Description
Telvas CT 40 Tablet is a combination medicine that consists of Hydrochlorothiazide and Telmisartan. It is used for the treatment of high blood pressure. It works by relaxing your blood vessels and helps your heart to pump blood easily. This medicine also reduces the risk of heart attack and stroke.
Telvas CT 40 Tablet has some side effects like dizziness, headache, dry mouth, stomach pain, weakness, etc. You may also experience increased urination. These side effects may subside by themselves. Consult your doctor if any of these symptoms bother you for a longer time or worsen. Do not use this medicine if you are allergic to it.
Telvas CT 40 Tablet can be taken with or without food. Do not take more than the prescribed dose. Take this medicine around the same time every day for the ease of remembering and better results. Do not stop taking this medicine without consulting your doctor.
Telvas CT 40 Tablet is not recommended for use in children below 18 years of age. It is also not recommended if you have severe liver or kidney problems. Inform the doctor of your complete medical history including all medications that you may be using. Consult your doctor if you are pregnant, or are breastfeeding before using this medicine. Using this medicine and also making certain lifestyle changes like regular exercise, weight control, quitting smoking, limiting alcohol use, and lowering the quantity of salt will also help to decrease your blood pressure.
Substitutes
List of substitutes for Telvas CT 40 Tablet
Telmiduce H-40 Tablet
Macleods Pharmaceuticals Pvt. Ltd.
Tetan-H Tablet
Alembic Ltd.
Side effects
Major & minor side effects for Telvas CT 40 Tablet
Increased urination
Itching or rash
Stomach pain
Dry mouth
Chest pain
Changes in vision
Dizziness
Difficulty or painful urination
Headache
Diarrhoea
Back pain
Weakness
Muscle pain
Fever
Low blood pressure
Uses of Telvas CT 40 Tablet
What is it prescribed for?
Hypertension
Hypertension is high blood pressure that may be caused by genetic or environmental factors. Telvas CT 40 Tablet is used in the treatment of high blood pressure, it decreases the effects of angiotensin (a hormone that narrows blood vessels), causing blood vessels to relax. This helps your heart to pump blood more freely.
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When not to use?
Allergy
Avoid taking Telvas CT 40 Tablet if you are allergic to it. Serious allergic reactions to this medicine are rare. However, seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.
Anuria
Anuria is a condition where your kidneys are unable to produce urine. Telvas CT 40 Tablet is not recommended if you have Anuria as it may increase the risk of kidney damage.
Cholestasis (Obstruction of bile duct)
Avoid taking Telvas CT 40 Tablet if you have cholestatic jaundice (a condition that is caused by reduced bile flow from your liver to the small intestine) or obstruction in the bile duct as this medicine is eliminated from your body through bile. Hence, such conditions may increase the risk of serious side effects.
Aliskiren
Aliskiren is a drug used to treat high blood pressure. Using Aliskiren together with Telvas CT 40 Tablet may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in your blood. In severe cases, this could lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest.
Angioedema
Angioedema is an allergic reaction to any food, medicine or pollen in which there is a painless swelling under the skin. Symptoms of angioedema are swelling of the face, extremities, eyes, lips, or tongue, as well as trouble swallowing or breathing. Telvas CT 40 Tablet is not recommended if you have a history of angioedema as a result of using hydrochlorothiazide, or for those who have genetic angioedema.
Warnings
Warnings for special population
Pregnancy
Telvas CT 40 Tablet is not recommended for use in pregnancy as it can harm your developing foetus. Hence, consult your doctor before taking this medicine.
Breast-feeding
It is not known whether Telvas CT 40 Tablet passes into breastmilk or not. Hence, it is not recommended for use while breastfeeding. Consult your doctor before taking this medicine.
General warnings
Alteration in blood volume and electrolyte levels
Use Telvas CT 40 Tablet with caution as it may alter the blood volume levels and electrolyte levels in your body. Your doctor may suggest tests to closely monitor your electrolyte levels if necessary while taking this medicine. Report any symptoms such as weakness, lethargy, dry mouth muscle pain, drowsiness, dizziness, irregular heartbeat, etc., to your doctor immediately.
Kidney diseases
Telvas CT 40 Tablet may cause azotemia (elevated levels of urea and other nitrogen compounds in the blood) if you have a history of kidney problems. Your doctor may suggest tests to closely monitor your kidney function if necessary while taking this medicine.
Use in athletes
Telvas CT 40 Tablet is not recommended to be used by athletes as per the World Anti-Doping Agency (WADA).
Hyperkalemia
Hyperkalemia is an increase of potassium levels in your blood. Telvas CT 40 Tablet may increase the potassium levels leading to serious side effects such as heart rhythm irregularities (improper beating of the heart). It is advised that you avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (ACE inhibitors and potassium supplements) during treatment with this medicine.
Hypotension
Hypotension is low blood pressure. Use Telvas CT 40mg Tablet with caution as it may lead to very low blood pressure.
Use in children
It is not recommended to use Telvas CT 40mg Tablet in children below 18 years of age as the safety and efficacy data for use are not available.
Dosage
Missed Dose
Do not skip any dose of Telvas CT 40 Tablet. If you forget to take a dose, take it as soon as you remember. However, if it is time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Never take more than the prescribed dose. If you suspect that you might have taken an overdose of Telvas CT 40 Tablet, seek immediate medical attention.
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 while taking Telvas CT 40mg Tablet may lower your blood pressure and can cause dizziness, headache, and changes in heart rate.
Interaction with Medicine
Dexamethasone
Captopril
Insulin
Amitriptyline
Diclofenac
Disease interactions
Congestive heart failure
Congestive heart failure (CHF) is a condition in which your heart is unable to pump blood efficiently. Use Telvas CT 40mg Tablet with caution if you have CHF due to the increased risk of serious side effects.
Diabetes
Diabetes is a condition in which your blood sugar levels are abnormally high. Telvas CT 40mg Tablet increases the risk of altered blood glucose levels. People having diabetes should use this medicine with caution. Your doctor will advise you to monitor your blood glucose levels regularly while you are taking this medicine.
Food interactions
It is advised to avoid potassium-containing foods (potatoes, bananas and tomatoes) and supplements while taking Telvas CT 40mg Tablet due to the increased risk of weakness, confusion, irregular heartbeat, etc. Report such symptoms to the doctor immediately. Your dietitian/doctor may suggest appropriate changes in your diet based on your clinical condition.
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 Telvas CT 40 Tablet with or without food. Do not take in larger amounts than prescribed.
Telvas CT 40 Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, dry mouth or muscle weakness.
It may cause dizziness. Get up slowly when you rise from a sitting or lying position. Consult your doctor if you experience any undesirable effects.
Do not stop taking the medicine without consulting your doctor as it may cause withdrawal symptoms.
Do not chew, crush or break the tablet. Take the tablet immediately after peeling it from the strip.
Keep the medicine away from the reach of children and pets. Ensure that unused medicine is disposed of properly.
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