Manufacturer: Glenmark Pharmaceuticals Ltd
Salt Composition : Telmisartan(80mg), Amlodipine(5mg), Hydrochlorothiazide(12.5mg)
Telma-AM H 80 Tablet should be taken with or without food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more so, it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly to get the most benefit from it even if you feel well. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase.
Telmisartan is an angiotensin II receptor blocker (ARB). It works by blocking a substance in the body that causes blood vessels to tighten. As a result, telmisartan relaxes the blood vessels. This lowers blood pressure and increases the supply of blood and oxygen to the heart
Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart
Hydrochlorothiazide inhibits sodium chloride transport in the distal convoluted tubule. More sodium is then excreted in the kidney with accompanying fluid. Pharmacological effects begin in about 2 hours after an oral dose, peak in 4 hours, and lasts for about 6 to 12 hours
The pharmacokinetics of orally administered telmisartan are nonlinear over the dose range 20-160 mg, with greater than proportional increases of plasma concentrations (Cmax and AUC) with increasing doses. Telmisartan shows bi-exponential decay kinetics with a terminal elimination half life of approximately 24 hours
Amlodipine is a dihydropyridine calcium antagonist drug with distinctive pharmacokinetic characteristics which appear to be attributable to a high degree of ionisation. Following oral administration, bioavailability is 60 to 65% and plasma concentrations rise gradually to peak 6 to 8h after administration
Absorption of hydrochlorothiazide is reduced in patients with congestive heart failure. Peak plasma concentrations are observed within 1 to 5 hours of dosing, and range from 70 to 490 ng/mL following oral doses of 12.5 to 100 mg.
Ankle swelling
Dizziness
Nausea
Peripheral edema
Mood changes
Visual disturbance
dehydration.
high levels of potassium in the blood.
renal artery stenosis.
low blood pressure.
liver problems.
blockage of a bile duct.
decreased kidney function.
pregnancy.
Amlodipine is contraindicated in patients with known hypersensitivity to amlodipine or its dosage form components. In addition, amlodipine is relatively contraindicated in patients with cardiogenic shock, severe aortic stenosis, unstable angina, severe hypotension, heart failure, and hepatic impairment
sympathectomy.
diabetes.
increased activity of the parathyroid gland.
high cholesterol.
a type of joint disorder due to excess uric acid in the blood called gout.
low amount of magnesium in the blood.
high amount of calcium in the blood.
low amount of sodium in the blood.
Telma-AM H 80 Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
It is unsafe to consume alcohol with Telma-AM H 80 Tablet.
Telma-AM H 80 Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Hydrochlorothiazide is used to treat edema (fluid retention; excess fluid held in body tissues) caused by various medical problems, including heart, kidney, and liver disease and to treat edema caused by using certain medications including estrogen and corticosteroids.
hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.
Blood pressure medications. Telmisartan affects the renin-angiotensin-aldosterone system in your body. ...
Pain medications. Taking nonsteroidal anti-inflammatory drugs (NSAIDs) with telmisartan can increase your risk of kidney problems. ...
Digoxin. ...
Lithium.
cardiogenic shock/hypotension.
coronary artery disease.
liver disease.
CHF/AMI.
Barbiturates. If you take these drugs with hydrochlorothiazide, your blood pressure may be lowered too much. ...
Lithium. ...
Blood pressure drugs. ...
Cholesterol-lowering drugs. ...
Corticosteroids. ...
Diabetes drugs. ...
Narcotics. ...
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Do not chew, crush or break it. Telma-AM H 80 Tablet may be taken with or without food, but it is better to take it at a fixed time.
Store below 30°C
If you miss a dose of Telma-AM H 80 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Consult a doctor before taking any medicines
You have been prescribed Telma-AM H 80 Tablet for the treatment of high blood pressure.
Lowering high blood pressure helps prevent strokes and heart attacks.
It may cause dizziness. Get up slowly when rising from a sitting or lying position.
Telma-AM H 80 Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.
Use of Telma-AM H 80 Tablet during pregnancy or breastfeeding is unsafe.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Telma-AM H 80 Tablet may be taken with or without food, but it is better to take it at a fixed time.
Q. What are the instructions for the storage and disposal of Telma-AM H 80 Tablet?
Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Q. Can I feel dizzy after taking Telma-AM H 80 Tablet?
Yes, the use of Telma-AM H 80 Tablet can make you feel dizzy. This may occur when you suddenly rise up from lying or sitting position. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Q. Can I use Telma-AM H 80 Tablet in pregnancy?
No, Telma-AM H 80 Tablet should be avoided in pregnancy. It can cause injury and death to the baby. If you conceive while taking Telma-AM H 80 Tablet, stop taking the medicine and contact your doctor immediately. The doctor might suggest other ways to lower blood pressure.
Q. What lifestyle changes should I make while using Telma-AM H 80 Tablet?
Making lifestyle changes can boost your health while taking Telma-AM H 80 Tablet. Stop smoking, as smoking increases your risk of having heart attack and stroke. If you are overweight or obese, try to lose weight. You should maintain a healthy diet by including fruits and vegetables in your meals. Regular exercise can make your heart strong and reduce your risk of heart attack.
Q. Can I stop taking Telma-AM H 80 Tablet if I feel well?
No, keep using Telma-AM H 80 Tablet as advised by your doctor, even if you feel well. Stopping Telma-AM H 80 Tablet suddenly may lead to serious complications such as heart attack and stroke.
