tab)

TSART CT 40 MG TABLET is a combination medication primarily used for the effective management of hypertension (high blood pressure).

Name

• Brand Name: TSART CT 40 MG TABLET, Tsart-40 CT Tablet, Tsart 40 CT Tablet
• Manufacturer: Alkem Laboratories Ltd.

Composition

• Active Ingredients: Each tablet contains Telmisartan 40 mg and Chlorthalidone 12.5 mg.
  • Telmisartan is an Angiotensin II Receptor Blocker (ARB) that relaxes and widens blood vessels.
  • Chlorthalidone is a thiazide-like diuretic (water pill) that helps the body eliminate excess salt and water.

Uses

TSART CT 40 MG TABLET is prescribed for:

• Managing essential hypertension (high blood pressure) when monotherapy with either Telmisartan or Chlorthalidone alone is insufficient to control the condition.
• Initial therapy in patients who require multiple drug therapy to control high blood pressure.
• Reducing the risk of cardiovascular events such as heart attack, stroke, and kidney damage associated with hypertension.
• Preventing heart failure and other cardiovascular complications.

Dosage and Administration

• Typical Dosage: One tablet once daily, or as prescribed by your doctor.
• Administration: Swallow the tablet whole with a glass of water, with or without food.
• Important Notes:
  • Take the medicine at the same time each day to maintain consistent blood levels.
  • Do not chew or crush the tablet.
  • Do not stop taking the medication abruptly without consulting your doctor, as this may cause blood pressure to rise and increase the risk of heart-related issues.
  • Avoid taking the tablet within four hours of bedtime due to its diuretic effect, which increases urination.

Side Effects

• Common Side Effects: Dizziness, headache, back pain, sore throat, nausea, abdominal pain, indigestion, diarrhea, fatigue, feeling weak, dry mouth, increased urination, altered blood lipids, sinus infection, red spots or bumps on the skin, decreased potassium level, increased uric acid level, postural hypotension (low blood pressure upon standing), impotence, loss of appetite, and gastrointestinal disturbance.
• Serious Side Effects: Seek immediate medical attention if you experience severe allergic reactions (rash, itching, swelling, difficulty breathing), severe dizziness or fainting, signs of low blood pressure, elevated potassium levels (irregular heartbeat, muscle weakness), or signs of kidney problems (dark urine, pain in the lower back, reduced urine output).

Precautions

• Contraindications:
  • Pregnancy: Not recommended and contraindicated during pregnancy due to potential harm to the fetus.
  • Breastfeeding: Not recommended as it may pass into breast milk.
  • Allergies: Do not take if allergic to Telmisartan, Chlorthalidone, or any sulfonamide-derived medicines.
  • Severe Conditions: Contraindicated in patients with anuria (no urine production), severe liver impairment, severe kidney disease, low blood pressure (<90 mm Hg), cardiogenic shock, or aortic stenosis.
  • Children: Generally not recommended for use in children below 18 years of age.
• Warnings and Interactions:
  • Alcohol: Limit or avoid alcohol consumption as it can increase side effects like dizziness and low blood pressure.
  • Potassium Supplements: Avoid potassium supplements or salt substitutes unless advised by a doctor, as the medication can increase potassium levels.
  • Medical Conditions: Use with caution and inform your doctor if you have liver problems (mild to moderate impairment), kidney problems, heart problems (e.g., congestive heart failure), diabetes, glaucoma, or a history of allergies (including penicillin or sulfa drugs), asthma, or lupus.
  • Driving/Operating Machinery: May cause dizziness or drowsiness; exercise caution when driving or operating machinery.
  • Diet: Avoid very strict low-salt diets, as this may lead to undesirable effects.
  • Drug Interactions: Not recommended for use with Aliskiren, especially in patients with diabetes or kidney troubles.
• General Advice: Stay well-hydrated during treatment. Regular monitoring of blood pressure and kidney function is advised.

Storage

Store in a cool, dry place, ideally at room temperature below 30°C (or between 10°C to 25°C). Protect the medicine from excessive light and moisture. Keep out of sight and reach of children.

What is TSART CT 40 MG TABLET used for?

TSART CT 40 MG TABLET is primarily used to treat hypertension (high blood pressure). It is often prescribed when a single medication containing either Telmisartan or Chlorthalidone is not sufficient to control blood pressure. By effectively lowering blood pressure, it helps reduce the risk of serious cardiovascular events such as heart attacks and strokes, and can also help manage kidney problems associated with hypertension and fluid retention (edema).

How does TSART CT 40 MG TABLET work?

This medicine is a combination of two active ingredients: Telmisartan and Chlorthalidone. Telmisartan is an Angiotensin II Receptor Blocker (ARB) that works by blocking the action of a hormone called angiotensin II, which narrows blood vessels. This causes the blood vessels to relax and widen, lowering blood pressure. Chlorthalidone is a thiazide-like diuretic (or "water pill") that helps the kidneys eliminate excess salt and water from the body, thereby reducing fluid volume and further lowering blood pressure.

What is the usual dosage for TSART CT 40 MG TABLET?

The typical dosage is one tablet once daily, as prescribed by your doctor. It can be taken with or without food, but it is recommended to take it at the same time each day to maintain consistent blood pressure control. Since it contains a diuretic, it's generally advised to avoid taking it within four hours of bedtime to prevent frequent urination during the night.

What are the possible side effects of TSART CT 40 MG TABLET?

Common side effects may include headache, dizziness (especially when standing up quickly), fatigue, back pain, nausea, diarrhea, and increased urination. Some individuals might also experience sinus infection, abdominal pain, indigestion, decreased potassium levels in the blood (hypokalemia), or increased uric acid levels. If any side effects persist or worsen, consult your doctor.

Is TSART CT 40 MG TABLET safe during pregnancy or breastfeeding?

No, TSART CT 40 MG TABLET is not recommended during pregnancy as it can cause harm to the fetus and result in fetal abnormalities. It is also contraindicated during breastfeeding because it may pass into breast milk and affect the nursing baby. If you are pregnant, planning to conceive, or breastfeeding, it is crucial to consult your doctor for alternative treatments.

Can TSART CT 40 MG TABLET be taken with other medications?

TSART CT 40 MG TABLET can interact with other medications, so it is essential to inform your doctor about all medicines, supplements, and herbal products you are currently taking. Particular caution is advised with non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, mood stabilizers such as lithium, other antihypertensives (e.g., aliskiren, ramipril), certain heart failure medicines (e.g., digoxin), and anti-diabetic medications. Taking it with alcohol can also increase the risk of side effects like dizziness and significantly lower blood pressure.

What precautions should be taken while using TSART CT 40 MG TABLET?

Inform your doctor if you have liver or kidney disease, heart problems (such as congestive heart failure), or diabetes. This medicine is not recommended for patients with severe liver impairment or anuria (no urine production). Avoid potassium supplements unless advised by your doctor, as the medication can affect potassium levels. Limit alcohol consumption. Due to the potential for dizziness, exercise caution when driving or operating heavy machinery. Do not stop taking the medicine abruptly, even if you feel well, as this can lead to a sudden rise in blood pressure.

What happens if a dose of TSART CT 40 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. Consistent use is important for blood pressure control, as missing doses can lead to an increase in blood pressure.

How should TSART CT 40 MG TABLET be stored?

Store TSART CT 40 MG TABLET in a cool, dry place, ideally at room temperature below 30°C (or between 10°C and 25°C). Protect it from excessive light and moisture. Always keep the medicine out of the reach and sight of children and pets. Ensure it is used before the expiry date mentioned on the packaging.