Telvas 3D 40mg Tablet 10'S

Introduction About TELVAS 3D 40MG TABLET

Telvas 3D 40mg tablet is a triple-combination oral formulation containing Telmisartan (40mg), Amlodipine (5mg), and Hydrochlorothiazide (12.5mg). It is generally prescribed for managing blood pressure in individuals who may benefit from the complementary actions of these three ingredients. This combination works by supporting fluid balance, easing vascular tension, and encouraging optimal blood flow.

Telvas 3D 40mg tablet can be taken with or without food. Your dosage will depend on your medical condition and how you respond to management. Try to take it at the same time each day to maintain consistent levels in your body. It is important to continue taking this medication until your doctor advises otherwise. Since this medicine contains a diuretic (water pill), it increases urination. To avoid disturbing your sleep, it’s best not to take it within four hours of bedtime. For best results, use this medication regularly, even if you feel fine. High blood pressure often has no symptoms, but stopping the medicine suddenly can raise your risk of heart attack or stroke.

The most common side effects of this medicine include headache, dizziness, tiredness, taste change, fatigue, flu-like symptoms, diarrhea, and sinusitis. Consult your doctor if any of these symptoms bother you, worsen, or persist. Be sure to drink plenty of fluids while taking the medication to help manage muscle weakness, dry mouth, and excessive thirst.

Telvas 3D 40mg is generally advised for individuals who have experienced suboptimal outcomes with monotherapy or dual therapy, require effective management of both systolic and diastolic blood pressure, and benefit from a simplified, once-daily combination formulation to enhance adherence and management outcomes.

Before taking this medication, inform your doctor if you have any liver or kidney problems. Pregnant or breastfeeding women should also seek their doctor's advice before taking this medicine. Additionally, make sure to tell your doctor about any other medications you are currently taking, particularly those for high blood pressure or heart conditions. Regular monitoring of your blood pressure, kidney function, electrolyte levels, and blood sugar is recommended to ensure the medication is working effectively.

Uses Of TELVAS 3D 40MG TABLET

• Hypertension (high blood pressure)

Benefits of TELVAS 3D 40MG TABLET

01)Effective in Lowering Blood Pressure: Helps in controlling hypertension and reducing the risk of heart-related complications.

02) Improves Heart Health: By reducing blood pressure, it helps reduce the strain on the heart, improving overall heart health.

03) Reduces the Risk of Stroke and Heart Attack: Helps to reduce conditions like strokes and heart attacks associated with high blood pressure.

04) Combination of Three Active Ingredients: The combination of telmisartan, amlodipine, and hydrochlorothiazide enhances its effectiveness in controlling hypertension.

How TELVAS 3D 40MG TABLET Works

The tablet combines three different classes of ingredients that support cardiovascular goals by addressing multiple factors in blood pressure regulation. Each component has a distinct mechanism:

Understanding the Role of Telmisartan:

Telmisartan is part of the ARB (angiotensin receptor blocker) family. It supports relaxation of blood vessels by limiting the effects of specific hormones that cause narrowing.

What Amlodipine Contributes:

Amlodipine is a calcium channel regulator that allows smoother blood flow by acting on the muscle walls of the arteries.

Hydrochlorothiazide and Fluid Regulation:

This diuretic component helps eliminate excess salt and fluid from the body, aiding in pressure balance without compromising volume control.

Why This Triple Mechanism Matters:

When used together under professional guidance, this combination may be helpful for individuals requiring multi-pronged support in managing their cardiovascular profile.

How to use TELVAS 3D 40MG TABLET

Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage.

Recommended Timing for Telvas 3D 40mg:

Telvas 3D is typically taken once a day, at a consistent time. Many individuals take it in the morning as advised by their healthcare provider, but always follow the guidance specific to your needs.

Dosage Frequency and General Guidelines:

The tablet is generally taken once daily. The exact frequency and strength may vary based on your health profile and physician’s evaluation.

Can Telvas 3D Be Taken with Food?

It may be taken with or without food. However, maintaining consistency with how it's taken each day helps with better absorption and compliance.

Important Usage Notes:

• Stay hydrated, unless otherwise advised.
• Do not discontinue the tablet abruptly without medical consultation.
• Periodic check-ups and blood pressure monitoring are often recommended.

What if I forgot to take TELVAS 3D 40MG TABLET

If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed one. Avoid doubling up. Consult your doctor for clarification.

Side Effects Of TELVAS 3D 40MG TABLET

Like all medicines, Telvas 3D 40mg tablet may cause certain side effects in some individuals, although not everybody gets them.

The most common side effects of taking Telvas 3D 40mg tablet are:

• Headache
• Dizziness
• Tiredness
• Taste change
• Fatigue
• Flu-like symptoms
• Diarrhea
• Sinusitis

When to consult your doctor?

• Severe allergic reactions symptoms such as swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, severe itching, or skin rash
• Heart problems symptoms such as palpitations, dizziness, fainting
• Kidney problems symptoms such as decreased urination, swelling in legs or ankles, unusual fatigue, or confusion
• Electrolyte imbalance symptoms such as muscle cramps or weakness, irregular heartbeat, severe nausea, or vomiting
• Severe skin reactions symptoms such as blistering, peeling, or red skin rash (Stevens-Johnson syndrome)
• Pancreatitis symptoms such as severe abdominal pain (radiating to the back), nausea, vomiting, fever
• Liver problems (Jaundice) symptoms such as yellowing of the skin or eyes, dark urine, or pale stools

How To Manage Side Effects

Dizziness Or Drowsiness

• Sit or Lie Down: If you feel dizzy, sit down, or lie down immediately to prevent falling. Keep your head still and close your eyes if needed.
• Hydrate: Dehydration can cause dizziness, so drink water or electrolyte-replenishing drinks like sports drinks.
• Avoid Sudden Movements: When standing or sitting, do so slowly to avoid triggering dizziness. Take your time when getting up.
• Eat Small, Regular Meals: Low blood sugar can cause dizziness, so eat small meals throughout the day and avoid skipping meals.
• Fresh Air: Sometimes dizziness can be alleviated by taking slow, deep breaths in a well-ventilated area.

Headache

• Rest in a Quiet, Dark Room: Find a calm, quiet space away from bright lights and loud noises. Lie down and close your eyes.
• Hydrate: Dehydration can contribute to headaches, so drink plenty of water.
• Apply a Cold or Warm Compress: A cold pack on your forehead may reduce pain, or a warm compress on your neck or shoulders can relieve tension.
• Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like acetaminophen or ibuprofen if appropriate for you. Follow the recommended dosage.
• Practice Relaxation Techniques: Deep breathing exercises, meditation, or gentle stretching can help reduce stress and alleviate headache symptoms.

Warning & Precautions

Pregnancy

Contraindicated

Telvas 3D 40mg tablet is not recommended during pregnancy, especially in the second and third trimesters, as it may harm the developing fetus by reducing blood flow and kidney function. Always consult your doctor before taking this medicine if you are pregnant or planning to become pregnant.

Breastfeeding

Consult your doctor

It is unknown whether Telvas 3D passes into breast milk. Due to the potential risk to the infant, Consult your doctor before breastfeeding while taking this medication.

Driving and Using Machines

Use with Caution

Telvas 3D 40mg tablet may cause dizziness, tiredness, or visual disturbances. If affected, avoid driving or operating heavy machinery until you know how the medication affects you.

Alcohol

Consult your doctor

Avoid drinking alcohol while taking Telvas 3D, as it may enhance the blood pressure-lowering effects, leading to increased dizziness or risk of fainting.

Kidney

Use with Caution

Telvas 3D 40mg tablet should be used with caution in patients with kidney impairment or electrolyte imbalances. Regular kidney function tests are recommended during management. Consult your doctor before use.

Liver

Use with Caution

Telvas 3D 40mg tablet should be used with caution in patients with liver disease, particularly due to the presence of telmisartan and amlodipine, which are processed by the liver. Dose adjustments may be necessary. Consult your doctor before use.

Allergy

Contraindicated

Do not take Telvas 3D 40mg tablet if you are allergic to telmisartan or amlodipine or hydrochlorothiazide or any other component of the medicine. Seek immediate medical attention if you experience symptoms of an allergic reaction.

Lungs

Consult your doctor

There are no specific warnings related to lung function. However, if you experience shortness of breath or wheezing, seek medical attention immediately.

Heart Disease

Use with Caution

Telvas 3D 40mg tablet should be used with caution in patients with severe aortic stenosis, congestive heart failure, or recent heart attack. Consult your doctor before use.

Use In Pediatrics

Contraindicated

Telvas 3D 40mg tablet is not recommended for use in children and adolescents below 18 years of age due to limited safety and efficacy data. Consult your pediatrician before giving it.

Use In Geriatrics

Use with Caution

Telvas 3D 40mg tablet should be used with caution in elderly patients. Consult your doctor before taking it.

Other Warnings for TELVAS 3D 40MG TABLET

Before taking Telvas 3D 40mg tablet, tell your doctor if you:

• Have diabetes
• Have eye disorders like acute myopia and acute closed-angle glaucoma
• Have systemic lupous erythematosus
• Had sympathectomy

Interactions

Drug - Drug interaction

Inform your physician if you are taking any of the following medicine before taking Telvas 3D 40mg tablet:

1. Other Blood Pressure Medicines (e.g., ACE inhibitors, ARBs)

• Interaction: Additive antihypertensive effect.
• Effects: Excessive drop in blood pressure, dizziness, fainting.
• Management: Monitor blood pressure closely. Adjust dose as recommended by your doctor.

2. Potassium Supplements or Potassium-Sparing Diuretics (e.g., Spironolactone)

• Interaction: Increased serum potassium levels.
• Effects: Hyperkalemia – muscle weakness, irregular heartbeat.
• Management: Avoid combination or monitor potassium levels regularly. Your doctor may adjust the medication.

3. NSAIDs (e.g., Ibuprofen, Diclofenac)

• Interaction: Reduced blood pressure-lowering effect; possible kidney stress.
• Effects: Elevated blood pressure, kidney function decline.
• Management: Use NSAIDs cautiously. Monitor kidney function and blood pressure. Stay hydrated.

4. Lithium

• Interaction: Increased lithium levels.
• Effects: Lithium toxicity – tremors, confusion, nausea.
• Management: Avoid if possible. If combined, closely monitor lithium blood levels.

5. Diabetes Medications (e.g., Insulin, Metformin)

• Interaction: Enhanced glucose-lowering effect.
• Effects: Hypoglycemia – sweating, dizziness, confusion.
• Management: Monitor blood sugar levels regularly. Adjust anti-diabetic drug dosage if needed.

6. Diuretics (e.g., Furosemide, Hydrochlorothiazide – already present in Telvas 3D)

• Interaction: Electrolyte imbalance.
• Effects: Low sodium, potassium, or magnesium levels.
• Management: Monitor electrolytes. Ensure adequate fluid intake. Use supplements if prescribed.

7. CYP3A4 Inhibitors (e.g., Ketoconazole, Clarithromycin)

• Interaction: Increased amlodipine levels.
• Effects: Enhanced blood pressure-lowering effect, swelling, or slow heart rate.
• Management: Use with caution. Dose adjustment may be necessary.

8. Alcohol

• Interaction: Additive blood pressure-lowering effect.
• Effects: Increased risk of dizziness, fainting.
• Management: Limit alcohol intake. Avoid driving or risky activities after consumption.

9. Digoxin

• Interaction: Possible increased digoxin effect.
• Effects: Irregular heartbeats, nausea, vision issues.
• Management: Monitor digoxin levels and cardiac function regularly.

10. Cholestyramine or Colestipol

• Interaction: Reduced absorption of hydrochlorothiazide.
• Effects: Decreased therapeutic effect of Telvas 3D.
• Management: Administer Telvas 3D at least 4–6 hours before or after these medications.

Synopsis

More Information

A. Why Telvas 3D 40mg Tablet Preferred Choice Over Other Antihypertensive Medications?

Telvas 3D 40mg Tablet is a fixed-dose combination therapy used to manage high blood pressure effectively. It combines three well-established antihypertensive agents such as Telmisartan (40 mg), Amlodipine (5 mg), and Hydrochlorothiazide (12.5 mg) in a single tablet. This formulation offers multiple advantages over monotherapy or dual therapy options.

1. Triple-Drug Combination for Comprehensive Control

• Mechanism: Targets different physiological pathways—vasodilation, fluid elimination, and renin-angiotensin system blockade.
• Benefit: Enhances efficacy in patients with moderate to severe hypertension or those not controlled with monotherapy.

2. Improved Patient Compliance

• Formulation: Single daily dose.
• Benefit: Reduces pill burden, increases adherence, and simplifies treatment plans.

3. 24-Hour Blood Pressure Control

• Pharmacokinetics: Long-acting agents ensure stable blood pressure throughout the day and night.
• Benefit: Reduces early morning surges and associated cardiovascular risks.

4. Organ Protection

• Telmisartan: Offers proven cardiovascular and renal protective effects, particularly in patients with:
  • Type 2 diabetes
  • Chronic kidney disease
  • Left ventricular hypertrophy

5. Lower Incidence of Side Effects

• Balanced Dosing: Moderate doses of each component reduce the likelihood of dose-dependent side effects.
• Electrolyte Stability: Telmisartan may counteract the potassium-lowering effects of hydrochlorothiazide.

6. Reduced Need for Additional Medications

• Clinical Outcome: Many patients achieve target BP goals with this single tablet.
• Benefit: Cost-effective and reduces complexity of management.

7. Evidence-Based Components

• Each drug is individually supported by strong clinical evidence for blood pressure reduction and cardiovascular risk mitigation.

Conclusion

Telvas 3D 40mg Tablet is an effective, convenient, and well-tolerated option for managing hypertension, especially in patients requiring multi-drug therapy. It enhances blood pressure control, offers organ protection, and promotes management adherence, making it a preferred option under medical guidance.

FAQs About TELVAS 3D 40MG TABLET

References

1. Jitsuo Higaki, Issei Komuro, Kosuke Shiki, Ganghyuck Lee, Atsushi Taniguchi, Hiroshi Ikeda, Daisuke Kuroki, Seiichiro Nishimura, and Toshio Ogihara. Effect of hydrochlorothiazide in addition to telmisartan/amlodipine combination for treating hypertensive patients uncontrolled with telmisartan/amlodipine: a randomized, double-blind study. Hypertens Res. 2017. [Accessed on 15th May 2025] 

2. Sanofi India Limited. Amlodipine, Hydrochlorothiazide, and Telmisartan. [Revised in December 2020] [Accessed on 15th May 2025]

Useful Diagnostic Tests

• Electrolytes Serum/ Electrolytes Profile
• Kidney Function Test (KFT)

Author Details

Written By Dr. Karthikeyan Rajagopal - M.Pharm (Pharmacology)

Reviewed For Accuracy By Dr. Thamada Manikanta Praveen - MBBS, MD (General Medicine)

Last updated on 17 May 2025 | 09:57 AM(IST)