Telpres 40mg Tablet 15'S

Introduction About TELPRES 40MG TABLET

TELPRES 40MG TABLET is commonly prescribed to control blood pressure and promote cardiovascular health. It contains Telmisartan, a medication classified as an angiotensin II receptor blocker (ARB). This helps relax and widen the blood vessels, improving blood circulation. 

TELPRES 40MG TABLET can be prescribed on its own or in combination with other medications. It can be taken with or without food, but it is important to take it at the same time each day for the best results. Even if you feel fine or your blood pressure is under control, it is essential to keep taking the medication regularly. Many people with high blood pressure do not feel unwell, but stopping the medication could lead to worsening of your condition. This medicine is commonly used and is generally considered safe for long-term use.

Making adjustments to your lifestyle can also contribute to lowering your blood pressure. This may involve regular physical activity, shedding excess weight, quitting smoking, cutting back on alcohol, and limiting salt intake, as recommended by your doctor.

Common side effects of TELPRES 40MG TABLET include dizziness, fatigue, headache, lightheadedness, stomach pain, nausea, diarrhea, back pain, sinus inflammation and skin ulcers. Inform your doctor if any of these side effects become bothersome or worsen. They might be able to assist by adjusting the dosage or prescribing a different medication.

Before taking this medication, inform your doctor if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor before taking this medicine. Your doctor may monitor your kidney function, blood pressure, and potassium levels periodically during management.

Uses Of TELPRES 40MG TABLET

• Hypertension (high blood pressure)
• Cardiovascular conditions

Benefits of TELPRES 40MG TABLET

01) Helps Manage Blood Pressure: Regular use may assist in controlling blood pressure levels, contributing to overall heart health.

02) Supports Healthy Heart Function: By improving blood flow, TELPRES 40MG TABLET may help reduce strain on the heart, potentially leading to improved well-being.

03) Reduces Risk of Heart-related Conditions: Managing blood pressure effectively with TELPRES 40MG TABLET can help reduce the burden on the heart and arteries.

04) Improves Circulation: By relaxing the blood vessels, TELPRES 40MG TABLET can improve the flow of blood throughout the body.

How TELPRES 40MG TABLET Works

TELPRES 40MG TABLET contains Telmisartan, an angiotensin II receptor blocker (ARB). It works by blocking the action of angiotensin II, a hormone that causes blood vessels to constrict (tighten). By reducing this action, Telmisartan helps relax and widen the blood vessels, leading to a reduction in blood pressure. This makes it useful in managing high blood pressure (hypertension) and helps in reducing the risk of strokes and heart attacks. Additionally, it can improve heart function in patients with certain heart conditions.

How to use TELPRES 40MG TABLET

Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage. Do not stop the medication without consulting your doctor, even if you feel better.

Recommended Dosage of TELPRES 40MG TABLET:

The usual dose for adults is one 20mg tablet per day. Your doctor may adjust your dosage based on your individual health needs and response to management.

When to Take TELPRES 40MG TABLET:

It is recommended to take TELPRES 40MG TABLET at the same time each day to help you remember. Many people prefer to take it in the morning.

How to Take TELPRES 40MG TABLET with Food or Without Food:

TELPRES 40MG TABLET can be taken with or without food. However, avoid taking it with high-fat meals, as it may reduce the absorption of the medication.

TELPRES 40MG TABLET Dosage Adjustment:

Your doctor may adjust your dosage depending on your individual health condition, including any kidney or liver issues. Always consult your healthcare provider for personalized guidance.

What if I forgot to take TELPRES 40MG TABLET

If you miss a dose of TELPRES 40MG TABLET, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not take two doses at once to make up for the missed dose.

Side Effects Of TELPRES 40MG TABLET

Like all medicines, TELPRES 40MG TABLET may cause certain side effects in some individuals, although not everybody gets them.

The most common side effects of taking TELPRES 40MG TABLET are:

• Dizziness
• Fatigue
• Headache
• Lightheadedness
• Stomach pain
• Nausea
• Diarrhea
• Back pain
• Sinus inflammation
• Skin ulcers

When to consult your doctor?

• Severe allergic reactions symptoms such as swelling of the face, lips, throat, or tongue, difficulty breathing, and rash.
• Low blood pressure (hypotension) symptoms may include dizziness, fainting, or feeling lightheaded, especially when standing up quickly.
• Kidney problems symptoms such as reduced urine output, swelling in the legs or feet, and fatigue.
• Elevated potassium levels (hyperkalemia) symptoms include muscle weakness, irregular heartbeat, or tingling sensations.
• Liver problems symptoms such as yellowing of the skin or eyes (jaundice), dark urine, and pain in the upper abdomen.

How To Manage Side Effects

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

• Eat Small, Frequent Meals: Avoid heavy or greasy foods. Opt for bland foods like crackers, toast, or bananas.
• Stay Hydrated: Sip on clear fluids like water, ginger tea, or electrolyte drinks, Avoid caffeinated and carbonated beverages.
• Ginger: Ginger is a natural remedy for nausea. Try ginger tea, ginger candies, or ginger ale (ensure it contains real ginger).
• Avoid Strong Odors: Minimize exposure to smells that might trigger nausea, such as perfumes or cooking odors.f

Warning & Precautions

Pregnancy

Contraindicated

TELPRES 40MG TABLET is not recommended in early pregnancy and must not be taken when more than 3 months pregnant, as it may cause serious harm to the baby if used after 3 months of pregnancy. It is important to consult your doctor before taking this medication.

Breastfeeding

Contraindicated

TELPRES 40MG TABLET is not recommended for use in breastfeeding women. Your doctor may choose another management especially if you want to breast-feed when your baby is new-born or born prematurely. It is important to consult your doctor before taking this medication.

Driving and Using Machines

Use with Caution

Do not drive or operate any machines if you feel dizziness or tiredness after taking TELPRES 40MG TABLET.

Alcohol

Consult your doctor

Avoid consumption of alcohol as it may increase the risk of low blood pressure.

Kidney

Use with Caution

TELPRES 40MG TABLET should be taken with caution in patients with kidney disease, kidney artery stenosis (narrowing of blood vessels to one or both the kidneys) and with a history of kidney transplant. Consult your doctor before taking it.

Liver

Consult your doctor

TELPRES 40MG TABLET is not recommended for use in patients with severe liver problems such as cholestasis or biliary obstruction (flow of bile from liver stops or slows) and should be used with caution in patients with liver diseases. Consult your doctor before taking it.

Allergy

Contraindicated

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

Heart Disease

Use with Caution

TELPRES 40MG TABLET should be taken with caution in patients having heart trouble or low blood pressure (due to dehydration problems, low-salt intake, diarrhoea, or vomiting). Consult your doctor before taking it.

Use In Pediatrics

Contraindicated

TELPRES 40MG TABLET is generally not recommended for use in children and adolescents (aged below 18 years). Consult your pediatrician before giving it.

Use In Geriatrics

Use with Caution

TELPRES 40MG TABLET should be used with caution in elderly patients (aged 65 years and above). Therefore, consult your doctor before taking it.

Other Warnings for TELPRES 40MG TABLET

Before taking TELPRES 40MG TABLET, inform your doctor if you have:

• high potassium levels in the body
• raised aldosterone levels (water and salt retention in the body along with imbalance of various blood minerals)
• diabetes

Drug - Drug interaction

Inform your physician if you are taking any of the following medicine before taking TELPRES 40MG TABLET:

1. Antihypertensive Drugs (ACE Inhibitors, ARBs, Diuretics)

• Interaction: When combined with other antihypertensive agents (like ACE inhibitors, ARBs, or diuretics), there can be an additive effect on lowering blood pressure, potentially leading to hypotension (especially after the first dose).
• Examples: Enalapril, Lisinopril (ACE inhibitors), Losartan, Valsartan (other ARBs), Furosemide (diuretics).
• Effects: Hypotension, dizziness, dehydration.
• Management:
  • Monitor blood pressure regularly, especially after starting or increasing doses.
  • Adjust dosages to prevent excessive hypotension.
  • Start with lower doses of telmisartan or the other antihypertensive drugs.

2. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

• Interaction: NSAIDs can reduce the antihypertensive effect of TELPRES 40MG TABLET and may also increase the risk of kidney damage, especially in dehydrated patients or those with pre-existing kidney conditions.
• Examples: Ibuprofen, Naproxen, Diclofenac.
• Effects: Reduced blood pressure control, kidney impairment, fluid retention.
• Management:
  • Use alternative pain-relieving strategies if possible.
  • If NSAIDs are necessary, ensure adequate hydration and monitor kidney function (serum creatinine and electrolytes).
  • Monitor blood pressure closely.

3. Potassium-Sparing Diuretics and Supplements

• Interaction: Telmisartan can increase potassium levels, and when combined with potassium-sparing diuretics or potassium supplements, there is an increased risk of hyperkalemia.
• Examples: Spironolactone, Amiloride, Triamterene, Potassium supplements.
• Effects: Hyperkalemia (elevated potassium), potentially leading to arrhythmias or other serious cardiovascular issues.
• Management:
  • Avoid potassium supplements and potassium-sparing diuretics when possible.
  • Monitor serum potassium levels regularly.
  • Consider switching to a thiazide diuretic, which is less likely to cause hyperkalemia.

4. Lithium

• Interaction: Telmisartan may increase the plasma levels of lithium, potentially leading to lithium toxicity, which can cause symptoms such as tremors, confusion, and kidney issues.
• Examples: Lithium (used in mood disorders).
• Effects: Lithium toxicity (nausea, vomiting, confusion, tremors, renal failure).
• Management:
  • Regularly monitor lithium levels if both medications are used together.
  • Adjust the dose of lithium as necessary based on serum levels.
  • Hydrate adequately and avoid dehydration, which can worsen lithium toxicity.

5. Rifampin

• Interaction: Rifampin, a potent inducer of liver enzymes, may reduce the effectiveness of TELPRES 40MG TABLET by increasing its metabolism and clearance.
• Examples: Rifampin (used in tuberculosis treatment).
• Effects: Reduced efficacy of Telmisartan (leading to inadequate blood pressure control).
• Management:
  • Blood pressure should be closely monitored.
  • Consider increasing the dose of Telmisartan if necessary or choose an alternative antihypertensive agent.

6. Digoxin

• Interaction: Telmisartan may slightly increase digoxin levels, although this is usually not clinically significant unless renal function is impaired.
• Examples: Digoxin (used for heart failure and arrhythmias).
• Effects: Increased risk of digoxin toxicity (symptoms include nausea, vomiting, and visual disturbances).
• Management:
  • Monitor digoxin levels periodically, especially in patients with impaired renal function.
  • Adjust the digoxin dose as needed.

7. Other Drug Interactions

• Interaction: Certain other drugs, like cyclosporine or NSAIDs, may affect the renal function in patients taking Telmisartan, increasing the risk of renal impairment or electrolyte imbalances.
• Examples: Cyclosporine, NSAIDs, Diuretics.
• Effects: Renal dysfunction, electrolyte imbalance.
• Management:
  • Monitor renal function (serum creatinine, GFR) and electrolytes (especially potassium and sodium).
  • Avoid or use with caution in patients with pre-existing renal issues. 

Drug - Food interaction

1. Grapefruit Juice

• Interaction: Although Telmisartan does not have a major interaction with grapefruit juice, it is still important to avoid excessive amounts as grapefruit can affect the metabolism of some medications, potentially altering their blood levels.
• Examples: Grapefruit juice.
• Effects: Potential minor interference with Telmisartan’s metabolism leading to slight changes in drug efficacy.
• Management:
  • Limit grapefruit or grapefruit juice intake to moderate levels, especially if other medications are involved that are metabolized via the CYP450 pathway.

2. Food (High-Sodium or High-Potassium Foods)

• Interaction: Consuming high amounts of sodium or potassium can counteract the effects of Telmisartan.
• Examples: Sodium-rich foods (processed meats, canned foods), high-potassium foods (bananas, oranges, tomatoes).
• Effects: Decreased blood pressure control (high sodium) or increased risk of hyperkalemia (high potassium).
• Management:
  • Advise patients to eat a balanced diet, monitoring sodium and potassium intake.
  • Avoid excessive salt or potassium supplements unless specifically directed by a doctor

Synopsis

More Information

A. Why TELPRES 40MG TABLET is a Trusted Option for Heart Health and Blood Pressure?

TELPRES 40MG TABLET is widely regarded as a trusted and effective medication for managing high blood pressure (hypertension) and supporting heart health.

1. Effective Blood Pressure Control

TELPRES 40MG TABLET contains Telmisartan, an angiotensin II receptor blocker (ARB). This class of medication works by relaxing the blood vessels, allowing blood to flow more easily. By blocking the action of a hormone (angiotensin II) that causes blood vessels to constrict, it helps lower blood pressure, making it easier for the heart to pump blood. Consistent blood pressure control reduces the strain on the heart and helps prevent complications such as heart attack, stroke, and kidney disease.

2. Heart Protection

In addition to regulating blood pressure, TELPRES 40MG TABLET plays a significant role in protecting the heart. By maintaining balanced blood pressure, it reduces the risk of developing serious heart conditions such as heart failure and coronary artery disease. This makes it an essential medication for people with existing cardiovascular risk factors or those looking to prevent future heart problems.

3. Long-Lasting Effects

Telmisartan, the active ingredient in TELPRES 40MG TABLET, has a long half-life, which means it continues to work effectively throughout the day with just one dose. This sustained action helps keep blood pressure under control without the need for multiple doses, offering convenience and improving patient adherence to the treatment regimen.

4. Well-Tolerated by Most People

TELPRES 40MG TABLET is generally well-tolerated, with fewer side effects compared to other blood pressure medications like ACE inhibitors. This makes it a good choice for people who may be sensitive to other antihypertensive drugs, allowing them to maintain heart health without experiencing discomfort.

5. Part of a Holistic Approach

While TELPRES 40MG TABLET is effective in controlling blood pressure, it works best as part of a comprehensive approach to heart health. Alongside medication, maintaining a balanced diet, regular physical activity, and managing stress are important for achieving the best cardiovascular outcomes.

B. What are the dietary recommendations, exercise tips, and blood pressure monitoring guidelines for individuals taking TELPRES 40MG TABLET?

FAQs About TELPRES 40MG TABLET

References

1. KD. Tripathi. Drugs Affecting Renin Angiotensin System. Essentials of medical pharmacology. Eighth edition. 2019. Page – 535-538.

2. 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. PubMed Central. September 2006. [Accessed on 23rd July 2025] 

3. A Prem Kumar, Anirudra Ghorai, Vasudev Kriplani, Rabindra Kumar Dash, J Aravinda, Paramesh Shamanna, TK Sabeer, Abdul Hannan, and Santosh Revankar. Clinical data analysis of telmisartan for hypertension management in Indian population. NIH National Library of Medicine, National center for biotechnology information. PubMed Central June 2021. [Accessed on 23rd July 2025]

4. Accord Healthcare Ireland Limited. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed on 23rd July 2025]

5. Hetero Labs Limited. U.S. Food & Drug Administration. [Revised in August 2015] [Accessed on 23rd July 2025]

Useful Diagnostic Tests

• ECG at Home
• ECG + BP Check at Home
• Full Body Checkup with ECG & BP at Home
• Comprehensive Cardiac Risk Screening with 12 Lead ECG and BP

Author Details

Written By Dr. Karthikeyan Rajagopal - M.Pharm (Pharmacology)

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

Last updated on 23 Jul 2025 | 12:47 PM(IST)