Pregnancy Interaction

• Not allowed at all during pregnancy, especially in the second and third trimesters.
• Telmisartan can lead to: – fetal kidney failure – insufficient amniotic fluid – poor fetal growth – skull bone deformities – fetal death (rare but dangerous)
• Chlorthalidone can change the balance of electrolytes and lower blood flow to the placenta.
• If you get pregnant, stop right once and talk to your doctor.
• Not a good idea while breastfeeding.

Faq For Medicine

Q1.What is the Telvas-CT 80/12.5 Tablet used for?
For the treatment of high blood pressure, especially when lower doses or single therapies don't work.

Q2. Does it make you pee more?
Yes, Chlorthalidone makes you pee a lot, especially in the first week.

Q3. How long does it take to see results?
Telmisartan starts to function in one to two hours, and it takes two to four weeks to fully manage blood pressure.

Q4. Is it okay to eat it?
Yes, you can take it with or without food.

Q5. Is it safe for people with kidney problems?
Be careful. You need to check your electrolytes and creatinine levels on a regular basis.

Q6. Is it safe to drive after taking it?
Don't drive if you feel dizzy after taking the pill.

Q7. Is it okay to discontinue taking the prescription if my blood pressure is normal?
No. Stopping quickly can create rebound hypertension, which is quite dangerous.

 Expert Advice

• Don't do it at all during pregnancy.
• Drink enough water to avoid getting dehydrated.
• Tests that need to be done every so often:
• – Levels of potassium – Levels of sodium – Function of the kidneys (creatinine)
• To better control your BP, limit your salt intake.
• Stay away from salt substitutes that are high in potassium.
• To avoid getting dizzy, get up carefully from a sitting or lying down position.
• Tell your doctor if you have muscle cramps, heart palpitations, swollen legs, or less urine.

 Side Effects

• Dizzy
• More frequent urination
• Tiredness
• Low potassium (hypokalemia)
• Cramps in the muscles
• Pain in the head
• Not as common:
• Nausea
• Mouth that is dry
• Not being able to go to the bathroom
• Not much sodium
• Lack of strength
• Very serious (rare):
• Very bad electrolyte imbalance
• Kidney function getting worse
• Very low blood pressure that makes you faint
• Allergic responses (swelling, trouble breathing)
• If you start to feel very weak, have heart palpitations, or get too dizzy, get help.

 How It Works

• Stops angiotensin-II receptors from working.
• Stops blood vessels from tightening, which makes them relax.
• Keeps the heart and kidneys safe and lowers blood pressure.
• Chlorthalidone (12.5 mg) is a diuretic that works like thiazides.
• Takes out additional salt and water to make you pee more.
• Less blood volume means lower blood pressure.
• Makes Telmisartan work better.
• Combined effect: ✔ Strong BP decrease ✔ Better protection for the heart and kidneys ✔ Works for people who can't regulate their blood pressure with just one medicine

Medicine Interaction

• Use with care with:
• ➤ NSAIDs (Ibuprofen and Diclofenac)
• Lower blood pressure and hurt the kidneys.
• ➤ Diuretics that save potassium and potassium supplements
• Telmisartan can raise potassium levels too high, whereas Chlorthalidone can make you lose too much potassium.
• ➤ Lithium
• Higher risk of lithium poisoning.
• ➤ Medicines that help with diabetes
• Chlorthalidone might have an effect on controlling sugar.
• ➤ Other medicines that reduce blood pressure
• Could induce very low blood pressure.
• ➤ Booze
• Makes you feel dizzy and lowers your blood pressure.

 How to Use

• Take as directed once a day.
• You can take it with or without food.
• Take it every day at the same time.
• Take with water and swallow whole.
• If you forget a dose, do the following: – Take it right away if you remember; – Skip it if the next dose is close; – DO NOT double the dose.

 Uses / Indications

• High blood pressure (hypertension)
• BP not managed solely with Telmisartan
• Patients who need greater dual therapy
• Lessens the chance of having a stroke, heart attack, or kidney damage (particularly in people with diabetes).