Telmisartan+Hydrochlorothiazide

Uses	High blood pressure
Therapy	Anti-Hypertensive
Side Effects	Dizziness, loose stools, gas, dry mouth, cough

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Molecule Description

Telmisartan+Hydrochlorothiazide is a blood pressure-lowering medicine. It is used for the treatment of high blood pressure. This medicine contains a combination of telmisartan and hydrochlorothiazide as its active ingredients. Telmisartan+Hydrochlorothiazide should be taken as directed by the doctor and in doses and duration as prescribed. You can take it with or without food. Do not stop taking this medicine without informing your doctor. While taking Telmisartan+Hydrochlorothiazide, try to incorporate a healthy diet and certain lifestyle modifications for better management of your blood pressure. Do not miss or skip the dose of the medicine. Sudden stopping of this medicine may result in worsening of the health condition. Before beginning to take Telmisartan+Hydrochlorothiazide, it is important to inform your doctor if you are pregnant, planning a pregnancy, or breastfeeding. Additionally, make sure to disclose all medications and supplements you are taking, as well as any conditions or diseases you are experiencing. This information will allow your doctor to ensure your safety while taking the medication.

Uses

Telmisartan+Hydrochlorothiazide is used in the treatment of high blood pressure.

Contraindications

When should one not use Telmisartan+Hydrochlorothiazide

If you are allergic to telmisartan, hydrochlorothiazide or any of the ingredients of Telmisartan+Hydrochlorothiazide.
If you are allergic to sulfonamide (sulfa) medicines.
If you have serious liver disorders and problems related to the bile duct (a canal connecting the liver to the intestine), like cholestasis.
If you have serious kidney problems.
If your blood test shows a significant increase in calcium and a decrease in potassium levels.
If you have diabetes or kidney problems and you are taking medicine for lowering blood pressure like Aliskiren.

Side effects

Common side effects of this drug are:

Dizziness
Loose stools
Dry mouth
Cough
Muscle and back pain
Fainting
Tingling sensation
Muscle ache
Gas

Precautions and Warnings

Pregnancy

Telmisartan+Hydrochlorothiazide should never be taken during pregnancy as its components are known to cause fetal abnormalities and death. If you are on this medicine and planning pregnancy, then inform your doctor as your medicine needs to be changed.

Breast Feeding

It is advised not to use Telmisartan+Hydrochlorothiazide when you are breastfeeding as it can cause excessive urine production and can affect milk production.

Driving

It is advised to not drive after taking Telmisartan+Hydrochlorothiazide as it may cause dizziness and drowsiness (sleepiness); which can hamper your ability to drive.

Alcohol

You must avoid consuming alcohol while on treatment with Telmisartan+Hydrochlorothiazide as it is known to cause low blood pressure.

Other General Warnings

Talk to your doctor if

You feel giddy, especially after the first dose or during the initial days of the treatment.
You have serious heart and heart valve-related problems like heart failure, etc.
You develop eye problems like eye pain and a decrease in vision.
You have been experiencing fluid loss within your body due to diarrhoea, vomiting, etc.
You are facing problems with liver function and related organs-like cholestasis and biliary obstruction.
Your kidneys are not functioning properly, or you have underlying kidney disease like renal artery stenosis (narrow kidney blood vessels).
You are suffering from primary aldosteronism (a condition of excess production of the hormone aldosterone from the adrenal glands).
If you have diabetes, as Telmisartan+Hydrochlorothiazide may affect your blood glucose levels, glucose monitoring is needed.
You have an electrolyte imbalance of sodium, magnesium, and potassium and experience symptoms such as dry mouth, thirst, drowsiness, muscle pain, nausea, vomiting, etc.

Mode of Action

How Does It Work?

Telmisartan and hydrochlorothiazide in Telmisartan+Hydrochlorothiazide work together to lower blood pressure. Telmisartan blocks the angiotensin hormone, which causes blood vessels to narrow and blood pressure to rise. Hydrochlorothiazide increases urine production and loss of water/salt from the body, further lowering blood pressure.

Interactions

Interactions with other medicines

Certain medicines can affect the way Telmisartan+Hydrochlorothiazide works, or this medicine itself can alter the action of other medicines taken along. Inform your doctor about your complete medication history including medicines that you are currently taking or might take.
Especially if you are taking other blood pressure-lowering medicines, steroids, anti-infective medicines, medicines for brain-related disorders, muscle relaxants, anti-diabetic medicine, painkillers and medicines for a heart problem.

Interactions with food items

Telmisartan+Hydrochlorothiazide can be taken with or without food. It is important to avoid foods high in potassium, such as bananas, oranges, nuts, and sweet potatoes.

Dosage

Overdose

Symptoms of overdose may include low blood pressure, irregular heart rhythms, dizziness, excessive urination, nausea and vomiting. Seek urgent medical help if you think you have taken too many Telmisartan+Hydrochlorothiazide.

Missed a Dose

It would be best if you never miss a dose of your blood pressure medicine as it may lead to serious high blood pressure-related problems.
If you have missed any dose of Telmisartan+Hydrochlorothiazide, take it as soon as you remember, however, if it is time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose of medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

Do not suddenly stop taking Telmisartan+Hydrochlorothiazide without talking to your doctor. If you stop this medication abruptly, you can suffer from severe heart and blood pressure related problems. Your doctor will decrease your dose gradually over weeks before stopping it.

If you are taking Telmisartan+Hydrochlorothiazide, in the initial few days, you may experience low blood pressure episodes such as lightheadedness and giddiness. Take an adequate amount of water. Inform your doctor if you have vomiting, diarrhoea or dehydration. If you experience giddiness or lightheadedness, immediately lie down.

Telmisartan contains only telmisartan whereas Telmisartan+Hydrochlorothiazide contains a combination of telmisartan and hydrochlorothiazide. Both of these are used to treat high blood pressure, but Telmisartan+Hydrochlorothiazide is mostly used when telmisartan alone cannot control the blood pressure. You should consult your doctor, who will prescribe a medicine best suited for your condition.

No, Telmisartan+Hydrochlorothiazide does not contain losartan.

Yes, all of them contain a combination of telmisartan and hydrochlorothiazide as their active ingredients.

Telmisartan+Hydrochlorothiazide contains hydrochlorothiazide as one of its active ingredients, which belongs to a diuretic class of medicines.

You can take this medicine with or without food during the day or at night as advised by your doctor. However, try to take it at the same time each day to get the maximum benefit.

Both Telmisartan+Hydrochlorothiazide and Telmisartan+Amlodipine are medicines to control high blood pressure but vary in their composition. Telmisartan+Hydrochlorothiazide contains telmisartan and hydrochlorothiazide, whereas Telmisartan+Amlodipine contains telmisartan and amlodipine. Depending on your health condition and disease status your doctor will prescribe you either of these. Do not self medicate any of the anti-hypertensive medicines.

Telmisartan+Hydrochlorothiazide starts working within an hour after its oral consumption. But it usually takes 2 to 8 weeks to show its full benefit. Hence, it is advised to take it for the prescribed duration. Do not stop the treatment midway even if you feel no symptoms.

Yes, you can take this medicine with or without food or as advised by your doctor. But try to take it regularly at the same time. It will reduce the chances of missing the dose and it will also help you to get optimum results.