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INTRODUCTION
TELISTA is a combination of Amlodipine and Telmisartan which belongs to the group of medicines called Antihypertensive agents. It is used in adults to treat hypertension (high blood pressure) when treatment with single agents is not effective.
Hypertension (also known as high blood pressure) is a medical condition in which the force of the blood exerted against the walls of the artery remains very high, and as a result it may lead to severe damage to the blood vessels supplying several vital organs, such as heart, kidney, or brain. If left untreated, it may cause serious complications such as heart attack, heart failure, stroke or even blindness. By lowering blood pressure, TELISTA can also reduce the risk of heart attack (myocardial infarction) or stroke.
Amlodipine is a calcium channel blocker and telmisartan is an angiotensin II receptor blocker. They both act by relaxing the blood vessels supplying the various vital organs. This allows blood to flow more smoothly across the blood vessels which in turn reduces the strain on the heart and helps the heart to pump blood more smoothly with less pressure.
During treatment with TELISTA your doctor will constantly monitor your kidney functions, blood pressure and blood sugar levels to avoid the risk of unwanted side effects. Also, avoid eating grapefruit or drinking grapefruit juice while taking TELISTA as it may increase the risk of side effects.
Before taking TELISTA inform your doctor if you have any heart, liver, or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure or are severely dehydrated due to excessive vomiting or diarrhea.
TELISTA is also not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby. Stop taking TELISTA and inform your doctor immediately if you become pregnant while undergoing therapy with TELISTA.
The most common side effects of taking TELISTA are low blood pressure, dizziness, tiredness, headache, sleepiness, swollen ankles, and flushing. Contact your doctor if any of these side effect worsens.
USES OF TELISTA
- Treats Hypertension (high blood pressure) in adults
HOW TELISTA WORKS
TELISTA effectively controls blood pressure in patients with hypertension. It contains two medicines namely, amlodipine and telmisartan. Telmisartan blocks the actions of certain hormones (angiotensin-II) in the body that causes narrowing of blood vessels and increase in blood pressure.
Amlodipine is a vasodilator. It relaxes the blood vessels by blocking the entry of certain ions (calcium ions) within them that causes narrowing. This allows blood to flow more smoothly across the blood vessels. Collectively, they reduce the strain on the heart and helps the heart to pump blood more smoothly with less pressure.
DIRECTIONS FOR USE
Take TELISTA as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Try to take TELISTA at the same time each day. TELISTA can be taken with or without food.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Continue to take TELISTA for the stipulated duration instructed by your doctor without any interruption to achieve better results.
SIDE EFFECTS OF TELISTA
COMMON
- low blood pressure
- swelling of ankles and legs (edema)
- headache, dizziness
- nausea, vomiting, stomach pain, constipation, diarrhea, indigestion
- sleepiness
- abnormal heartbeat (fast or slow)
- muscle cramps
- flushing (warmth and redness of face and neck)
- feeling tired or weak
- vision problems
UNCOMMON
- urinary tract infections, difficulty in passing urine, urge to urinate
- sore throat, common cold
- high blood potassium levels (causing muscle weakness, irregular heartbeat, chest pain)
- difficulty in falling asleep
- feeling depressed or anxious, changes in mood
- vertigo (spinning sensation), shakiness
- orthostatic hypotension (dizziness while standing up from sitting or lying position)
- increased sweating
- back pain, tingling of numbness of body parts
- changes in taste
- ringing in the ears
- dry nose, dry mouth
- hair loss
- impotence (inability to obtain an erection), breast enlargement in men
- changes in body weight
RARE
Stop taking TELISTA and contact your doctor immediately if you experience any of the following side effects such as:
- signs of allergic reactions (such as skin rash, swelling of the face, lips, mouth, or throat which can lead to difficulty in breathing or swallowing)
- severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane)
- chest pain, shortness of breath
- inflammation of pancreas (causing severe stomach pain that radiates to the back side of the body)
- sepsis (infection of blood characterized by sever signs of illness and fever)
HOW TO MANAGE SIDE EFFECTS
Nausea and Vomiting:
Take TELISTA with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.
Dizziness:
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Headache:
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
WARNING & PRECAUTIONS
PREGNANCY
TELISTA is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TELISTA if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TELISTA, stop taking it and consult your doctor immediately.
BREASTFEEDING
TELISTA is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.
DRIVING AND USING MACHINES
Do not drive or handle any heavy tools or machines if you experience dizziness or drowsiness after taking TELISTA.
ALCOHOL
Avoid consumption of alcohol while taking TELISTA as it might make you feel dizzier and drowsier.
KIDNEY
TELISTA should be used with caution in patients with kidney problems (such as kidney transplant, narrowing of renal arteries). Therefore, consult your doctor before taking it.
LIVER
TELISTA is not recommended for use in patients with severe liver impairment (such as cholestasis, jaundice, biliary obstruction). It should be used with caution in patients with mild to moderate liver problems. Therefore, consult your doctor before taking it.
ALLERGY
Do not take TELISTA if you are allergic to Amlodipine or Telmisartan.
HEART DISEASE
TELISTA should be used with caution in patients with heart problems (such as irregular heart rhythm, heart failure, recent heart attack, and problems with heart muscle or valves). Therefore, consult your doctor before taking it.
OTHERS
TELISTA is not recommended for use if you:
- have cardiogenic shock (heart cannot pump blood suddenly)
- have diabetes related kidney problems
Before taking TELISTA, inform your doctor if you:
- have primary hyperaldosteronism (problems in adrenal gland)
- have low blood pressure or are severely dehydrated (due to diarrhea, vomiting or excess sweating)
- have diabetes
- have hyperkalemia (high blood potassium levels)
- have unstable angina (a type of chest pain)
- have narrowing of arteries
Use in pediatrics:
TELISTA is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor for advice.
Use in geriatrics:
TELISTA should be used with caution in the elderly patients. Therefore, consult your doctor before taking it.
INTERACTIONS
A. Drug-Drug Interaction:
Before taking TELISTA, inform your doctor if you are taking any of the following:
- other medicines used to treat elevated blood pressure (such as aliskiren, captopril, enalapril, lisinopril, verapamil, diltiazem, losartan, valsartan)
- lithium, St. John’s wort (medicines used to treat depression)
- potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
- non-steroidal anti-inflammatory drugs (used for pain relief) such as indomethacin, celecoxib, ibuprofen, aspirin
- heparin (a medicine used to prevent or treat blood clots)
- medicines used to treat bacterial infections (Ex. erythromycin, clarithromycin, telithromycin, trimethoprim)
- medicines to suppress immune system (Ex. cyclosporin, tacrolimus, sirolimus, temsirolimus and everolimus)
- dantrolene (a medicine used to treat muscle spasm)
- medicine used to treat HIV infection (Ex. indinavir, ritonavir, saquinavir)
- medicines used to treat fungal infections (Ex. itraconazole, ketoconazole and fluconazole)
- digoxin (a medicine used to treat irregular heartbeat)
- simvastatin (a medicine used to lower blood cholesterol levels)
- baclofen (a medicine used for relaxing muscles)
- amifostine (a kidney protectant used along with chemotherapeutic agents)
- medicines used to treat mental disorders such as depression, psychosis, or anxiety (Ex. pimozide, amisulpride, haloperidol)
- corticosteroids (used to treat inflammation) Ex. prednisolone
B. Drug-Food Interaction:
Do not eat grapefruit or drink grapefruit juice while taking TELISTA as it may increase the risk of side effects.
Overdosage:
If you or anyone else accidentally took more TELISTA, consult your doctor immediately. Overdosage may cause low blood pressure, abnormal heartbeat, and dizziness.
SYNOPSIS
| Drug | : | Amlodipine, Telmisartan |
| Pharmacological Category | : | Calcium channel blocker, Angiotensin II blockers |
| Therapeutic Indication | : | Hypertension |
| Dosage Forms | : | Tablet |
MORE INFORMATION
- Keep TELISTA out of reach of children
- Store TELISTA at room temperature
FAQs ABOUT TELISTA
What are the uses of TELISTA?
TELISTA is used to treat hypertension in adults.
What type of a medicine is TELISTA?
TELISTA is an antihypertensive medicine. It is a combination of two medicines namely amlodipine and telmisartan. Amlodipine is a calcium channel blocker and telmisartan is a angiotensin-II receptor blocker. They both reduces strain on the heart, relaxes blood vessels and makes the heart to pump more blood with lesser force.
What happens when I stop taking TELISTA?
Do not stop taking TELISTA without consulting your doctor as your blood pressure may raise once again. Make sure to take TELISTA for the stipulated duration recommended by your doctor to achieve maximum results.
What is the best time to take TELISTA?
TELISTA can be taken with or without meals. Your doctor will decide the best time for you to take TELISTA based on your age, body weight and disease condition.
What to do if I forgot to take a dose of TELISTA?
If you have missed a dose of TELISTA, take it as soon as you remember. However, if it is time for the next dose of TELISTA, skip the missed dose and take the next one regularly. Do not take a double dose of TELISTA to compensate the missed ones.
What precautions should be followed while taking TELISTA?
Before taking TELISTA, inform your doctor if you have any heart, liver or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure volume or are severely dehydrated. Stop taking TELISTA and consult your doctor immediately if you become pregnant. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.
Can I consume alcohol while taking TELISTA?
Avoid consumption of alcohol while taking TELISTA as it might make you feel dizzier and drowsier.
What happens if I accidentally take more TELISTA?
If you or anyone else accidentally took more TELISTA, consult your doctor immediately. Overdosage may cause low blood pressure, abnormal heartbeat, fainting, drowsiness, nausea, vomiting or confusion.
Can I take TELISTA daily?
Take TELISTA as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take TELISTA every day or not.
Is TELISTA safe to use in diabetic patients?
TELISTA may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before taking TELISTA as a precaution. Your doctor will closely monitor you blood sugar levels to avoid the risk of side effects.
What are the side effects of TELISTA?
The most common side effects of taking TELISTA are low blood pressure, dizziness, tiredness, headache, sleepiness, swollen ankles, and flushing. Contact your doctor if any of these side effect worsens.
Can I stop taking TELISTA once my symptoms subside?
No. Do not stop taking TELISTA without consulting your doctor. As hypertension is a chronic condition, long term treatment may be necessary to control its symptoms. Therefore, take TELISTA as advised by your doctor for the stipulated duration. Premature discontinuation of therapy may increase your blood pressure once again.
Can TELISTA be taken during pregnancy?
TELISTA is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TELISTA if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TELISTA, stop taking it and consult your doctor immediately.
Is TELISTA safe to use in kidney disease?
TELISTA should be used with caution in patients with kidney diseases (such as those having renal artery stenosis, kidney transplant or in those undergoing haemodialysis). Your doctor will access your health condition and suggest a suitable dose for you. Therefore, it is important to inform your doctor if you have any kidney problems before taking TELISTA as a precaution.
Can the use of TELISTA affect the liver?
Yes. TELISTA may affect the way your liver work. It can elevate the levels of certain liver enzymes in your body. Therefore, it is strictly not recommended for use in patients with severe liver diseases. It should be used with caution in patients with other minor liver problems. Consult your doctor before taking it.
REFERENCES
1. KD Tripathi. Antihypertensive drugs. Essentials of Medical Pharmacology. Seventh edition. 2013. Page – 561 &562.
2. Jaswant Goyal, Zafer Yab Khan, Prerna Upadhyaya, Barkha Goyal and Shipra Jain. Comparative Study of High Dose Mono-Therapy of Amlodipine or Telmisartan, and Their Low Dose Combination in Mild to Moderate Hypertension. June 20, 2014. [Accessed on July 23, 2021] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129356/
3. Sang-Hyun Ihm, Hui-Kyung Jeon, Tae-Joon Cha, Taek-Jong Hong, Sang-Hyun Kim, Nae-Hee Lee, Jung Han Yoon, Namsik Yoon, Kyung-Kuk Hwang, Sang-Ho Jo, and Ho-Joong Youn. Efficacy and safety of two fixed-dose combinations of S-amlodipine and telmisartan (CKD-828) versus S-amlodipine monotherapy in patients with hypertension inadequately controlled using S-amlodipine monotherapy: an 8-week, multicenter, randomized, double-blind, Phase III clinical study. NIH. National Library of Medicine. National Center of Biotechnology Information. PMC. PubMed Central. November 2016. [Accessed on 15th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125808/
3. Glenmark Arzneimittel GmbH. Electronic Medicines Compendium (EMC). [Revised in November 2019] [Accessed on 14th July 2022] https://www.medicines.org.uk/emc/files/pil.9981.pdf
4. Dr. Reddy’s Laboratories (UK) Ltd. Electronic Medicines Compendium (EMC). [Revised in August 2018] [Accessed on 14th July 2022] https://www.medicines.org.uk/emc/files/pil.3478.pdf
5. Bristol Laboratories Ltd. Electronic Medicines Compendium (EMC). [Revised in August 2018] [Accessed on 14th July 2022] https://www.medicines.org.uk/emc/product/11442/smpc#DOCREVISION
6. Boehringer Ingelheim Pharma GmbH & Co. KG. European Medical Agency (EMA). [Accessed on 14th July 2022] https://www.ema.europa.eu/en/documents/product-information/twynsta-epar-product-information_en.pdf
7. Alembic Pharmaceuticals Limited. Dailymed.com. [Revised in September 2019]. [Accessed on 14th July 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=15b438b4-4874-43f4-a50a-4e6f3e5530ac#:~:text=the%20risk%20...-,Telmisartan%20and%20amlodipine%20tablets%20are%20indicated%20for%20the%20treatment%20of,primarily%20strokes%20and%20myocardial%20infarctions
8. Cipla Ltd. CRESAR AM Tablets (Telmisartan + Amlodipine). Ciplamed. [Revised on March 2020]. [Accessed on 14th July 2022] https://www.ciplamed.com/content/cresar-am-tablets
USEFUL DIAGNOSTIC TESTS
- Kidney Function Test
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