Telmisartan+amlodipine+hydrochlorothiazide
About
Telmisartan+amlodipine+hydrochlorothiazide belongs to the class of anti-hypertensives and is primarily taken for the treatment of hypertension (high blood pressure). 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 diseases, irregular heartbeat, and other complications. Oedema may occur in case of high blood pressure where fluids of the body get trapped in the tissues of the hands, arms, feet, ankles, and legs leading to its swelling.
Telmisartan+amlodipine+hydrochlorothiazide is a combination of Telmisartan, Amlodipine, and Hydrochlorothiazide which are antihypertensive medicines. Telmisartan is an angiotensin receptor blocker and works by blocking the action of certain substances that are responsible for tightening the blood vessels. It allows the blood to flow more smoothly and makes the heart more efficient at pumping blood throughout the body. Amlodipine is a calcium channel blocker and works by relaxing and widening the blood vessels. Hydrochlorothiazide is a diuretic and its function is to remove extra water and certain electrolytes from the body through urine. Telmisartan+amlodipine+hydrochlorothiazide helps to lower high blood pressure thus reducing the chances of future heart attack and stroke.
You can take Telmisartan+amlodipine+hydrochlorothiazide with food or without food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it. Your doctor will guide you on how to take tablets based on your medical condition. In some cases, you may experience ankle swelling, headache, dizziness, tiredness, taste change, muscle weakness, dry mouth, and extreme thirst. Most of these side effects of Telmisartan+amlodipine+hydrochlorothiazide do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Don't stop taking $ name without your doctor's advice. Sudden Stopping Telmisartan+amlodipine+hydrochlorothiazide may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. It is advised to drink plenty of fluids while taking this medicine to overcome dry mouth and extreme thirst.
Uses of Telmisartan+amlodipine+hydrochlorothiazide
Medicinal Benefits
When you take Telmisartan+amlodipine+hydrochlorothiazide, it works by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body. It helps to lower high blood pressure thus reducing the chances of future heart attack and stroke. It removes the extra water and certain electrolytes from the body through urine.
Directions for Use
Storage
Side Effects of Telmisartan+amlodipine+hydrochlorothiazide
- Sleepiness
- Ankle swelling
- Headache
- Flushing
- Dizziness
- Tiredness
- Palpitations
- Stomach upset
In-Depth Precautions and Warning
Drug Warnings
Telmisartan+amlodipine+hydrochlorothiazide should be used with extreme caution in patients with liver, kidney, cardiovascular diseases and diabetic patients. Use only if the potential benefit justifies the potential risk. please consult your doctor, Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Drug Interactions
Drug-Drug Interaction: This medicine may have an interaction with medicines used to treat mood disorders (lithium), medicines used to treat heart disorders (digoxin) antidiabetic medicines (metformin), medicines used to treat erectile dysfunction (sildenafil), medicines used to lower cholesterol levels (simvastatin), ACE-inhibitor (enalapril, lisinopril, ramipril), medicines used for immunosuppression (cyclosporine), and other anti-hypertensive medicines (aliskiren).
Drug-Food Interaction: Telmisartan+amlodipine+hydrochlorothiazide may interact with a multi-mineral or other herbal/ayurvedic supplements. So, if you are using any of the OTC items please tell your doctor. It is advised to limit the intake of salt in the diet.
Drug-Disease Interaction: The efficacy of Telmisartan+amlodipine+hydrochlorothiazide is affected and the disease condition may even worsen if taken in patients with a recent history of heart attack, kidney disease, liver disease, pregnant women, or planning to get pregnant and breastfeeding women, or diabetes.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended not to consume alcohol along with Telmisartan+amlodipine+hydrochlorothiazide to avoid unpleasant side-effects.
Pregnancy
cautionTelmisartan+amlodipine+hydrochlorothiazide is not recommended during pregnancy unless your doctor considers it essential. Your doctor will weigh the benefits and any potential risks before prescribing it to you.
Breast Feeding
cautionTelmisartan+amlodipine+hydrochlorothiazide is not recommended during breast-feeding. However, your doctor may prescribe it for you during breast-feeding if he/she feels that the benefit to you outweighs the risk. You should not take Telmisartan+amlodipine+hydrochlorothiazide without doctor's advice.
Driving
unsafeIt is advised to drive with caution after taking Telmisartan+amlodipine+hydrochlorothiazide as it usually causes drowsiness and affects the driving ability.
Liver
cautionTelmisartan+amlodipine+hydrochlorothiazide is advised to be taken with caution, especially if you have or have had a history of liver disease. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.
Kidney
unsafeIt is not recommended in patients with chronic kidney disease (severe renal impairment). The safety and effectiveness in patients with severe renal impairment have not been established.
Children
cautionNot enough scientific data available for Telmisartan+amlodipine+hydrochlorothiazide, hence it is best to consult a child specialist.
Habit Forming
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.
- Avoid 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.
- Quitting smoking is the best strategy to lower the risk of heart disease.
- Option 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.
- 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.
- Monitor your blood pressure daily and if there is too much fluctuation then immediately contact your doctor.
Special Advise
It is advised to restrict salt intake in the diet. Regularly monitor your blood pressure.
Patients Concern
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.
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.
In case, If you forget to take Telmisartan+amlodipine+hydrochlorothiazide at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.
Telmisartan+amlodipine+hydrochlorothiazide 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, Telmisartan+amlodipine+hydrochlorothiazide can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Telmisartan+amlodipine+hydrochlorothiazide. In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.
Yes, Telmisartan+amlodipine+hydrochlorothiazide is contraindicated in people with known allergy to any of the components of this medicine. It should be avoided in people with severe kidney or liver impairment and in people with anuria (reduction or absence of urine). It should also be avoided in women who are in the second and third trimesters of their pregnancy.
Telmisartan+amlodipine+hydrochlorothiazide is a prescribed drug, given by a physician for preventing specific medical conditions. Taking it on your own can cause unwanted side effects.
