ASTROTEL H 40mg Tablet 10's

Introduction About ASTROTEL H 40MG TABLET

ASTROTEL H 40MG TABLET is used in the management of hypertension. It contains a
combination of Hydrochlorothiazide+Telmisartan that works by removing excess
fluids from the body and relaxing the blood vessels which reduces strain on the
heart and reduces blood pressure.

Take this medicine as advised by your physician. It can be taken with or without
food. During management with ASTROTEL H 40MG TABLET your doctor will constantly
monitor your kidney functions, blood pressure, electrolyte levels and blood
sugar levels to avoid the risk of unwanted side effects.

Before taking ASTROTEL H 40MG TABLET inform your doctor if you have any heart,
liver, or kidney problems. You must also inform your doctor if you have
diabetes, low blood pressure or are severely dehydrated due to excessive
vomiting or diarrhea.

ASTROTEL H 40MG TABLET is also not suitable for use in pregnant or breastfeeding
women as it may cause serious harm to the growing baby. Stop taking ASTROTEL H
40MG TABLET and inform your doctor immediately if you become pregnant while
undergoing therapy with ASTROTEL H 40MG TABLET.

The most common side effects of taking ASTROTEL H 40MG TABLET are low blood
pressure, dizziness, low or high blood potassium levels, pins and needles,
muscle pain, diarrhoea, dry mouth, erectile dysfunction and increased blood uric
acid levels. Contact your doctor if any of these side effect worsens.

Uses Of ASTROTEL H 40MG TABLET

• Management of Hypertension (high blood pressure)

How ASTROTEL H 40MG TABLET Works

ASTROTEL H 40MG TABLET is an antihypertensive medicine. It relaxes your blood
vessels and improves blood flow across them. It also reduces thickness of the
blood by removing excess fluids from the body in the form of urine.
Collectively, these actions reduce the strain on the heart and helps the heart
to pump blood more smoothly with less pressure.

How to use ASTROTEL H 40MG TABLET

• Take ASTROTEL H 40MG TABLET as directed by your physician
• Swallow the medicine with a glass of water. Do not crush or chew the medicine.
• Try to take ASTROTEL H 40MG TABLET at the same time each day.
• ASTROTEL H 40MG TABLET can be taken with or without food.
• Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition.
• Continue to take ASTROTEL H 40MG TABLET for the stipulated duration instructed by your doctor without any interru

Side Effects Of ASTROTEL H 40MG TABLET

Common Side Effects of ASTROTEL H 40MG TABLET:

• Dizziness
• Low or high blood potassium levels
• Pins and needles (paraesthesia)
• Vertigo (spinning sensation)
• Fast or irregular heartbeat
• Low blood pressure causing dizziness while standing up
• Diarrhoea, dry mouth, flatulence
• Back pain, muscle spasm or pain
• Erectile dysfunction (inability to get or keep an erection)
• Increased blood uric acid levels
• Sore throat, sinus inflammation, common cold, cough
• Urinary tract infections
• Anaemia
• Kidney problems

Stop taking ASTROTEL H 40MG TABLET and contact your doctor immediately if you
experience any of the following side effects such as:

• Eye pain, swelling, decrease in vision (signs of fluid accumulation in the eye)
• Skin reactions or unexpected skin lesions
• Increased skin sensitivity towards sunlight, sunburn, redness, itching, swelling and blistering of skin
• Signs of severe dehydration (such as dry mouth, feeling weak or tired, drowsiness, restlessness, muscle weakness, nausea, vomiting and fast heart rate)

Warning & Precautions

!### Pregnancy

ContraindicatedASTROTEL H 40MG TABLET is not recommended for use in pregnant women as it may
cause serious harm to the growing fetus. Therefore, inform your doctor before
taking ASTROTEL H 40MG TABLET if you are pregnant, think you may be pregnant or
planning to have a baby. If you become pregnant while undergoing therapy with
ASTROTEL H 40MG TABLET, stop taking it and consult your doctor immediately.

!### Breastfeeding

ContraindicatedASTROTEL H 40MG TABLET is not recommended for use in breastfeeding women.
Therefore, consult your doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or handle any heavy tools or machines if you experience dizziness
or drowsiness after taking ASTROTEL H 40MG TABLET.

!### Alcohol

Consult your doctorAvoid consum
make you feel dizzier and drowsier.

!### Kidney

Consult your doctorASTROTEL H 40MG TABLET is not recommended for use in patients with severe kidney
problems. It should be used with caution in patients with other kidney problems
(such as kidney transplant, narrowing of renal arteries).

!### Liver

Consult your doctorASTROTEL H 40MG TABLET is not recommended for use in patients with severe liver
impairment (such as cholestasis, jaundice, biliary obstruction). It should be
used with caution in patients with mild to moderate liver problems.

!### Allergy

ContraindicatedDo not take ASTROTEL H 40MG TABLET if you are allergic to Telmisartan or
Hydrochlorothiazide or any other ingredients of this medicine.

!### Heart Disease

Use with CautionASTROTEL H 40MG TABLET should be used with caution in patients with heart
problems (such as irregular heart rhythm, problems with heart muscle or valves).

!### Use In Pediatrics

ContraindicatedASTROTEL H 40MG TABLET is not recommended for use in children and adolescents
(aged below 18 years).

!### Use In Geriatrics

Use with CautionASTROTEL H 40MG TABLET should be used with caution in the elderly patients.

Others

ASTROTEL H 40MG TABLET is not recommended for use if you:

• Have diabetes related kidney problems
• Have low potassium levels in blood
• Have high calcium levels in blood

Before taking ASTROTEL H 40MG TABLET, inform your doctor if you:

• Have primary hyperaldosteronism (problems in adrenal gland)
• Have low blood pressure
• Are severely dehydrated (due to diarrhea, vomiting or excess sweating)
• Are on a low-salt diet
• Have diabetes
• Have gout (painful joints)
• Have had skin cancer
• Have an auto-immune disease condition affecting the skin (such as SLS)
• Are scheduled for any upcoming surgery

Interactions

A. Drug-Drug interactions:

Before taking ASTROTEL H 40MG TABLET inform to your doctor, if you are taking
any of these medicines:

• Antidepressants (such as lithium, citalopram, fluoxetine, paroxetine, nefazodone, St. John’s wort)
• Heart medicines (such as aliskiren, bosentan, methyldopa, guanethidine, captopril, enalapril, lisinopril, verapamil, diltiazem, losartan, valsartan)
• Anti-arrhythmic agents (Ex. quinidine, disopyramide, amiodarone, sotalol, digoxin)
• Potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
• Non-steroidal anti-inflammatory drugs (used for pain relief) such as indomethacin, celecoxib, ibuprofen, aspirin
• Heparin (a medicine used to manage or manage blood clots)
• Antibiotics (Ex. erythromycin, clarithromycin, telithromycin, trimethoprim, sparfloxacin, pentamidine, penicillin-G)
• Baclofen (a medicine used for relaxing muscles)
• Amifostine (a kidney protectant used along with chemotherapeutic agents)
• Antipsychotics (Ex. pimozide, amisulpride, haloperidol, thioridazine, chlorpromazine, levomepromazine)
• Corticosteroids (Ex. Prednisolone)
• Amphotericin B (a medicine used to manage fungal infections)
• Carbenoxolone (a medicine used to manage mouth ulcers)
• Allopurinol (a medicine used to manage gout)
• Anticancer agents (such as cyclophosphamide or methotrexate)
• Laxatives (used to manage constipation) Ex. lactulose
• Corticotropin (a medicine used to correct hormone problems)
• Antihyperlipidemic agents (such as cholestyramine and colestipol)
• Antidiabetic agents (such as Insulin, metformin)
• Noradrenaline (a medicine used to increase blood pressure)
• Tubocurarine, dantrolene (medicine used as a muscle relaxant)
• Calcium supplements and/or vitamin D supplements
• Atropine or biperiden used for abdominal or stomach spasms or cramps
• Amantadine (medicine used to manage Parkinson’s disease)
• Medicines used to manage allergic reactions (Ex. terfenadine)

Overdosage:

If you or anyone else accidentally take too much of ASTROTEL H 40MG TABLET,
consult your doctor immediately or visit the nearby hospital. Overdosage may
cause undesirable effects such as low blood pressure, rapid heartbeat, vomiting,
slow heartbeat, dizziness, low blood levels of potassium (resulting in nausea,
sleepiness and muscle cramps or irregular heartbeat), reduced kidney function
including kidney failure.

Synopsis

Drug	:	Hydrochlorothiazide, Telmisartan
Pharmacological Category	:	Thiazide diuretics, Angiotensin-II Receptor blockers
Therapeutic Indication	:	High blood pressure
Dosage Forms	:	Tablet

More Information

FAQs About ASTROTEL H 40MG TABLET

Q: What is ASTROTEL H 40MG TABLET used for?

A: ASTROTEL H 40MG TABLET is used to manage hypertension and its associated
cardiovascular problems.

Q: What type of a medicine is ASTROTEL H 40MG TABLET?

A: ASTROTEL H 40MG TABLET is an antihypertensive medicine. It relaxes your blood
vessels and improves blood flow across them. It also reduces thickness of the
blood by removing excess fluids from the body in the form of urine.
Collectively, it reduces the strain on the heart and helps the heart to pump
blood more smoothly with less pressure.

Q: What happens when I stop taking ASTROTEL H 40MG TABLET?

A: Do not stop taking ASTROTEL H 40MG TABLET without consulting your doctor as
your blood pressure may raise once again. Make sure to take ASTROTEL H 40MG
TABLET for the stipulated duration recommended by your doctor to achieve maximum
results.

Q: What is the best time to take ASTROTEL H 40MG TABLET?

A: ASTROTEL H 40MG TABLET can be taken with or without meals. Your doctor will
decide the best time for you to take ASTROTEL H 40MG TABLET based on your age,
body weight and disease condition.

Q: What to do if I forgot to take a dose of ASTROTEL H 40MG TABLET?

A: If you forgot to take a dose of ASTROTEL H 40MG TABLET, take it as soon as
you remember. However, if it is time for the next dose of ASTROTEL H 40MG
TABLET, skip the missed dose and take the next one regularly. Do not take a
double dose of ASTROTEL H 40MG TABLET to compensate the missed ones.

Q: What precautions should be followed while taking ASTROTEL H 40MG TABLET?

A: Before taking ASTROTEL H 40MG TABLET, inform your doctor if you have any
heart, liver or kidney problems. You must also inform your doctor if you have
diabetes, low blood pressure volume or are severely dehydrated. Stop taking
ASTROTEL H 40MG TABLET and consult your doctor immediately if you become
pregnant. Regularly visit your doctor and take all the necessary blood test
recommended by your doctor without fail.

Q: Can I consume alcohol while taking ASTROTEL H 40MG TABLET?

A: Avoid consum
make you feel dizzier and drowsier.

Q: What happens if I accidentally take more ASTROTEL H 40MG TABLET?

A: If you or anyone else accidentally took more ASTROTEL H 40MG TABLET, consult
your doctor immediately. Overdosage may cause low blood pressure, abnormal
heartbeat, dizziness, vomiting, decreased kidney functions, nausea, sleepiness
and muscle cramps.

Q: Can I take ASTROTEL H 40MG TABLET daily?

A: Take ASTROTEL H 40MG TABLET as advised by your physician. Your doctor will
evaluate your health condition and suggests whether can you take ASTROTEL H 40MG
TABLET every day or not.

Q: Is ASTROTEL H 40MG TABLET safe to use in diabetic patients?

A: ASTROTEL H 40MG TABLET may alter the blood sugar levels in your body.
Therefore, it is necessary to inform your doctor if you have diabetes before
taking ASTROTEL H 40MG TABLET as a precaution. Your doctor will closely monitor
you blood sugar levels to avoid the risk of side effects.

Q: What are the side effects of ASTROTEL H 40MG TABLET?

A: The most common side effects of taking ASTROTEL H 40MG TABLET are low blood
pressure, dizziness, low or high blood potassium levels, pins and needles,
muscle pain, diarrhoea, dry mouth, erectile dysfunction and increased blood uric
acid levels. Contact your doctor if any of these side effect worsens.

Q: Can I stop taking ASTROTEL H 40MG TABLET once my symptoms subside?

A: No. Do not stop taking ASTROTEL H 40MG TABLET without consulting your doctor.
As hypertension is a chronic condition, long term management may be necessary to
control its symptoms. Therefore, take ASTROTEL H 40MG TABLET as advised by your
doctor for the stipulated duration. Premature discontinuation of therapy may
increase your blood pressure once again.

Q: Can ASTROTEL H 40MG TABLET be taken during pregnancy?

A: ASTROTEL H 40MG TABLET is not recommended for use in pregnant women as it may
cause serious harm to the growing fetus. Therefore, inform your doctor before
taking ASTROTEL H 40MG TABLET if you are pregnant, think you may be pregnant or
planning to have a baby. If you become pregnant while undergoing therapy with
ASTROTEL H 40MG TABLET, stop taking it and consult your doctor immediately.

Q: Is ASTROTEL H 40MG TABLET safe to use in kidney disease?

A: ASTROTEL H 40MG TABLET is not recommended for use in patients with severe
kidney problems. It should be used with caution in patients with other kidney
problems (such as kidney transplant, narrowing of renal arteries). Your doctor
will access your health condition and suggest a suitable dose for you.
Therefore, it is important to inform your doctor if you have any kidney problems
before taking ASTROTEL H 40MG TABLET as a precaution.

Q: Can the use of ASTROTEL H 40MG TABLET affect the liver?

A: Yes. ASTROTEL H 40MG TABLET may affect the way your liver work. It can
elevate the levels of certain liver enzymes in your body. Therefore, it is
strictly not recommended for use in patients with severe liver diseases. It
should be used with caution in patients with other minor liver problems. Consult
your doctor before taking it.

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Useful Diagnostic Tests

• Kidney function test (KFT)
• Cardiac Risk Profile