Telma NB Tablet 10'S
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Introduction About TELMA NB TABLET
TELMA NB TABLET is a combination of Nebivolol and Telmisartan which belongs to the group of medicines called Antihypertensive agents. It is used to manage hypertension (high blood pressure) when management 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 unmanaged, it may cause serious complications such as heart attack, heart failure, stroke or even blindness.
By lowering blood pressure, TELMA NB TABLET can also reduce the risk of heart attack (myocardial infarction) or stroke. During management with TELMA NB TABLET your doctor will constantly monitor kidney functions, blood pressure, electrolyte levels and blood sugar levels to avoid the risk of unwanted side effects. Before taking TELMA NB TABLET 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.
TELMA NB TABLET is not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby. Stop taking TELMA NB TABLET and inform your doctor immediately if you become pregnant while undergoing therapy with TELMA NB TABLET. The most common side effects of taking TELMA NB TABLET are low blood pressure, headache, dizziness, high blood potassium levels, pins and needles, muscle pain, diarrhoea, constipation and erectile dysfunction. Contact your doctor if any of these side effect worsens.
Uses Of TELMA NB TABLET
It is used to:
- manage hypertension (high blood pressure)
- manage the risk of heart attack or stroke
How TELMA NB TABLET Works
TELMA NB TABLET is an antihypertensive medicine which relaxes your blood vessels and improves blood flow across them. It also slows down the heart rate and reduces the force of contraction of heart muscles. As a result, it reduces the strain on the heart, improves blood flow across the blood vessels and makes the heart to pump blood more smoothly and efficiently with less pressure.
How to use TELMA NB TABLET
Take TELMA NB TABLET as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Try to take TELMA NB TABLET at the same time each day. TELMA NB TABLET 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.
Side Effects Of TELMA NB TABLET
Common
- headache
- dizziness
- tiredness
- tingling sensation or unusual itching in the body
- diarrhoea
- constipation
- nausea
- shortness of breath
- swollen hands or feet
- low blood pressure
Uncommon
- urinary tract infections
- sore throat, sinus inflammation, common cold, cough
- anaemia
- high blood potassium levels
- lack of sleep
- nightmares
- vertigo
- depression
- feeling faint
- low blood pressure causing dizziness while standing up
- stomach pain
- diarrhoea
- flatulence
- vomiting
- increased sweating
- back pain
- muscle spasm or pain
- abnormal vision
- impotency (problems in reaching orgasm)
- skin rash or itching
Rare
- low platelet count in blood
- low blood sugar levels
- dry mouth
- changes in taste
- increased levels of uric acid in blood
- liver problems
Stop taking TELMA NB TABLET and contact your doctor immediately if you experience any of the following side effects:
- severe allergic reactions (such as skin rash, itching, swelling of the face, lips, mouth or throat which can lead to difficulty in breathing or swallowing)
- sepsis (blood infection)
How To Manage Side Effects
Dizziness Or Drowsiness
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.
Nausea And Vomiting
Take TELMA NB TABLET 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.
Warning & Precautions
Pregnancy
ContraindicatedTELMA NB TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TELMA NB TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TELMA NB TABLET, stop taking it and consult your doctor immediately.
Breastfeeding
ContraindicatedTELMA NB TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.
Driving and Using Machines
Use with CautionDo not drive or handle any heavy tools or machines if your ability is affected by TELMA NB TABLET.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking TELMA NB TABLET as it might make you feel dizzier and drowsier.
Kidney
Consult your doctorTELMA NB TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries). Therefore, consult your doctor before taking it.
Liver
Consult your doctorTELMA NB TABLET 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
ContraindicatedDo not take TELMA NB TABLET if you are allergic to Nebivolol or Telmisartan or any other ingredients of this medicine.
Lungs
Consult your doctorTELMA NB TABLET is not recommended for use in patients with asthma or other breathing problems. It should be used with caution in patients with chronic bronchitis (inflammation of the airways). Therefore, consult your doctor before taking the medicine.
Heart Disease
Consult your doctorTELMA NB TABLET is not recommended for use in patients with slow heartbeat, serious heart rhythm problems or recent heart failure. It should be used with caution in patients having angina (chest pain) or heart block. Therefore, consult your doctor before taking it.
Use In Pediatrics
ContraindicatedTELMA NB TABLET is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor for advice.
Use In Geriatrics
Use with CautionTELMA NB TABLET should be used with caution in the elderly patients. Therefore, consult your doctor before taking it.
Others
TELMA NB TABLET is not recommended for use if you:
- have low blood pressure
- have poor blood circulation in the arms and legs
- have metabolic acidosis
- have unmanaged phaeochromocytoma
- have diabetes related kidney problems
Before taking TELMA NB TABLET inform your doctor if you:
- have a slow heartbeat with shortness of breath and dizziness
- have Raynaud’s disease
- have leg pain, tension or weakness
- have diabetes
- have overactivity of thyroid gland
- have psoriasis
- are going to undergo an operation
- have primary hyperaldosteronism
- are severely dehydrated (due to diarrhea, vomiting or excess sweating)
- are on a low-salt diet
Interactions
A. Drug-Drug interactions:
Before taking TELMA NB TABLET inform to your doctor, if you are taking any of the following medicines such as:
- calcium channel blockers (used to manage heart problems) such as verapamil, diltiazem, amlodipine, felodipine, lacidipine, nifedipine, nicardipine, nimodipine and nitrendipine
- other medicines used to manage high blood pressure (such as clonidine, guanfacine, moxonidine, methyldopa, rilmenidine, aliskiren, captopril, enalapril, ramipril, losartan, valsartan)
- medicines used to manage uneven heartbeat (such as digoxin, quinidine, hydroquinidine, amiodarone, cibenzoline, ecainide, disopyramide, lidocaine, mexiletine and propafenone)
- medicines used to manage anxiety (such as phenobarbital, chlorpromazine)
- medicines used to manage depression (such as lithium, amitriptyline, trazodone, paroxetine, fluoxetine and thioridiazine)
- medicines used to manage asthma (such as salbutamol, salmeterol, budesonide)
- medications used to manage cough and cold (such as pseudoephedrine)
- medicines used to manage glaucoma (such as timolol, pindolol)
- medicines used to manage diabetes (such as insulin, metformin, gliclazide, glibenclamide)
- anaesthetics (used to cause numbness or loss of sensation) such as lidocaine, sevoflurane, halothane
- cimetidine (a medicine used to manage stomach ulcers)
- antacids (medicines used to neutralise stomach acid) such as aluminium hydroxide, magaldrate
- medicines used for pain and inflammation (such as aspirin, ibuprofen, diclofenac)
- baclofen (a medicine used for relaxing muscles)
- amifostine (a kidney protectant used along with chemotherapeutic agents)
- potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
- heparin (a medicine used to manage or manage blood clots)
- trimethoprim (a medicine used to manage bacterial infections)
- medicines used to suppress immune functions (such as tacrolimus, cyclosporin)
- narcotic drugs (used for pain relief) such as morphine, fentanyl, pethidine
Overdosage:
If you or anyone else accidentally took excessive amount of this medicine, consult your doctor immediately or visit the nearby hospital straight away. Symptoms of overdosage might include low blood pressure, fast or slow heart rate, dizziness, kidney problems and shortness of breath.
Synopsis
| Drug | : | Nebivolol, Telmisartan |
| Pharmacological Category | : | Beta-Blockers, Angiotensin-II receptor blockers |
| Therapeutic Indication | : | Hypertension |
| Dosage Forms | : | Tablet |
More Information
Storage
- Keep TELMA NB TABLET out of reach to children
- Store TELMA NB TABLET at room temperature
FAQs About TELMA NB TABLET
Q: What are the uses of TELMA NB TABLET?
A: TELMA NB TABLET is used to manage hypertension. It can also be used to manage the risk of heart attack or stroke.
Q: What type of a medicine is TELMA NB TABLET?
A: TELMA NB TABLET is an antihypertensive medicine. It relaxes your blood vessels and improves blood flow across them. It also slows down the heart rate and reduces the force of contraction of heart muscles. As a result, it reduces the strain on the heart, improves blood flow across the blood vessels and makes the heart to pump blood more smoothly and efficiently with less pressure.
Q: What happens when I stop taking TELMA NB TABLET?
A: Do not stop taking TELMA NB TABLET without consulting your doctor as your blood pressure may raise once again. Make sure to take TELMA NB TABLET for the stipulated duration recommended by your doctor to achieve maximum results.
Q: What is the best time to take TELMA NB TABLET?
A: TELMA NB TABLET can be taken with or without meals. Your doctor will decide the best time for you to take TELMA NB TABLET based on your age, body weight and disease condition.
Q: What to do if I forgot to take a dose of TELMA NB TABLET?
A: If you forgot to take a dose of TELMA NB TABLET, take it as soon as you remember. However, if it is time for the next dose of TELMA NB TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of TELMA NB TABLET to compensate the missed ones.
Q: What precautions should be followed while taking TELMA NB TABLET?
A: Before taking TELMA NB TABLET, 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 TELMA NB TABLET 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.
Q: Can I consume alcohol while taking TELMA NB TABLET?
A: Avoid consumption of alcohol while taking TELMA NB TABLET as it might make you feel dizzier and drowsier.
Q: What happens if I accidentally take more TELMA NB TABLET?
A: If you or anyone else accidentally took excessive amount of this medicine, consult your doctor immediately or visit the nearby hospital straight away. Symptoms of overdosage might include low blood pressure, fast or slow heart rate, dizziness, kidney problems and shortness of breath.
Q: Can I take TELMA NB TABLET daily?
A: Take TELMA NB TABLET as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take TELMA NB TABLET every day or not.
Q: Is TELMA NB TABLET safe to use in diabetic patients?
A: TELMA NB TABLET may alter the blood sugar levels in the body. Therefore, it is necessary to inform your doctor if you have diabetes before taking TELMA NB TABLET as a precaution. Your doctor will closely monitor you blood sugar levels to avoid the risk of side effects.
Q: What are the common side effects of TELMA NB TABLET?
A: The most common side effects of taking TELMA NB TABLET are low blood pressure, headache, dizziness, high blood potassium levels, pins and needles, muscle pain, diarrhoea, constipation and erectile dysfunction. Contact your doctor if any of these side effect worsens.
Q: Can I stop taking TELMA NB TABLET once my symptoms subside?
A: No. Do not stop taking TELMA NB TABLET without consulting your doctor. As hypertension is a chronic condition, long term management may be necessary to control its symptoms. Therefore, take TELMA NB TABLET as advised by your doctor for the stipulated duration. Premature discontinuation of therapy may increase your blood pressure once again.
Q: Can TELMA NB TABLET be taken during pregnancy?
A: TELMA NB TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TELMA NB TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TELMA NB TABLET, stop taking it and consult your doctor immediately.
Q: Is TELMA NB TABLET safe to use in kidney disease?
A: TELMA NB TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries). 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 TELMA NB TABLET as a precaution.
Q: Can the use of TELMA NB TABLET affect the liver?
A: Yes. TELMA NB TABLET 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. Antiadrenergic Drugs (Adrenergic Receptor Antagonists) and Drugs for Glaucoma & Drugs Affecting Renin-Angiotensin System And Plasma Kinin. Essentials of medical pharmacology. Seventh edition. 2013. Page-149 & 507.
2. Cockcroft John. A review of the safety and efficacy of nebivolol in the mildly hypertensive patient. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. December 2007. [Accessed on 30th December 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2350132/
3. 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. PMC. PubMed Central. September 2006. [Accessed on 30th December 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1993985/
4. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in April 2022] [Accessed on 30th December 2022] https://www.medicines.org.uk/emc/files/pil.5828.pdf
5. Actavis Ltd. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed on 30th December 2022] http://www.hpra.ie/img/uploaded/swedocuments/8c0fc811-cf88-4bd5-818e-609e07fe1190.pdf
6. Torrent Pharmaceuticals Ltd. Nebicart T. [Revised in February 2022] [Accessed on 30th December 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2751.pdf
Useful Diagnostic Tests
- Kidney Function Test
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