Telma H (Telmisartan and Hydrochlorothiazide)
What is Telmisartan and Hydrochlorothiazide?
Telmisartan and Hydrochlorothiazide is a combination medicine for hypertension (high blood pressure) that contains two active ingredients, Telmisartan and Hydrochlorothiazide. Telmisartan is an angiotensin II receptor antagonist that prevents the blood vessels from narrowing which improves blood flow and lowers blood pressure. Hydrochlorothiazide is a thiazide diuretic (water pill) that stops the body from absorbing too much salt which can lead to fluid retention. High levels of salt in the body can lead to high blood pressure.
Telmisartan and Hydrochlorothiazide medication is sold under several brands, a couple of which are Micardis HCT and Telvas H (made by Abbott Healthcare)
Important Information about Telmisartan and Hydrochlorothiazide
Do not take Telmisartan and Hydrochlorothiazide (Micardis HCT, Telvas H) if you are allergic to Telmisartan or Hydrochlorothiazide, or if you are unable to urinate. To make sure that this medicine is safe for you, inform your doctor in advance if you have any of these conditions: heart disease or congestive heart failure, kidney disease (or if you are on dialysis), liver disease, lupus, gout, glaucoma diabetes, asthma, or an allergy to sulfa drugs or penicillin.
Telmisartan and Hydrochlorothiazide is a pregnancy category D drug. Do not take this medicine if you are a pregnant woman. If you become pregnant during the treatment with this medicine, stop taking it and contact your doctor immediately. Telmisartan and Hydrochlorothiazide can cause injury or death of an unborn baby if pregnant women take it in second or third trimester. Use of effective birth control is recommended while taking this medicine. It is not known whether Telmisartan and Hydrochlorothiazide can pass into breast milk and harm a nursing baby. Consult your doctor about safely taking this medicine if you are breast feeding a baby.
Telmisartan and Hydrochlorothiazide may increase your potassium levels. Hence, avoid potassium supplements or salt substitutes that contain potassium while taking this medicine, unless or otherwise directed by your doctor.
In rare cases, Telmisartan and Hydrochlorothiazide can lead to a condition which results in the breakdown of skeletal muscle tissue, causing in kidney failure. Seek medical attention right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual fatigue, and dark colored urine.
Before taking Telmisartan and Hydrochlorothiazide
Before taking Telmisartan and Hydrochlorothiazide (Micardis HCT, Telvas H), take care of all precautions mentioned above. Discuss them with your doctor and clear all doubts which you may have about this drug.
How should I take Telmisartan and Hydrochlorothiazide?
Take Telmisartan and Hydrochlorothiazide strictly according to your doctor’s direction or according to the instructions on the medication label. Do not alter the dosage unless your doctor advises you to do so. Also, do not take this medication after the prescribed period is over. All medications come with a patient leaflet. Refer the instructions in them for detailed information on that particular medication.
It may take up to 4 weeks of regular intake (as directed) for Telmisartan and Hydrochlorothiazide to reign in your blood pressure. Take this medicine with a full glass of water. While taking Telmisartan and Hydrochlorothiazide, watch out for vomiting, diarrhea, or excessive sweating. These can lead to severe dehydration which can further lower your blood pressure. Low blood pressure can be a dangerous and fatal condition. Contact your doctor immediately if you experience any of these conditions while taking this medicine.
You may have to take this medicine for many years, even if you look fine. High blood pressure doesn’t have any outwardly signs. Always store this medicine in a cool and dry place.
What if I miss a dose?
If you miss a dose of Telmisartan and Hydrochlorothiazide, take it as soon as you remember. Don’t take the missed dose if the time to take the next dose is almost up. Taking multiple doses near to each other can lead to excess medication in your body which can be harmful.
What if I overdose?
In case of an overdose of Telmisartan and Hydrochlorothiazide, get emergency medical attention or call the Doctor immedaitely. Overdose may result in nausea, weakness, dizziness, dry mouth, thirst, muscle pain or weakness, or feeling like you might pass out.
Things and Activities to avoid while taking Telmisartan and Hydrochlorothiazide
Avoid or limit the consumption of alcohol. Do not become overheated or dehydrated during exercise and hot weather. Follow your doctor’s directions about the type and amount of fluids you should drink. Telmisartan and Hydrochlorothiazide may increase your potassium levels. Hence, avoid potassium supplements or regular use of salt substitutes that contain potassium while taking this medicine.
Telmisartan and Hydrochlorothiazide Side Effects
Some common side effects of Telmisartan and Hydrochlorothiazide are dizziness, light headedness, swelling in ankles or feet, or flushing. If any of these effects persist or deteriorate, get medical attention right away. A serious side effect is unlikely. However, if you get any serious side effect like fast, irregular or rapid heartbeat, or fainting, or any other serious side effect, seek medical attention immediately.
The side effects mentioned above are not the only ones that you may experience or witness due to Telmisartan and Hydrochlorothiazide. If you get any serious side effects due to this medication, contact your doctor right away.
Telmisartan and Hydrochlorothiazide Dosing Information
Telmisartan and Hydrochlorothiazide dosage may depend on a range of factors like age, sex, drug allergies, or seriousness of the condition among several other factors. Your dosage will be determined by your doctor after examining you properly. Remember to follow your doctor’s advice properly for best results.
Interaction with other drugs
Many other drugs can interact with Telmisartan and Hydrochlorothiazide. Let your doctor know in advance if you use any other drugs or related products (OTC vitamin pills or other medicines, or herbal products), especially other blood pressure medicines, cholestyramine, cyclosporine, rafmapin, ritonavir, barbiturates, muscle relaxers, narcotic medicines, lithium, NSAIDs (ibuprofen, naproxen, or others), steroids, cholestyramine, colestipol, insulin, oral diabetes medicines, a potassium supplement such as K-Dur, Klor-Con, salt substitutes that contain potassium, or diuretics. However, these are not the only drugs that can interact with Telmisartan and Hydrochlorothiazide. There may be others. Never start a new medication without proper medical advice.
|Generic Name||Telmisartan Hctz|
|Manufacturer||Glenmark Pharma, India|
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DavyFeb 02, 2016Excellent
I've been on it for five years. Works great. Dropped theTelvas H 40-12.50 mg because my blood pressure was controlled without it. Then the first substitute I tried is Amlodipine and I now have swollen feet and ankles so guess what, until I can see my MD I'm back on MiCardis."