Description
Cortel-CH 40 Tablet is a combination of Telmisartan and Chlorthalidone. It is a medicine used for the treatment of hypertension (high blood pressure). This medicine relaxes the blood vessels to promote the smooth flow of blood and increases water excretion from the body, thus decreasing high blood pressure.
Cortel-CH 40 Tablet shows some common side effects like dizziness, nausea, headache, diarrhoea, and upset stomach. You may experience frequent urination while taking this medicine. This is due to the action of this medicine, not a side effect. Avoid taking the medicine if you are allergic to it.
Cortel-CH 40 Tablet can be taken with or without food. Do not stop taking this medicine without consulting your doctor, even if you start feeling better. Telmikind-CT 40 Tablet may be prescribed by your doctor when a single medicine has failed to regulate your blood pressure.
Cortel-CH 40 Tablet may interact with other medications. Inform your doctor if you have any medical conditions of your heart, liver or kidney and if you are taking any medications. Your doctor may advise you to get your blood pressure and heart function monitored regularly while you are under treatment with Cortel-CH 40 Tablet. Inform your doctor if you are pregnant, planning a pregnancy or are breastfeeding. This medicine is not recommended for use in children below 18 years of age.
Side effects
Major & minor side effects for Cortel-CH 40 Tablet
Stomach pain
Chills
Difficult or painful urination
Fast heartbeat
Dizziness
Weakness in arms, hands, legs or feet
Very low blood pressure
Constipation
Diarrhoea
Nausea
Vomiting
Headache
Blurred vision
Stomach upset
Back pain
Sinus pain
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Uses of Cortel-CH 40 Tablet
What is it prescribed for?
Hypertension
Hypertension or high blood pressure is a condition in which the force exerted by the blood on the blood vessel walls is high. Cortel-CH 40 Tablet is used to reduce blood pressure.
When not to use?
Allergy
Do not take Cortel-CH 40 Tablet if you are allergic to any of the contents present in this tablet. Seek medical attention if you experience symptoms such as skin rash, hives (painful eruptions that sting), swelling (face, lips, tongue, etc.), breathing difficulty, etc.
Aliskiren
Taking Cortel-CH 40 Tablet and aliskiren (a medicine used to reduce blood pressure) together is not recommended as it may lead to kidney damage, low blood pressure and hyperkalemia (high potassium levels in the blood). This may cause other undesirable effects such as irregular heartbeat, muscle paralysis, heart attack, etc. This risk is especially higher if you have diabetes and kidney troubles.
Anuria
Cortel-CH 40 Tablet is not recommended if you have anuria (a condition where your kidneys are unable to produce urine) as it may further damage your kidneys.
Severe kidney impairment
Cortel-CH 40 Tablet is excreted through the kidneys. Taking Cortel-CH 40 Tablet while you have severe kidney problems is not recommended as this medicine may accumulate in the kidneys and worsen the kidneys further.
Severe liver impairment
Cortel-CH 40 Tablet is not recommended in conditions where the liver is severely damaged as it gets accumulated in the liver and affects its functioning.
Warnings
Warnings for special population
Pregnancy
Cortel-CH 40 Tablet is not recommended for use in pregnancy as it may lead to various complications in your foetus. If you are on this medication, consult your doctor before you plan your pregnancy.
Breast-feeding
Cortel-CH 40 Tablet is not recommended while breastfeeding as it may pass into your breastmilk. This medicine may decrease milk production and may also dehydrate the infant.
General warnings
Hypotension
Hypotension is a decrease in your blood pressure. Using Cortel-CH 40 Tablet will further reduce your blood pressure which can be fatal, especially if you have low levels of sodium in your body or if you have low fluid volumes due to excessive vomiting, diarrhoea, burns, kidney failure, etc.
Hyperkalemia
Cortel-CH 40 Tablet may increase the potassium levels in your blood (hyperkalemia). Avoid potassium-rich foods (potatoes, bananas) and potassium supplements during treatment with this medicine. Your doctor will suggest tests to monitor your potassium levels.
Use in children
Cortel-CH 40 Tablet is not recommended for use in children below 18 years of age since the safety and efficacy of this medicine has not been studied.
Volume and electrolyte disturbances
Cortel-CH 40 Tablet may alter the blood volume and electrolyte levels in some people. This may cause dizziness, dry mouth, and acid-base imbalance (an imbalance between carbon dioxide (acid) and bicarbonates (base) in your blood). This risk is especially higher if you have kidney and liver troubles. Your blood pressure and electrolyte levels have to be closely monitored while you are on this medication.
Driving or operating machines
Use of Cortel-CH 40 Tablet may cause symptoms such as drowsiness, blurred vision, or dizziness in some patients. Avoid performing any activities that require high mental alertness like driving or operating a machine during treatment with this medicine if you experience any of these symptoms.
Dosage
Missed Dose
If you forget to take a dose of Cortel-CH 40 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 the dose.
Overdose
Never take Cortel-CH 40 Tablet more than the prescribed dose. If you suspect that you might have taken an overdose of this medicine, go to the emergency department of your local hospital.
Interactions
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
Consumption of alcohol is not recommended during treatment with Cortel-CH 40 Tablet. Together they may increase the blood-pressure-lowering effects. You may experience weakness, confusion, dizziness, fainting, and blurred vision.
Interaction with Medicine
Cisapride
Dexamethasone
Lithium
Amiodarone
Captopril
Insulin
Nonsteroidal anti-inflammatory medicines
Disease interactions
Congestive heart failure
Congestive heart failure is a condition in which your heart does not pump enough blood to meet the demands of your body. Taking Cortel-CH 40 Tablet in this condition may cause decreased urine output, an increase in blood urea nitrogen (BUN) and serum creatinine levels. It may rarely lead to kidney failure and myocardial ischemia (reduced blood flow to the heart). Your doctor will closely monitor your heart function while you are taking this medicine.
Diabetes
Cortel-CH 40 Tabletshould be used with caution if you have Diabetes mellitus because of the increased risk of altered blood sugar levels. Close monitoring of your blood sugar levels is advised while you are taking this medicine.
Hyperuricaemia
Cortel-CH 40 Tablet should be used with caution if you have hyperuricaemia (increased uric acid levels in the blood). This medicine decreases uric acid excretion and increases uric acid in the blood. Your blood uric acid levels will be closely monitored while you are taking this medicine.
Hyperlipidaemia
Cortel-CH 40 Tablet should be used with caution if you have hyperlipidaemia (high levels of fat in the blood) as it may increase your cholesterol and triglyceride levels. Close monitoring of your cholesterol and triglyceride levels is recommended if you are using this medicine.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
General Instructions
Take Cortel-CH 40 Tablet orally with or without food.
You should not crush, break or chew the Cortel-CH 40 Tablet.
You should not self-medicate or stop this medicine unless directed by your doctor.
Never take larger amounts than that prescribed by your doctor.
Drink plenty of fluids as Cortel-CH 40 Tablet may cause dehydration.
Inform your doctor if you develop extreme thirst, a very dry mouth or muscle weakness.
It may cause dizziness thus, get up slowly when rising from a sitting or lying position.
Maintain a strict exercise and diet regimen along with this medicine to get the best possible effect.
