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Reviewed By Sunny S , MBBS
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Manufacturer/Marketer

Unichem Internation

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Apr-24

for this medicine

About Bitelsar 40 mg Tablet 10's

Bitelsar 40 mg Tablet 10's 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.

Bitelsar 40 mg Tablet 10's 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 Bitelsar 40 mg Tablet 10's 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 Bitelsar 40 mg Tablet 10's 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, Bitelsar 40 mg Tablet 10's 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 Bitelsar 40 mg Tablet 10's, tell your doctor right away. Bitelsar 40 mg Tablet 10's should not be taken if you are breastfeeding as Bitelsar 40 mg Tablet 10's can pass into breast milk, so before starting Bitelsar 40 mg Tablet 10's, you need to stop nursing or do not take Bitelsar 40 mg Tablet 10's while breastfeeding. Besides this, you should not use the Bitelsar 40 mg Tablet 10's if you are unable to urinate. If you have diabetes, do not use Bitelsar 40 mg Tablet 10's with any medication that contains aliskiren (a blood pressure medicine). Before taking Bitelsar 40 mg Tablet 10's, 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 Bitelsar 40 mg Tablet 10's

Hypertension (high blood pressure)

Directions for Use

Take Bitelsar 40 mg Tablet 10's as advised by the doctor. Swallow it as a whole with a glass of water. Do not break, crush or chew it.

Medicinal Benefits

Bitelsar 40 mg Tablet 10's belongs to the class of anti-hypertensives primarily taken to treat hypertension (high blood pressure). Bitelsar 40 mg Tablet 10's is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Bitelsar 40 mg Tablet 10's 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, Bitelsar 40 mg Tablet 10's also reduces the future risk of any stroke or heart attack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Bitelsar 40 mg Tablet 10's

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

Drug Warnings

Bitelsar 40 mg Tablet 10's should not be given to the people allergic to Bitelsar 40 mg Tablet 10's 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). Bitelsar 40 mg Tablet 10's can pass into breast milk, so before starting Bitelsar 40 mg Tablet 10's, either you need to stop nursing, or you should not take Bitelsar 40 mg Tablet 10's while breastfeeding. If you have anuria (non-passage of urine), please do not take Bitelsar 40 mg Tablet 10's as it is contra-indicated in it and may lead to further complications.

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
chlorthalidoneCisapride
Critical

Drug-Drug Interactions

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

How to manage the interaction:
Taking Bitelsar 40 mg 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.
chlorthalidoneCisapride
Critical
How does the drug interact with Bitelsar 40 mg Tablet:
Co-administration of Bitelsar 40 mg Tablet and cisapride may increase the risk or severity of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Bitelsar 40 mg Tablet with Cisapride is not recommended, please consult your doctor before taking it. Do not discontinue the medication without consulting a doctor.
TelmisartanAmiloride
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Co-administration of amiloride with Bitelsar 40 mg Tablet may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm).

How to manage the interaction:
Although there is a possible interaction, amiloride may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is important to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
TelmisartanLithium
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Co-administration of Bitelsar 40 mg Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Bitelsar 40 mg Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.
TelmisartanLisinopril
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Taking lisinopril with Bitelsar 40 mg Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Bitelsar 40 mg Tablet can be taken with lisinopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications.
TelmisartanPerindopril
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Taking perindopril with Bitelsar 40 mg Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Bitelsar 40 mg Tablet can be taken with perindopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanBenazepril
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Taking Bitelsar 40 mg Tablet with benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Bitelsar 40 mg Tablet can be taken with benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medication without consulting a doctor.
TelmisartanEluxadoline
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Co-administration of Bitelsar 40 mg Tablet increases levels of eluxadoline by increasing metabolism.

How to manage the interaction:
Taking Bitelsar 40 mg Tablet with Eluxadoline together can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not discontinue any medications without consulting a doctor.
TelmisartanTrimethoprim
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Taking trimethoprim with Bitelsar 40 mg Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Bitelsar 40 mg Tablet and trimethoprim, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, and a weak pulse. Do not discontinue the medications without consulting a doctor.
TelmisartanPotassium acetate
Severe
How does the drug interact with Bitelsar 40 mg Tablet:
Co-administration of Potassium acetate can make Bitelsar 40 mg Tablet more likely to cause high levels of potassium in the blood.

How to manage the interaction:
Although taking Potassium acetate and Bitelsar 40 mg Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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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 Bitelsar 40 mg Tablet along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid high potassium rich food while taking Bitelsar 40 mg Tablet as it can possibly result in an interaction. However, consult a doctor if you experience weakness, irregular heartbeat, confusion and feelings of heaviness in the legs.

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.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Bitelsar 40 mg Tablet 10's Substitute

Substitutes safety advice
  • Telma-CT 40/12.5 Tablet 15's

    by AYUR

    17.73per tablet
  • Tazloc CT 40 Tablet 10's

    by Others

    14.90per tablet
  • Eritel CH 40 Tablet 15's

    by Others

    15.24per tablet
  • CTD-T 12.5/40 Tablet 15's

    by Others

    16.95per tablet
  • Tellzy-CH 40 Tablet 15's

    by Others

    18.15per tablet

Drug-Diseases Interactions

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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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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 Bitelsar 40 mg Tablet 10's 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.

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