Best Price* ₹ 99.22 MRP ₹ 121.00
(Inclusive of all taxes) *10 Tablet(s) in a Strip * Mkt: Glenmark Pharmaceuticals Ltd * Country of Origin: India * Delivery charges if applicable will be applied at checkout

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INTRODUCTION

TELMA MCT 25/6.25 TABLET contains Chlorthalidone, Telmisartan and Metoprolol which belong to the group of medicines called Antihypertensives. It is used to treat essential hypertension with stable coronary artery disease. High blood pressure that is not caused by any other condition is called essential hypertension.

Symptoms of essential hypertension include early morning headaches, nosebleeds, an irregular heartbeat, vision changes, buzzing in the ears, fatigue (feeling overtired), nausea, vomiting, confusion, anxiety, chest pain, and muscle tremors (shakiness). Stable coronary artery disease is characterised by chest pain, discomfort, tightness, and pressure and is caused by any blockage in the blood vessels of the heart caused by physical exertion.

TELMA MCT 25/6.25 TABLET should be used with caution in patients suffering from liver, kidney, or heart disease.TELMA MCT 25/6.25 TABLET should be used with caution in pregnant women, if you think you might become pregnant, or in breastfeeding women.

TELMA MCT 25/6.25 TABLET is not recommended for use in children and adolescents up to the age of 18 years, and it should be used with caution in elderly patients aged 65 years and above. The common side effects of taking TELMA MCT 25/6.25 TABLET are low blood pressure, diarrhoea, constipation, tiredness, headache, dizziness, and sleepiness. Consult your doctor if the symptom worsens.

USES OF TELMA MCT 25/6.25 TABLET

  • Treats hypertension with stable coronary artery disease

HOW TELMA MCT 25/6.25 TABLET WORKS

TELMA MCT 25/6.25 TABLET effectively reduces the blood pressure and workload in the heart, where Chlorthalidone acts by enhancing the excretion of sodium and water from the body and Telmisartan acts by blocking the effects of Angiotensin II (a substance produced in your body that causes narrowing of blood vessels). Metoprolol acts by blocking the beta-1 receptors and reducing the effects of stress hormones in the heart, leading to a low heart rate and a fall in blood pressure.

DIRECTIONS FOR USE

Take TELMA MCT 25/6.25 TABLET as advised by your physician. Swallow this medicine, do not crush, or chew the medicine. The correct dosage and duration of medicine to be taken will be prescribed by your doctor depending upon your age, body weight and disease condition.

SIDE EFFECTS OF TELMA MCT 25/6.25 TABLET

COMMON

  • signs of upper respiratory tract infection such as coughing, runny nose, sneezing and throat pain 
  • back pain
  • signs of sinusitis such as stuffy nose, breathing difficulties
  • diarrhea
  • signs of pharyngitis such as throat pain, sore throat
  • dizziness
  • headache
  • slow heartbeat, balance disturbances, (irregular heartbeat) palpitations
  • low blood pressure especially while standing up from a sitting position, cold hands, and feet
  • difficulty in breathing
  • nausea, abdominal pain, diarrhoea, constipation
  • fatigue (over-tiredness)

UNCOMMON

  • weight gain
  • depression, concentration problems, drowsiness, or insomnia (difficulty to sleep), nightmares
  • symptoms of heart failure, first-degree atrioventricular block, precordial pain such as rapid or irregular heartbeat, persistent cough, overtiredness
  • signs of bronchospasm include tightness in your chest, shortness of breath, wheezing, coughing
  • vomiting
  • rash (psoriasis-like urticaria and dystrophic cutaneous lesions), increased perspiration
  • muscle spasms
  • oedema or swelling

RARE

  • diabetes
  • nervousness, anxiety
  • visual disturbances, dry or irritated eyes, conjunctivitis
  • irregular heartbeat
  • runny nose
  • dry mouth
  • hair loss
  • impotence, induratio penis plastica (Peyronie's syndrome)

Stop taking TELMA MCT 25/6.25 TABLET and contact your doctor immediately if you experience any of the following side effects:

  • signs of a serious allergic (anaphylactic) reaction like weakness, feeling light-headed or dizzy or difficulty breathing
  • nausea (feeling sick), vomiting, or diarrhoea
  • muscle pain
  • dizziness, insomnia (difficulty to sleep), somnolence, anxiety, nervousness, paraesthesia, vertigo (feeling of spinning)
  • asthma, cough, epistaxis (bleeding from the nose), rhinitis (runny nose), dyspnoea (difficulty in breathing), sinusitis
  • urticaria, rash, pruritus, dermatitis, drug eruption, photosensitivity, Lyell’s syndrome (toxic epidermal necrolysis)
  • fungal infections, abscess (pus formation), otitis media, respiratory tract infection, urinary tract infection

HOW TO MANAGE SIDE EFFECTS

Constipation

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals and drink plenty of water. Exercise more regularly.

Dizziness Or Drowsiness

Lie, or sit down immediately when you feel dizzy. If you're feeling a severe episode of dizziness, lie in a dark and quiet place with your eyes closed. Discuss with your doctor.

Nausea And Vomiting

Take this medicine with, or just after meals. Stick to simple meals. Avoid eating oil-rich or spicy foods, sugary snacks, and drinks. Try to avoid drinking too much liquid along with your meals, drink slowly in between meals. Consult your doctor for advice.

Skin Rash Or Itching

Try to avoid hot showers because it may cause skin irritation. Avoid frequent contact and rubbing over the affected area. Use sunscreen and protective clothing when outdoors. If this symptom does not get better, speak to a doctor.

Headache

Apply a hot or cold-water bag on your head. Try to take a rest in a quiet and dark room. Drink tea or coffee. Massage the scalp or head with mild pressure. Consult your doctor for advice.

WARNING & PRECAUTIONS

PREGNANCY
Use with Caution

TELMA MCT 25/6.25 TABLET should be used with caution in a pregnant woman or if you think you might become pregnant. Consult your doctor for advice.

BREASTFEEDING
Use with Caution

TELMA MCT 25/6.25 TABLET should be used with caution in breastfeeding. Consult your doctor for advice before taking TELMA MCT 25/6.25 TABLET.

DRIVING AND USING MACHINES
Use with Caution

Do not drive or operate any machines if you feel dizzy after taking TELMA MCT 25/6.25 TABLET. Consult your doctor before taking TELMA MCT 25/6.25 TABLET.

ALCOHOL
Consult your doctor

Avoid consumption of alcohol while taking TELMA MCT 25/6.25 TABLET as it may increase the risk of side effects.

KIDNEY
Use with Caution

TELMA MCT 25/6.25 TABLET should be taken with caution in patients having kidney problems. Consult your doctor for advice.

LIVER
Use with Caution

TELMA MCT 25/6.25 TABLET should be taken with caution in patients having liver disease. Consult your doctor for advice.

ALLERGY
Contraindicated

TELMA MCT 25/6.25 TABLET is not recommended for use if you are allergic to Chlorthalidone, Telmisartan and Metoprolol.

HEART DISEASE
Use with Caution

TELMA MCT 25/6.25 TABLET should be taken with caution in patients having low blood pressure or any other heart problems. Consult your doctor for advice.

USE IN PEDIATRICS
Contraindicated

TELMA MCT 25/6.25 TABLET is not recommended for use in children and adolescents (under 18 years of age). Consult your doctor for advice.

USE IN GERIATRICS
Use with Caution

TELMA MCT 25/6.25 TABLET is used with caution in patients above 65 years of age. Your doctor may prescribe you low dose with regular monitoring.  Consult your doctor before taking TELMA MCT 25/6.25 TABLET.

OTHERS

TELMA MCT 25/6.25 TABLET is not recommended for use if you:

  • sepsis (the body's life-threatening response to infection which can lead to death, and organ failure)
  • angioedema (rapid swelling of the skin and mucosa)

Before taking TELMA MCT 25/6.25 TABLET, inform your doctor if you:

  • increased levels of potassium in the blood
  • increased levels of uric acid, gout (painful joints)

INTERACTIONS

A. Drug-Drug interactions:

  • medicines used to lower blood pressure (ex. ramipril, ramiprilat, aliskiren, verapamil or diltiazem, clonidine, guanfacin, moxonidine, methyldopa, cimetidine))     
  • antidepressants such as lithium
  • non-steroidal anti-inflammatory drugs (medicines used to treat pain and inflammation (ex. aspirin, ibuprofen, floctafenine))
  • insulin, chlorpropamide or glibenclamide (a medicine used to treat diabetes)
  • norepinephrine, epinephrine, prazosin, tamsulosin, terazosin, doxazosin (medicine used to maintain blood pressure and treat heart disease)
  • amiodarone, propafenone, quinidine, disopyramide, procainamide, propranolol (a medicine used to treat irregular heart rate)
  • tubocurarine (medicine used as muscle relaxant)
  • pentobarbital (a medicine used to treat epilepsy)
  • Monoamine oxidase inhibitors (Ex.  phenelzine), amitriptyline, clozapine, desipramine and paroxetine (a medicine used to treat depression)
  • phenylpropanolamine (medicine used to treat colds and coughs)
  • ergotamine (medicine used to treat migraine headaches)
  • nitrates like glyceryl trinitrate (GTN) are used to treat angina (chest pain)
  • general anaesthetics like propofol, ketamine
  • lidocaine (medicine used as a local anaesthetic agent)
  • rifampicin (medicine used to treat tuberculosis)
  • mefloquine (medicine used to treat malaria)
  • antacids like magnesium hydroxide are used to treat heartburn or indigestion)

Overdosage:

If you or anyone else accidentally take too much of TELMA MCT 25/6.25 TABLET, consult your doctor immediately or visit the nearby hospital. The common symptoms of overdose are nausea (feeling sick), weakness, dizziness, disturbances of electrolyte balance, low blood pressure and high heart rate.

SYNOPSIS

Drug :   Chlorthalidone, Telmisartan, Metoprolol
Pharmacological Category :   Thiazide Diuretics, Calcium Channel Blockers, Beta-blockers
Therapeutic Indication :   Essential hypertension with stable coronary artery disease
Dosage Forms :   Tablet

MORE INFORMATION

  • Keep TELMA MCT 25/6.25 TABLET out of reach from children
  • Store at a temperature not exceeding 30°C and protected from light and moisture

FAQs ABOUT TELMA MCT 25/6.25 TABLET

Q: What is TELMA MCT 25/6.25 TABLET and why is it given?

A: TELMA MCT 25/6.25 TABLET is a combination of chlorthalidone, telmisartan, and metoprolol. It is used in the treatment of essential hypertension with stable coronary artery disease (blood pressure that is not caused by any other condition is called essential hypertension) in adults.

Q: Is TELMA MCT 25/6.25 TABLET safe for pregnant and breastfeeding women?

A: TELMA MCT 25/6.25 TABLET should be used with caution in pregnant women, if you think you might become pregnant, or in breastfeeding women. Consult your doctor for advice.

Q: Is it safe to use TELMA MCT 25/6.25 TABLET in elderly patients?

A: In elderly patients aged 65 and up, TELMA MCT 25/6.25 TABLET should be used with caution. Your doctor may recommend a low dose along with regular monitoring.

Q: Shall I consume alcohol while taking TELMA MCT 25/6.25 TABLET?

A: No, do not consume alcohol while taking TELMA MCT 25/6.25 TABLET as it may aggravate the side effects.

Q: Does TELMA MCT 25/6.25 TABLET cause a skin rash?

A: Yes, it may cause a skin rash in some people. Try to avoid taking hot showers because they may cause skin irritation. Avoid frequent contact with and rubbing over the affected area. Use sunscreen and protective clothing when outdoors. If this symptom does not get better, speak to a doctor.

REFERENCES

1. KD. Tripathi. Diuretics, Drugs Affecting Renin-Angiotensin System, Beta-Adrenergic Blocking Drugs. Essentials of medical pharmacology. Eighth edition. 2019. Page – 595-597, 630-632, 157-158.

2. A Prem Kumar, Anirudra Ghorai, Vasudev Kriplani, Rabindra Kumar Dash, J Aravinda, Paramesh Shamanna, TK Sabeer, Abdul Hannan and Santosh Revankar. Clinical data analysis of telmisartan for hypertension management in Indian population. NIH National Library of Medicine, National center for biotechnology information. PubMed Central June 2021. [Accessed 27th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8819792/

3. Connor C. Kerndt; Jayesh B. Patel. Chlorthalidone. National Library of Medicine, National center for biotechnology information. Revised in May 2022. [Accessed 27th June 2022] https://www.ncbi.nlm.nih.gov/books/NBK553174/#:~:text=Mechanism%20of%20Action,-Chlorthalidone%20exerts%20its&text=Chlorthalidone%20inhibits%20sodium%20reabsorption%20at,retains%20a%20higher%20sodium%20content.

4. M/s Ravenbhel Healthcare Pvt Ltd. Revised in September 2021. [Accessed 27th June 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/3062.pdf     

5. Accord Healthcare Ireland Limited. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed 27th May 2022] http://www.hpra.ie/img/uploaded/swedocuments/8c0fc811-cf88-4bd5-818e-609e07fe1190.pdf

USEFUL DIAGNOSTIC TESTS

  • Kidney function test
  • Electrolyte test

PRODUCT DETAILS

    Hsn Code
    30049079
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DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

TELMA MCT 25/6.25 Tablet 10's

TELMA MCT 25/6.25 Tablet 10's Mkt: Glenmark Pharmaceuticals Ltd

₹ 99.22 MRP ₹ 121.00