Pregnancy Interaction

• Completely not allowed during pregnancy.
• Telmisartan (ARB) can hurt the fetus badly (kidney failure, skull deformities, low amniotic fluid).
• Hydrochlorothiazide may lower blood flow to the placenta and produce problems with electrolytes.
• Not safe for pregnant women or women who want to get pregnant.
• If you get pregnant, stop right away.
• Don't use while breastfeeding.

Faq For Medicine

Q1. What does this tablet with three different drugs do?
It is used to lower blood pressure when one or two drugs don't work.

Q2. How many drugs are in it?
Three:
80 mg of telmisartan is an ARB.
Calcium channel blocker: Amlodipine 5 mg
12.5 mg of hydrochlorothiazide is a diuretic.

Q3. When will my blood pressure become better?
Usually, it works fully in 3–4 weeks, but it starts working in 1–2 days.

Q4. Is it okay to take it at night?
Yes. You can take it in the morning or at night, but you should always take it at the same time.

Q5. Does it make you pee a lot?
Yes, because hydrochlorothiazide makes you pee more.

Q6. Is it okay to discontinue when my blood pressure goes back to normal?
No. Keep going unless your doctor tells you to stop.

Expert Advice

• Keep an eye on your BP.
• Drink enough water so you don't get dehydrated.
• Stay away from foods high in potassium (such bananas and coconut water) and salt alternatives.
• Stay away from medications like diclofenac and ibuprofen. They can hurt your kidneys and elevate your blood pressure.
• To avoid getting dizzy, get up carefully from sitting or lying down.
• Check your kidneys and electrolytes (Na, K, and Mg) every so often.
• Limit your alcohol intake because it raises the risk of low blood pressure.

Side Effects

• Common:
• Feeling dizzy
• Feet swelling (because to amlodipine)
• Going to the bathroom a lot
• Cramps in the muscles
• Tiredness
• Pain in the head
• Not as Common:
• Heart palpitations
• Mouth that is dry
• Not being able to go to the bathroom
• Rash on the skin
• Very serious (rare):
• Blood pressure is really low.
• Too much potassium (hyperkalemia)
• Problems with the kidneys
• Very bad allergic reaction
• Low sodium or potassium levels can cause an electrolyte imbalance.
• Fainting
• If you get severe dizziness, disorientation, swelling, or trouble breathing, you should see a doctor.

 How It Works

• 1. Telmisartan (ARB)
• Stops angiotensin II.
• Lowers blood pressure via relaxing blood vessels.
• Keeps kidneys and heart safe.
• 2. Amlodipine is a calcium channel blocker.
• It relaxes the smooth muscles in blood vessels.
• Increases blood flow.
• Less resistance means lower blood pressure.
• 3. Thiazide diuretic hydrochlorothiazide
• Gets rid of extra water and salt in the body.
• Less blood volume → lower blood pressure.
• Keeps BP under control for a long time.
• The combined effect:
• Three complimentary systems work together to lower blood pressure for a long time.

Medicine Interaction

• Be careful when using with:
• Painkillers (NSAIDs)
• Ibuprofen
• Diclofenac
• ← Make it less effective and hurt the kidneys.
• Potassium tablets and salt substitutes
• → Risk of dangerously high potassium levels (because of telmisartan).
• Other BP Drugs
• Inhibitors of ACE
• Other ARBs
• → Risk of blood pressure that is too low.
• Diuretics
• → Dehydration and an imbalance of electrolytes.
• Lithium
• → Makes lithium more poisonous.
• Booze
• ← Makes dizziness and low blood pressure worse.
• Medicines that stop arrhythmias
• Amiodarone
• Sotalol
• ← Could make heart rhythm problems worse.

 How to Use

• Take one pill every day, just like the doctor said.
• Can be taken with or without food.
• The time of day should be the same every day (morning and night).
• Do not crumble or chew; just swallow.
• If you forget a dose:
• Take it as soon as you recall
• If you are close to your next dose, skip this one.
• Do NOT take two doses.
• Unless told otherwise, drink a lot of water.

 Uses / indications

• This mix is used for:
• 1. Hypertension that is necessary
• High blood pressure that is moderate to severe
• 2. Hypertension that doesn't go away
• Blood pressure not managed by monotherapy or combination medication.
• 3. Lowering the Risk of Heart Disease
• Telmisartan helps keep you from having a heart attack or stroke.
• 4. Fluid retention or edema
• Hydrochlorothiazide has a small effect.