TELMINOM H Tablet 10's

Introduction About TELMINOM H TABLET

TELMINOM H 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 TELMINOM H 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 TELMINOM H 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.

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

The most common side effects of taking TELMINOM H 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 TELMINOM H TABLET

• Management of Hypertension (high blood pressure)

How TELMINOM H TABLET Works

TELMINOM H 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 TELMINOM H TABLET

• Take TELMINOM H TABLET as directed by your physician
• Swallow the medicine with a glass of water. Do not crush or chew the medicine.
• Try to take TELMINOM H TABLET at the same time each day.
• TELMINOM H 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 TELMINOM H TABLET for the stipulated duration instructed by your doctor without any interru

Side Effects Of TELMINOM H TABLET

Common Side Effects of TELMINOM H 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 TELMINOM H 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

ContraindicatedTELMINOM H 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
TELMINOM H TABLET if you are pregnant, think you may be pregnant or planning to
have a baby. If you become pregnant while undergoing therapy with TELMINOM H
TABLET, stop taking it and consult your doctor immediately.

!### Breastfeeding

ContraindicatedTELMINOM H 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 TELMINOM H TABLET.

!### Alcohol

Consult your doctorAvoid consum
feel dizzier and drowsier.

!### Kidney

Consult your doctorTELMINOM H 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 doctorTELMINOM H 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 TELMINOM H TABLET if you are allergic to Telmisartan or
Hydrochlorothiazide or any other ingredients of this medicine.

!### Heart Disease

Use with CautionTELMINOM H 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

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

!### Use In Geriatrics

Use with CautionTELMINOM H TABLET should be used with caution in the elderly patients.

Others

TELMINOM H 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 TELMINOM H 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 TELMINOM H 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 TELMINOM H 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 TELMINOM H TABLET

Q: What is TELMINOM H TABLET used for?

A: TELMINOM H TABLET is used to manage hypertension and its associated
cardiovascular problems.

Q: What type of a medicine is TELMINOM H TABLET?

A: TELMINOM H 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 TELMINOM H TABLET?

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

Q: What is the best time to take TELMINOM H TABLET?

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

Q: What to do if I forgot to take a dose of TELMINOM H TABLET?

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

Q: What precautions should be followed while taking TELMINOM H TABLET?

A: Before taking TELMINOM H 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 TELMINOM H
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 TELMINOM H TABLET?

A: Avoid consum
you feel dizzier and drowsier.

Q: What happens if I accidentally take more TELMINOM H TABLET?

A: If you or anyone else accidentally took more TELMINOM H 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 TELMINOM H TABLET daily?

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

Q: Is TELMINOM H TABLET safe to use in diabetic patients?

A: TELMINOM H TABLET may alter the blood sugar levels in your body. Therefore,
it is necessary to inform your doctor if you have diabetes before taking
TELMINOM H 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 TELMINOM H TABLET?

A: The most common side effects of taking TELMINOM H 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 TELMINOM H TABLET once my symptoms subside?

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

Q: Can TELMINOM H TABLET be taken during pregnancy?

A: TELMINOM H 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 TELMINOM H TABLET if you are pregnant, think you may be pregnant or
planning to have a baby. If you become pregnant while undergoing therapy with
TELMINOM H TABLET, stop taking it and consult your doctor immediately.

Q: Is TELMINOM H TABLET safe to use in kidney disease?

A: TELMINOM H 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
TELMINOM H TABLET as a precaution.

Q: Can the use of TELMINOM H TABLET affect the liver?

A: Yes. TELMINOM H 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