Telma H 40 mg Tablet (15 Tab)

Telma H Tablet Overview:

Telma H Tablet is a combination antihypertensive medication primarily used to manage high blood pressure (hypertension).

It contains two active ingredients: Telmisartan, an Angiotensin II Receptor Blocker (ARB), and Hydrochlorothiazide, a diuretic (water pill). Together, they help relax blood vessels and reduce excess fluid in the body to lower blood pressure effectively.

Hypertension occurs when the pressure of blood pushing against the walls of the arteries remains consistently higher than normal.

High blood pressure often shows no early symptoms, but if left untreated, it can cause major health problems including stroke, heart disease and kidney failure. Always take this medicine exactly as advised by your doctor, as dosage and use depend on individual health needs.

Composition:

Each uncoated bilayer tablet contains- Telmisartan: 40 mg, Hydrochlorothiazide: 12.5 mg, and Excipients q.s.

Color: Lake of Sunset Yellow (In Hydrochlorothiazide layer)

Uses & Benefits of Telma H Tablet:

Here are the primary uses of Telma H Tablet include:

• Hypertension - Effectively lowers high blood pressure (hypertension) by relaxing blood vessels, reducing the workload on the heart.
• Cardiovascular Complications - By maintaining blood pressure within a healthy range, Telma H plays a critical role in long-term health, helping to prevent life-threatening complications such as future strokes, heart attacks, and chronic kidney disease.

How Does Telma H Tablet Work:

Telma H Tablet works through the combined action of its two active components to lower blood pressure more effectively than either could alone. Telmisartan belongs to a class of medicines called Angiotensin II Receptor Blockers (ARBs), it works by blocking a hormone in the body that causes blood vessels to tighten and narrow. By inhibiting this hormone, Telmisartan allows the blood vessels to relax and widen, making it easier for blood to flow.

Hydrochlorothiazide is a thiazide diuretic, or "water pill," that helps the kidneys remove extra salt and water from the body through urine. This reduction in fluid volume decreases the total amount of blood circulating through the vessels, which further lowers blood pressure and reduces the workload on the heart.

Dosage of Telma H Tablet:

• Usage Direction

Take Telma H Tablet strictly according to your doctor’s instructions, following the prescribed dose and timing. Telma H Tablet should be swallowed whole with water without chewing, crushing, or breaking it, preferably at the same time each day.

Do not stop or alter the dose of Telma H Tablet without consulting your doctor, as this may prevent you from achieving the desired outcome. If you are unsure about the administration procedures of Telma H, consult with your doctor or pharmacist.

• Missed Dose

If you miss a dose of Telma H Tablet, take it as soon as you remember on the same day. But, if it is almost time for your next scheduled dose, skip the one you missed and continue following your regular dosing schedule. Do not attempt to take two doses if you have forgotten one. If you often forget to take your medication, consult with your doctor to re-evaluate your dosing schedule. Frequently missing doses could lead to undesired outcomes.

You can set reminders on your smartphone, keep drug organizer boxes, or use other audio-visual technologies to prevent missing a dose.

• Overdose

If you accidentally take Telma H Tablet more than your prescribed dose, seek immediate medical advice, as this may lead to serious side effects. Symptoms may include low blood pressure, rapid heartbeat, dizziness, sleepiness, nausea, muscle cramps, dehydration, low serum potassium levels, and reduced kidney function.

Contraindications of Telma H Tablet:

Do not take Telma H Tablet if you are allergic to Telmisartan, Hydrochlorothiazide, other ingredients, or sulfonamide-derived drugs. Symptoms of allergic reactions include skin rashes, itching, breathing difficulty, swelling of the face, lips, or tongue, muscle pain, or joint pain. Telma H is not to be used by patients with liver disease, such as cholestasis or biliary obstruction, anuria (low urine output), severe kidney disease, low potassium, or high calcium levels in the blood. It should not be used in combination with aliskiren-containing medicines in patients with diabetes or renal impairment.

Precautions & Warnings of Telma H Tablet:

Before starting Telma H Tablet, inform your doctor if you have a history of hypotension (low blood pressure), heart disease, asthma, or systemic lupus erythematosus. You must also disclose any existing hepatic (liver) or renal (kidney) impairment, diabetes, or electrolyte imbalances such as abnormally high or low body salts often caused by dehydration.

While taking this medication, regular monitoring of your blood pressure, kidney function, and electrolyte levels (like potassium and sodium) is necessary to ensure the treatment is safe and effective. Additionally, because the diuretic component of this tablet increases urine output, ensure that you stay adequately hydrated unless specifically told otherwise by your doctor, as excessive fluid loss can lead to dehydration and further complications.

Side Effects of Telma H Tablet:

Telma H Tablet may cause various side effects, most of which are mild and temporary as the body adjusts to the medication. Commonly reported symptoms include hypotension, dizziness or lightheadedness, flu-like symptoms, fatigue and general weakness, nausea or stomach upset, increased frequency of urination (due to the effect of diuretics), and changes in blood electrolyte levels. However, if these symptoms continue, it is crucial to consult your doctor.

Some serious side effects may also occur, which require immediate medical attention. Contact your healthcare provider immediately if you experience dry mouth, excessive thirst, extreme sleepiness, a rapid or irregular heartbeat, severe muscle pain or cramps, loss of vision or eye pain, or breathing difficulty, as these may be signs of a severe allergic reaction.

Safety Related Concerns of Telma H Tablet:

• Pregnancy

Telma H Tablet must be avoided during pregnancy due to the potential risk of fetal damage from Telmisartan and Hydrochlorothiazide. If you are pregnant, planning to become pregnant, or suspect you might be pregnant, consult your doctor immediately to transition to a safer alternative for managing your blood pressure.

Label Warning: When pregnancy is detected, Telmisartan should be discontinued as soon as possible at it can cause injury and even death to the developing foetus, when used in pregnancy during second and third trimesters of pregnancy.

• Breastfeeding

It is generally not recommended to use Telma H while breastfeeding. Both Telmisartan and Hydrochlorothiazide may pass into breast milk, and the diuretic effect of Hydrochlorothiazide could potentially reduce milk production. Consult your physician to weigh the benefits against potential risks to the infant.

• Alcohol

Avoid consuming alcohol while taking this medication. Alcohol can enhance the blood-pressure-lowering effect of Telma H, significantly increasing the risk of dizziness, fainting, or lightheadedness, especially when standing up.

• Food Interactions

Telma H Tablet is usually suggested to be taken with or without food. However, it is important to avoid salty food items, such as seafood, pickles, or salted chips, because excess intake of sodium may worsen your hypertension.

Also, you should avoid using potassium-based salt substitutes or consuming excessive amounts of potassium-rich foods (like bananas or spinach) unless specifically advised by your doctor, as Telmisartan can increase potassium levels in the blood.

• Drug Interactions

Telma H Tablet may interact with other medicines, either by compromising their effectiveness or increasing the risk of toxicity. Thereby, it is essential to inform your doctor about all the medications you are currently taking. If you are taking lithium, other blood pressure medications (especially Aliskiren), NSAIDs (like Ibuprofen or Naproxen), or potassium supplements. These can interfere with how Telma H works or increase the risk of kidney damage.

Additionally, other medicines like barbiturates, narcotics, sleeping pills, steroids, oral anti-diabetic drugs or insulin, and certain cholesterol-lowering medicines (e.g., cholestyramine and colestipol resins) may also interact.

Always inform your healthcare provider and pharmacist about all medications you are taking, including prescription drugs, over-the-counter medications, vitamins, and minerals, especially potassium-rich supplements, to avoid potential interactions.

• Using Machinery & Driving

Telma H Tablet may cause side effects like dizziness, sleepiness, or lightheadedness. Patients should use caution and avoid driving or operating machinery until they are sure the medication does not affect their alertness.

Storage of Telma H Tablet:

Store protected from moisture, at a temperature not exceeding 30°C. Keep all medicines out of reach of children. Avoid using it after the expiry date, printed on the packaging. Dispose of expired or unused medication properly; do not throw it away casually.

Label Important Note: Moisture sensitive tablets- do not remove from strip until immediately before administration.

Additional Information:

• Regularly monitor your blood pressure at home and keep a log for your doctor. Periodic clinical tests to check your kidney function, liver function, and electrolyte levels (potassium, sodium, and magnesium) are essential, especially if you have pre-existing conditions.
• Drink plenty of water as dehydration may occur because of the action of diuretic component, and it also may increase the frequency of urination. So
• Enhance the effectiveness of the medication by following a heart-healthy diet. Focus on reducing sodium (salt) intake, as excess salt causes the body to retain fluid, making it harder for the medicine to work. Prioritize balanced nutrition with plenty of fiber and lean proteins.
• Adopt some healthy lifestyle habits such as limiting alcohol consumption, quitting smoking, managing stress effectively, engaging in regular physical activity, maintaining a healthy weight, and getting adequate sleep.
• Never share your medication with anyone, even if their symptoms seem similar to yours.

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Frequently Asked Questions (FAQs)

Q. What is Telma H Tablet used for and how does it work?

A. Telma H Tablet is a combination anti-hypertensive medicine, used to treat and manage high blood pressure (hypertension). It is generally prescribed when a single medication is not enough to bring blood pressure levels within a healthy range.

This medicine comprises two active substances: Telmisartan, which relaxes and widens blood vessels for improved blood flow, and Hydrochlorothiazide, which increases urine output and assists the kidneys in removing excess water and salt.

Thus, helps to prevent the risk of future strokes, heart attacks, vision loss, and kidney problems.

Q. Can I stop taking Telma H once my blood pressure is normal?

A. No, you should not stop taking Telma H Tablet even if your blood pressure readings appear normal. High blood pressure often shows no early symptoms, but if left untreated, it can cause major health problems including stroke, heart disease and kidney failure. If your readings are normal, it usually indicates that the medication is effectively controlling your condition—not that it has been cured. Always consult your doctor before stopping the medicine, as they will assess your long-term health and decide whether any dose adjustment is needed.

Q. Does Telma H Tablet lead to more frequent urination?

A. Yes, the urge for frequent urination is a common and expected effect while taking Telma H Tablet. This occurs because of its diuretic component, Hydrochlorothiazide.

As a thiazide diuretic (often called a "water pill"), Hydrochlorothiazide works by helping your kidneys remove excess salt and water from your bloodstream. This fluid is then eliminated through urine, which helps lower your overall blood pressure and reduces the workload on your heart.

Q. What is the best time of day to take this medicine?

A. Telma H Tablet can be taken at any time of the day. However, it is best to follow the specific dose and timing prescribed by your doctor.

It is often recommended to take Telma H Tablet in the morning, unless your doctor specifically instructs otherwise. Because the medication contains a diuretic (Hydrochlorothiazide) that increases urination, taking it early in the day helps prevent your sleep from being interrupted by frequent trips to the bathroom during the night.

Q. Does Telma H Tablet causes dizziness?

A. Yes, dizziness is a common side effect of Telma H Tablet. It typically occurs as your body adjusts to the blood-pressure-lowering effects of the medication. It is usually experienced while you stand up quickly from a sitting or lying position (orthostatic hypotension). However, if the symptom persists, seek immediate medical advice and avoid operating heavy machinery and driving.

References:

1. Telmisartan and hydrochlorothiazide Tablets, 40 mg/12.5 mg, 80 mg/12.5 mg and 80 mg/25 mg. Prescribing Information. Last Revised: July 2009. Accessed on: 23th March 2026. Click Here

2. MicardisPlus 40 mg/12.5 mg tablets. MicardisPlus 80 mg/12.5 mg tablets. Accessed on: 23th March 2026. Click Here

3. TEVA-TELMISARTAN HCTZ. Telmisartan and Hydrochlorothiazide Tablets. Last Revised: May 2023. Accessed on: 23th March 2026. Click Here