Eritel Ch Trio 40 Mg Tablet (15 Tab)

ERITEL CH TRIO 40 MG TABLET

ERITEL CH TRIO 40 MG TABLET is a combination medicine manufactured by Eris Lifesciences Limited, prescribed for the management of high blood pressure.

Composition Each tablet contains three active ingredients:

• Telmisartan: 40 mg (an Angiotensin II Receptor Blocker - ARB)
• Amlodipine: 5 mg (a Calcium Channel Blocker - CCB)
• Chlorthalidone: 12.5 mg (a Thiazide-like Diuretic)

Uses ERITEL CH TRIO 40 MG TABLET is primarily used for the treatment of essential hypertension (high blood pressure) in adults. It is typically prescribed when a single or two-drug combination therapy is insufficient to achieve desired blood pressure control. By effectively lowering blood pressure, this medication helps to reduce the risk of future cardiovascular events such as heart attacks and strokes.

Dosage and Administration This medicine should be taken as directed by a healthcare professional.

• Typical Guidance: Usually taken once daily, with or without food.
• Administration: Swallow the tablet whole with water; do not crush, chew, or break it.
• Timing: It is advisable to take the medicine at the same time each day to maintain consistent blood levels. Evening doses may be avoided due to the diuretic component, which can increase nighttime urination.
• Duration: Do not stop taking the medicine without consulting your doctor, even if you feel better.

Side Effects Common side effects may include:

• Sleepiness
• Taste changes
• Ankle swelling (edema)
• Headache
• Flushing (feeling warmth in the face, ears, neck, and trunk)
• Dizziness
• Tiredness/Fatigue
• Palpitations (irregular heartbeat)
• Upset stomach/Nausea
• Increased uric acid levels in the blood
• Elevated liver enzymes

Most of these side effects are temporary and resolve over time. If they persist or worsen, consult your doctor.

Precautions

• Pregnancy and Breastfeeding: Not recommended during pregnancy, especially in the second and third trimesters, as it can harm the unborn baby. Consult your doctor if you are breastfeeding.
• Allergies: Do not take if you are allergic to Amlodipine, Chlorthalidone, Telmisartan, other dihydropyridine type calcium channel blockers, or sulfonamide-derived medicines.
• Medical Conditions: Inform your doctor if you have any history of heart, kidney (including anuria), liver problems (especially severe impairment or biliary blockage), diabetes, electrolyte imbalance, or dehydration.
• Alcohol Consumption: Avoid alcohol as it may increase the risk of low blood pressure and adverse effects such as dizziness.
• Drug Interactions: Avoid potassium supplements as they may lead to high potassium levels in the blood (hyperkalaemia). Nonsteroidal Anti-inflammatory Drugs (NSAIDs) like ibuprofen can reduce its blood pressure-lowering effects. Heart medications such as digoxin may also interact. Grapefruit juice can increase amlodipine levels.
• Driving and Machinery: May cause dizziness or tiredness, which can affect your ability to concentrate. It is advised not to drive or operate machinery until you are mentally alert.
• Elderly Patients: Older adults may be more susceptible to side effects and may require regular monitoring of blood pressure, kidney function, and electrolytes.

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

What is ERITEL CH TRIO 40 MG TABLET used for?

ERITEL CH TRIO 40 MG TABLET is primarily used to treat essential hypertension, also known as high blood pressure, in adults. It is typically prescribed when a single medication or a two-drug combination is not sufficient to achieve the desired blood pressure levels. By lowering high blood pressure, this medication helps to reduce the risk of future heart attacks and strokes.

How does ERITEL CH TRIO 40 MG TABLET work?

ERITEL CH TRIO 40 MG TABLET contains three active ingredients: Telmisartan, Amlodipine, and Chlorthalidone.

• Telmisartan is an angiotensin II receptor blocker (ARB) that works by preventing the narrowing of blood vessels, which helps to relax them and allows blood to flow more easily, thereby lowering blood pressure.
• Amlodipine is a calcium channel blocker. It dilates (widens) blood vessels by preventing calcium from entering their walls, which increases blood flow and improves oxygen delivery to heart tissue.
• Chlorthalidone is a diuretic (often called a "water pill"). It helps the kidneys eliminate excess salt and water from the body, which reduces fluid volume in the blood vessels and lessens the strain on the heart, leading to lower blood pressure.

The combination of these three medicines provides a synergistic effect, targeting different mechanisms to effectively control blood pressure.

What is the usual dosage for ERITEL CH TRIO 40 MG TABLET?

ERITEL CH TRIO 40 MG TABLET should be taken in the dose and duration as advised by your doctor. It is typically recommended to take it once daily, preferably in the morning, with or without food, and at the same time each day for best results. Do not crush, chew, or break the tablet. The dosage may vary depending on your condition and how you respond to the medicine.

What are the possible side effects of ERITEL CH TRIO 40 MG TABLET?

Common side effects may include dizziness, headache, fatigue, nausea, and ankle swelling (peripheral edema). Other possible side effects include sleepiness, taste changes, flushing (feeling warmth in the face, ears, neck, and trunk), irregular heartbeat (palpitations), and upset stomach. Some individuals may also experience increased uric acid or blood lipid levels, visual disturbances, shortness of breath, or muscle cramps. If these side effects persist, worsen, or cause concern, you should consult your doctor.

Is ERITEL CH TRIO 40 MG TABLET safe during pregnancy or breastfeeding?

ERITEL CH TRIO 40 MG TABLET is generally not recommended and considered unsafe during pregnancy, especially in the second and third trimesters, as it can harm the developing baby. For breastfeeding women, there is limited information on how it affects breast milk. Therefore, pregnant or breastfeeding women should consult their doctor before taking this medicine.

Can ERITEL CH TRIO 40 MG TABLET be taken with other medications?

ERITEL CH TRIO 40 MG TABLET can interact with certain other medications. It's important to inform your doctor about all medicines, supplements, or herbal remedies you are currently taking to avoid potential interactions.

• Nonsteroidal Anti-inflammatory Medicines (NSAIDs) like ibuprofen and naproxen can reduce the blood pressure-lowering effects.
• Potassium supplements should be avoided as they may lead to high potassium levels in the blood (hyperkalemia).
• Lithium-containing medicines and certain other blood pressure medications (e.g., other diuretics, ACE inhibitors, beta-blockers, aliskiren) may interact, potentially causing changes in effects or increased side effects.
• Heart medications like digoxin may also interact.
• Grapefruit or grapefruit juice should be avoided as it may increase the levels of amlodipine in the blood, potentially leading to increased side effects.

What precautions should be taken while taking ERITEL CH TRIO 40 MG TABLET?

• Inform your doctor if you have any heart, kidney, or liver problems, diabetes, electrolyte imbalance, or dehydration.
• Avoid consuming alcohol, as it may increase the risk of low blood pressure and adverse effects like dizziness.
• This medicine contains a diuretic, which may increase urination; it's recommended to avoid taking it within four hours of bedtime to prevent frequent trips to the bathroom at night.
• It may cause dizziness or sleepiness, so caution is advised when driving or operating machinery until you know how the medicine affects you.
• Do not stop taking the medicine abruptly, even if you feel better, as this can lead to a sudden rise in blood pressure and increase the risk of heart attack or stroke.
• Regular monitoring of blood pressure, kidney function, electrolyte levels, and blood sugar is advised during treatment.

What happens if a dose of ERITEL CH TRIO 40 MG TABLET is missed?

If you miss a dose of ERITEL CH TRIO 40 MG TABLET, take it immediately when 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 double the dose to make up for a missed one.

How should ERITEL CH TRIO 40 MG TABLET be stored?

ERITEL CH TRIO 40 MG TABLET should be stored in a cool and dry place, away from sunlight and moisture, and out of the sight and reach of children. Store it below 25°C or 30°C.