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Introduction About TELMIKIND AMH TABLET
TELMIKIND AMH TABLET is a combination medication specifically designed to manage hypertension (high blood pressure) when a single medication is not effective. By effectively lowering blood pressure, it reduces the risk of severe complications such as heart attack, stroke, and kidney damage. It works by lowering blood pressure through the relaxation of blood vessels, better circulation, and increased urine output to remove excess fluid from the body.
Telmikind AMH Tablet can be taken with or without food, and it is best to take it at the same time each day. Your doctor will decide the right dose based on your health needs and how you respond to the medicine. Since it contains a diuretic, you may notice increased urination, so try to avoid taking it within four hours of bedtime. Continue using this tablet regularly, even if you feel well, as high blood pressure often has no symptoms. Stopping the medicine without your doctor's advice may increase your risk of heart attack or stroke.
The most common side effects of this medicine include dizziness, headache, fatigue, swelling in ankles or feet, nausea, diarrhea, muscle weakness, taste changes, flu-like symptoms, visual disturbances, upper respiratory tract infection, dry mouth, and frequent urination. Consult your doctor If any of these bother you, or get worse, or will not go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst.
Before taking this medicine, inform your doctor if you have any liver or kidney problems. Pregnant or breastfeeding women should seek medical advice before taking Telmikind AMH Tablet. Also, let your doctor know about all other medicines you are taking, especially those for high blood pressure or heart conditions, to avoid potential interactions. Regular monitoring of your blood pressure, kidney function, electrolyte levels, and blood sugar is important to ensure the medicine is working effectively and safely for you.
Uses Of TELMIKIND AMH TABLET
- Hypertension (high blood pressure)
Benefits of TELMIKIND AMH TABLET
01) Reduces high blood pressure (hypertension): Telmikind AMH Tablet effectively lowers elevated blood pressure, which helps reduce the risk of heart attack, stroke, and other serious cardiovascular complications.
02) Improves blood flow and circulation: By relaxing and widening blood vessels, this medicine promotes smoother blood flow throughout the body.
03) Decreases excess fluid and salt in the body: The diuretic component helps remove extra water and salt through urine, lowering fluid retention and swelling (edema).
04) Combines three proven medicines in one tablet: Offers a comprehensive approach to blood pressure management by including Telmisartan, Amlodipine, and Hydrochlorothiazide, making management more convenient and effective.
05) Supports heart and kidney health: By controlling blood pressure and reducing fluid overload, this tablet helps protect vital organs such as the heart and kidneys from damage caused by hypertension.
06) Can be used alone or with other managements: Your doctor may prescribe this tablet as a single therapy or along with other medicines for better blood pressure control.
07) Fits into a complete management plan: For best results, use this medicine alongside lifestyle changes such as a healthy diet, regular exercise, reducing salt intake, quitting smoking, and monitoring your blood pressure regularly.
How TELMIKIND AMH TABLET Works
Telmikind AMH Tablet works by combining three medicines that lower high blood pressure in different ways. Telmisartan relaxes blood vessels by blocking a hormone that causes them to tighten. Amlodipine helps widen the blood vessels by reducing calcium entry into their walls. Hydrochlorothiazide increases urine output, which removes excess salt and water from the body. Together, these actions improve blood flow, reduce fluid buildup, and help maintain healthy blood pressure levels.
Role of Telmisartan in Telmikind AMH Tablet
- Telmisartan is an angiotensin II receptor blocker (ARB).
- It works by blocking the action of angiotensin II, a hormone that causes blood vessels to constrict.
- By lowering this constriction, telmisartan relaxes and widens arteries and veins, making it easier for the heart to pump blood and thereby lowering blood pressure
How Amlodipine Supports Blood Vessel Relaxation
- Amlodipine is a calcium channel blocker (CCB).
- It inhibits the movement of calcium into the cells of the heart and blood vessel walls.
- This leads to relaxation and dilation of blood vessels, improving blood flow and further reducing blood pressure
Hydrochlorothiazide and Its Diuretic Effect
- Hydrochlorothiazide is a thiazide diuretic (water pill).
- It increases urine output, helping the body eliminate excess salt and water.
- This reduction in fluid volume decreases the pressure within blood vessels, contributing to lower blood pressure
Why Combination Therapy is Effective
- Combining these three agents targets different pathways involved in blood pressure regulation:
- Telmisartan relaxes blood vessels by blocking angiotensin II.
- Amlodipine widens vessels by affecting calcium movement.
- Hydrochlorothiazide reduces blood volume by increasing urine output.
This synergistic action provides more effective and sustained blood pressure control than any single agent alone, and helps reduce the risk of complications such as stroke, heart attack, and kidney damage.
Combination therapy is especially beneficial for patients whose blood pressure is not adequately controlled with one medication.
How to use TELMIKIND AMH TABLET
Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage.
Recommended Dosage and Administration:
Take Telmikind AMH Tablet exactly as prescribed by your doctor, usually once daily. Swallow the tablet whole with a glass of water, do not crush, chew, or break it.
Best Practices for Taking Telmikind AMH Tablet:
Take the tablet at the same time each day to maintain consistent blood levels and maximize its effectiveness. You can take it with or without food, but try to take it the same way each day. Follow your doctor’s instructions carefully regarding diet, fluid intake, and any other medications.
When to Take Telmikind AMH Tablet:
It is generally recommended to take Telmikind AMH Tablet in the morning, unless your doctor advises otherwise. Taking it at the same time every day helps you remember and keeps your blood pressure under control.
Important Dosage Considerations:
Do not stop taking Telmikind AMH Tablet suddenly without consulting your doctor, as this may cause your blood pressure to rise again. Inform your doctor about any other medications you are taking and any medical conditions you have, especially kidney, liver, or heart problems. Regular monitoring of blood pressure and kidney function may be required during management. Always follow your doctor’s advice for the best results.
What if I forgot to take TELMIKIND AMH TABLET
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose.
Side Effects Of TELMIKIND AMH TABLET
Like all medicines, Telmikind AMH Tablet may cause certain side effects in some individuals, although not everybody gets them.
The most common side effects of taking Telmikind AMH Tablet are:
- Dizziness
- Headache
- Fatigue
- Swelling in ankles or feet
- Nausea
- Diarrhea
- Muscle weakness
- Taste changes
- Flu-like symptoms
- Visual disturbances
- Upper respiratory tract infection
- Dry mouth
- Frequent urination
When to consult your doctor?
- Severe allergic reactions symptoms such as swelling of the face, lips, tongue, or throat, difficulty breathing or wheezing, severe skin rash or itching (hives)
- Low blood pressure symptoms such as faintness or dizziness
- Kidney problems symptoms such as swelling in feet, ankles, or hands, or unexplained weight gain
- Heart problems symptoms such as chest pain, pounding heartbeats, or fluttering in the chest
- High potassium symptoms such as nausea, slow or irregular heartbeat, weakness, or loss of movement
How To Manage Side Effects
Dizziness Or Drowsiness
- Sit or Lie Down: If you feel dizzy, sit down, or lie down immediately to reduce 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.
Nausea And Vomiting
- Sip Clear Liquids: Drink small sips of clear fluids like water, ginger ale, or herbal teas (ginger or peppermint are particularly helpful). Avoid drinking too much at once, which can worsen nausea.
- Eat Small, Bland Meals: Similar to stomach pain, eat light foods like crackers, toast, or bananas. Avoid greasy, spicy, or rich foods until you feel better.
- Get Fresh Air: Sometimes a little fresh air can help alleviate nausea. Take a short walk or sit near an open window.
- Use Acupressure: Applying gentle pressure to the P6 acupressure point on your wrist (located about two finger widths below the wrist crease, between the two tendons) may help reduce nausea.
- Avoid Strong Odors: Strong smells (like perfumes, cooking odors, or cigarette smoke) can trigger or worsen nausea, so it is best to avoid them if you can.
Warning & Precautions
Pregnancy
ContraindicatedTelmikind AMH Tablet is not recommended for use during pregnancy, as it may cause harm to the unborn baby. It should only be used if clearly advised by your doctor in rare, life-threatening situations where the potential benefits may outweigh the risks. Consult your doctor before taking this medicine.
Breastfeeding
ContraindicatedTelmikind AMH Tablet is not recommended during breastfeeding due to potential toxicity risks to the infant. Consult your doctor before taking this medication.
Driving and Using Machines
Use with CautionDo not drive or operate any heavy tools or machines if you feel dizziness or headache or nausea or tiredness after taking it.
Alcohol
Consult your doctorAvoid alcohol while taking Telmikind AMH Tablet, as it can increase dizziness and the risk of side effects.
Kidney
Consult your doctorTelmikind AMH Tablet should be used with caution in patients with kidney problems and is not recommended for use in those with severe kidney disease. Dose adjustments may be required, and regular monitoring of kidney function is advised during management. Consult your doctor before taking this medication.
Liver
Use with CautionTelmikind AMH Tablet should be used with caution in patients with liver disease. Dose adjustments may be necessary. Consult your doctor before taking this medication.
Allergy
ContraindicatedDo not take Telmikind AMH Tablet if you are allergic to Amlodipine or Telmisartan or hydrochlorothiazide or any other components of this medicine.
Lungs
Use with CautionTelmikind AMH Tablet should be used with caution in patients with asthma. Consult your doctor before taking it.
Heart Disease
Use with CautionTelmikind AMH Tablet should be used with caution in patients with severe heart conditions, including obstructive coronary artery disease, congestive heart failure, or recent heart attack. It may worsen angina or increase the risk of acute myocardial infarction. Consult your doctor before taking it.
Use In Pediatrics
ContraindicatedTelmikind AMH Tablet is not recommended for use in children below 18 years due to lack of established safety and efficacy data. Consult your pediatrician before giving it.
Use In Geriatrics
Use with CautionTelmikind AMH Tablet should be used with caution in elderly patients. Dose adjustment and close monitoring may be necessary. Consult your doctor before taking it.
Other Warnings for TELMIKIND AMH TABLET
Before taking TELMIKIND AMH 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
A. Drug-Drug Interactions:
Inform your physician if you are taking any of the following medicine before taking Telmikind AMH Tablet:
1. Lithium (used for certain mental health conditions):
- Interaction: Telmikind AMH Tablet can increase lithium levels in the blood.
- Effects: Increased risk of lithium toxicity, which may cause tremors, confusion, nausea, and irregular heartbeat.
- Management: Your doctor may avoid this combination or monitor lithium and electrolyte levels closely if both medicines are necessary.
2. Other Antihypertensive Medicines (ACE inhibitors like ramipril, ARBs, aliskiren):
- Interaction: Taking these with Telmikind AMH Tablet can increase the risk of low blood pressure and kidney problems.
- Effects: Dizziness, fainting, or worsening kidney function.
- Management: Combination should be used with caution, especially in patients with diabetes or kidney disease; regular monitoring of blood pressure and kidney function is recommended.
3. NSAIDs (Nonsteroidal Anti-Inflammatory Drugs such as ibuprofen, naproxen):
- Interaction: NSAIDs may reduce the blood pressure-lowering effect of Telmikind AMH Tablet and increase the risk of kidney damage.
- Effects: Decreased effectiveness of blood pressure control, possible kidney injury.
- Management: Use the combination with caution; monitor kidney function, especially in elderly or dehydrated patients.
4. Digoxin (used for heart disorders):
- Interaction: Telmikind AMH Tablet may increase blood levels of digoxin.
- Effects: Higher risk of digoxin toxicity, which can cause nausea, vomiting, dizziness, and heart rhythm disturbances.
- Management: Your doctor may monitor digoxin levels and adjust the dose if needed.
5. Antidiabetic Medicines (metformin and others):
- Interaction: May alter blood sugar control.
- Effects: Risk of hypoglycemia or hyperglycemia.
- Management: Blood sugar levels should be monitored closely; dose adjustments may be required.
6. Potassium Supplements or Salt Substitutes:
- Interaction: Increased risk of high potassium levels in the blood (hyperkalemia).
- Effects: Muscle weakness, irregular heartbeat, or cardiac arrest.
- Management: Avoid or use with caution; monitor potassium levels regularly.
7. Cholesterol-lowering Medicines (simvastatin):
- Interaction: Possible increased risk of side effects.
- Effects: Muscle pain or weakness.
- Management: Monitor for muscle symptoms; consult your doctor if you experience unexplained muscle pain.
8. Immunosuppressants (cyclosporine):
- Interaction: May increase the risk of kidney dysfunction.
- Effects: Worsened kidney function.
- Management: Regular monitoring of kidney function is advised.
Drug - Food interaction
1) Grapefruit and Grapefruit Juice:
- Interaction: Grapefruit can increase the absorption of amlodipine, one of the components of Telmikind AMH Tablet.
- Effects: Higher risk of side effects such as low blood pressure, dizziness, and swelling.
- Management: Avoid consuming grapefruit or grapefruit juice while taking this medication.
2) High-Potassium Foods (e.g., bananas, oranges, spinach, potatoes):
- Interaction: Telmisartan, a component of Telmikind AMH Tablet, can increase potassium levels in the blood.
- Effects: Risk of hyperkalemia (high potassium), which may cause muscle weakness, irregular heartbeat, or cardiac arrest.
- Management: Limit intake of high-potassium foods and avoid potassium-containing salt substitutes; your doctor may monitor your potassium levels regularly.
3) Alcohol:
- Interaction: Alcohol can enhance the blood pressure-lowering effect of Telmikind AMH Tablet.
- Effects: Increased risk of dizziness, lightheadedness, or fainting, especially when standing up quickly.
- Management: Avoid or limit alcohol consumption while taking this medicine.
4) Salt Substitutes:
- Interaction: Many salt substitutes contain potassium, which can further increase potassium levels when combined with Telmikind AMH Tablet.
- Effects: Risk of hyperkalemia (high potassium).
- Management: Avoid salt substitutes containing potassium; consult your doctor for safe alternatives.
5) Foods High in Sodium (e.g., processed foods, canned soups):
- Interaction: High sodium intake can reduce the effectiveness of Telmikind AMH Tablet in controlling blood pressure.
- Effects: Poor blood pressure control, increased risk of complications.
- Management: Follow a low-sodium diet as recommended by your doctor.
6) Dairy Products (in excess):
- Interaction: Excessive intake of calcium-rich foods may affect blood pressure control.
- Effects: May interfere with the effectiveness of antihypertensive therapy.
- Management: Consume dairy in moderation and follow dietary advice from your doctor.
Synopsis
|
Drug |
: |
Telmisartan, Amlodipine, Hydrochlorothiazide, |
|
Pharmacological Category |
: |
Angiotensin receptor blockers, Calcium channel blockers, Diuretics |
|
Therapeutic Indication |
: |
Hypertension |
|
Dosage Forms |
: |
Tablet |
More Information
1.What lifestyle modifications should I adopt while taking Telmikind AMH Tablet, such as changes in diet, physical activity, or routine blood pressure monitoring?
|
Lifestyle Modification |
Recommendation |
Rationale/Benefit |
|
Diet |
Adopt a balanced, low-salt diet rich in fruits, vegetables, and whole grains; limit processed and salty foods. |
Helps control blood pressure and reduces strain on the heart and kidneys. |
|
Physical Activity |
Engage in regular exercise such as brisk walking, cycling, or swimming for at least 30 minutes most days. |
Improves cardiovascular health and aids in blood pressure control. |
|
Weight Management |
Aim for a healthy body weight through diet and exercise. |
Reduces blood pressure and lowers risk of complications. |
|
Smoking Cessation |
Stop smoking completely. |
Smoking increases the risk of heart attack and stroke, especially in hypertensive patients. |
|
Alcohol Limitation |
Avoid or limit alcohol intake. |
Alcohol can worsen blood pressure control and increase side effects. |
|
Routine Blood Pressure Checks |
Monitor your blood pressure regularly at home and keep a log to share with your doctor. |
Ensures medication effectiveness and early detection of abnormal readings. |
|
Hydration |
Drink adequate fluids, but avoid excessive intake; consult your doctor for specific advice. |
Reduce dehydration, especially due to the diuretic effect of the medication. |
|
Medication Adherence |
Take Telmikind-AMH Tablet at the same time every day, as prescribed, without missing doses. |
Maintains consistent blood pressure control and reduces risk of complications. |
|
Stress Management |
Practice relaxation techniques such as yoga, meditation, or deep breathing exercises. |
Helps lower blood pressure and supports overall well-being. |
|
Regular Doctor Visits |
Attend scheduled check-ups for medication review and monitoring of kidney/liver function and electrolytes. |
Detects side effects early and ensures ongoing safe use of medication. |
FAQs About TELMIKIND AMH TABLET
Q: What is Telmikind AMH Tablet used for?
A: Telmikind-AMH Tablet is primarily used to manage high blood pressure (hypertension) and to reduce the risk of heart attack, stroke, and kidney damage in patients whose blood pressure is not controlled by a single medication.
Q: How does Telmikind AMH Tablet work?
A: Telmikind-AMH Tablet contains telmisartan, amlodipine, and hydrochlorothiazide, which work together to relax blood vessels, improve blood flow, and remove excess salt and water, effectively lowering blood pressure.
Q: What are the common side effects of Telmikind AMH Tablet?
A: Common side effects include dizziness, headache, nausea, tiredness, swelling of the ankles or feet, muscle cramps, and increased urination.
Q: Can I stop taking Telmikind AMH Tablet if I feel better?
A: No, do not stop taking Telmikind AMH Tablet without consulting your doctor, even if you feel well, as high blood pressure often has no symptoms but can cause serious complications if unmanaged.
Q: How should I take Telmikind AMH Tablet?
A: Take Telmikind-AMH Tablet exactly as prescribed by your doctor, usually once daily at the same time each day, with or without food. Swallow the tablet whole with water.
Q: Is Telmikind AMH Tablet safe during pregnancy and breastfeeding?
A: Telmikind-AMH Tablet is not recommended during pregnancy or breastfeeding due to potential risks to the baby.
Q: What should I do if I miss a dose of Telmikind AMH Tablet?
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at once.
Q: Are there any foods or drinks I should avoid while taking Telmikind AMH Tablet?
A: Avoid grapefruit juice, excessive salt, and potassium-rich foods or salt substitutes, as these can interact with the medication and affect blood pressure control.
Q: Can Telmikind AMH Tablet be used in children?
A: Telmikind-AMH Tablet is not recommended for use in children under 18 years of age due to limited safety and efficacy data.
Q: What precautions should I take while on Telmikind AMH Tablet?
A: Inform your doctor if you have kidney or liver problems, are pregnant or breastfeeding, or are taking other medications for heart conditions or blood pressure. Regular monitoring of blood pressure, kidney function, and electrolytes is advised during management.
Q: What is the best time to take Telmikind AMH Tablet?
A: Take Telmikind AMH Tablet at the same time each day, preferably in the morning, to maintain consistent blood pressure control and to minimize sleep disturbances that may occur due to increased urination. Always follow your doctor’s instructions regarding timing and dosage.
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 July 2025] 
2. Sanofi India Limited. Amlodipine, Hydrochlorothiazide, and Telmisartan. [Revised in December 2020] [Accessed on 15th July 2025] 
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