Telma H 40 + 12.50 mg Tablet

Telma H 40 + 12.50 mg Tablet is a prescription combination medicine that contains telmisartan 40 mg and hydrochlorothiazide 12.50 mg in each tablet. It belongs to the angiotensin II receptor blocker (ARB) and thiazide diuretic classes. This combination is used to help lower high blood pressure (hypertension) and reduce the risk of blood-pressure-related complications when a single medicine is not enough. Telma H 40 + 12.50 mg Tablet is taken by mouth as a standard tablet.

How it works: Telmisartan helps relax blood vessels by blocking a natural substance that tightens them, so blood can flow more easily. Hydrochlorothiazide helps the body remove extra salt and water through the kidneys, which lowers blood volume and supports the blood-pressure-lowering effect of the tablet.

The 12.50 mg hydrochlorothiazide strength makes Telma H 40 + 12.50 mg Tablet a lower diuretic-dose option within this combination, which may be chosen when a doctor wants blood-pressure lowering with a gentler diuretic effect than higher-strength combinations. It is suited for patients who need combination treatment but should only use this strength after a clinician has assessed their blood pressure, kidney function, and fluid status.

• Treatment of high blood pressure
• Combination therapy when one medicine is not enough
• Blood pressure control to help lower long-term cardiovascular risk
• May be used when a doctor wants an ARB plus a low-dose diuretic

• Swallow the Telma H 40 + 12.50 mg Tablet whole with water.
• Take it at the same time each day to help you remember.
• It may be taken with or without food.
• Because it contains hydrochlorothiazide, taking it earlier in the day may help reduce nighttime urination.
• Do not crush or chew the tablet unless your doctor or pharmacist tells you to.
• Stand up slowly after taking it, especially when you first start, to reduce dizziness.

Each Telma H 40 + 12.50 mg Tablet provides telmisartan 40 mg plus hydrochlorothiazide 12.50 mg. The usual dosing for this strength is one tablet once daily, but your doctor may adjust the plan based on your blood pressure response and medical history; the total daily amount should not be changed without medical advice. Do not take more than prescribed, because higher doses can increase the risk of low blood pressure, dehydration, and electrolyte problems.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Telmisartan + Hydrochlorothiazide may include:

• Dizziness or lightheadedness
• Increased urination
• Tiredness
• Headache
• Nausea
• Muscle cramps
• Low blood pressure symptoms, which may be more noticeable when starting treatment or after a dose increase

• Use caution if you have kidney disease, liver disease, gout, diabetes, or a history of dehydration.
• This combination can lower blood pressure too much if you are already taking other blood-pressure medicines or diuretics.
• Avoid becoming dehydrated, especially in hot weather, during vomiting, diarrhea, or heavy sweating.
• Alcohol can increase dizziness and low blood pressure.
• This medicine can affect potassium, sodium, and kidney function, so lab monitoring may be needed.
• Get medical advice before using it if you are pregnant or planning pregnancy.
• Be careful when driving or using machinery until you know how Telma H 40 + 12.50 mg Tablet affects you.

• Other blood pressure medicines, including ACE inhibitors, ARBs, and diuretics
• NSAIDs such as ibuprofen or naproxen, which can reduce effect and stress the kidneys
• Lithium, because hydrochlorothiazide can raise lithium levels
• Potassium supplements or potassium-sparing medicines, which may increase potassium too much
• Digoxin or other medicines affected by electrolyte changes

Store Telma H 40 + 12.50 mg Tablet in the original strip/box at room temperature, away from moisture and direct heat.