Pregnancy Interaction

• Not allowed at all during pregnancy, especially in the second and third trimesters.
• Could hurt the baby's kidneys, lower the amount of amniotic fluid, or kill the baby.
• Hydrochlorothiazide
• Not advised during pregnancy; may impact fetal development and electrolyte equilibrium.
• Overall Advice
• Do not take Telvas H while you are pregnant.
• Women who can get pregnant should use effective birth control.
• Nursing
• Not a good idea. Hydrochlorothiazide gets into milk, and ARBs could damage the baby.

Faq For Medicine

Q1. What does Telvas H do?
It is used to treat high blood pressure (hypertension), especially when one drug isn't adequate.

Q2. Is it okay to take Telvas H on an empty stomach?
Yes, you can take it with or without food.

Q3: Does it make you pee a lot?
Yes. Hydrochlorothiazide is a diuretic, which means it makes you pee more.

Q4. How long does it take for it to work?
You might see an improvement in 2 to 4 weeks.

Q5. Is it okay to drink alcohol while taking Telvas H?
Stay away from alcohol because it can make you feel more dizzy or drop your blood pressure too low.

Q6. Can it be taken for the rest of your life?
Yes. Long-term treatments for high blood pressure are frequently medicines.

Q7. Should I quit it if my blood pressure goes back to normal?
No. Keep going until your doctor tells you to change or stop.

Expert Advice

• Check your blood pressure often.
• Stay hydrated because the diuretic part may lower the amount of salt in your body.
• Check your kidney function and electrolytes (sodium and potassium) from time to time.
• Don't get up suddenly; it could make you dizzy since your blood pressure drops.
• Don't take potassium supplements unless your doctor tells you to.
• Eat less salt and live a healthy life by working out and eating a low-fat diet.
• If you have an allergic reaction, tell your doctor if your face or lips swell or if you have trouble breathing.

 Side Effects

• Feeling dizzy
• Low blood pressure
• Going to the bathroom a lot
• Tiredness
• Pain in the head
• Mouth that is dry
• Muscle cramps (because of insufficient potassium)
• Not as common
• Feeling sick
• Not being able to go
• Not strong
• HCTZ and susceptibility to sunlight
• Very serious (Get medical help)
• A serious imbalance of electrolytes
• Problems with the kidneys
• Fainting
• Heart rate that isn't steady
• A very bad allergic reaction
• Not drinking enough water
• Pancreatitis (not very common)

 How It Works

• Angiotensin-II receptor blocker (ARB)
• Loosens blood vessels
• Lessens stress on the heart
• Works well to lower blood pressure
• Hydrochlorothiazide
• Diuretic
• Urine gets rid of extra salt and water.
• Less blood volume means less blood pressure.
• Combined Effect
• Gives strong and long-lasting control of blood pressure
• Helpful for patients who don't respond to single-drug therapy

Medicine Interaction

• NSAIDs (like ibuprofen and diclofenac) lower blood pressure and damage the kidneys.
• Taking potassium supplements or potassium-sparing diuretics can raise potassium levels.
• Alcohol → makes you feel more dizzy
• Lithium → risk of toxicity
• Other BP drugs can may make BP decrease too much
• Diabetes medicines: HCTZ may make it harder to control sugar levels.
• Steroids → may make potassium loss worse

 How to Use

• You can take one pill once a day, with or without food.
• Take it at the same time every day.
• Drink water and swallow entire.
• Don't skip doses. If you do, take them right away unless it's close to the following dose.
• Don't take twice the dose.
• Keep going even if your blood pressure goes back to normal.

Uses / Indications

• This is what Telvas H 40/12.5 Tablet is for:
• Essential hypertension is high blood pressure.
• Hypertension not managed by Telmisartan alone
• Managing blood pressure in people with a high risk of heart disease
• Avoiding problems like:
• Stroke
• Heart attack
• Damage to the kidneys
• Heart failure