TELVAS AM 40 Tablet 15's

Introduction About TELVAS AM 40 TABLET

What is TELVAS AM 40 Tablet?

TELVAS AM 40 is a prescription medicine used to manage high blood pressure (hypertension). It contains Telmisartan and Amlodipine, which help relax blood vessels and improve blood flow.

Take TELVAS AM 40 as prescribed by your doctor. Swallow the tablet with water, with or without food.

Before taking TELVAS AM 40 inform your doctor if you have any liver disease, kidney disease or any other heart conditions apart from hypertension such as heart failure. You must also inform your doctor if have diabetes, swelling of body parts or any other pre-existing medical conditions.

The most common side effects of TELVAS AM 40 include dizziness, swelling, and fatigue. Consult your doctor if symptoms persist.

Key Composition

TELVAS AM 40 is a combination medication that contains two active ingredients:

• Telmisartan (40 mg) – An angiotensin II receptor blocker (ARB) that helps relax blood vessels, lowering blood pressure
• Amlodipine (5 mg) – A calcium channel blocker (CCB) that reduces calcium from entering blood vessel walls, allowing smoother blood flow and reducing strain on the heart

Uses Of TELVAS AM 40 TABLET

• Used to manage Hypertension

Benefits of TELVAS AM 40 TABLET

1. Manages high blood pressure effectively:

• TELVAS AM 40 contains Telmisartan (40mg) and Amlodipine (5mg), both of which help in lowering blood pressure by relaxing blood vessels
• Helps maintain stable blood pressure levels, reducing strain on the heart
• Ideal for individuals with hypertension (high blood pressure) who need long-term management

2. Reduces the risk of heart attacks and strokes:

• By controlling blood pressure, TELVAS AM 40 lowers the risk of cardiovascular complications such as heart attacks and strokes
• Helps to reduce artery damage caused by excessive pressure on blood vessels
• Beneficial for people at high risk of cardiovascular diseases due to diabetes, obesity, or high cholesterol

3. Improves blood circulation:

• The vasodilatory effect of Amlodipine ensures smooth blood flow through arteries and veins
• Enhances oxygen and nutrient delivery to vital organs
• Reduces symptoms of poor circulation, such as dizziness and fatigue

How TELVAS AM 40 TABLET Works

1. Telmisartan (Angiotensin II Receptor Blocker - ARB)

• Blocks Angiotensin II: Telmisartan reduces the action of angiotensin II, a hormone that constricts blood vessels and increases blood pressure
• Vasodilation Effect: By relaxing blood vessels, it helps blood flow more easily, reducing high blood pressure
• Reduces fluid retention: It lowers aldosterone secretion, reducing excess sodium and water retention

2. Amlodipine (Calcium Channel Blocker - CCB)

• Reduces Calcium Influx: Amlodipine blocks calcium from entering the smooth muscle cells of blood vessels, reducing contraction
• Widening of Arteries: This leads to vasodilation, improving oxygen supply and reducing strain on the heart
• Controls Hypertension & Angina: Amlodipine reduces chest pain (angina) and helps maintain steady blood pressure

How to use TELVAS AM 40 TABLET

Telvas AM 40mg is a prescription medicine which needs to be taken under medical supervision. Always consult your doctor or pharmacist if you have any questions or concerns about taking this medication.

Recommended dosage of Telvas AM 40:

• Usual Dose: One tablet per day (as prescribed by a doctor)
• Maximum Dose: Not more than one tablet daily, unless advised by a healthcare provider
• It is preferably taken at the same time every day, with or without food
• Take it in the morning for optimal blood pressure control throughout the day

Method of administration:

• Take Telvas AM as directed by your doctor
• Swallow the medicine with a glass of water. Do not crush or chew the medicine
• Do not skip doses or stop taking the medication without consulting your doctor, as this could affect your blood pressure management

How to monitor your blood pressure at home:

1. Choose the right blood pressure monitor:

• Use a validated, automatic, upper-arm blood pressure monitor for the most accurate results
• Avoid wrist and finger monitors, as they can be less reliable

2. Prepare for measurement:

• Rest for at least 5 minutes before measuring
• Sit in a quiet place with back support
• Keep your feet flat on the floor, and do not cross your legs
• Empty your bladder beforehand, as a full bladder can raise blood pressure

3. Proper arm positioning:

• Place the cuff on bare skin, not over clothing
• Position the cuff one inch above the elbow crease
• Rest your arm on a flat surface at heart level

4. Take the reading:

• Press the start button and remain still while the device measures your blood pressure
• Take two or three readings, one minute apart, and record the average

5. Best time to measure

• Morning (before taking medication) and evening (before dinner)
• Avoid caffeine, smoking, or exercise 30 minutes before measuring.

What if I forgot to take TELVAS AM 40 TABLET

• Take the missed dose as soon as you remember
• Skip it if it is close to the next dose, do not double up the dose for the missed dose

Overdose

• Symptoms: Dizziness, fainting, rapid heartbeat, extreme low blood pressure
• Seek immediate medical help or visit nearby hospital

Side Effects Of TELVAS AM 40 TABLET

Common side effects of TELVAS AM 40 TABLET:

• dizziness
• swelling
• fatigue

When to consult a doctor?

Signs that require medical attention while on TELVAS AM 40

• severe decrease in low blood pressure
• swelling of body parts and unexplained weight gain
• chest pain
• high blood potassium levels

How To Manage Side Effects

Dizziness Or Drowsiness

• If you feel dizzy, find a safe place to sit or lie down immediately to avoid falls
• Dehydration can worsen dizziness, so drink plenty of water throughout the day
• When moving from a seated or lying position, do so slowly to help your body adjust

Tiredness

• Eat nutrient-rich foods like fruits, vegetables, whole grains, and lean proteins to sustain energy levels
• Aim for 7–9 hours of quality sleep per night to help your body recover
• Fatigue may indicate low blood pressure. Regularly check your BP levels and report any significant drops to your doctor

Warning & Precautions

Pregnancy

Contraindicated

Studies have shown that telmisartan can harm the growing baby. Therefore, the combination of amlodipine and telmisartan is not preferrable for use in pregnant women. Women of childbearing potential must avoid getting pregnant while taking TELVAS AM 40.

Breastfeeding

Contraindicated

Studies have shown that the combination of Telvas AM 40 may pass through breast milk. Therefore, it is not recommended for use in breastfeeding women.

Driving and Using Machines

Use with Caution

Do not drive or handle heavy tools or machines if your ability is affected by TELVAS AM 40.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking TELVAS AM 40 as it could make your dizzier.

Kidney

Use with Caution

TELVAS AM 40 should be used with caution in patients having kidney problems.

Liver

Use with Caution

TELVAS AM 40 should be used with caution in patients having liver problems.

Allergy

Contraindicated

Do not take TELVAS AM 40 if you are allergic to Amlodipine and Telmisartan or any other ingredients of this medicine.

Heart Disease

Consult your doctor

TELVAS AM 40 should not be used in patients with severely decreased blood pressure. It should be used with caution in patients suffering from other heart problems such as heart attack, severe hypertensive crisis.

Use In Pediatrics

Consult your doctor

It is not known whether the combination of TELVAS AM 40 is safe for use in children aged below 18 years.  

Use In Geriatrics

Use with Caution

TELVAS AM 40 should be used with caution in elderly patients (aged 65 years or more), especially if suffering from kidney problems.

Other Warnings for TELVAS AM 40 TABLET

Before taking TELVAS AM 40, inform your doctor if you:

• have diabetes
• have edema (swelling of hands and legs)
• have high potassium levels in blood
• are on low-sodium diet
• are dehydrated due to vomiting, diarrhoea or high fever

Diet and Lifestyle Advice

Diet & Nutrition for Hypertension:

Foods that support blood pressure management:

• Heart-Healthy Fruits & Vegetables - Bananas, oranges, kiwis, leafy greens (spinach, kale, lettuce) and berries (strawberries, blueberries, raspberries)
• Whole Grains & Fiber-Rich Foods - Oats, brown rice, quinoa, whole wheat bread, beans and lentils
• Healthy Proteins - lean meats (chicken, fish, turkey), fatty fish (salmon, tuna, mackerel) and nuts & seeds (almonds, walnuts, flaxseeds, chia seeds)
• Low-Fat Dairy Products - Greek yogurt, skim milk, cottage cheese
• Hydration & Beverages - Water & herbal teas, beetroot juice

Exercise & Fitness for Heart Health:

Safe workouts for people taking TELVAS AM 40

• Brisk Walking (30–45 mins)
• Cycling (30 mins)
• Swimming (20–30 mins)
• Dancing (20–30 mins)
• Bodyweight exercises (Squats, lunges, push-ups)
• Resistance band exercises
• Breathing exercises (5-10 mins daily)

Safety tips for Exercising While on TELVAS AM 40:

• Start slow & increase gradually – Avoid sudden, intense workouts
• Always stay hydrated
• Warm-up (5-10 mins) & Cool-down (5-10 mins) – Helps regulate heart rate
• Avoid heavy lifting & isometric exercises (e.g., plank holds, heavy squats)
• Monitor your heart rate – Stop if you feel dizzy, lightheaded, or excessively tired

How to manage blood pressure naturally: Lifestyle changes alongside medication

• Reduce salt intake – Limit sodium to less than 2,300 mg per day
• Eat more potassium-rich foods – bananas, oranges, spinach, and beans help balance sodium levels
• Follow the DASH Diet – Emphasizes fruits, vegetables, lean proteins, and whole grains
• Limit processed & sugary foods

Drug - Drug interaction

1. Diuretics (Water Pills):

• Examples: Furosemide, Hydrochlorothiazide, Spironolactone
• Interaction: Increases the risk of low blood pressure (hypotension), dehydration, and electrolyte imbalances
• Recommendation: Monitor blood pressure closely, especially when starting or adjusting doses

2. NSAIDs (Pain relievers):

• Examples: Ibuprofen, Naproxen, Diclofenac
• Interaction: Reduces the effectiveness of Telmisartan and may increase the risk of kidney damage
• Recommendation: Use NSAIDs sparingly and under medical supervision

3. Potassium Supplements & Potassium-Sparing Diuretics:

• Examples: Potassium chloride, Spironolactone, Eplerenone
• Interaction: Increases the risk of high potassium levels (hyperkalemia), leading to irregular heartbeat or muscle weakness
• Recommendation: Avoid excessive potassium intake and get regular blood tests to monitor levels

4. Beta-Blockers:

• Examples: Metoprolol, Propranolol, Atenolol
• Interaction: May lower blood pressure too much, causing dizziness or fainting
• Recommendation: Blood pressure and heart rate should be regularly monitored.

5. Lithium (Used for Mental Health Conditions):

• Examples: Lithium Carbonate
• Interaction: TELVAS AM 40 can increase lithium levels, leading to toxicity symptoms like confusion, tremors, and kidney issues
• Recommendation: If lithium is necessary, frequent monitoring of lithium levels is required

Synopsis

More Information

Comparison with Other Hypertension Medications: Compare with similar medicines like Amlodipine or Losartan

TELVAS AM 40 vs. Amlodipine 

What to expect when taking TELVAS AM 40: Timeline for results and symptom improvements.

First few days (1–7 days)

• Blood pressure starts to decrease gradually within 4–6 hours after the first dose
• Dizziness or mild fatigue may occur as your body adjusts to the medication
• If you experience lightheadedness, avoid standing up too quickly

4 Weeks (1 month)

• TELVAS AM 40 reaches full effectiveness for blood pressure control
• You may feel more energetic as circulation improves
• Risk of heart strain and hypertension-related symptoms (like headaches, chest discomfort) decreases

Long-term benefits (3+ months)

• Stable blood pressure levels when combined with a healthy diet, exercise, and stress management
• Lower risk of kidney damage, heart disease, and stroke
• No major side effects if taken correctly

FAQs About TELVAS AM 40 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 18th March 2025]

3. Amlodipine 5 and 10mg Tablet. Dr. Reddy’s Laboratories (UK) Ltd. EMC. UK. [Revised in February 2024]. [Accessed on 18th March 2025]

4. Telmisartan 20, 40 and 80mg. Glenmark-film coated tablet. EMC. UK. [Revised in February 2024]. [Accessed on 18th March 2025]

5. Telmisartan / Amlodipine Tablets. PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION. [Revised in October 2023]. [Accessed on 18th March 2025]

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Author Details

Written By Dr. Janet.C - Pharm.D

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

Last updated on 19 Mar 2025 | 12:12 PM(IST)