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Telmed H (12.5/80 mg) Tablet

Manufactured byMedley Pharmaceuticals
ContainsHydrochlorothiazide (12.5 mg) + Telmisartan (80 mg)
Description
Telmed H (12.5/80 mg) Tablet is a medicine with the combination of hydrochlorothiazide and telmisartan. Both this medicine works together to bring down the high blood pressure. It relaxes blood vessels and removes excess water and sodium from the body to lower blood pressure. Frequent monitoring of blood pressure and maintaining a healthy lifestyle is necessary during treatment with Telmed H (12.5/80 mg) Tablet. Lowering your blood pressure reduces your chances of having a heart attack or stroke in the future. The common side effects of Telmed H (12.5/80 mg) Tablet are tiredness, nausea, diarrhoea, shortness of breath, and heartbeat changes. Consult your doctor if the side effects persist for a long time. It may cause dizziness, so get up slowly when you rise from a sitting or lying position. It is not advised to be used Telmed H (12.5/80 mg) Tablet during pregnancy or during breastfeeding. If you have kidney or liver problems, heart disease or diabetes, consult your doctor before taking it. Drinking alcohol can decrease your blood pressure more further and may cause adverse effects. Telmed H (12.5/80 mg) Tablet can be taken with or without food. It contains a diuretic (water pill) and will make you urinate more, so avoid taking it within four hours before going to bed. Frequent urination is the purpose of this medicine as it helps to control your blood pressure. Do not stop taking this medicine before consulting your doctor. Your blood pressure may seem to be in control but the abrupt stopping of this medicine may lead to a high risk of heart attack and stroke.

Side effects

Major & minor side effects for Telmed H (12.5/80 mg) Tablet

  • Increased urination
  • Itching or rash
  • Stomach pain
  • Dry mouth
  • Joint pain, stiffness, and swelling
  • Cramping
  • Chest pain
  • Changes in vision
  • Dizziness
  • Increased heartbeat
  • Difficult or painful urination
  • Headache
  • Diarrhoea
  • Back pain
  • Weakness
  • Muscle pain
  • Fever

Uses of Telmed H (12.5/80 mg) Tablet

What is it prescribed for?

  • Hypertension
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of Telmed H (12.5/80 mg) Tablet can be observed within 2 hours of oral intake.
  • How long do the effects of this medicine last?
    The effect of Telmed H (12.5/80 mg) Tablet lasts for an average duration of 24 hours. Hence, it is advised to be taken once a day.
  • Is it safe to consume alcohol while taking this medicine?
    Telmed H (12.5/80 mg) Tablet and alcohol may have an additive effect in decreasing your blood pressure. Headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate are all possible symptoms. It is advised to avoid alcohol consumption when taking this medicine.
  • Is this a habit forming medicine?
    No habit forming tendency has been reported for Telmed H (12.5/80 mg) Tablet.
  • Can this medicine be taken during pregnancy?
    It is not safe to use Telmed H (12.5/80 mg) Tablet in pregnancy. There have been some human studies that have revealed harmful effects on the growing foetus. Hence your doctor may advise a safer alternative with the same therapeutic effect based on your clinical condition.
  • Can this medicine be taken while breast-feeding?
    Telmed H (12.5/80 mg) Tablet is most likely unsafe to take during breastfeeding. According to limited human research, the medication may enter into breastmilk and harm your baby. Hence your doctor may advise a safer alternative with the same therapeutic effect based on your clinical condition.

Allergy

Telmed H (12.5/80 mg) Tablet is not recommended for use if you have a known allergy to the contents of this medicine. Allergic reactions such as hives, difficulty breathing, swelling of your face, lips, tongue, or throat should be reported to your doctor.

Anuria

Anuria is a condition where the kidney is unable to produce urine. Hydrochlorothiazide is present in Telmed H (12.5/80 mg) Tablet which acts by removing excess water and sodium from your body. If your kidney is not able to produce urine then hydrochlorothiazide can affect your kidney and may lead to its dysfunction. Thus, this medicine is not recommended for use in patients with anuria.

Cholestasis and biliary obstructive disorders

If you have severe liver conditions, such as cholestasis or biliary obstruction then Telmed H (12.5/80 mg) Tablet should not be taken. Cholestasis is a condition in which the liver stops or reduces bile flow (fluid secreted by the liver for digestion). Biliary obstruction is blockage or obstruction of bile drainage from the liver and gallbladder. Telmed H (12.5/80 mg) Tablet contains telmisartan which is mainly excreted in the bile. In such liver conditions, there can be reduced clearance of telmisartan from the liver, which can lead to liver damage.

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. Telmed H (12.5/80 mg) Tablet is not recommended if you have had angioedema as a result of using angiotensin II receptor blocker (ARB) like hydrochlorothiazide, or for those who have genetic angioedema. It can lead to worsening of the condition.
Warnings for special population

Pregnancy

It is not safe to use Telmed H (12.5/80 mg) Tablet in pregnancy. There have been some human studies that have revealed harmful effects on the growing foetus. Hence your doctor may advise a safer alternative with the same therapeutic effect based on your clinical condition.

Breast-feeding

Telmed H (12.5/80 mg) Tablet is most likely unsafe to take during breastfeeding. According to limited human research, the medication may enter into breastmilk and harm your baby. Hence your doctor may advise a safer alternative with the same therapeutic effect based on your clinical condition.
General warnings

Volume and electrolyte depletion

Telmed H (12.5/80 mg) Tablet may alter the blood volume and electrolyte levels. This may cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in patients with kidney or liver diseases. Consult your doctor if you experience any severe symptoms.

Use in athletes

Telmed H (12.5/80 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 the blood. Telmed H (12.5/80 mg) Tablet may increase potassium levels which can cause serious side effects such as heart rhythm irregularities. It is advised to avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (ACE inhibitors and potassium supplements) during treatment with this medicine.

Liver diseases

Telmed H (12.5/80 mg) Tablet should be used with extreme caution if you have liver diseases. Telmisartan present in this medicine is largely excreted in bile (fluid secreted by the liver for digestion). This can increase the risk of serious side effects. Your doctor may adjust the dose if you have such a condition.

Use in children

Telmed H (12.5/80 mg) Tablet is not recommended for use in children since the safety and efficacy data is not available.

Kidney diseases

Telmed H (12.5/80 mg) Tablet as hydrochlorothiazide present in this medicine which increases the frequency of urination.This can also affect your kidney functioning if you have a history of kidney disease. This medicine should be taken with caution in such conditions and your doctor may adjust the dose if required.

Missed Dose

If you forget to take a dose of Telmed H (12.5/80 mg) Tablet, take it as soon as you remember. If the next dose timing is near, skip the missed dose. Take your next dose at your usual time. Do not double up your dose to compensate for a missed dose.

Overdose

Seek immediate medical attention if you have taken an overdose of Telmed H (12.5/80 mg) Tablet. In case of overdose symptoms like lethargy, drowsiness, nausea and vomiting can be seen.
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

Telmed H (12.5/80 mg) Tablet and alcohol may have an additive effect in decreasing your blood pressure. Headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate are all possible symptoms. It is advised to avoid alcohol consumption when taking this medicine.
Interaction with Medicine

Aliskiren

Pregabalin

Aspirin

Disease interactions

Diabetes

Use Telmed H (12.5/80 mg) Tablet with caution in patients with diabetes mellitus due to the increased risk of altered blood glucose levels. Close monitoring of blood glucose levels is advised for such patients. Consult your doctor for any alternate medicine or dose modification.

Hyperuricemia

Hyperuricemia is an increased level of uric acid in the blood.Telmed H (12.5/80 mg) Tablet should be used with caution in patients with chronic kidney failure due to the increased risk of hyperuricemia. Close monitoring of uric acid levels is recommended if you have such a condition. Consult your doctor for any alternate medicine or dose modification.

Hypotension

Hypotension is decreased blood pressure. Telmed H (12.5/80 mg) Tablet should be used with caution in patients who are sodium depleted and/or volume-depleted since it may increase the risk of hypotension. The volume-depleted and/or sodium depleted state should be corrected before starting the therapy. Blood pressure should be monitored closely during therapy with this medicine.
Food interactions
It is advised to avoid potassium-containing foods (potatoes, bananas and tomatoes) and supplements while taking Telmed H (12.5/80 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 Telmed H (12.5/80 mg) Tablet with or without food. Do not take in larger amounts than prescribed. Telmed H (12.5/80 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 before completion of the course/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.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
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 Telmed H (12.5/80 mg) Tablet helps to lower the blood pressure.
Legal Status

Approved

Approved

Approved

Approved

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 June 2021].

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5b476740-e3f0-4f68-b07c-cd9eb2fa27ca>

Medicines.org.uk. 2021. Telmisartan/Hydrochlorothiazide 80 mg/12.5 mg Tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 16 June 2021].

https://www.medicines.org.uk/emc/product/8604/smpc#gref>

Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 30 July 2021].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/040735s004,040770s003lbl.pdf>

Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 30 July 2021].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020850s032lbl.pdf>
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Information on this page was last updated on 3 Aug 2021

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