Telmisartan + Amlodipine + Hydrochlorthiazide

Telmisartan + Amlodipine + Hydrochlorthiazide — Uses and Benefits

This combination medicine is prescribed for the treatment of high blood pressure (hypertension), especially when it is not controlled well enough by using one or two blood pressure medicines alone.

WHAT THIS MEDICINE IS USED FOR

• Long-term control of high blood pressure
• Reducing risk of heart attack, stroke, and kidney problems linked to uncontrolled blood pressure
• Used as add-on therapy when single or dual medicines are not enough

HOW IT WORKS

• Telmisartan blocks a hormone (angiotensin II) that narrows blood vessels, helping them relax
• Amlodipine relaxes blood vessel walls by blocking calcium entry into muscle cells
• Hydrochlorothiazide helps the kidneys remove excess salt and water, reducing blood volume
• Together these three actions lower blood pressure more effectively than one medicine alone

WHAT IT IS NOT USED FOR

• Not used for emergency or sudden severe rise in blood pressure
• Not a treatment for chest pain (angina) alone
• Not meant for use in pregnancy or for children
• Not a cure for hypertension; it only controls blood pressure while taken regularly

How to Use Telmisartan + Amlodipine + Hydrochlorthiazide

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once a day
• Swallow the tablet whole with water; do not crush or chew unless advised
• Try to take it at the same time every day for best results
• Can be taken with or without food, as advised by your doctor
• Do not stop taking it suddenly even if you feel well, as blood pressure can rise again
• Continue regular blood pressure checks and follow-up visits

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember
• If it is almost time for the next dose, skip the missed one
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep the strip in its original packaging
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Telmisartan + Amlodipine + Hydrochlorthiazide — Side Effects

COMMON SIDE EFFECTS

• Dizziness
• Swelling of ankles or feet
• Headache
• Tiredness or weakness
• Increased urination

LESS COMMON SIDE EFFECTS

• Muscle cramps
• Nausea or stomach upset
• Low blood pressure symptoms like light-headedness on standing
• Dry mouth or increased thirst
• Flushing (warmth or redness of skin)

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of allergic reaction: swelling of face, lips, throat, difficulty breathing
• Severe dizziness or fainting
• Very low urine output or signs of kidney problems
• Irregular heartbeat or chest pain
• Signs of high potassium: muscle weakness, tingling, irregular heartbeat
• Yellowing of skin or eyes (liver problems)
• Severe skin rash or peeling

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

Telmisartan + Amlodipine + Hydrochlorthiazide — Safety Information and Precautions

This is a prescription-only medicine in India and should be used only under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are pregnant or planning pregnancy
• Are breastfeeding
• Have severe liver or kidney disease
• Have a known allergy to telmisartan, amlodipine, hydrochlorothiazide, or sulfonamide drugs
• Have severe blockage of bile flow
• Have gout or severe uncontrolled electrolyte imbalance

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have diabetes
• Have kidney or liver disease
• Have a history of low blood pressure or fainting spells
• Have heart valve problems or recent heart attack
• Are taking potassium supplements or salt substitutes
• Are elderly or have had recent major surgery

MEDICINES THAT CAN INTERACT

• Other blood pressure-lowering medicines
• Potassium-sparing diuretics or potassium supplements
• Lithium
• NSAIDs (pain relievers like ibuprofen)
• Diabetes medicines (may increase risk of low or high blood sugar)
• Other ACE inhibitors or ARBs

FREQUENTLY ASKED QUESTIONS

Can I take this medicine with alcohol?

Alcohol can increase the blood pressure-lowering effect and cause dizziness, so it is best to avoid or limit alcohol.

How long do I need to take this medicine?

This is usually a long-term treatment; do not stop without consulting your doctor even if you feel fine.

Will this medicine affect my kidney function?

• It can affect kidney function in some people, so periodic blood tests may be advised by your doctor.
• Doctor ya pharmacist se salah lein.