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Cresar H (12.5/40 mg) Tablet
Manufactured byCipla Ltd.
ContainsHydrochlorothiazide (12.5 mg) + Telmisartan (40 mg)
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Description
Cresar H (12.5/40 mg) Tablet is a combination medicine that consists of Hydrochlorothiazide and Telmisartan. It is used for the treatment of high blood pressure. It works by relaxing your blood vessels and helps your heart to pump blood easily. This medicine also reduces the risk of heart attack and stroke.
Cresar H (12.5/40 mg) Tablet has some side effects like dizziness, headache, dry mouth, stomach pain, weakness, etc. You may also experience increased urination. These side effects may subside by themselves. Consult your doctor if any of these symptoms bother you for a longer time or worsen. Do not use this medicine if you are allergic to it.
Cresar H (12.5/40 mg) Tablet can be taken with or without food. Do not take more than the prescribed dose. Take this medicine around the same time every day for the ease of remembering and better results. Do not stop taking this medicine without consulting your doctor.
Cresar H (12.5/40 mg) Tablet is not recommended for use in children below 18 years of age. It is also not recommended if you have severe liver or kidney problems. Inform the doctor of your complete medical history including all medications that you may be using. Consult your doctor if you are pregnant, or are breastfeeding before using this medicine. Using this medicine and also making certain lifestyle changes like regular exercise, weight control, quitting smoking, limiting alcohol use, and lowering the quantity of salt will also help to decrease your blood pressure.
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Substitutes
List of substitutes for Cresar H (12.5/40 mg) Tablet
Side effects
Major & minor side effects for Cresar H (12.5/40 mg) Tablet
Increased urination
Itching or rash
Stomach pain
Dry mouth
Chest pain
Changes in vision
Dizziness
Difficulty or painful urination
Headache
Diarrhoea
Back pain
Weakness
Muscle pain
Fever
Low blood pressure
Uses of Cresar H (12.5/40 mg) Tablet
What is it prescribed for?
Hypertension
Hypertension is high blood pressure that may be caused by genetic or environmental factors. Cresar H (12.5/40 mg) Tablet is used in the treatment of high blood pressure, it decreases the effects of angiotensin (a hormone that narrows blood vessels), causing blood vessels to relax. This helps your heart to pump blood more freely.
Concerns
Commonly asked questions
How long does it take for this medicine to take effect?
The effect of Cresar H (12.5/40 mg) Tablet can be observed within 1-2 hours of intake.How long do the effects of this medicine last?
The effect of Cresar H (12.5/40 mg) Tablet lasts for a duration of 24 hours.Is it safe to consume alcohol while taking this medicine?
Consumption of alcohol while taking Cresar H (12.5/40 mg) Tablet may lower your blood pressure and can cause dizziness, headache, and changes in heart rate.Is this a habit forming medicine?
No habit-forming tendency has been reported for Cresar H (12.5/40 mg) Tablet.Can this medicine be taken during pregnancy?
Cresar H (12.5/40 mg) Tablet is not recommended for use in pregnancy as it can harm your developing foetus. Hence, consult your doctor before taking this medicine.Can this medicine be taken while breast-feeding?
It is not known whether Cresar H (12.5/40 mg) Tablet passes into breastmilk or not. Hence, it is not recommended for use while breastfeeding. Consult your doctor before taking this medicine.
Allergy
Avoid taking Cresar H (12.5/40 mg) Tablet if you are allergic to it. Serious allergic reactions to this medicine are rare. However, seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.
Anuria
Anuria is a condition where your kidneys are unable to produce urine. Cresar H (12.5/40 mg) Tablet is not recommended if you have Anuria as it may increase the risk of kidney damage.
Cholestasis (Obstruction of bile duct)
Avoid taking Cresar H (12.5/40 mg) Tablet if you have cholestatic jaundice (a condition that is caused by reduced bile flow from your liver to the small intestine) or obstruction in the bile duct as this medicine is eliminated from your body through bile. Hence, such conditions may increase the risk of serious side effects.
Aliskiren
Aliskiren is a drug used to treat high blood pressure. Using Aliskiren together with Cresar H (12.5/40 mg) Tablet may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in your blood. In severe cases, this could lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest.
Angioedema
Angioedema is an allergic reaction to any food, medicine or pollen in which there is a painless swelling under the skin. Symptoms of angioedema are swelling of the face, extremities, eyes, lips, or tongue, as well as trouble swallowing or breathing. Cresar H (12.5/40 mg) Tablet is not recommended if you have a history of angioedema as a result of using hydrochlorothiazide, or for those who have genetic angioedema.
Warnings for special population
Pregnancy
Cresar H (12.5/40 mg) Tablet is not recommended for use in pregnancy as it can harm your developing foetus. Hence, consult your doctor before taking this medicine.
Breast-feeding
It is not known whether Cresar H (12.5/40 mg) Tablet passes into breastmilk or not. Hence, it is not recommended for use while breastfeeding. Consult your doctor before taking this medicine.
General warnings
Alteration in blood volume and electrolyte levels
Use Cresar H (12.5/40 mg) Tablet with caution as it may alter the blood volume levels and electrolyte levels in your body. Your doctor may suggest tests to closely monitor your electrolyte levels if necessary while taking this medicine. Report any symptoms such as weakness, lethargy, dry mouth muscle pain, drowsiness, dizziness, irregular heartbeat, etc., to your doctor immediately.
Kidney diseases
Cresar H (12.5/40 mg) Tablet may cause azotemia (elevated levels of urea and other nitrogen compounds in the blood) if you have a history of kidney problems. Your doctor may suggest tests to closely monitor your kidney function if necessary while taking this medicine.
Use in athletes
Cresar H (12.5/40 mg) Tablet is not recommended to be used by athletes as per the World Anti-Doping Agency (WADA).
Hyperkalemia
Hyperkalemia is an increase of potassium levels in your blood. Cresar H (12.5/40 mg) Tablet may increase the potassium levels leading to serious side effects such as heart rhythm irregularities (improper beating of the heart). It is advised that you avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (ACE inhibitors and potassium supplements) during treatment with this medicine.
Hypotension
Hypotension is low blood pressure. Use Cresar H (12.5/40 mg) Tablet with caution as it may lead to very low blood pressure.
Use in children
It is not recommended to use Cresar H (12.5/40 mg) Tablet in children below 18 years of age as the safety and efficacy data for use are not available.
Missed Dose
Do not skip any dose of Cresar H (12.5/40 mg) Tablet. If you forget to take a dose, take it as soon as you remember. However, if it is time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Never take more than the prescribed dose. If you suspect that you might have taken an overdose of Cresar H (12.5/40 mg) Tablet, seek immediate medical attention.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol while taking Cresar H (12.5/40 mg) Tablet may lower your blood pressure and can cause dizziness, headache, and changes in heart rate.
Interaction with Medicine
Dexamethasone
Captopril
Insulin
Amitriptyline
Diclofenac
Disease interactions
Congestive heart failure
Congestive heart failure (CHF) is a condition in which your heart is unable to pump blood efficiently. Use Cresar H (12.5/40 mg) Tablet with caution if you have CHF due to the increased risk of serious side effects.
Diabetes
Diabetes is a condition in which your blood sugar levels are abnormally high. Cresar H (12.5/40 mg) Tablet increases the risk of altered blood glucose levels. People having diabetes should use this medicine with caution. Your doctor will advise you to monitor your blood glucose levels regularly while you are taking this medicine.
Food interactions
It is advised to avoid potassium-containing foods (potatoes, bananas and tomatoes) and supplements while taking Cresar H (12.5/40 mg) Tablet due to the increased risk of weakness, confusion, irregular heartbeat, etc. Report such symptoms to the doctor immediately. Your dietitian/doctor may suggest appropriate changes in your diet based on your clinical condition.
Lab interactions
Information not available.
Take Cresar H (12.5/40 mg) Tablet with or without food. Do not take in larger amounts than prescribed.
Cresar H (12.5/40 mg) Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, dry mouth or muscle weakness.
It may cause dizziness. Get up slowly when you rise from a sitting or lying position. Consult your doctor if you experience any undesirable effects.
Do not stop taking the medicine without consulting your doctor as it may cause withdrawal symptoms.
Do not chew, crush or break the tablet. Take the tablet immediately after peeling it from the strip.
Keep the medicine away from the reach of children and pets. Ensure that unused medicine is disposed of properly.
Miscelleneous
How it works
Cresar H (12.5/40 mg) Tablet consist of Hydrochlorothiazide and Telmisartan.
Hydrochlorothiazide is a diuretic (water pill) that removes excess water and sodium from your body. It also relaxes blood vessels and promotes the smooth flow of blood.
Telmisartan works by blocking the action of angiotensin (a hormone that narrows blood vessels), causing blood vessels to relax. This improves blood flow and helps the heart to pump more efficiently. Thus Cresar H (12.5/40 mg) Tablet helps to lower the blood pressure.
Legal Status
Classification
Category
Angiotensin receptor blockers, Thiazide diuretics, Angiotensin II inhibitors with thiazides, Antihypertensive combinations, Angiotensin receptor blockers and thiazide diuretics
Schedule
Schedule H
Dailymed.nlm.nih.gov. 2021. DailyMed - TELMISARTAN AND HYDROCHLOROTHIAZIDE 40 MG/12.5 MG- telmisartan and hydrochlorothiazide tabletTELMISARTAN AND HYDROCHLOROTHIAZIDE 80 MG/12.5 MG- telmisartan and hydrochlorothiazide tabletTELMISARTAN AND HYDROCHLOROTHIAZIDE 80 MG/25 MG- telmisartan and hydrochlorothiazide tablet. [online] Available at: < [Accessed 16 August 2021].
Medicines.org.uk. 2021. Actelsar HCT 40 mg/12.5 mg tablets & Actelsar HCT 80 mg/12.5 mg tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 16 August 2021].
Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 16 August 2021].
Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 16 August 2021].
Related Questions
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Both the brands have same drugs inside, only price changes..
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Answer from Dr. Amit Prakash Srivastava
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consult me on practo for treatmnt.
Information on this page was last updated on 25 Nov 2021
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.
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