Telmikind AM 40mg Tablet 10'S

Introduction About TELMIKIND AM 40MG TABLET

Telmikind AM 40 Tablet is a combination of Telmisartan (40mg) and Amlodipine (5mg) designed to manage hypertension (high blood pressure) and other cardiovascular conditions. This medication works by relaxing the blood vessels, improving blood flow, and reducing the workload on the heart.

Telmikind-AM Tablet can be taken either on an empty stomach or with food. However, it is recommended to take it consistently at the same time each day, as directed by your doctor. The dosage will be based on your condition and response to the medication. It is important to continue taking the medication even if you feel fine, as it helps lower blood pressure and reduces the risk of heart attack or stroke. Do not stop taking it unless instructed by your doctor. You can improve the effectiveness of the medication by adopting a healthy lifestyle, including staying active, quitting smoking, and following a low-salt, low-fat diet.

The most common side effects of this medicine include swelling in your ankles or feet (edema), headache, sleepiness, dizziness, tiredness, and upset stomach. However, these are temporary and usually resolve on their own. Please consult your doctor if these do not resolve or persist for a longer duration. While using this medicine, your blood pressure will need to be checked often and your kidney function may also need to be tested.

Before taking this medicine, let your doctor know if you have any kidney or liver problems or severe dehydration. Pregnant or breastfeeding women should also consult their doctor before taking it.

Uses Of TELMIKIND AM 40MG TABLET

• Helps reduce high blood pressure
• Improves cardiovascular health
• Reduces the risk of heart attack and stroke
• Effective in managing both hypertension and associated conditions

Benefits of Telmikind AM 40 Tablet For Hypertension:

1. Effective Blood Pressure Control: Telmikind AM 40mg combines two active ingredients: Telmisartan (an angiotensin receptor blocker) and Amlodipine (a calcium channel blocker). Together, they work to effectively lower high blood pressure, reducing the strain on the heart and blood vessels.
2. Dual Mechanism of Action: The combination of Telmisartan and Amlodipine provides a dual mechanism of action. Telmisartan helps relax blood vessels by blocking the effects of a hormone that causes blood vessels to constrict. Amlodipine, on the other hand, helps relax and widen blood vessels, improving blood flow.
3. Long-Lasting Effect: Telmikind AM 40mg offers a long-acting formulation, helping maintain stable blood pressure throughout the day with just one tablet. This makes it convenient for patients and ensures consistent results.
4. Reduced Risk of Heart-Related Complications: By controlling high blood pressure effectively, Telmikind AM helps reduce the risk of heart attacks, strokes, and other cardiovascular events, which are often linked to hypertension.
5. Improved Patient Compliance: With a fixed-dose combination, patients need to take only one tablet a day, improving medication adherence. This simplifies the management regimen and increases the chances of successful blood pressure management.
6. Helps Reduce the Risk of Kidney Damage: Hypertension is a major cause of kidney damage, but controlling blood pressure with Telmikind AM may help reduce the risk of kidney complications associated with high blood pressure.

How TELMIKIND AM 40MG TABLET Works

Telmikind AM 40 is a combination medication used primarily to manage high blood pressure (hypertension) and heart-related conditions. It contains Telmisartan and Amlodipine, two active ingredients that work together to help lower blood pressure and reduce the risk of heart-related complications.

1. Telmisartan is an Angiotensin II Receptor Blocker (ARB). It works by blocking the action of a hormone called angiotensin II, which constricts blood vessels. By blocking this hormone, telmisartan helps relax and widen blood vessels, reducing the amount of strain on the heart and lowering blood pressure.
2. Amlodipine is a calcium channel blocker that helps relax the blood vessels by preventing calcium from entering the muscle cells of the heart and blood vessels. This allows the blood vessels to dilate, reducing blood pressure and improving blood flow.

Together, they improves blood flow to the heart and improves overall heart functions.

How to use TELMIKIND AM 40MG TABLET

Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage. The dosage may vary depending on the patient's individual health condition and the doctor's instructions.

How to Take Telmikind AM 40 Tablet?

• Take one tablet daily with or without food
• Swallow the tablet whole with a glass of water. Do not chew or crush the tablet.
• It is best to take the tablet at a consistent time each day, preferably in the morning.

Dosage Instructions for Adults and Children:

For adults, the typical starting dose is one tablet daily, with or without food, preferably taken at the same time each day. For children, it is generally not recommended for those under 18 years of age unless specifically prescribed by a pediatrician.

How Long Does It Take to Work?

Telmikind AM 40 Tablet typically starts to work within 1 to 2 hours after taking it. However, its full effect on blood pressure may take several days to weeks for noticeable results. Always follow your doctor's instructions for the best outcome.

Side Effects Of TELMIKIND AM 40MG TABLET

Like all medicines, Telmikind AM 40 Tablet may cause certain side effects in some individuals, although not everybody gets them.

The most common side effects of taking Telmikind AM 40 Tablet are:

• swelling in your ankles or feet (edema)
• headache
• sleepiness
• dizziness
• tiredness
• upset stomach

When to consult your doctor?

Inform your doctor immediately if you experience any of the following side effects after taking Telmikind AM 40 Tablet.

• Severe allergic reactions symptoms such as swelling of the face, lips, tongue, or throat, difficulty breathing, hives, or rash
• Severe dizziness or fainting
• Chest pain or discomfort
• Irregular or fast heartbeat
• liver problems such as jaundice (yellowing of the skin or eyes)
• Severe fatigue, weakness, or confusion
• Muscle cramps or weakness

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

Telmikind AM tablet generally unsafe to use during pregnancy. Although there are limited studies in humans and animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breastfeeding

Contraindicated

Telmikind AM tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. Please consult your doctor.

Driving and Using Machines

Use with Caution

Do not drive or operate machines if you experience sleepiness or dizziness.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking Telmikind AM tablet since it may alter the effect of the medicine.

Kidney

Consult your doctor

Consult your doctor before taking Telmikind AM tablet if you have a history of kidney problems. Dosage adjustment and careful monitoring are required in such patients. Therefore, inform your doctor if you have any pre-existing kidney diseases as a precaution.

Liver

Consult your doctor

Consult your doctor before taking Telmikind AM tablet if you have a history of liver problems. Dosage adjustment and careful monitoring are required in such patients. Therefore, inform your doctor if you have any pre-existing liver diseases as a precaution.

Allergy

Contraindicated

Do not take this medication if you are allergic to Amlodipine or Telmisartan and/or any other ingredients of this medicine.

Heart Disease

Consult your doctor

Consult your doctor before taking Telmikind AM tablet if you have a history of heart problems. Dosage adjustment and careful monitoring are required in such patients. Therefore, inform your doctor if you have any pre-existing heart diseases as a precaution.

Use In Pediatrics

Consult your doctor

Telmikind AM tablet generally unsafe for use in children under 18 years of age unless specifically prescribed by your pediatrician. Consult your doctor.

Use In Geriatrics

Use with Caution

Telmikind AM tablet should be used with caution in elderly patients. Consult your doctor.

Safety Advice

• Take only the prescribed dose (usually one tablet daily in the morning). Avoid exceeding the recommended daily dosage.
• Swallow the tablet whole with a glass of water. Do not chew or crush the tablet.
• It is best to take the tablet at a consistent time each day, preferably in the morning.
• It is important to regularly check your blood pressure to make sure the medication is working properly and to avoid hypotension (too low blood pressure).
• Make sure you are staying hydrated, but limit salt and alcohol, as they can impact your blood pressure and the effectiveness of the medication.
• Try to avoid sudden position changes, particularly when getting up quickly from a sitting or lying down position. Stand up slowly to reduce the risk of falling.
• This medication may impact kidney function, so inform your doctor if you have a history of kidney issues. You may need regular kidney function tests.
• Be cautious when taking other medications such as diuretics, blood pressure medication, or heart-related drugs, can interact with Telmikind AM.
• Avoid grapefruit juice while take this medicine because it can interfere with the metabolism produce some side effects such as hypotension and edema.
• A healthy diet, exercise, and weight management can support blood pressure control and boost heart health along with medication.

Diet and Lifestyle Advice

1. Diet and Nutrition Tips:

• Reduce Salt Intake: A high-sodium diet can raise blood pressure. Encourage users to use herbs and spices for flavoring instead of salt.
• Eat More Potassium-Rich Foods: Foods like bananas, spinach, and sweet potatoes can help balance the effects of sodium on blood pressure.
• Limit Processed Foods: Processed foods often contain hidden sodium, unhealthy fats, and added sugars, which can contribute to high blood pressure.
• Emphasize Healthy Fats: Foods like avocados, nuts, and olive oil are heart-healthy and may help lower blood pressure.

2. Exercise Recommendations:

• Engage in Regular Physical Activity: Encourage activities like walking, swimming, or cycling for at least 30 minutes a day, most days of the week.
• Incorporate Strength Training: Building muscle can help improve blood flow and overall cardiovascular health.
• Mindful Breathing and Yoga: Practices that focus on relaxation, like yoga and deep breathing, can lower stress and support heart health.

3. Weight Management:

• Maintaining a Healthy Weight: Extra weight puts additional strain on the heart and can raise blood pressure. Provide tips on weight loss, such as eating smaller, more frequent meals and staying active.
• BMI Monitoring: Keep track of your body mass index (BMI) and work towards maintaining a healthy range.

4. Stress Management:

• Practice Relaxation Techniques: Chronic stress can contribute to hypertension. Encourage techniques like meditation, mindfulness, and deep breathing exercises.
• Make Time for Yourself: Suggest users engage in hobbies or activities that promote relaxation, like reading or gardening.

5. Limit Alcohol and Caffeine Intake:

• Moderate Alcohol Consumption: Excessive alcohol can raise blood pressure, so encourage users to drink in moderation.
• Cut Back on Caffeine: Some individuals may be more sensitive to caffeine's blood pressure-raising effects, so consider recommending they reduce their intake.

6. Monitor Blood Pressure Regularly:

• Track Blood Pressure at Home: Suggest that users invest in a blood pressure monitor and track their readings regularly.
• Know Your Numbers: Educate users about the ideal range for blood pressure (typically around 120/80 mm Hg) and when to seek medical advice.

7. Smoking Cessation:

• Stop Smoking: Smoking damages blood vessels and raises blood pressure. Offer resources or support for those looking to quit, such as nicotine replacement therapies or counseling.

8. Sleep Hygiene:

• Get Enough Rest: Quality sleep is essential for heart health. Suggest a routine that includes 7-9 hours of sleep each night, along with tips on improving sleep hygiene, such as limiting screen time before bed.

9. Medication Adherence:

• Follow Prescribed Treatment Plans: If users are prescribed medication to manage hypertension, remind them to take it as directed and never skip doses.

Relevant Health Articles:

Ayurveda For Hypertension: Excellent Natural Remedies To Reduce High Blood Pressure

DASH diet to control Hypertension

Exercising With High Blood Pressure: What To Do And Avoid, Benefits, And Side Effects

Drug - Drug interaction

Inform your physician if you are taking any of the following medicine before taking Telmikind AM tablet:

1. Other Antihypertensive Drugs

Interactions: When combined with other antihypertensive medications (e.g., ACE inhibitors, diuretics, or beta-blockers), the risk of hypotension (excessively low blood pressure) may increase.

Effect: Synergistic reduction in blood pressure may lead to dizziness, fainting, or other signs of low blood pressure.

Management: Monitor blood pressure regularly. Adjust doses if necessary. Avoid abrupt changes in therapy, and be cautious when combining with other blood pressure-lowering agents.

2. Potassium Supplements and Potassium-Sparing Diuretics

Interactions: Telmisartan can raise serum potassium levels, and combining it with potassium supplements or potassium-sparing diuretics (e.g., spironolactone) increases the risk of hyperkalemia.

Effect: Hyperkalemia can lead to arrhythmias, muscle weakness, and other serious cardiovascular effects.

Management: Regularly monitor serum potassium levels. Consider using potassium-lowering agents or adjusting dosages if potassium levels rise excessively.

3. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Interactions: NSAIDs (e.g., ibuprofen) can reduce the blood pressure-lowering effects of Telmisartan and Amlodipine. Additionally, NSAIDs may worsen kidney function when used concurrently with ACE inhibitors or ARBs like Telmisartan.

Effect: Reduced antihypertensive effect and potential for renal impairment.

Management: Avoid long-term use of NSAIDs in combination with Telmikind AM, or use at the lowest effective dose. Monitor kidney function regularly.

4. Lithium

Interactions: Telmisartan can reduce the renal clearance of lithium, leading to elevated lithium levels and toxicity.

Effect: Symptoms of lithium toxicity include tremors, confusion, and in severe cases, kidney damage.

Management: Avoid combining Telmikind AM with lithium if possible. If co-administration is necessary, closely monitor lithium levels and renal function.

5. CYP3A4 Inhibitors (e.g., Ketoconazole, Grapefruit Juice)

Interactions: Amlodipine is metabolized by the CYP3A4 enzyme. Strong inhibitors of this enzyme (e.g., ketoconazole, certain HIV protease inhibitors, grapefruit juice) may increase Amlodipine concentrations, leading to an increased risk of side effects such as hypotension, edema, or dizziness.

Effect: Enhanced effects of Amlodipine, including excessive vasodilation.

Management: Avoid grapefruit juice and strong CYP3A4 inhibitors when possible. If necessary, reduce Amlodipine dosage and monitor for adverse effects.

6. Rifampin (CYP3A4 Inducer)

Interactions: Rifampin may increase the metabolism of Amlodipine through induction of the CYP3A4 enzyme, potentially reducing its effectiveness.

Effect: Reduced antihypertensive effect and therapeutic response.

Management: If co-administration is unavoidable, consider increasing the dose of Amlodipine and closely monitor blood pressure.

More Information

Why Choose Telmikind AM 40 Over Other BP Medications:

1. Combination of Active Ingredients

Telmikind AM combines two powerful active ingredients: Telmisartan and Amlodipine. This combination offers a dual mechanism of action:

• Telmisartan is an angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels.
• Amlodipine is a calcium channel blocker that helps widen the blood vessels, improving blood flow. This synergy enhances the overall effectiveness in controlling hypertension and helps provide better cardiovascular protection.

2. Quick Action

Telmikind AM provides rapid onset of action, helping to quickly bring down high blood pressure and reduce the risk of heart-related complications. This fast-acting formula ensures that patients experience quicker relief from hypertension symptoms, improving their quality of life.

3. Long-Lasting Effects

The combination of Telmisartan and Amlodipine ensures long-lasting blood pressure control throughout the day, reducing the need for frequent medication adjustments. This consistent effect can help maintain stable blood pressure levels, improving overall health outcomes.

4. Fewer Side Effects

Telmikind AM is well-tolerated by most patients, with fewer side effects compared to some other antihypertensive medications. The formulation is designed to offer optimal efficacy while minimizing the risk of adverse reactions, making it a safer option for long-term use.

5. Convenience of a Single Pill

By combining two essential medications into one tablet, Telmikind AM offers the convenience of a single daily dose, simplifying treatment regimens for patients. This reduces pill burden and improves medication adherence, leading to better management of hypertension.

6. Proven Effectiveness

Telmikind AM has been clinically proven to be highly effective in controlling both systolic and diastolic blood pressure. Its comprehensive action helps address multiple aspects of hypertension, providing a reliable solution for managing high blood pressure.

By highlighting these USPs, Telmikind AM can be positioned as a powerful, effective, and convenient solution for patients looking for comprehensive blood pressure control with minimal side effects.

FAQs About TELMIKIND AM 40MG TABLET

References

1. KD. Tripathi. Essentials of Medical Pharmacology. Cardiovascular Drugs. Anti-anginal and Anti-ischemic Drugs. Drugs Affecting Renin-Angiotensin system. 8th Edition. Page-595 & 537.

2. Efficacy of Combination Therapy with Telmisartan Plus Amlodipine in Patients with Poorly Controlled Hypertension. NIH. National Library of Medicine. National Center for biotechnology Information. PMC. PubMed Central. September-October 2010. [Accessed on 22 January 2025] 

3. Amlodipine 5 and 10mg Tablet. Dr. Reddy’s Laboratories (UK) Ltd. EMC. UK. [Revised in February 2024]. [Accessed on 22 January 2025] 

4. Telmisartan 20, 40 and 80mg. Glenmark-film coated tablet. EMC. UK. [Revised in February 2024]. [Accessed on 22 January 2025] 

5. Telmisartan / Amlodipine Tablets. PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION. [Revised in October 2023]. [Accessed on 22 January 2025] 

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Author Details

Written By Srilekha. R - B.Pharm

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

Last updated on 27 Jan 2025 | 09:45 AM(IST)