Telma NB Tablet 10's

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Reviewed By Sunny S , MBBS

MRP ₹215.5

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About Telma NB Tablet

Telma NB Tablet belongs to a class of medications called 'Anti hypertensives' primarily used to treat high blood pressure.Telma NB Tablet is a combination of two drugs namely Nebivolol (Beta-blocker) & telmisartan (Angiotensin receptor blocker). Hypertension or high blood pressure is a chronic condition in which the force exerted by the blood against the artery wall is high. As a result, it leads to heart disease, irregular heartbeat, and other complications.

Telma NB Tablet is a combination of two medicines: Nebivolol & telmisartan, which help lower raised blood pressure effectively. Nebivolol is a blood pressure-lowering drug that belongs to a class of beta blockers. it works by relaxing blood pressure & slowing heart rate to improve blood circulation and decrease blood pressure. Telmisartan is an angiotensin receptor blocker (ARB). It works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Together, they are used to treat patients with hypertension who cant be treated with a single drug.

You can take Telma NB Tablet with food or without food. It should be swallowed with a glass of water. Do not chew, bite or break it. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience headache, nausea, dizziness, increased potassium level, Swollen legs, ankles, or feet, and low blood pressure. Most of these side effects of Telma NB Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine on your own. Let your doctor know about this, as it may cause a rise in blood pressure and can increase the risk of getting heart disease and stroke. Inform your doctor if you are suffering from any kidney or liver or heart disease or are diabetic. If you are pregnant or breastfeeding, please tell your doctor so that the dosage of Telma NB Tablet can be prescribed accordingly. It should not be given to children less than 12 years of age. Do not use Telma NB Tablet if you have low blood pressure (hypotension), or cardiogenic shock (sudden stopping of blood flow to the heart). Please tell your doctor if you are taking any other medicines or are allergic to Telma NB Tablet . Reducing the amount of table salt (sodium chloride) in your food often relieves the body's swelling. It would be best to have regular potassium and electrolytes level check-ups while taking Telma NB Tablet to prevent any complications

Uses of Telma NB Tablet

Hypertension (high blood pressure).

Directions for Use

Take Telma NB Tablet with or without food as directed by your doctor. Swallow it as a whole with a glass of water. Do not crush, chew, or break it.

Medicinal Benefits

Telma NB Tablet is primarily used to treat hypertension (high blood pressure). It is a combination of two medicines: Nebivolol & telmisartan which help lower raised blood pressure effectively. Nebivolol is a beta blocker that works specifically on the heart to reduce heart rate and lower blood pressure. Telmisartan is an angiotensin receptor blocker (ARB), that helps in relaxing our blood vessels by blocking the action of certain natural substances (angiotensin) in your body. This lowers your blood pressure and reduces your risk of having a future stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

Side effects of Telma NB Tablet

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.

Shortness Of Breath

Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):

Tell your doctor immediately if you experience shortness of breath after taking medication.
Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.

Excessive Sweating

Always wear loose-fitting clothes which are suitable for your activity.
Include the diet containing fruits like watermelon, grapes, bananas and green leafy vegetables.
Drink plenty of water stay hydrated.
Avoid moving more and staying in hot sun.

Muscle Pain

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.

Constipation

Here are the steps to cope with constipation as a side effect of medication:

Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Common Cold

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.

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

Talk to your doctor if you are a patient of any of the following conditions or illnesses:

Diabetes.
Kidney disease or a kidney transplant.
Liver disease.
Heart trouble.
Raised aldosterone levels (water and salt retention in the body)
Imbalance of various blood minerals.
Renal artery stenosis (narrowing of the blood vessels to one or Both kidneys).
Low blood pressure (hypotension), likely to occur if you are dehydrated (excessive loss of body water) or have salt deficiency due to diuretic therapy, low salt diet, diarrhea, or vomiting.
Elevated potassium levels in your blood.
Poor blood circulation which makes the toes and fingers numb and pale (Raynaud’s disease).
A type of chest pain due to spontaneously occurring heart cramp called Prinzmetal angina.
Pain, tension, and weakness in the legs when walking which is relieved by rest (intermittent claudication).
Recurrent and continuous obstruction of your airways such as chronic bronchitis.

Drug-Drug Interactions

TelmisartanAliskiren

Critical

TelmisartanSpironolactone

Severe

Drug-Drug Interactions

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TelmisartanAliskiren

Critical

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

How to manage the interaction:
Taking Telma NB 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 Telma NB Tablet:
Taking spironolactone with Telma NB Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Telma NB 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.

TelmisartanAmiloride

Severe

How does the drug interact with Telma NB Tablet:
Co-administration of amiloride with Telma NB 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.

TelmisartanPerindopril

Severe

How does the drug interact with Telma NB Tablet:
Taking perindopril with Telma NB 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, Telma NB 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.

TelmisartanEluxadoline

Severe

How does the drug interact with Telma NB Tablet:
Co-administration of Telma NB Tablet increases levels of eluxadoline by increasing metabolism.

How to manage the interaction:
Taking Telma NB 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.

TelmisartanPotassium citrate

Severe

How does the drug interact with Telma NB Tablet:
Taking Potassium citrate with Telma NB 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 Telma NB 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.

TelmisartanLisinopril

Severe

How does the drug interact with Telma NB Tablet:
Taking lisinopril with Telma NB Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Telma NB 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.

TelmisartanPotassium iodide

Severe

How does the drug interact with Telma NB Tablet:
Taking Potassium Iodide with Telma NB Tablet can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Telma NB 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 Telma NB Tablet:
Co-administration of Telma NB Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Telma NB 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.

TelmisartanQuinapril

Severe

How does the drug interact with Telma NB Tablet:
Taking quinapril with Telma NB 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, Telma NB Tablet can be taken with quinapril 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.

Drug-Food Interactions

NEBIVOLOL-5MG+TELMISARTAN-40MGPotassium rich foods

Moderate

Drug-Food Interactions

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NEBIVOLOL-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:
When Telma NB Tablet is taken along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid taking potassium-containing salt substitutes or over-the-counter potassium supplements with Telma NB Tablet as this can lead to high potassium levels in the blood. However, consult a doctor if you experience 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 (Body Mass Index) 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.
Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
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.

Side Effects of Telma NB Tablet

Headache
Dizziness
Weakness
Upset stomach
Cold feet /hands
Nightmares
Forgetfulness
Increased potassium level in blood
Slow heart rate
Decreased blood pressure

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

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Author Details

Reviewed By

Sunny S

MBBS

Last Updated

Jul 8, 2025 | 9:31 AM IST

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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 we stop taking this drug by ourselves?

Strictly not recommended as the drug is recommended for a long term disease called hypertension thus doctors consultation is required.

What to do if i miss a dose?

If a dose is missed take the missed dose as soon as possible and never take double dose at a time to make up for the missed dose.

Can we use this drug in a diabetic patient?

This drug to be used in a diabetic patient unless your doctor recommends otherwise as the drug can mask the symptoms which depict higher levels of sugar in diabetic patient.

What if i take more than recommended by doctor, accidently?

Taking too much Telma NB Tablet may make you feel dizzy or like your heart is beating too fast or too slow. If you think that you’ve taken too much, call your doctor or go to the emergency hospital right away.

Can Telma NB Tablet be harmful if taken for long courses?

No, different studies carried out by health professionals on this drug & its long term effects have found its beneficial effects to be more (heart and associated blood vessels) as compared to few rare side effects that are found with this drugs use.

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Special Advise

Quit smoking & drinking.
strictly follow the treatment course as per doctors recommendation.
Reduce your stress & avoid taking caffeine based products.

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. When the blood pressure is elevated, the force the blood puts on the walls of the arteries is high and can lead to artery damage. Also, when the heart muscle has to pump blood against high blood pressure, it thickens and enlarges, just like any muscle does when it has to do more work Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Hypertension develops slowly over the years and frequently does not cause any symptoms until something severe happens such as a heart attack, stroke, or heart failure. Fortunately, hypertension is easily diagnosed and treated to help prevent this from happening.