Telvas CT 40mg Tablet 10'S

Introduction About TELVAS CT 40MG TABLET

Telvas CT 40mg Tablet is a widely recommended medicine by healthcare professionals for managing high blood pressure in adults. This tablet combines Telmisartan (40mg) and Chlorthalidone (12.5mg), which belong to the classes of Angiotensin II receptor blockers and Diuretics, respectively. Together, these active ingredients help support healthy blood circulation and kidney function. Telmisartan relaxes blood vessels by blocking the hormone angiotensin responsible for regulating blood pressure and fluid balance. Meanwhile, Chlorthalidone promotes the elimination of excess water and electrolytes from the body, aiding further in blood pressure control.

You can take Telvas CT 40mg Tablet with or without food. The dose prescribed will depend on your medical condition and how you respond to the medicine. Try to take it at the same time every day for consistent effects. It is important to continue taking this medicine regularly until your doctor advises you to stop. As this tablet contains a diuretic (water pill), it may increase urination, so it is best to avoid taking it within four hours before bedtime. Regular use helps you get the most benefit, even if you feel well. Since high blood pressure often has no symptoms, stopping the medicine without medical advice can increase your risk of heart attack or stroke.

The most common side effects of Telvas CT 40mg Tablet include dizziness, nausea, diarrhoea, headache, and changes in blood lipid levels. Frequent urination is not a side effect but an intended effect of chlorthalidone, which helps control blood pressure. While most side effects are mild and temporary, some may be rare. It is important to read the patient information leaflet carefully and inform your doctor if any side effects bother you or persist. Your doctor may adjust your dose or suggest an alternative medicine if necessary.

Telvas CT 40mg Tablet is not recommended during pregnancy and should only be taken after consulting your doctor. If you have kidney or liver disease, heart problems, or diabetes, discuss with your healthcare provider before using this medicine. Drinking alcohol while on this medication can further lower your blood pressure and may increase the risk of side effects. Always follow your doctor's advice to use this medicine safely.

Key Composition

• Telmisartan fits selectively into receptors in vascular smooth muscle and adrenal glands, blocking angiotensin II's effect and promoting vessel dilation.
• Chlorthalidone works on the kidneys to encourage water and sodium excretion, aiding in volume reduction and balanced blood pressure.

This combined action results in better blood flow, reduced pressure on blood vessels, and overall cardiovascular support, all critical for managing elevated blood pressure effectively.

Uses Of TELVAS CT 40MG TABLET

• Hypertension (high blood pressure) in adults

Benefits of TELVAS CT 40MG TABLET

1. Supports Blood Pressure Control: Telvas CT 40mg Tablet effectively lowers high blood pressure by combining Telmisartan, which relaxes and widens blood vessels, and Chlorthalidone, a diuretic that removes excess salt and water from the body.
2. Reduces Risk of Heart Attacks and Strokes: By maintaining stable blood pressure, this medicine helps lower the risk of serious cardiovascular events such as heart attacks and strokes.
3. Promotes Kidney Health: The combination supports kidney function by reducing fluid overload and protecting against hypertension-related kidney damage.
4. Dual-Action Formula for Enhanced Effectiveness: The synergistic effect of Telmisartan and Chlorthalidone provides comprehensive blood pressure management when monotherapy is insufficient.
5. Supports Long-Term Cardiovascular Wellness: Regular use as prescribed helps maintain heart and vascular health, reducing complications linked to uncontrolled hypertension.

How TELVAS CT 40MG TABLET Works

Telvas CT 40mg Tablet combines two active ingredients such as Telmisartan and Chlorthalidone that work together to support healthy blood pressure control and improve blood flow. 

Mechanism Behind Telvas CT 40mg Tablet

• Telmisartan acts by blocking the angiotensin II hormone, which normally narrows blood vessels. By inhibiting this hormone, Telmisartan helps blood vessels relax and widen, allowing blood to flow more easily and reducing pressure on artery walls.
• Chlorthalidone is a diuretic that promotes the removal of excess salt and water through urine. This action decreases fluid volume in the body, which contributes to lowering blood pressure and easing the workload on the heart.

Dual Action of Telmisartan and Chlorthalidone

Together, these components provide complementary effects: while Telmisartan targets vessel relaxation, Chlorthalidone reduces fluid overload. This dual mechanism helps regulate blood pressure more effectively, especially when a single medication is not sufficient.

Blood Vessel Relaxation and Diuresis Explained

The relaxation of blood vessels decreases resistance the heart must overcome to pump blood, improving circulation and reducing stress on vital organs. The diuretic effect helps maintain the right balance of fluids and electrolytes, supporting kidney health and reduce swelling related to fluid retention.

How to use TELVAS CT 40MG TABLET

How to Take Telvas CT 40mg Tablet

• Take Telvas CT 40mg Tablet exactly as advised by your doctor.
• Swallow the tablet whole with a glass of water. Do not chew, crush, or break it.
• You can take it with or without food but try to take the medicine at the same time every day to maintain consistent blood levels for best effect.
• Because it contains a diuretic that increases urination, avoid taking it within four hours of bedtime to control nighttime urination.

Dosage Instructions for Telvas CT 40mg Tablet

• The usual dose is one tablet once daily, but your healthcare provider will determine the exact dose and duration based on your condition and response.
• Do not alter your dose or stop taking the medicine without consulting your doctor, even if you feel well.

Administration Guidelines

• Always follow your doctor's instructions regarding dosage and timing.
• Store the tablets in a cool, dry place away from direct sunlight and out of reach of children.
• Inform your doctor about all other medications and health conditions you have before starting this medicine.

Tips for Consistent Use

• Take the medicine at the same time every day to help remember your dose.
• Use a daily pill organizer or set reminders on your phone to improve adherence.
• Attend regular check-ups with your healthcare provider to monitor your blood pressure and health status.
• Never stop or delay your medicine without medical advice, as consistent use is key to managing blood pressure effectively.

What if I forgot to take TELVAS CT 40MG 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 a double dose to make up for the missed one.

Side Effects Of TELVAS CT 40MG TABLET

Common side effects of Telvas CT 40mg Tablet:

• Dizziness
• Nausea
• Diarrhoea
• Headache
• Changes in blood lipid levels

When to consult your doctor?

• Signs of low potassium levels (hypokalemia) such as severe muscle weakness or cramps
• Rapid or irregular heartbeat, palpitations, or chest pain.
• Signs of low blood pressure such as extreme dizziness, fainting, or loss of balance
• Signs of severe allergic reactions such as rash, itching, swelling (especially of the face, tongue, or throat), or difficulty breathing.
• Persistent or worsening abdominal pain accompanied by nausea or vomiting.
• Unusual tiredness or weakness

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

• Stay Hydrated: Drink plenty of water throughout the day to help ease headache symptoms.
• Rest in a Quiet Environment: Minimize noise and bright lights by resting in a calm, dark room.
• Use Over-the-Counter Pain Relief: Consult your doctor about using mild pain relievers like acetaminophen to alleviate headaches.
• Avoid Stressful Activities: Limit activities that increase stress or physical exertion when experiencing headaches.
• Seek Medical Advice: Contact your healthcare provider if headaches become severe, persistent, or are accompanied by other symptoms.

Nausea And Vomiting

• Stay Hydrated: Sip fluids slowly, such as water, ginger tea, or clear soups to support hydration and reduce discomfort.
• Eat Small, Bland Meals: Choose light foods like crackers, toast, or plain rice to minimize stomach irritation.
• Avoid Strong Odors and Spicy Foods: These can worsen feelings of nausea and should be limited during symptoms.
• Rest and Relaxation: Rest in a comfortable position and avoid sudden movements to calm the digestive system.
• Seek Medical Advice: Consult a healthcare provider promptly if nausea is severe, persistent, or accompanied by vomiting.

Warning & Precautions

Pregnancy

Contraindicated

Consult your doctor before taking Telvas CT 40mg Tablet if you are pregnant, think you may be pregnant, or are planning to have a baby. This medicine is not recommended during pregnancy as it may cause harm to the unborn baby. 

Breastfeeding

Consult your doctor

If you are breastfeeding, consult your doctor before using this medicine. Telvas CT 40mg Tablet may pass into breast milk and could affect the baby.

Kidney

Use with Caution

TELVAS CT 40MG TABLET should be used with caution in patients undergoing haemodialysis and in patients with kidney problems such as decreased renal function, severe renal impairment, and nephrogenic diabetes insipidus. Consult your doctor if you have any kidney problems before taking this medicine.

Liver

Consult your doctor

TELVAS CT 40MG TABLET is not recommended for use in patients with severe liver impairment and should be taken with caution in patients with liver disease such as mild to moderate hepatic impairment. Consult your doctor before taking this medicine. 

Allergy

Contraindicated

Do not take Telvas CT 40mg Tablet if you are allergic to chlorthalidone or telmisartan, or any other ingredients in this medicine.

Heart Disease

Use with Caution

TELVAS CT 40MG TABLET should be used with caution in patients with heart diseases such as congestive heart failure. Consult your doctor before taking this medicine.

Use In Pediatrics

Use with Caution

Telvas CT 40mg Tablet should be used with caution in children and adolescents aged 6 to 18 years. It should only be used under strict medical supervision. Consult your paediatrician before giving it.

Use In Geriatrics

Use with Caution

Elderly patients aged above 65 years should use this medicine with caution and under medical advice. Consult your doctor before taking this medicine.

Who should not take TELVAS CT 40MG TABLET

Telvas CT 40mg Tablet is not recommended for use if you:

• have anuria (failure of kidneys to produce urine)

Drug - Drug interaction

1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) (e.g., ibuprofen, naproxen)
Interaction: Using NSAIDs with Telvas CT 40mg may reduce the blood pressure–lowering effect and raise the risk of kidney impairment.
Effects: Higher chance of increased blood pressure and kidney function deterioration, especially in elderly patients or those with pre-existing kidney disease.
Management: Monitor kidney function and blood pressure regularly; avoid chronic NSAID use when possible and consult the doctor about pain relief alternatives.

2. Lithium
Interaction: Telvas CT 40mg (contains chlorthalidone) reduces lithium excretion, raising the risk of lithium toxicity.
Effects: Signs such as nausea, tremor, confusion, or blurred vision may develop due to increased lithium levels.
Management: Regularly monitor lithium levels and clinical symptoms; dose reduction or stopping lithium may be necessary under medical supervision.

3. Potassium-Sparing Diuretics and Potassium Supplements (e.g., spironolactone, eplerenone, potassium chloride)
Interaction: Combined use with Telvas CT 40mg may increase potassium in the blood (hyperkalemia).
Effects: Early symptoms include muscle weakness and irregular heartbeat; severe cases can be life-threatening.
Management: Avoid using these together unless specifically advised by a healthcare provider; regular monitoring of blood potassium is essential.

4. Other Antihypertensives (e.g., ACE inhibitors like ramipril, beta-blockers like atenolol, calcium channel blockers like amlodipine)
Interaction: Taking with Telvas CT 40mg may excessively lower blood pressure or cause electrolyte imbalance.
Effects: Dizziness or fainting on standing, increased risk of low sodium or potassium.
Management: Doctor may adjust doses, recommend close blood pressure and electrolyte monitoring, and counsel on signs of hypotension.

5. Antidiabetics (e.g., metformin, glibenclamide, insulin)
Interaction: Can alter blood sugar control; chlorthalidone may decrease antidiabetic drug effectiveness, while combination with telmisartan can increase blood sugar lowering.
Effects: Possible rise in blood sugar (with diuretics) or, conversely, a higher risk of low blood sugar.
Management: Monitor blood glucose closely and report any symptoms like unusual tiredness, sweating, or shakes; medication adjustments may be required.

6. Cardiac Glycosides (e.g., digoxin)
Interaction: Electrolyte changes from chlorthalidone (especially low potassium or magnesium) can increase the risk of digoxin toxicity.
Effects: Symptoms may include nausea, visual changes, irregular heartbeat.
Management: Regular monitoring of blood potassium/magnesium levels and digoxin blood levels is essential.

7. Selective COX-2 Inhibitors (e.g., celecoxib, indometacin)
Interaction: May reduce the blood-pressure lowering effect and increase the risk of kidney problems.
Effects: Risk of elevated blood pressure, swelling, or worsening renal function.
Management: Use with caution, monitor blood pressure and kidney function, and inform the doctor before starting or stopping these medications.

8. Immunosuppressants (e.g., cyclosporin)
Interaction: Increased risk of kidney dysfunction and possible changes to the levels of immunosuppressant drugs.
Effects: May present as reduced urine, swelling, or increased blood creatinine.
Management: Regular monitoring of kidney function and drug levels is important; notify doctor of any unusual symptoms.

9. Corticosteroids (e.g., prednisolone)
Interaction: Can worsen electrolyte imbalances and reduce the effectiveness of Telvas CT 40mg in lowering blood pressure.
Effects: Increased sodium retention, risk of swelling, and possible rise in blood pressure.
Management: Doctor may recommend more frequent electrolyte monitoring and assess the need for dose adjustments.

10. Antifungals (e.g., amphotericin B) and Cytotoxic Agents (e.g., methotrexate)
Interaction: Combine with increased risk of electrolyte disturbances and kidney function impairment.
Effects: Dehydration, muscle cramps, irregular heartbeat.
Management: Periodic monitoring of electrolytes and kidney function is crucial; report new symptoms immediately.

Drug - Food interaction

1. Potassium-Rich Foods (e.g., bananas, oranges, coconut water, spinach)
Interaction: Consuming high-potassium foods along with Telvas CT 40mg may increase the risk of hyperkalemia (high blood potassium), especially due to the telmisartan content.
Effects: Symptoms may include muscle weakness, irregular heartbeat, or palpitations if potassium levels rise significantly.
Management: Avoid high-potassium foods unless prescribed by a doctor; regular potassium monitoring is advised if dietary intake is significant.

2. Potassium-Containing Salt Substitutes
Interaction: Using salt substitutes rich in potassium can further raise blood potassium when combined with Telvas CT 40mg.
Effects: Increased likelihood of hyperkalemia, which may lead to serious heart rhythm problems.
Management: Use only regular salt and avoid salt substitutes that contain potassium unless specifically authorized by a healthcare provider.

3. Alcoholic Beverages
Interaction: Alcohol may enhance the blood pressure–lowering effect of Telvas CT 40mg and increase the risk of dizziness, fainting, or dehydration.
Effects: Excessive drop in blood pressure, lightheadedness, risk of falls, especially when standing up quickly.
Management: Limit alcohol intake while on this medication and avoid activities requiring alertness if dizziness occurs.

4. Strict Low-Salt Diets
Interaction: Very strict low-salt diets while using Telvas CT 40mg may excessively lower blood pressure or upset electrolyte balance.
Effects: Potential risk of developing dangerously low blood pressure (hypotension) or electrolyte disturbances.
Management: Consult the doctor before making significant dietary changes; moderate salt reduction is usually sufficient for hypertension.

5. High-Sodium Processed Foods (e.g., canned foods, salted snacks, pickles)
Interaction: High sodium intake can reduce the effectiveness of Telvas CT 40mg in controlling blood pressure.
Effects: Blood pressure may not lower adequately and swelling may develop.
Management: Follow a moderate, heart-healthy low-sodium diet as recommended; avoid highly processed foods with excessive salt.

6. Grapefruit Juice
Interaction: No significant clinical interaction has been reported, but consuming large amounts may theoretically affect the absorption or metabolism of certain antihypertensives.
Effects: Generally safe, but moderate intake is advisable.
Management: Consume grapefruit juice in moderation unless instructed otherwise by a healthcare provider.

Synopsis

More Information

01. What practical lifestyle tips in diet, exercise, stress management, and weight control best complement Telvas CT 40mg for optimal heart and kidney health?

FAQs About TELVAS CT 40MG TABLET

Q: What is Telvas CT 40mg Tablet used for?

A: Telvas CT 40mg Tablet is used to manage high blood pressure (hypertension) and helps reduce the risk of heart attack, stroke, and related complications by helping to relax blood vessels and remove excess fluid from the body.

Q: How does Telvas CT 40mg Tablet work?

A: This tablet combines telmisartan, which relaxes blood vessels by blocking the effects of a hormone that causes constriction, and chlorthalidone, a diuretic that helps remove extra water and salt, thus lowering blood pressure.

Q: Can Telvas CT 40mg Tablet protect the kidneys?

A: Yes, by controlling blood pressure, Telvas CT 40mg Tablet helps preserve kidney function and may slow down the progression of kidney damage, especially in hypertensive patients.

Q: How should Telvas CT 40mg Tablet be taken for best results?

A: Swallow the tablet whole with water at the same time each day, with or without food, as prescribed by the doctor, without missing doses for effective blood pressure control.

Q: What should I do if I miss a dose of Telvas CT 40mg Tablet?

A: If a dose is missed, take it as soon as remembered, but skip it if it is almost time for the next dose, never double the dose to make up for a missed one.

Q: What are the common side effects of Telvas CT 40mg Tablet?

A: Common side effects include dizziness, frequent urination, back pain, stomach upset, headache, and tiredness. Severe or persistent symptoms should be reported to a healthcare provider.

Q: Who should avoid taking Telvas CT 40mg Tablet?

A: This medicine should not be used in pregnancy, while breastfeeding, or by those allergic to its ingredients, or having severe liver or kidney problems without clinical advice.

Q: Can Telvas CT 40mg Tablet be taken with other blood pressure medicines?

A: It can be combined with other antihypertensives if prescribed, but regular monitoring is necessary, as combination therapy may increase the risk of low blood pressure or electrolyte disturbances.

Q: Are there any foods or drinks to avoid while taking Telvas CT 40mg Tablet?

A: Limit intake of potassium-rich foods, avoid potassium-containing salt substitutes, and restrict alcohol to reduce the risk of unwanted effects like hyperkalemia or sudden drops in blood pressure.

Q: What should I discuss with my doctor before starting Telvas CT 40mg Tablet?

A: Inform the doctor about any other medicines being taken, existing health problems (such as kidney, liver, or heart disease), and if planning pregnancy or breastfeeding.

Q: How can I buy Telvas CT 40mg Tablets online from Netmeds?

A: To buy Telvas CT 40mg Tablet from Netmeds, search for Telvas CT 40mg Tablet using the Netmeds website or app, select your preferred pack size, and add it to your cart. Log in or register, upload a valid prescription, choose a delivery address, and complete your secure payment online. Once the order is placed, Netmeds will deliver the medicine direct to your doorstep after verifying the prescription.

References

1. KD Tripathi. Drugs Affecting Renin - Angiotensin System & Plasma Kinins and Antihypertensive Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 507,559.

2. Suresh V Sagarad, Sudha Biradar Kerure, Chaitanya Kumar S, and Ramakrishna MR. Sagarad  Kerure SB, Kumar S C, Mr R. The Antihypertensive Efficacy of Chlorthalidone and Telmisartan in Indian Hypertensive Patients who were Uncontrolled with Hydrochlorothiazide and Telmisartan Combination – A prospective and an open label study. NIH National Library of Medicine.  National center for biotechnology Information. February 2013. [Accessed on 5th January 2025] 

3. Mary M. Stephens, Beth A. Fox, and Lisa Maxwell. Therapeutic Options for the Treatment of Hypertension in Children and Adolescents. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. February 2012. [Accessed on 5th January 2025] 

4. Steris Healthcare PVT Ltd. Telmistrum CH 6.25.  [Accessed on 5th January 2025] 

5. Wonset Healthcare. TELVOK CH 20. [Accessed on 5th January 2025] 

6. Ipca Laboratories Ltd. CDT Tablet. [Accessed on 5th January 2025] 

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Author Details

Written By Srilekha. R - B.Pharm

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

Last updated on 21 Nov 2024 | 12:47 PM(IST)