Alvitel CH 40 Tablet 10's

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Reviewed By Sunny S , MBBS

MRP ₹135

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About Alvitel CH 40 Tablet

Alvitel CH 40 Tablet belongs to the class of anti-hypertensives primarily taken to treat hypertension (high blood pressure). Hypertension or high blood pressure is a life-long or chronic condition in which the blood pressure against the artery wall becomes too high. It can lead to the risk of heart diseases, like heart attack and stroke.

Alvitel CH 40 Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Chlorthalidone is a diuretic that prevents absorption of excess salt in the body, preventing fluid retention. Together it lowers blood pressure and prevents the risk of any future stroke, heart attack, and oedema (fluid retention).

You can take Alvitel CH 40 Tablet with food or an empty stomach. It should be swallowed whole with a glass of water. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Alvitel CH 40 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use potassium supplements or salt substitutes unless the doctor has told you. In rare cases, Alvitel CH 40 Tablet can cause a condition that results in a skeletal muscle problem, leading to further kidney failure. If you notice unexplained muscle pain, dark colour urine, tenderness, or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor. If you suspect pregnancy while taking Alvitel CH 40 Tablet , tell your doctor right away. Alvitel CH 40 Tablet should not be taken if you are breastfeeding as Alvitel CH 40 Tablet can pass into breast milk, so before starting Alvitel CH 40 Tablet , you need to stop nursing or do not take Alvitel CH 40 Tablet while breastfeeding. Besides this, you should not use the Alvitel CH 40 Tablet if you are unable to urinate. If you have diabetes, do not use Alvitel CH 40 Tablet with any medication that contains aliskiren (a blood pressure medicine). Before taking Alvitel CH 40 Tablet , tell your doctor if you have ever had liver disease, kidney failure, glaucoma (increased eye pressure), high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or an allergy to penicillin or sulfa drugs.

Uses of Alvitel CH 40 Tablet

Hypertension (high blood pressure)

Directions for Use

Take Alvitel CH 40 Tablet as advised by the doctor. Swallow it as a whole with a glass of water. Do not break, crush or chew it.

Medicinal Benefits

Alvitel CH 40 Tablet belongs to the class of anti-hypertensives primarily taken to treat hypertension (high blood pressure). Alvitel CH 40 Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Alvitel CH 40 Tablet works by relaxing and widening the blood vessels (arteries), making the heart more efficient at pumping blood throughout the body. It helps to lower high blood pressure, thus reduces the chances of future heart attack and stroke. Besides this, it prevents excessive water and electrolytes (like sodium, potassium, etc.) from the body through urine which can otherwise raise high blood pressure. In addition to this, Alvitel CH 40 Tablet also reduces the future risk of any stroke or heart attack.

Storage

Keep Alvitel CH 40 Tablet out of the sight and reach of children.

Side effects of Alvitel CH 40 Tablet

Swelling In The Feet And Ankles

Wear compression garments like stockings, sleeves, or gloves to apply pressure and help stop fluid from building up, especially after the swelling goes down.
Move around and do exercises to help the fluid circulate, especially in swollen limbs. Ask your doctor for specific exercises.
Raise the swollen area above your heart level several times a day, even while sleeping, to help reduce swelling.
Gently massage the swollen area with firm but not painful pressure.
Keep the swollen area clean and moisturized to prevent injury and infection.
Reduce salt intake to help prevent fluid from building up and worsening the swelling, as advised by a doctor.
If the swelling does not get better after a few days of home treatment or worsens, consult your doctor right away.

Swelling

Reduce salt intake to minimize fluid buildup.
Use compression stockings, sleeves, or gloves.
Gently massage the affected area towards the heart.
Protect the swollen area from injury and keep it clean.
Use lotion or cream to keep the skin moisturized.

Fatigue

Rest well; get enough sleep.
Eat a balanced diet and drink enough water.
Manage stress with yoga and meditation.
Limit alcohol and caffeine.
Physical activities like walking or jogging might help boost energy and make you feel less tired.

Dizziness

Here are the 7 steps to manage Dizziness caused by medication:

Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
When standing up, do so slowly and carefully to avoid sudden dizziness.
Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Headache

Dealing with Medication-Induced Headache:

Hydrate your body: Drink enough water to prevent dehydration and headaches.
Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
Take rest: lie down in a quiet, dark environment.
Cold or warm compresses can help reduce tension.
Stay Upright: Maintain good posture to keep symptoms from getting worse.
To treat headaches naturally, try acupuncture or massage therapy.
Over-the-counter pain relievers include acetaminophen and ibuprofen.
Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
Frequent Headaches: If you get reoccurring headaches, consult your doctor.
Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

Drowsiness

Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.

Back Pain

Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:

Talk to your doctor about your back pain and potential medication substitutes or dose changes.
Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
To lessen the tension on your back, sit and stand upright and maintain proper posture.
To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
Back discomfort can worsen by bending, twisting, and heavy lifting.
Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

Drug Warnings

Alvitel CH 40 Tablet should not be given to the people allergic to Alvitel CH 40 Tablet or any of its ingredients, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women, or planning to get pregnant and breastfeeding women. It should be used with caution in patients who have diabetes. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem). Alvitel CH 40 Tablet can pass into breast milk, so before starting Alvitel CH 40 Tablet , either you need to stop nursing, or you should not take Alvitel CH 40 Tablet while breastfeeding. If you have anuria (non-passage of urine), please do not take Alvitel CH 40 Tablet as it is contra-indicated in it and may lead to further complications.

Drug-Drug Interactions

AmlodipineDantrolene

Critical

TelmisartanAliskiren

Critical

Drug-Drug Interactions

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AmlodipineDantrolene

Critical

How does the drug interact with Alvitel CH 40 Tablet:
Using Alvitel CH 40 Tablet together with dantrolene may increase the risk of hyperkalemia (high blood potassium).

How to manage the interaction:
Taking Alvitel CH 40 Tablet with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.

TelmisartanAliskiren

Critical

How does the drug interact with Alvitel CH 40 Tablet:
Co-administration of Aliskiren with Alvitel CH 40 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Alvitel CH 40 Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.

AmlodipineTizanidine

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Co-administration of Tizanidine and Alvitel CH 40 Tablet can increase the risk or severity of developing side effects like low blood pressure.

How to manage the interaction:
Although co-administration of Alvitel CH 40 Tablet with tizanidine can result in an interaction, it can be taken when a doctor has advised it. However, if you experience headache, dizziness, palpitations, or irregular heart rate while taking these drugs, contact the doctor immediately. Use caution while getting up from a sitting or sleeping position and avoid driving or using dangerous machinery. Do not discontinue any medications without consulting the doctor.

AmlodipineDolasetron

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Using dolasetron together with Alvitel CH 40 Tablet can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
There may be a possibility of interaction between Alvitel CH 40 Tablet and Dolasetron, but it can be taken if prescribed by a doctor. If you have any of these symptoms, like feeling dizzy, lightheaded, or your heart beating irregularly, it's important to call a doctor right away. Do not stop using any medications without a doctor's advice.

AmlodipineNitisinone

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Coadministration of Alvitel CH 40 Tablet and Nitisinone may increase the blood levels and effects of Nitisinone.

How to manage the interaction:
Taking Nitisinone with Alvitel CH 40 Tablet together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms or if you feel unwell after taking your medication, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.

AmlodipinePrimidone

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Using Alvitel CH 40 Tablet and primidone together may lower Alvitel CH 40 Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Alvitel CH 40 Tablet with primidone can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

AmlodipineFosphenytoin

Severe

How does the drug interact with Alvitel CH 40 Tablet:
When Alvitel CH 40 Tablet is taken with Fosphenytoin, it may decrease the blood levels of Alvitel CH 40 Tablet, which may make Alvitel CH 40 Tablet less effective.

How to manage the interaction:
Although taking Alvitel CH 40 Tablet and Fosphenytoin together can cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without a doctor's advice.

AmlodipineEnzalutamide

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Using a combination of Alvitel CH 40 Tablet and enzalutamide may drastically lower Alvitel CH 40 Tablet blood levels, making the medicine less effective.

How to manage the interaction:
Taking Alvitel CH 40 Tablet with enzalutamide can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

AmlodipineItraconazole

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Coadministration of Alvitel CH 40 Tablet with itraconazole may significantly raise the blood levels and effects of Alvitel CH 40 Tablet.

How to manage the interaction:
Alvitel CH 40 Tablet and itraconazole may interact, but if prescribed by a doctor, they can be used together. Consult a doctor if you develop chest discomfort, trouble breathing, dizziness or fainting, swelling of the hands, ankles, or feet, or any other of these symptoms. Without consulting a doctor, never stop taking any medication.

AmlodipineIdelalisib

Severe

How does the drug interact with Alvitel CH 40 Tablet:
Coadministration of Alvitel CH 40 Tablet and Idelalisib may raise Alvitel CH 40 Tablet levels in the blood this may lead to serious side effects (irregular heart rhythm, fluid retention, swelling, heart failure, and abnormally low blood pressure).

How to manage the interaction:
Although taking Alvitel CH 40 Tablet with idelalisib can result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness or fainting, sudden, unexplained weight gain, swelling of the hands, ankles, or feet, chest discomfort, or trouble breathing while taking these drugs, consult the doctor. Use caution while getting up from a sitting or sleeping position and avoid driving or using dangerous machinery. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

CHLORTHALIDONE-12.5MG+TELMISARTAN-40MGPotassium rich foods

Moderate

Drug-Food Interactions

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CHLORTHALIDONE-12.5MG+TELMISARTAN-40MGPotassium rich foods

Moderate

Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Taking Alvitel CH 40 Tablet with potassium-containing salt substitutes or potassium supplements can cause high levels of potassium in the blood. Avoid taking potassium-containing salt substitutes or potassium supplements while being treated with Alvitel CH 40 Tablet.

Diet & Lifestyle Advise

Keep your weight under control with a BMI of 19.5-24.9.
Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
Limit intake of sodium chloride (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
If you are taking alcohol, then only one serving for women and two servings is advisable.
Quitting smoking is the best strategy to lower the risk of heart disease.
Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress and practice mindfulness techniques.
Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
Try to include heart-healthy omega-3 fatty acids containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

Side Effects of Alvitel CH 40 Tablet

Dizziness
Feeling tired
Nausea
Skin ulcers
Diarrhoea
Back pain
Cold/flu symptoms

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

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Drug-Diseases Interactions

No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Can I stop taking Alvitel CH 40 Tablet when my blood pressure is under control?

No, you are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend discontinuing it.

For how long can Alvitel CH 40 Tablet be taken?

Alvitel CH 40 Tablet can be safely taken as long as your doctor has prescribed it to you. Conditions such as high blood pressure are life-long conditions, and one should not abruptly discontinue it without discussing it with a doctor.

Can I take Alvitel CH 40 Tablet in pregnancy?

It is not recommended to take Alvitel CH 40 Tablet if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity). It contains telmisartan, a category D pregnancy drug, and it is harmful to the baby.

Can use of Alvitel CH 40 Tablet cause dizziness?

Yes, Alvitel CH 40 Tablet can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Alvitel CH 40 Tablet . In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.

Are there any specific contraindications associated with Alvitel CH 40 Tablet ?

You should not take Alvitel CH 40 Tablet if you have ever had liver disease, kidney failure, glaucoma, high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or allergic to penicillin or sulfa drugs, anuria (reduction or absence of urine) and pregnant women in their second or third trimesters. Besides this, avoid using Alvitel CH 40 Tablet (in case of diabetes) with aliskiren (a blood pressure medicine) as it can lead to a life-threatening condition.

What should I do if I miss a dose of Alvitel CH 40 Tablet ?

In case you have missed a dose of Alvitel CH 40 Tablet , you are advised to take it as soon as you remember. However, try not to miss a dose in the first place; if it's time for you to take your next dose, then do not take both doses together. Take only one dose; taking a double dose of Alvitel CH 40 Tablet will lead to low blood pressure.

Can Alvitel CH 40 Tablet cause increased blood potassium level?

Yes, prolonged intake of Alvitel CH 40 Tablet can cause an increase in blood potassium level. So, patients taking Alvitel CH 40 Tablet should avoid taking supplements and food rich in potassium to avoid any unpleasant side-effect.

Can Alvitel CH 40 Tablet effect fertility or sex life?

Alvitel CH 40 Tablet contains a diuretic (chlorthalidone) which may affect a man's ability to maintain or gain an erection (erectile dysfunction). However, if you have any problem, you can consult your doctor, and accordingly, your medicine can be changed as other blood pressure-lowering medication does not affect erection.

Drug-Drug Interactions Checker List

LITHIUM
DIGOXIN
ASPIRIN
METFORMIN
INSULIN
SILDENAFIL
SIMVASTATIN
CYCLOSPORINE
ATENOLOL
ALISKIREN
ENALAPRIL
LISINOPRIL
RAMIPRIL
METOPROLOL
IBUPROFEN

Special Advise

Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
Get up slowly while rising from lying or sitting position as Alvitel CH 40 Tablet may cause dizziness.

Disease/Condition Glossary

Hypertension: It is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.