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Introduction About TELMA 40MG TABLET
TELMA 40MG TABLET is used to manage essential hypertension. It contains Telmisartan which belongs to the group of medicines called Angiotensin II receptor antagonists. It is also used to reduce the risk of cardiovascular events such as heart attack or stroke in adults who are known to have a reduced or blocked blood supply to the heart or legs and had a stroke or with a high risk of diabetes. TELMA 40MG TABLET makes blood vessels to relax and thus lowers the blood pressure by blocking the effects of Angiotensin II (substance produced in your body which causes narrowing of blood vessels).
Your doctor may check the kidney function test, blood pressure and the amount of electrolytes (Ex. potassium) in body prior to the management or at regular intervals during management with this medicine. TELMA 40MG TABLET is not recommended for use in patients having severe liver problems such as cholestasis or biliary obstruction (flow of bile from liver stops or slows). TELMA 40MG TABLET should be used with caution in patients having diabetes, kidney disease, heart problems and raised aldosterone levels.
TELMA 40MG TABLET is not recommended for use in early pregnancy and must not be taken by women who are pregnant for more than 3 months and it is not recommended for use in breastfeeding women. TELMA 40MG 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 most common side effect of taking TELMA 40MG TABLET is low blood pressure. Consult your doctor if the side effects worsen or persists for a longer period.
Uses Of TELMA 40MG TABLET
It is used to:
- manage essential hypertension (high blood pressure)
How TELMA 40MG TABLET Works
TELMA 40MG TABLET makes blood vessels to relax and thus lowers the blood pressure by blocking the effects of Angiotensin II (substance produced in your body which causes narrowing of blood vessels).
How to use TELMA 40MG TABLET
- Take TELMA 40MG TABLET as advised by your physician
- Swallow this medicine with a glass of water. Do not crush or chew the medicine
- Your doctor will decide the correct dose and duration of TELMA 40MG TABLET for you depending upon your age, body weight and disease condition
Side Effects Of TELMA 40MG TABLET
Common side effects of TELMA 40MG TABLET:
- low blood pressure or feeling dizzy while standing up
- Urinary tract infection
- Signs of upper respiratory tract infection (sore throat, inflamed sinuses, common cold)
- Anemia, feeling of weakness
- sleeplessness, fainting
- Feeling of spinning (vertigo)
- Slow heart rate, Shortness of breath
- Abdominal pain, abdominal discomfort, bloating
- Diarrhea, Vomiting
- Increased sweating
- Muscle cramps, muscle or back pain
Warning & Precautions
Pregnancy
ContraindicatedTELMA 40MG TABLET is not recommended in early pregnancy and must not be taken when more than 3 months pregnant, as it may cause serious harm to the baby if used after 3 months of pregnancy.
Breastfeeding
ContraindicatedTELMA 40MG TABLET is not recommended for use in breastfeeding women. Your doctor may choose another management especially if you want to breast-feed when your baby is new-born or born prematurely.
Driving and Using Machines
Use with CautionDo not drive or operate any machines if you feel dizzy or tired after taking TELMA 40MG TABLET.
Alcohol
Consult your doctorAvoid consumption of alcohol as it may increase the risk of low blood pressure.
Kidney
Use with CautionTELMA 40MG TABLET should be taken with caution in patients with kidney disease, kidney artery stenosis (narrowing of blood vessels to one or both the kidneys) and with a history of kidney transplant.
Liver
Consult your doctorTELMA 40MG TABLET is not recommended for use in patients with severe liver problems such as cholestasis or biliary obstruction (flow of bile from liver stops or slows). TELMA 40MG TABLET should be used with caution in patients with liver diseases.
Allergy
ContraindicatedDo not take TELMA 40MG TABLET if you are allergic to Telmisartan or any other ingredients of this medicine.
Heart Disease
Use with CautionTELMA 40MG TABLET should be taken with caution in patients having heart trouble or low blood pressure (due to dehydration problems, low-salt intake, diarrhoea or vomiting).
Use In Pediatrics
ContraindicatedTELMA 40MG TABLET is not recommended for use in children and adolescents (under 18 years of age).
Use In Geriatrics
Use with CautionTELMA 40MG TABLET should be used with caution in elderly patients (aged 65 years and above).
Others
Before taking TELMA 40MG TABLET, inform your doctor if you have:
- high potassium levels in the body
- raised aldosterone levels (water and salt retention in the body along with imbalance of various blood minerals)
- diabetes
Interactions
A. Drug-Drug interactions:
Before taking TELMA 40MG TABLET, inform your doctor if you are taking any of the following medicines:
- Angiotensin converting enzyme inhibitors (Ex. enalapril, lisinopril, ramipril)
- Angiotensin II receptor antagonists (Ex. candesartan, irbesartan)
- Cardiac glycosides (Ex. Digoxin)
- Anti-maniac agents (Ex. Lithium)
- Non-steroidal anti-inflammatory agents (Ex. aspirin, ibuprofen)
- Anti-coagulant (Ex. Heparin)
- Immunosuppressive agents (Ex. ciclosporin or tacrolimus)
- Antibiotics (Ex. trimethoprim)
- Diuretics (Ex. furosemide, hydrochlorothiazide)
- Potassium-sparing diuretics (Ex. amiloride, spironolactone)
- Corticosteroids (Ex. dexamethasone, hydrocortisone)
- Skeletal muscle relaxants (Ex. Baclofen)
- Cytoprotectants (Ex. Amifostine)
- Barbiturates (Ex. phenobarbital, pentobarbital)
- Antidepressants (Ex. citalopram, fluoxetine, paroxetine)
- Narcotics (Ex. morphine and codeine)
Overdosage:
If you or anyone else accidentally takes too much of TELMA 40MG TABLET, consult your doctor immediately or visit the nearby hospital. The most common symptoms of overdose are low blood pressure, fast or slow heartbeat, dizziness, elevated levels of creatinine and sudden kidney failure.
Synopsis
| Drug | : | Telmisartan |
| Pharmacological Category | : | Angiotensin receptor blockers |
| Therapeutic Indication | : | Essential hypertension, management of heart attack and stroke |
| Dosage Forms | : | Tablet |
More Information
FAQs About TELMA 40MG TABLET
Q: What is Telma 40 used for?
A: Telma 40, containing the active ingredient telmisartan, is primarily used to manage high blood pressure (hypertension). By blocking specific receptors (angiotensin II receptors) that cause blood vessels to constrict, telmisartan helps to relax blood vessels, allowing blood to flow more easily and reducing blood pressure. Lowering high blood pressure helps prevent complications such as heart attacks, strokes, and kidney problems. Telma 40 may also be prescribed to protect kidney function in patients with diabetes who are at risk for kidney disease due to hypertension.
Q: Is Telma 40 safe for kidneys?
A: Yes, Telma 40 is generally safe for the kidneys and is often prescribed to patients with high blood pressure and kidney disease, as it can help slow the progression of kidney damage. By lowering blood pressure, Telma 40 reduces the strain on the kidneys, especially in diabetic patients. However, in some cases, it may cause a slight increase in serum creatinine levels initially. This effect is generally temporary and subsides with continued use. Regular monitoring of kidney function is recommended to ensure there is no adverse effect, especially in those with pre-existing kidney disease.
Q: Can I take Telma 40 twice a day?
A: Telma 40 is typically prescribed once a day because telmisartan provides long-lasting effects that control blood pressure for a full 24 hours. However, some individuals with very high blood pressure or inadequate response to a single dose may be advised by their doctor to take it twice a day. Any change in dosing frequency should only be made under medical supervision, as your doctor will need to monitor your blood pressure and adjust the dosage appropriately.
Q: When to take telmisartan, morning or night?
A: Telmisartan can be taken in the morning or evening, as directed by your doctor. Some studies suggest that taking blood pressure medication at night may offer better protection against heart-related events, as blood pressure tends to rise early in the morning. However, consistency is key; taking telmisartan at the same time each day helps maintain stable blood pressure levels. Your doctor may advise based on your lifestyle, blood pressure pattern, or if you experience any side effects at a particular time of day.
Q: How much BP is reduced by Telma 40?
A: The reduction in blood pressure by Telma 40 varies between individuals depending on factors such as baseline blood pressure, body weight, diet, activity levels, and adherence to the medication. On average, Telma 40 can lower systolic blood pressure (the top number) by around 8-12 mmHg and diastolic blood pressure (the bottom number) by around 6-8 mmHg. However, individual responses may vary, and regular monitoring is necessary to assess its effectiveness and adjust the dose if needed.
Q: When is the best time to take Telma?
A: The best time to take Telma 40 is usually once daily at a consistent time that works best with your routine. Some individuals prefer taking it in the morning with breakfast, while others find it better to take in the evening, especially if their blood pressure tends to rise at night. If you are unsure, consult your doctor about the optimal time based on your blood pressure patterns and lifestyle.
Q: Does Telma increase creatinine?
A: Telma (telmisartan) may cause a slight increase in creatinine levels initially, especially in patients with pre-existing kidney conditions. This is generally a mild and temporary effect, as Telma helps reduce blood pressure, which ultimately benefits kidney health in the long term. Regular monitoring of creatinine levels is recommended to ensure that there are no significant adverse effects on kidney function.
Q: What foods should I avoid when taking telmisartan?
A: When taking telmisartan, it’s best to avoid foods high in potassium, as telmisartan can increase potassium levels in the blood, especially if taken with potassium supplements or salt substitutes containing potassium. High-potassium foods include bananas, oranges, spinach, and potatoes. Additionally, limit excessive salt intake, as high-sodium foods (e.g., processed foods, canned soups, and salted snacks) can counteract the effects of blood pressure medications. Avoiding excessive alcohol is also advised, as it can raise blood pressure and strain the heart.
Q: What is the difference between telmisartan and Telma?
A: Telmisartan is the generic name of the active ingredient in Telma, which is the brand name produced by Glenmark Pharmaceuticals. Both are used to treat high blood pressure and contain the same active ingredient, telmisartan. Telma is simply one of many branded forms of telmisartan available in the market. Effectiveness and safety profiles are generally the same between the generic form and the brand name, but some patients may prefer one over the other based on availability or cost.
Q: Does telmisartan raise cholesterol?
A: Telmisartan does not raise cholesterol levels; in fact, it may have a beneficial effect on lipid profiles in some patients. Studies have shown that telmisartan can improve cholesterol levels by slightly lowering LDL (bad cholesterol) and may also improve triglyceride levels. This effect is not strong enough to be considered a primary treatment for cholesterol but may be an added benefit for some patients managing high blood pressure.
Q: What are the three main causes of high blood pressure?
A: The three primary causes of high blood pressure (hypertension) include:
Genetics: Family history plays a significant role, as people with a family history of hypertension are at a higher risk. Genetic predisposition can make certain individuals more sensitive to lifestyle factors that contribute to high blood pressure.
Lifestyle factors: Unhealthy habits such as a high-salt diet, lack of physical activity, excessive alcohol consumption, smoking, and high-stress levels can lead to increased blood pressure over time. A sedentary lifestyle and obesity also place additional strain on the cardiovascular system, raising blood pressure.
Medical conditions: Certain health conditions, like diabetes, kidney disease, and hormonal disorders (e.g., hyperthyroidism or Cushing's syndrome), can contribute to hypertension. These conditions can either directly or indirectly influence blood pressure levels, requiring careful management to control the risk.
Maintaining a healthy lifestyle, monitoring blood pressure regularly, and managing underlying health issues can help reduce the risk of developing hypertension.
References
1. KD. Tripathi. Drugs Affecting Renin Angiotensin System. Essentials of medical pharmacology. Eighth edition. 2019. Page – 535-538.
2. Philippe Gosse. A Review of Telmisartan in the Treatment of Hypertension: Blood Pressure Control in the Early Morning Hours. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. September 2006. [Accessed on 7th May 2022] click here
3. 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 on 7th May 2022] click here
4. Accord Healthcare Ireland Limited. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed on 7th May 2022] click here
5. Hetero Labs Limited. U.S. Food & Drug Administration. [Revised in August 2015] [Accessed 7th May 2022] click here


