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Manufacturer/Marketer :

Fidus Healthcare Llp

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Fytel 40 H Tablet

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

Fytel 40 H Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Hydrochlorothiazide (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Hydrochlorothiazide 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 stroke, heart attack and oedema (fluid retention).

You can take Fytel 40 H Tablet with food or empty stomach. It should be swallowed whole with a glass of water. Your doctor will advise you how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, feeling tired, nausea, diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Fytel 40 H 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 its salt substitutes, unless the doctor has told you. In rare cases, Fytel 40 H Tablet can cause a condition that results in the skeletal muscle problem, leading to further to 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. Do not use if you are pregnant, planning to get pregnant, stop taking Fytel 40 H Tablet and tell your doctor right away. Besides this, you should not use Fytel 40 H Tablet if you are unable to urinate. If you have diabetes, do not use Fytel 40 H Tablet with any medication that contains aliskiren (a blood pressure medicine). Before taking Fytel 40 H Tablet , tell your doctor 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 an allergy to penicillin or sulfa drugs.  

Uses of Fytel 40 H Tablet

Hypertension (high blood pressure)

Directions for Use

Fytel 40 H Tablet should not be used unless prescribed by a doctor. Always take Fytel 40 H Tablet exactly as your doctor told you. Your doctor will advise you how often you take your tablets based on your medical condition. Swallow Fytel 40 H Tablet with a full glass of water. If required tablets can be broken in half to give a smaller dose.

Medicinal Benefits

Fytel 40 H 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 that can raise high blood pressure.

Storage

Store in a cool and dry place away from sunlight
Side effects of Fytel 40 H Tablet
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
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.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
Here are the steps to manage the medication-triggered Sinusitis (Sinus infection or Inflammation Of Sinuses):
  • Consult your doctor if you experience symptoms of sinusitis, such as nasal congestion, facial pain, or headaches, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your sinusitis symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • If your doctor advises, you can use nasal decongestants or saline nasal sprays to help relieve nasal congestion and sinus pressure.
  • To help your body recover, get plenty of rest, stay hydrated, and engage in stress-reducing activities. If your symptoms persist or worsen, consult your doctor for further guidance.
  • Chest pain may last for a while and needs immediate medical attention as it is a significant health issue to be attended to.
  • Take rest and refrain from doing physical activity for a while, and restart after a few days.
  • Try applying an ice pack to the strained area for at least 20 minutes thrice a day. Ice pack thus helps reduce inflammation.
  • Sit upright and maintain proper posture if there is persistent chest pain. • Use extra pillows to elevate your position and prop your chest up while sleeping.
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.

Drug Warnings

Fytel 40 H Tablet should not be given to the people allergic to Fytel 40 H Tablet , 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 suffering from 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). Fytel 40 H Tablet can pass into breast milk, but its effect on the baby is not known. So, it is better to tell your doctor if you are taking Fytel 40 H Tablet and breastfeeding.

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
TelmisartanSpironolactone
Severe

Drug-Drug Interactions

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

How to manage the interaction:
Taking Fytel 40 H 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.
TelmisartanSpironolactone
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking spironolactone with Fytel 40 H Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Fytel 40 H Tablet can be taken with spironolactone 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.
TelmisartanTizanidine
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking tizanidine with Fytel 40 H Tablet may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Fytel 40 H Tablet can be taken with tizanidine if prescribed by your doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Be cautious when getting up from a sitting or lying position. Do not discontinue the medications without consulting a doctor.
TelmisartanPotassium acetate
Severe
How does the drug interact with Fytel 40 H Tablet:
Co-administration of Potassium acetate can make Fytel 40 H Tablet more likely to cause high levels of potassium in the blood.

How to manage the interaction:
Although taking Potassium acetate and Fytel 40 H 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.
TelmisartanPotassium iodide
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking Potassium Iodide with Fytel 40 H Tablet can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Fytel 40 H 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.
TelmisartanLithium
Severe
How does the drug interact with Fytel 40 H Tablet:
Co-administration of Fytel 40 H Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Fytel 40 H 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.
TelmisartanPerindopril
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking perindopril with Fytel 40 H 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, Fytel 40 H 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.
TelmisartanRamipril
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking ramipril with Fytel 40 H 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, Fytel 40 H Tablet can be taken with ramipril 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.
TelmisartanPotassium citrate
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking Potassium citrate with Fytel 40 H Tablet together may increase potassium levels in the blood, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm.

How to manage the interaction:
Although taking Potassium citrate with Fytel 40 H Tablet together can possibly result in an interaction, it can be taken if a doctor has advised it. 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 essential to maintain proper fluid intake while taking these medications. It is advised to reduce the intake of potassium-rich foods. Do not discontinue any medications without a doctor's advice.
TelmisartanTrimethoprim
Severe
How does the drug interact with Fytel 40 H Tablet:
Taking trimethoprim with Fytel 40 H Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Fytel 40 H 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.

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-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:
Consuming potassium-rich foods may cause high levels of potassium. Avoid potassium-containing salt substitutes or over-the-counter potassium supplements while on treatment with Fytel 40 H Tablet. Consult the doctor if you experience symptoms of high levels of potassium such as weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs.

Diet & Lifestyle Advise

  • Keep your weight under control with BMI 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 for men 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 can help in lowering your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Fytel 40 H Tablet Substitute

Substitutes safety advice
  • Aquris Telartan Hyd-40 Tablet 10's

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    20.13per tablet
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    8.10per tablet
  • Tazloc-H 40 Tablet 10's

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    15.39per tablet
  • Telvas H 40/12.5 Tablet 10's

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    8.28per tablet

Drug-Diseases Interactions

verifiedApollotooltip
HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGUnspecified diabetes mellitus
Severe
HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGAdverse effects, not elsewhere classified
Severe

Drug-Diseases Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGUnspecified diabetes mellitus
Severe
How does the disease interact with Fytel 40 H Tablet:
In people with diabetes, it is not recommended to combine certain angiotensin II receptor blockers with aliskiren.

How to manage the interaction:
Angiotensin II receptor blocker agents are contraindicated in patients with diabetes.
HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGAdverse effects, not elsewhere classified
Severe
How does the disease interact with Fytel 40 H Tablet:
Patients having a history of angioedema brought on by prior treatment with an ACE inhibitor or an angiotensin II receptor blocker (ARB), as well as those with hereditary angioedema, should not use these medications.

How to manage the interaction:
The use of these agents is contraindicated in patients with a history of angioedema. Consult the doctor immediately if you notice symptoms of angioedema like swelling of face, extremities, eyes, lips, or tongue, or difficulty swallowing or breathing.
HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGHypotension
Severe
How does the disease interact with Fytel 40 H Tablet:
Patients with an active renin-angiotensin system, such as those who are volume- and/or sodium-depleted patients, are susceptible to symptoms of hypotension brought on by angiotensin II receptor (AR) antagonists. Patients with these conditions, as well as those who are susceptible to hypovolemic or hyponatremic situations, should receive therapy with AR antagonists with caution.

How to manage the interaction:
Therapy should be administered cautiously in such patients on diuretic therapy, especially if high doses were used or if recently instituted; those on dietary salt restriction; renal dialysis patients.

FAQs

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 to discontinue it.

Yes, Fytel 40 H Tablet can cause ankle swelling in some cases which can be due to oedema (fluid retention). If you feel the swelling is persistent, please inform your doctor.

Fytel 40 H 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.

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

You should not take Fytel 40 H 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 Fytel 40 H Tablet (in case of diabetes) with aliskiren (a blood pressure medicine) as it can lead to a life-threatening condition.

In case, you have missed a dose of Fytel 40 H 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 the doses together. Take only one dose, taking a double dose of Fytel 40 H Tablet will lead to low blood pressure.

No, it is not recommended to take Fytel 40 H Tablet if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity).

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

Drug-Drug Interactions Checker List

  • LITHIUM
  • DIGOXIN
  • METFORMIN
  • INSULIN HUMAN
  • SILDENAFIL
  • SIMVASTATIN
  • ENALAPRIL
  • LISINOPRIL
  • RAMIPRIL

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 the pressure 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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