Telmisartan 40 mg + Ramipril 5 mg

Telmisartan 40 mg + Ramipril 5 mg — Uses and Benefits

This combination medicine is mainly used to treat high blood pressure, especially when a single blood-pressure-lowering medicine is not enough to control it.

WHAT THIS MEDICINE IS USED FOR

• Treating high blood pressure (hypertension)
• Reducing the risk of heart attack, stroke, and other cardiovascular problems in people at high cardiovascular risk
• Supporting long-term blood pressure control as advised by your doctor

HOW IT WORKS

• Telmisartan blocks the action of a hormone called angiotensin II, which causes blood vessels to narrow
• Ramipril blocks the enzyme that produces angiotensin II, further relaxing blood vessels
• Together they widen blood vessels, lower blood pressure, and reduce strain on the heart

WHAT IT IS NOT USED FOR

• It is not a painkiller or fever reducer
• It is not used for sudden, severe rise in blood pressure needing emergency treatment
• It is not a treatment for infections
• It should not be used to treat blood pressure in pregnancy

How to Use Telmisartan 40 mg + Ramipril 5 mg

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once a day
• Swallow the tablet with a glass of water, with or without food, at the same time each day
• Do not crush or chew unless your doctor or pharmacist says it is safe to do so
• Continue taking it regularly even if you feel well, as blood pressure control needs consistent use
• Do not stop suddenly without talking to your doctor

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember
• If it is almost time for your next dose, skip the missed one and continue your normal schedule
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original pack until it is time to take the tablet
• Keep out of reach and sight of children
• Do not use after the expiry date printed on the pack

Telmisartan 40 mg + Ramipril 5 mg — Side Effects

COMMON SIDE EFFECTS

• Dizziness or lightheadedness
• Dry, persistent cough
• Tiredness or weakness
• Headache
• Low blood pressure symptoms like feeling faint on standing

LESS COMMON SIDE EFFECTS

• Nausea or stomach upset
• Muscle cramps
• Back pain
• Changes in kidney function tests
• Skin rash or itching

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Swelling of face, lips, tongue, or throat, or difficulty breathing (angioedema)
• Severe dizziness or fainting
• Yellowing of skin or eyes (jaundice)
• Very little or no urine output
• Signs of high potassium such as irregular heartbeat, muscle weakness, or tingling
• Severe, persistent vomiting or diarrhoea

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Telmisartan 40 mg + Ramipril 5 mg — Safety Information and Precautions

This is a prescription-only medicine in India and should be used only under the supervision of a registered doctor.

DO NOT TAKE THIS MEDICINE IF YOU

• Are pregnant or planning pregnancy, or are breastfeeding
• Have a known allergy to telmisartan, ramipril, or other ACE inhibitors/ARBs
• Have a history of angioedema related to previous ACE inhibitor or ARB use
• Are taking or have recently taken aliskiren, especially if you have diabetes or kidney disease
• Have severe kidney or liver disease, without your doctor's specific guidance

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney disease or are on dialysis
• Have liver disease
• Have diabetes, especially if on insulin or other blood-sugar medicines
• Have heart valve problems or narrowing of arteries
• Are on a low-salt diet or take potassium supplements
• Are elderly or dehydrated

MEDICINES THAT CAN INTERACT

• Other blood pressure medicines, including diuretics
• Potassium supplements or potassium-sparing diuretics
• Lithium
• NSAIDs (pain relievers like ibuprofen, diclofenac) used regularly
• Other ACE inhibitors, ARBs, or aliskiren
• Diabetes medicines

FREQUENTLY ASKED QUESTIONS

Can I take this medicine with other blood pressure tablets?

Only if your doctor prescribes it together, as combining blood pressure medicines needs careful monitoring.

Will this medicine cause a dry cough?

Ramipril can cause a persistent dry cough in some people; tell your doctor if it bothers you.

Can I stop this medicine once my blood pressure is normal?

• No, do not stop without consulting your doctor, as blood pressure can rise again and this needs gradual adjustment.
• Doctor ya pharmacist se salah lein.