Pregnancy Interaction

• Contraindicated in pregnancy, especially 2nd & 3rd trimester.
• Telmisartan can cause: fetal kidney injury, low amniotic fluid, delayed fetal bone development, fetal growth limitation, and even fetal death (though this is rare).
• Chlorthalidone may mess with your electrolytes and slow down blood flow to the placenta.
• If you get pregnant while taking this pill, stop right once and talk to your doctor.
• Not a good idea while breastfeeding.

Faq For Medicine

Q1. What is Telvas-CT 40 used for?
It is used to treat high blood pressure, especially when Telmisartan alone doesn't work.

Q2. Does it make you pee more?
Yes, Chlorthalidone makes you urinate more, especially in the first several days.

Q3. How long does it take to work?
First effect on decreasing blood pressure: 1–2 hours
The full impact takes 2 to 4 weeks.

Q4. Can I take it on an empty stomach?
Yes, you can take it with or without food.

Q5: Is it okay to discontinue taking the medicine once my blood pressure is normal?
No. BP can go up quickly, so always talk to your doctor before stopping.

Q6. Does it lower potassium levels?
Yes, Chlorthalidone can reduce potassium levels. It is necessary to keep an eye on.

Q7. Is it safe for people with kidney problems?
Be careful. Regular monitoring of potassium & creatinine is crucial.

Expert Advice

• Don't use during pregnancy; use birth control that works.
• Drink enough water; don't get dehydrated when it's hot.
• Cutting back on salt can help you control your blood pressure.
• Tests for potassium, sodium, and kidney function are needed from time to time.
• To avoid getting dizzy, get up slowly from a sitting or reclining position.
• Stay away from salt alternatives that have potassium chloride in them.
• Tell your doctor if you have any of the following symptoms: severe dizziness, muscle cramps, palpitations, or swelling of the face or lips.
• – less urination

 Side Effects

• Dizzy
• More frequent urination
• Tiredness
• Low potassium (hypokalemia)
• Not enough sodium
• Pain in the head
• Not as Common:
• Cramps in the muscles
• Mouth that is dry
• Feeling sick
• Not being able to go
• Weakness
• Serious (rare):
• Very bad allergic reaction
• Kidney problems
• Very low blood pressure makes you faint.
• An electrolyte imbalance that needs immediate attention
• Get attention right away if you feel very weak, have heart palpitations, or swelling.

 How it works

• Stops angiotensin-II receptors from working, which makes blood arteries relax.
• Lowers blood pressure and protects the heart and kidneys.
• Thiazide-like diuretic chlorthalidone (12.5 mg)
• Makes it easier for the body to get rid of water and salt through urine.
• Less blood volume means lower blood pressure.
• Makes Telmisartan work better.
• The combined impact is a strong and long-lasting drop in blood pressure through two different ways.

Medicine Interaction

• Be careful when using with:
• ➤ Other medications that reduce BP
• Could induce very low blood pressure.
• ➤ NSAIDs (Ibuprofen, Diclofenac)
• Lower blood pressure regulation and put stress on the kidneys.
• ➤ Lithium
• The chance of lithium poisoning goes up.
• ➤ Diuretics and supplements that don't lose potassium
• Telmisartan may raise potassium levels, whereas Chlorthalidone may lower them.
• ➤ Medicines that help with diabetes
• Chlorthalidone may have an effect on blood sugar levels.
• ➤ Alcohol
• Makes you feel dizzy and lowers your blood pressure.

 How to Use

• Take once daily at the same time each day.
• With or without food.
• Take the tablet with water and swallow it whole.
• If you miss a dose, do the following: – Take it as soon as you remember – Skip it if the next dose is close – DO NOT double dose
• Keep going even if you feel fine—BP needs to be controlled over time.

 Uses / indications

• High blood pressure (hypertension)
• Telmisartan alone does not control BP.
• Patients requiring dual therapy for enhanced blood pressure lowering.
• Helps lower the chances of having a stroke, heart attack, or kidney disease getting worse.