Telmikind H 40mg Tablet 10'S

Introduction About TELMIKIND H 40MG TABLET

Telmikind H 40 Tablet is used in the management of hypertension. It contains a combination of Hydrochlorothiazide+Telmisartan that works by removing excess fluids from the body and relaxing the blood vessels which reduces strain on the heart and reduces blood pressure.

Take this medicine as advised by your physician. It can be taken with or without food. During management with Telmikind H 40 Tablet your doctor will constantly monitor your kidney functions, blood pressure, electrolyte levels and blood sugar levels to avoid the risk of unwanted side effects.

Before taking Telmikind H 40 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.

TELMIKIND H 40 TABLET is also not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby. Stop taking TELMIKIND H 40 TABLET and inform your doctor immediately if you become pregnant while undergoing therapy with TELMIKIND H 40 TABLET.

The most common side effects of taking TELMIKIND H 40 TABLET are low blood pressure, dizziness, low or high blood potassium levels, pins and needles, muscle pain, diarrhoea, dry mouth, erectile dysfunction and increased blood uric acid levels. Contact your doctor if any of these side effect worsens.

Uses Of TELMIKIND H 40MG TABLET

• Management of Hypertension (high blood pressure)

How TELMIKIND H 40MG TABLET Works

TELMIKIND H 40 TABLET is an antihypertensive medicine. It relaxes your blood vessels and improves blood flow across them. It also reduces thickness of the blood by removing excess fluids from the body in the form of urine. Collectively, these actions reduce the strain on the heart and helps the heart to pump blood more smoothly with less pressure.

How to use TELMIKIND H 40MG TABLET

1. What is the recommended dosage for Telmikind H 40mg?

• Usual Adult Dose: One tablet once daily with or without food.
• Maximum Dose: Should not exceed one tablet per day unless prescribed otherwise.
• Administration: Swallow the tablet whole with a glass of water. Do not crush, break, or chew it.

2. When to Take Telmikind H 40mg

• Best Time: Morning is generally preferred due to the presence of Hydrochlorothiazide (a diuretic), which increases urination.
• Consistency: Take it at the same time each day to maintain steady blood pressure control.

3. Special Dosage Considerations

• For Elderly Patients: Dose adjustments may be needed based on kidney function.
• For Patients with Kidney or Liver Disease: Lower doses or alternative medications may be recommended. Consult your doctor.
• For Diabetic Patients: Monitor blood sugar levels regularly, as Hydrochlorothiazide may affect glucose metabolism.

What if I forgot to take TELMIKIND H 40MG TABLET

What should I do if I miss a dose of Telmikind H?

• Take the missed dose as soon as you remember. 
• Skip the missed dose if it is almost time for the next scheduled dose.
• Do not double dose to make up for a missed dose.

Overdose

What happens if I overdose on Telmikind H 40mg?

• Symptoms: Severe dizziness, fainting, rapid heartbeat, or excessive drop in blood pressure, vomiting, dizziness, low blood levels of potassium (resulting in nausea, sleepiness and muscle cramps or irregular heartbeat), reduced kidney function including kidney failure.

• Immediate Action: Seek medical attention or call a poison control center if overdose symptoms appear.

Side Effects Of TELMIKIND H 40MG TABLET

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

Common Side Effects of TELMIKIND H 40 TABLET:

• Dizziness
• Low or high blood potassium levels
• Pins and needles (paraesthesia)
• Vertigo (spinning sensation)
• Fast or irregular heartbeat
• Low blood pressure causing dizziness while standing up
• Diarrhoea, dry mouth, flatulence
• Back pain, muscle spasm or pain
• Erectile dysfunction (inability to get or keep an erection)
• Increased blood uric acid levels
• Sore throat, sinus inflammation, common cold, cough
• Urinary tract infections
• Anaemia
• Kidney problems

When to consult the doctor?

• Eye pain, swelling, decrease in vision (signs of fluid accumulation in the eye)
• Skin reactions or unexpected skin lesions
• Increased skin sensitivity towards sunlight, sunburn, redness, itching, swelling and blistering of skin
• Signs of severe dehydration (such as dry mouth, feeling weak or tired, drowsiness, restlessness, muscle weakness, nausea, vomiting and fast heart rate)

Warning & Precautions

Pregnancy

Contraindicated

TELMIKIND H 40 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 TELMIKIND H 40 TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TELMIKIND H 40 TABLET, stop taking it and consult your doctor immediately.

Breastfeeding

Contraindicated

TELMIKIND H 40 TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

Driving and Using Machines

Use with Caution

Do not drive or handle any heavy tools or machines if you experience dizziness or drowsiness after taking TELMIKIND H 40 TABLET.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking TELMIKIND H 40 TABLET as it might make you feel dizzier and drowsier.

Kidney

Consult your doctor

TELMIKIND H 40 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).

Liver

Consult your doctor

TELMIKIND H 40 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.

Allergy

Contraindicated

Do not take TELMIKIND H 40 TABLET if you are allergic to Telmisartan or Hydrochlorothiazide or any other ingredients of this medicine.

Heart Disease

Use with Caution

TELMIKIND H 40 TABLET should be used with caution in patients with heart problems (such as irregular heart rhythm, problems with heart muscle or valves).

Use In Pediatrics

Contraindicated

TELMIKIND H 40 TABLET is not recommended for use in children and adolescents (aged below 18 years).

Use In Geriatrics

Use with Caution

TELMIKIND H 40 TABLET should be used with caution in the elderly patients.

Other Warnings for TELMIKIND H 40MG TABLET

Before taking TELMIKIND H 40 TABLET, inform your doctor if you:

• Have primary hyperaldosteronism (problems in adrenal gland)
• Have low blood pressure
• Are severely dehydrated (due to diarrhea, vomiting or excess sweating)
• Are on a low-salt diet
• Have diabetes
• Have gout (painful joints)
• Have had skin cancer
• Have an auto-immune disease condition affecting the skin (such as SLS)
• Are scheduled for any upcoming surgery

Who should not take [GBNKEYWORD

This medicine should not be used in patients suffering from:

• diabetes related kidney problems
• low potassium levels in blood
• high calcium levels in blood

Safety Advice

1. Take it at the same time daily – Preferably in the morning to avoid nighttime urination due to the diuretic effect of hydrochlorothiazide.
2. Stay hydrated – Hydrochlorothiazide increases urine output, so drink enough water to prevent dehydration.
3. Avoid excessive salt and potassium supplements – Telmisartan can increase potassium levels, so avoid high-potassium foods like bananas, spinach, and coconut water unless prescribed.
4. Monitor blood pressure regularly – Keep track of your BP to ensure the medicine is working effectively.
5. Stand up slowly – It may cause dizziness, especially when standing up suddenly.
6. Avoid alcohol and NSAIDs (like ibuprofen) – These can worsen side effects like dizziness or reduce the medication’s effectiveness.
7. Watch for swelling or unusual symptoms – Report signs of electrolyte imbalance like muscle weakness, irregular heartbeat, or severe dizziness to your doctor.
8. Do not stop abruptly – Stopping suddenly can cause a sudden rise in blood pressure. Consult your doctor before making any changes.
9. Safe during pregnancy? No! – Avoid if pregnant or planning pregnancy, as telmisartan can harm the fetus.
10. Kidney or liver issues? – Consult your doctor before taking it if you have kidney disease, liver problems, or gout.

Diet and Lifestyle Advice

Dietary Adjustments:

1. Reduce Sodium Intake: Limit processed and canned foods, as they contain high amounts of sodium. Aim for less than 2,300 mg of sodium per day, or ideally 1,500 mg for better blood pressure control?
2. Follow the DASH Diet: The Dietary Approaches to Stop Hypertension (DASH) diet emphasizes fresh fruits, vegetables, whole grains, lean proteins (such as fish and poultry), and low-fat dairy while avoiding saturated fats and sugars?
3. Increase Potassium: Foods rich in potassium, such as bananas, oranges, spinach, potatoes, and yogurt, help balance sodium levels and support healthy blood pressure?
4. Limit Alcohol and Caffeine: Excess alcohol can raise blood pressure, so limit it to one drink per day for women and two for men?
5. Quit Smoking: Smoking damages blood vessels and increases hypertension risk. Quitting can immediately benefit your heart health?

Exercise & Weight Management:

1. Regular Physical Activity: Engage in 150 minutes of moderate exercise per week, such as brisk walking, cycling, or swimming. Even short 10-minute workouts throughout the day can be beneficial?
2. Strength Training: Incorporate resistance exercises (like weightlifting or bodyweight exercises) twice a week to improve cardiovascular fitness?
3. Avoid Prolonged Sitting: Stand up and move around every hour to promote circulation and prevent weight gain?
4. Maintain a Healthy Weight: Losing even 5-10% of your body weight can lower your blood pressure significantly?

Stress Management & Lifestyle Habits:

1. Prioritize Sleep: Aim for 7-9 hours of quality sleep per night. Poor sleep can lead to increased blood pressure?
2. Practice Relaxation Techniques: Meditation, deep breathing exercises, and yoga can help manage stress levels, reducing hypertension risks?.
3. Monitor Your Blood Pressure: Regularly check your BP at home and follow up with your doctor if needed?

Drug - Drug interaction

Telmikind H 40 Tablet interacts with several medications, including:

• Heart medications: Digoxin, Aliskiren, and other Angiotensin II Receptor Antagonists (e.g., Losartan, Valsartan) can increase side effects.
• Diuretics: Water pills like Furosemide and Hydrochlorothiazide can alter blood pressure and potassium levels.
• NSAIDs (Painkillers): Ibuprofen and Naproxen may reduce the effectiveness of Telmikind H.
• Blood thinners: Warfarin and Heparin may require dosage adjustments due to bleeding risk.
• Immunosuppressants: Cyclosporine and Tacrolimus can increase the risk of kidney damage.
• Antidepressants: Lithium can lead to toxicity if taken with Telmikind H.
• Antibiotics: Trimethoprim can raise potassium levels dangerously.
• Corticosteroids: May counteract blood pressure-lowering effects.

Drug - Food interaction

• High-potassium foods: Avoid bananas, spinach, broccoli, and potatoes, as Telmikind H can increase blood potassium levels.
• High-salt diet: Processed foods, pickles, and chips may reduce the tablet's effectiveness.
• Alcohol: Increases dizziness and drowsiness; avoid consuming it while on this medication.

Synopsis

More Information

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References

1. KD. Tripathi. Antihypertensive Drugs. Drugs Affecting Renin-Angiotensin System and Plasma Kinins. Essentials of medical pharmacology. Seventh edition. 2013. Page – 559, 561 & 562.

2. Roberto Fogari, MD, Annalisa Zopppi, MD, Amedeo Mugellini, MD, Paolo Preti, MD, Maurizio Destro, MD, Andrea Rinaldi MD, and Giuseppe Derosa, MD. Effectiveness of hydrochlorothiazide in combination with telmisartan and olmesartan in adults with moderate hypertension not controlled with monotherapy: a prospective, randomized, open-label, blinded end point (PROBE), parallel-arm study. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. February 2008. [Accessed on 10th February 2025] 

3. Kazuo Eguchi, Satoshi Hoshide, Tomoyuki Kabutoya, Kazuyuki Shimada, Kazuomi Kario. Is very low dose hydrochlorothiazide combined with candesartan effective in uncontrolled hypertensive patients? NIH. National Library of Medicine. National Center for Biotechnology Information. Pubmed.gov. December 2010. [Accessed on 10th February 2025] 

4. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in December 2021] [Accessed on 10th February 2025] 

5. Hikma Pharmaceuticals USA Inc. Telmisartan and Hydrochlorothiazide Tablet. Dailymed.com. [Revised in July 2021]. [Accessed on 10th February 2025

6. Glenmark Arzneimittel GmbH. Electronic Medicines Compendium (EMC). [Revised in November 2019] [Accessed on 10th February 2025] 

7. Central Drugs Standard Control Organization. Telmisartan 40mg/80mg+ Hydrochlorthiazide 12.5mg/12.5mg tablet. August 2003. [Accessed on 10th February 2025] 

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Useful Diagnostic Tests

• Kidney function test (KFT)
• Cardiac Risk Profile

Author Details

Written By Srilekha. R - B.Pharm

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

Last updated on 17 Feb 2025 | 09:49 AM(IST)