Telvas H 40/12.5 Tablet

• If you are allergic to telmisartan, hydrochlorothiazide or any of the ingredient of Telvas-H tablet.
• If you are allergic to antibiotics like sulfasalazine and other drugs from this class.
• If you are a 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
• Fatigue
• Nausea
• Diarrhoea
• Flu-like symptoms
• Upper respiratory tract infection

Other General Warnings

• You experience fainting, giddiness especially after first dose
• You are planning a pregnancy. This medicine will be changed
• You are facing problems with liver function and related organs-like cholestasis, biliary obstructive
• Your kidneys are not functioning properly or you have underlying kidney disease like renal artery stenosis (Narrow kidney blood vessels)
• You have been experiencing fluid losses within your body due to diarrhea, vomiting, etc.
• You have serious heart and heart valve-related problems like congestive heart failure, aortic or mitral stenosis, ischaemic cardiopathy
• You are suffering from primary aldosteronism (a condition of excess production of the hormone aldosterone from the adrenal glands)
• You have diabetes as this medicine may affect your blood glucose levels, glucose monitoring is needed
• You have electrolyte imbalance of sodium, magnesium, potassium and have symptoms of dryness of mouth, thirst, drowsiness, muscle pain, nausea, vomiting, etc.
• You have galactose intolerance (small intestine's inability to transport and absorb glucose and galactose)
• You develop eye pain and decrease in vision

• Telvas-H tablet should be taken as directed by your doctor.
• Swallow it as a whole with a glass of water, do not cut, break or chew the medicine.
• It can be taken with or without food.
• It would be best if you took it at a fixed time for optimal results.
• You should not consume it more than that prescribed by your doctor.
• Do not change your dose unless your doctor tells you to do so. Never stop the medicine on your own.

• Store Telvas-H tablet in the original package
• Protect it from moisture and light
• Keep this medicine out of the sight of children and pets

Overdose

Missed a Dose

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

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).
• Telvas-H tablet 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 Telvas-H tablet 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 as muscle relaxants like tubocurarine, medicines used to treat Parkinson's disease like amantadine, medicines used to treat gout-like probenecid should be used with caution.
• This medicine can increase blood calcium levels if you are taking vitamin D and calcium supplements.
• You should always tell the doctor if you are taking any other medicines, herbal preparation and supplements to avoid any interaction.