Telmi H 40mg Tablet

• Treatment of high blood pressure when Telmisartan alone is not able to control blood pressure

• If you are allergic to Telmisartan or Hydrochlorothiazide or any of the ingredient of this medicine
• If you are allergic to antibiotics like sulfasalazine and other drugs from this class
• Should not be taken by pregnant women
• If you have serious liver disorders and problems related to bile duct (canal connecting liver to intestine) like cholestasis
• If you have serious kidney problems
• If your blood test shows a significant increase in calcium and decrease in potassium levels
• If you have diabetes or kidney problem and you are taking medicine for lowering the blood pressure like Aliskiren

• Dizziness
• Chest pain
• Irregular heartbeat
• Low blood pressure
• Dry mouth
• Muscle and back pain
• Loose stools
• Gas
• Fainting
• Breathlessness
• Tingling sensation
• Muscle ache
• Cough
• Anemia
• Peeling of skin and formation of blisters

How Does It Work?

• Telmisartan lowers the blood pressure by blocking the action of a hormone called angiotensin, responsible for narrowing of blood vessels and rise in blood pressure
• Hydrochlorothiazide acts by increasing the production of urine and loss of water and salt from body, thereby lowering the blood pressure

• This medicine should be consumed as a whole with a sufficient amount of water with or without food.
• Do not change your dose unless your doctor tells you to do. Never stop the medicine on your own.
• This medicine tends to catch moisture; thus, should be taken out from blister just before use

Interactions with other medicines

• Your blood potassium levels may go down if you are taking water tablets, steroids, carbenoxolone (treat mouth ulcers), antifungals like amphotericin, antibiotics like penicillin G and Aspirin
• Medicines used to treat depression or other mental conditions like Lithium, Thioridazine and Chlorpromazine
• Your blood potassium levels may increase if you are taking potassium supplements (Amiloride, Spironolactone), Cyclosporin and Heparin
• You may experience low blood sugar if you are taking medicine for diabetes like Insulin and Metformin along with this medicine (severe kidney problems may also arise with metformin)
• This medicine can decrease your blood pressure abruptly if taken with other blood pressure-lowering medicine
• Your blood cell production may be hampered if you take this with medicines like Cyclophosphamide and Methotrexate
• Medicines used to treat pain and inflammation like Aspirin, Ibuprofen and Naproxen interferes the way this medicine works
• Medicines which may not be able to work properly due to increased potassium levels which are used to treat irregular heartbeats like Quinidine, Digoxin, Sotalol
• Medicines for mental disorders like Chlorpromazine, Haloperidol and other antibiotics
• Medicines used to relax muscle tubocurarine. This medicine can increase blood calcium levels if you are taking vitamin D and calcium supplements
• Medicines used to treat Parkinson's disease like Amantadine
• Medicines used to treat gout-like Probenecid

Interactions with food items

• It should be taken as a whole with a sufficient amount of water
• It can be taken with or without food

• Store this medicine in the original package to protect it from catching moisture
• Keep this medicine out of the sight of children

Overdose

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 missed any dose, take it as soon as you remember
• 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