Telmikind Beta 50mg Tablet 10'S

Introduction About TELMIKIND BETA 50MG TABLET

Telmikind Beta 50mg Tablet is a combination medication containing Telmisartan (40 mg), an angiotensin II receptor blocker (ARB), and Metoprolol (50 mg), a cardio selective beta-blocker. This combination is used to manage high blood pressure by relaxing blood vessels and reducing the force and rate of the heart's contractions, thereby improving heart function, and lowering blood pressure.

It is recommended to take Telmikind Beta 50mg Tablet with food at the same time each day to maintain steady levels of the medication in your bloodstream. Continue the medication for the duration prescribed by your doctor, even if you start feeling well, as hypertension often shows no symptoms. Stopping the medicine without medical advice can worsen your condition. Alongside medication, adopting a healthy lifestyle such as regular physical activity, weight management, and a balanced diet will also help control your blood pressure. Always follow your doctor's guidance while taking this medication.

Common side effects of Telmikind Beta 50 Tablet include headache, weakness, dizziness, low blood pressure, increased potassium levels in the blood, orthostatic hypotension (sometimes with fainting), breathlessness, nausea, vomiting, abdominal pain, fatigue, and a slow heart rate. To minimize the risk of high potassium, it is best to avoid foods and supplements rich in potassium while taking this medication. As the medicine may cause dizziness, you should avoid driving or operating heavy machinery, and rise slowly from a sitting or lying position to reduce the chance of falls and light-headedness. During management, your doctor may recommend regular monitoring of blood pressure, blood sugar, kidney function, urea, and electrolyte levels to ensure safety and optimal control of your condition.

Before taking Telmikind Beta 50 Tablet, inform your doctor if you have any liver or kidney problems. Pregnant or breastfeeding women should consult their doctor for advice before taking this medication. Additionally, let your doctor know about all other medicines you are taking, especially those for high blood pressure or heart conditions. This will help your doctor assess potential interactions and ensure the safe use of this medication.

Uses Of TELMIKIND BETA 50MG TABLET

• Hypertension (high blood pressure)

Benefits of TELMIKIND BETA 50MG TABLET

1) Effectively controls high blood pressure: Telmikind Beta 50mg Tablet is specifically designed to manage and lower elevated blood pressure levels, reducing the overall workload on the heart.

2) Reduces risk of heart attack and stroke: By maintaining normal blood pressure, this medication significantly lowers the likelihood of future cardiovascular events such as heart attacks and strokes.

3) Improves heart function: The dual-action combination of telmisartan and metoprolol helps relax blood vessels and regulate heart rate, ensuring smoother and more efficient heart performance.

4) Reduce kidney complications: Consistent blood pressure control helps protect vital organs like the kidneys, reducing the risk of hypertension-related kidney problems in the long term.

5) Supports long-term wellness: Although you may not feel immediate changes, regular use as directed ensures continuous protection from hypertension-related damage and helps maintain overall health.

6) Comprehensive two-in-one solution: Combines the benefits of an angiotensin II receptor blocker and a beta-blocker, providing synergistic effects for better blood pressure management and improved patient compliance.

7) Promotes better blood flow: Relaxes and widens blood vessels, allowing blood to circulate more freely and reducing strain on the cardiovascular system.

8) Lowers risk of future complications: Regular management minimizes the potential for future health issues linked to uncontrolled hypertension, including heart disease, stroke, and kidney failure.

How TELMIKIND BETA 50MG TABLET Works

Telmikind Beta 50mg Tablet is designed to control high blood pressure (hypertension) through a dual-action approach, leveraging two different mechanisms:

• Telmisartan is an angiotensin II receptor blocker (ARB). It works by blocking the angiotensin II hormone from binding to its receptors. Angiotensin II usually causes blood vessels to constrict, which raises blood pressure. By blocking this action, Telmisartan causes blood vessels to relax and widen, reducing resistance and lowering blood pressure.
• Metoprolol is a selective beta-blocker. It acts primarily on beta-1 adrenergic receptors in the heart, slowing the heart rate and decreasing the force of each contraction. This reduces the heart's workload and further lowers blood pressure.

Benefits of the Dual Mechanism in Blood Pressure Control:

• Enhanced blood pressure reduction: Each drug targets a different system involved in raising blood pressure, leading to more effective control, particularly when one drug alone is insufficient.
• Reduced risk of cardiovascular complications: By lowering blood pressure from two angles, the risk of heart attack, stroke, and kidney damage is minimized.
• Stabilization of heart function: Beta-blockers like metoprolol can also lower abnormal heart rhythms and protect the heart after events such as heart attacks.

Why Combine an Angiotensin Receptor Blocker with a Beta-Blocker?

• Complementary effects: ARBs and beta-blockers act via different pathways, one works on blood vessel tension, while the other affects heart output.
• Address resistant hypertension: For patients whose blood pressure remains uncontrolled with a single therapy, combination therapy is more effective.
• Broader protection: This combination helps manage not only blood pressure but also heart rate and cardiac workload, providing broad cardiovascular protection.

What Happens in the Body After Taking Telmikind Beta 50mg Tablet?

• Blood vessels relax and widen due to telmisartan, decreasing resistance and allowing easier blood flow.
• Heart rate slows and cardiac stress decreases due to metoprolol, reducing the amount of work the heart must perform.
• As a result, blood pressure falls to safer levels, reducing the workload on the heart and protecting end organs from hypertension-related damage such as stroke, kidney problems, and heart attack.
• With continued use, the risk of future cardiovascular events is also significantly reduced.

Impact on Blood Vessels and Heart Function:

• Vascular effect: Telmisartan allows smooth muscle in the vessel walls to relax, causing arteries to dilate and helping blood flow more smoothly.
• Cardiac effect: Metoprolol makes the heart beat more slowly and with less force, reducing excess strain and damage over time.

How to use TELMIKIND BETA 50MG TABLET

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

Recommended Dosage and Schedule:

• Typical dosage: The standard recommended dose for adults is one Telmikind Beta 50mg Tablet once daily, taken at the same time each day to maintain consistent levels in your bloodstream.
• Dosage individualization: Your doctor may adjust your dosage based on your age, health condition, and response to management. Always follow your doctor’s prescription regarding dose and duration.

Age Group	Recommended Frequency	Administration
Adult	1 tablet once daily	Oral, with water

How to Take Telmikind Beta 50mg Tablet:

• With or without food: The tablet can be taken with or without food. However, taking it with food may help avoid stomach upset and is sometimes preferred for extended-release (ER) variants.
• How to take: Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet.
• Consistency: Take the medication at the same time every day for best results and to help remember your dose.

Tips for best results:

• Take the tablet at a fixed daily time.
• Inform your doctor about all current medications and medical conditions before starting.
• Do not stop this medicine suddenly, even if you feel well, as abrupt cessation can worsen blood pressure or cause other heart-related problems.
• Adopt a balanced diet rich in fruits, vegetables, and low in salt.
• Engage in regular activity as recommended by your doctor.
• Monitor your blood pressure at home if advised.
• Follow your prescription and never miss a dose.

What if I forgot to take TELMIKIND BETA 50MG 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; do not double dose to make up for the missed one.
• Continue regular schedule: Resume your normal dosing routine as advised.

Side Effects Of TELMIKIND BETA 50MG TABLET

Like all medicines, Telmikind Beta 50mg Tablet may cause certain side effects in some individuals, although not everybody gets them.

The most common side effects of taking Telmikind Beta 50mg Tablet are:

• Headache
• Weakness
• Dizziness
• Low blood pressure
• Increased potassium levels in the blood
• Orthostatic hypotension (sometimes with fainting)
• Breathlessness
• Nausea
• Vomiting
• Abdominal pain
• Fatigue
• Slow heart rate

When to consult your doctor?

• Severe allergic reactions (anaphylaxis or angioedema) symptoms include swelling of the face, lips, tongue, or throat, difficulty breathing or severe skin rash.
• Very low blood pressure (hypotension) symptoms such as fainting, severe dizziness, confusion, or inability to stand.
• Severe slow or irregular heartbeat (bradycardia, heart block) symptoms such as palpitations, chest pain, severe fatigue, or fainting episodes.
• Lung problems symptoms such as bronchospasm (difficulty breathing or severe shortness of breath).
• Heart failure or acute chest pain symptoms include sudden chest discomfort, sweating, severe shortness of breath, and swelling in legs.
• Kidney failure symptoms such as urine output, severe swelling, and confusion, sudden changes in kidney function.
• Sepsis symptoms such as high fever, chills, confusion, and rapid breathing.

How To Manage Side Effects

Warning & Precautions

Other Warnings for TELMIKIND BETA 50MG TABLET

Before taking TELMIKIND BETA 50MG TABLET, inform your doctor if you:           

• Have pheochromocytoma (tumor of adrenal glands located on the kidneys)
• Have diabetes or hypoglycaemia (low blood sugar levels)
• Have history of anaphylactic reactions (signs include itching and flushed or pale skin, low blood pressure, nausea, vomiting)
• Have thyrotoxicosis (too high thyroid levels in the blood)
• Have peripheral vascular disease (flow to limbs due to narrowing of vessels)
• Raised aldosterone levels (water and salt retention in the body along with imbalance of various blood minerals)
• Low blood pressure due to dehydration (excessive loss of water from the body)
• Have deficiency of salt due to diuretic therapy (water tablets), low-salt diet, diarrhoea, or vomiting
• Have elevated potassium levels in the blood

Who should not take [GBNKEYWORD

TELMIKIND BETA 50MG TABLET is not recommended for use if you:

• Are planned for non-cardiac surgery

Safety Advice

• Always take TELMIKIND BETA 50MG TABLET exactly as advised by your doctor to effectively manage hypertension.
• Regularly check your blood pressure at home to ensure the medication is working effectively.
• Do not stop taking TELMIKIND BETA 50MG TABLET abruptly, as it may cause a sudden rise in blood pressure or other complications.
• Drink plenty of fluids, especially in hot weather, to prevent dehydration, which can lower blood pressure excessively.
• Limit salt intake and follow a balanced, heart-healthy diet for optimal results. Avoid potassium-rich foods (e.g., bananas, oranges) unless advised otherwise, as Telmisartan may increase potassium levels.
• Avoid alcohol consumption while on this medication, as it can increase drowsiness and dizziness.
• Avoid Driving or Heavy Machinery: it may cause dizziness or fatigue, especially when starting the treatment. Avoid tasks requiring alertness until you know how it affects you.
• Not recommended for use during pregnancy or breastfeeding. Consult your doctor immediately if you become pregnant while taking this medication.
• Seek immediate medical attention if you accidentally take more than the prescribed dose, as it may cause severe dizziness, fainting, or a slow heartbeat.
• Start with a lower dose if prescribed for elderly patients, as they are more susceptible to side effects like hypotension and dizziness.
• Visit your doctor for regular blood tests to monitor potassium levels, kidney function, and overall response to the medication.

Drug - Drug interaction

Inform your physician if you are taking any of the following medicine before taking Telmikind Beta 50mg Tablet:

1. Antihypertensive Medications

a) Other RAAS inhibitors (ACE inhibitors, ARBs, Aliskiren):

• Effect: Increased risk of hyperkalemia (high potassium), renal dysfunction, and excessive hypotension.
• Management: Avoid co-administration with Aliskiren in diabetic patients; monitor potassium and renal function regularly.

b) Diuretics (Furosemide, Hydrochlorothiazide):

• Effect: Additive blood pressure lowering can cause excessive hypotension or electrolyte imbalances.
• Management: Monitor blood pressure and electrolytes closely, especially after therapy initiation or changes.

c) Alpha blockers for BPH (Prazosine, Tamsulosin):

• Effect: May cause pronounced drop in blood pressure.
• Management: Cautious titration and monitoring advised.

2. Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

a) Ibuprofen, Naproxen, Diclofenac, Indomethacin:

• Effect: May reduce antihypertensive effect and increase risk of kidney injury, especially in older adults or those with pre-existing kidney disease.
• Management: Avoid prolonged use of NSAIDs; monitor renal function and blood pressure regularly.

3. Antidiabetic Medications

a) Insulin and oral antidiabetics:

• Effect: Increased risk of hypoglycemia. Metoprolol can mask signs of low blood sugar (e.g., rapid heartbeat).
• Management: Monitor blood glucose more closely in diabetic patients; educate patients about masked hypoglycemia signs.

4. Drugs Affecting Potassium Levels

a) Potassium-sparing diuretics (Spironolactone, Amiloride), potassium supplements, salt substitutes:

• Effect: Severe hyperkalemia such as muscle weakness, heart rhythm disturbances.
• Management: Avoid or use with extreme caution. Frequent potassium monitoring is essential.

5. Calcium Channel Blockers

a) Amlodipine, other CCBs:

• Effect: Can cause severe bradycardia, excessive lowering of blood pressure, or dizziness when combined with Metoprolol.
• Management: Monitor heart rate and blood pressure; dose adjustments may be required.

6. Antiarrhythmic Drugs

a) Amiodarone, Digoxin:

• Effect: Additive effect can increase risk of bradycardia or heart block. Telmisartan may raise Digoxin blood levels.
• Management: Regular ECG and digoxin level monitoring recommended.

7. CNS Depressants

a) Sedatives, SSRIs (Fluoxetine, Paroxetine), antipsychotics:

• Effect: Enhanced sedation, drowsiness, and risk of low blood pressure.
• Management: Use caution when combining; monitor for excessive CNS depression.

8. Lipid Lowering Agents

a) Statins (Atorvastatin, Rosuvastatin):

• Effect: Potential increased risk of muscle pain or rare muscle breakdown (rhabdomyolysis) due to altered statin metabolism.
• Management: Watch for unexplained muscle symptoms; inform your doctor promptly.

9. Other Notable Interactions

• Antacids (Cimetidine): May affect absorption or action of Telmikind Beta—space doses apart.
• Blood Thinners (Warfarin, Heparin): Possible additive effects on bleeding or potassium, monitor INR and potassium.

Drug - Food interaction

1. Potassium-Rich Foods (e.g., spinach, potatoes, broccoli, bananas)
   • Interaction: Telmikind Beta 50mg Tablet, especially due to telmisartan, can increase potassium levels in the blood. Consuming large amounts of potassium-rich foods or using potassium-based salt substitutes can further elevate potassium.
   • Effects: Increased risk of hyperkalemia (high blood potassium), which may cause muscle weakness, irregular heartbeat, or, in severe cases, life-threatening arrhythmias.
   • Management: Limit intake of high-potassium foods and avoid potassium supplements or salt substitutes unless prescribed. Your doctor will monitor your potassium levels regularly during therapy.
2. Alcohol
   • Interaction: Alcohol can amplify the blood pressure-lowering effects of Telmikind Beta 50mg Tablet and increase side effects such as dizziness or fainting.
   • Effects: Increased risk of low blood pressure, dizziness, and falls.
   • Management: Avoid alcohol consumption while taking this medication.
3. High-Sodium/Salty Foods (e.g., processed foods, canned soups, salty snacks)
   • Interaction: High salt intake can counteract the blood pressure-lowering effects of Telmikind Beta 50mg Tablet.
   • Effects: Reduced effectiveness of blood pressure control, risk of uncontrolled hypertension.
   • Management: Adopt a low-sodium diet. Avoid processed and salty foods, and consult your doctor or dietitian for personalized recommendations.
4. Food (General)
   • Interaction: Telmikind Beta 50mg Tablet can be taken with or without food, food does not significantly affect the absorption of the drug.
   • Effects: Consistency in administration helps maintain steady drug levels. Taking with food may help avoid stomach upset in sensitive individuals.
   • Management: Take at the same time each day, with or without food, as advised by your doctor.
5. Grapefruit Juice and Citrus Fruits
   • Interaction: There is limited specific data for Telmikind Beta 50mg Tablet, but grapefruit juice is known to interact with some beta-blockers by affecting liver enzymes.
   • Effects: Potential for altered blood levels of the beta-blocker component, leading to increased side effects (though not well-established for metoprolol).
   • Management: Avoid excessive intake of grapefruit juice and consult your doctor if you have dietary concerns.

Synopsis

Drug	:	Metoprolol, Telmisartan
Pharmacological Category	:	Beta-blockers, Angiotensin II receptor antagonists
Therapeutic Indication	:	Hypertension (high blood pressure)
Dosage Forms	:	Tablet

More Information

1. How can lifestyle modifications such as regular exercise, a healthy diet, weight management, and salt restriction contribute to overall cardiovascular health while taking Telmikind Beta 50mg Tablet?

Lifestyle Modification	Advice	Importance for Cardiovascular Health
Regular Exercise	Aim for at least 150 minutes of moderate-intensity aerobic activity per week (e.g., brisk walking, cycling, swimming).	Improves heart function, lowers blood pressure, enhances blood circulation, and supports overall heart health.
Healthy Diet	Eat a balanced diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats; limit processed foods and added sugars.	Provides essential nutrients, lowers cholesterol, manages blood pressure, and supports vascular health.
Weight Management	Maintain a healthy body weight through a combination of regular exercise and balanced nutrition; monitor BMI and waist circumference.	Reduces the strain on the heart, lowers blood pressure, and decreases the risk of heart disease and diabetes.
Salt Restriction	Limit sodium intake to less than 2,300 mg per day (ideally closer to 1,500 mg/day) by avoiding salty and processed foods.	Helps to reduce high blood pressure, supports better blood pressure control, and reduces cardiovascular risk.

FAQs About TELMIKIND BETA 50MG TABLET

References

1. KD. Tripathi. Antihypertensive Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page-561, 563.

2. Jaekyu Shin, Marco Gonzales, and Mark J Pletcher. Risk of Emergent Bradycardia Associated with Initiation of Immediate- or Slow-Release Metoprolol. NIH National Library of Medicine. National Centre for Biotechnology Information. PubMed Central. June 2013. [Accessed on 22nd July 2025] 

3. Accord Healthcare. Electronic Medicine Compendium (EMC). [Revised in July 2021] [Accessed on 22nd July 2025] 

4. AstraZeneca AB. Food and Drug Administration (FDA). [Revised in March 2006] [Accessed on 22nd July 2025] 

5. Camber Pharmaceuticals, Inc. Metoprolol Succinate Extended-Release Tablets. [Revised in November 2020] [Accessed on 22nd July 2025] 

Useful Diagnostic Tests

• Cardiac Risk Profile
• Lipid Profile
• Kidney Function Test

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