Pregnancy Interaction

• Not safe during pregnancy, especially in the second and third trimesters.
• Telmisartan (ARB) may lead to:
• - injury to the fetus's kidneys
• - not enough amniotic fluid
• - limited growth
• - trouble breathing in newborns
• - death of the fetus (rare but possible)
• Amlodipine is safer than other drugs, but you should still not take it without a doctor's supervision.
• If you get pregnant, stop taking Telvas-AM right once and talk to your doctor.
• Only use when breastfeeding if it is absolutely necessary.

Faq For Medicine

Q1. What do people use Telvas-AM Tablets for?
It helps lower high blood pressure, especially when one prescription isn't enough to do the job.

Q2. Can I take it every day?
Yes, people with high blood pressure must take their prescriptions every day to keep it under control and avoid complications.

Q3. Is it okay to take it with food?
Yes. You can take it with or without food.

Q 4. Does it make things swell?
Yes, Amlodipine can make your ankles or feet swell.

Q5. When will it start to work?
The first effect will happen in 1–2 hours, and the best effect will happen in 2–4 weeks.

Q6. Is it okay to discontinue taking the medication when my blood pressure goes back to normal?
No, stopping suddenly could induce rebound hypertension.

Q7. Is it safe for people with diabetes or kidney disease?
Telmisartan protects the heart and kidneys, especially in people with diabetes.
But you should keep an eye on your potassium and creatinine levels.

Expert Advice

• Don't use during pregnancy; use birth control that works.
• Keep a blood pressure record and check your blood pressure often.
• Don't use salt alternatives that have potassium in them.
• Drink plenty of water; not drinking enough fluids might make low blood pressure worse.
• Keep making adjustments to your life:
• - eat less salt
• - work out often
• - Don't drink or smoke
• If you have any of the following, please report it right away:
• – too much dizziness
• - very swollen ankles
• — trouble breathing
• – less urination

 Side Effects

• Usually:
• Feeling dizzy
• Pain in the head
• Amlodipine might make your ankles and feet swell.
• Flushing
• Being tired
• Blood pressure is low
• Not as Common:
• Cramps in the muscles
• Heart palpitations
• Stomach pain
• Pain in the back
• Very serious (rare):
• Very bad allergic reaction
• Decline in kidney function
• Very low blood pressure makes you faint.
• If your face swells up, you have trouble breathing, or you feel very dizzy, get help right away.

 How it works

• Telmisartan (ARB)
• Stops blood vessels from constricting by blocking angiotensin-II receptors.
• Causes blood vessels to widen, lowers blood pressure, and protects the kidneys.
• Amlodipine (Calcium Channel Blocker)
• It relaxes the muscles in the arteries, which makes the blood vessels bigger.
• Lessens the heart's workload.
• Effect when combined:
• Two ways to lower blood pressure → robust and long-lasting control of blood pressure.

Medicine Interaction

• Be careful with:
• ➤ Potassium pills or potassium-sparing diuretics
• Risk of having too much potassium in the blood.
• ➤ Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and diclofenac
• May lessen the effect on blood pressure and put stress on the kidneys.
• ➤ Other drugs that lower blood pressure
• Could make blood pressure drop too much.
• ➤ Water pills (diuretics)
• There is a chance of dehydration and low blood pressure.
• ➤ Lithium
• Higher chance of toxicity.
• ➤ Alcohol
• Raises the risk of dizziness and low blood pressure.

 How to Use

• Take once a day or as directed.
• Every day, take it at the same time.
• Take the tablet whole with a glass of water.
• You can take it with or without food.
• If a dose is missed:
• - Take right away if you remember soon
• – Skip if the next dose is close
• - Don't take twice as much

Uses / Indications

• High blood pressure (primary hypertension)
• BP not managed with a solitary agent
• Patients necessitating combined therapy for enhanced blood pressure regulation.
• Reducing the risk of heart disease in people with high blood pressure