Breetel AT Tablet is used to treat hypertension (high blood pressure) and hyperlipidemia (high cholesterol level). Additionally, Breetel AT Tablet is used to reduce the risk of heart attack or stroke in adults. Hypertension is a medical condition in which the blood pressure is elevated persistently in the arteries without any known cause. Hyperlipidemia or dyslipidemia is the deposition of unhealthy levels of fats (lipids) in the blood. 

Breetel AT Tablet is a combination of two drugs: Telmisartan (angiotensin receptor blocker) and Atorvastatin (cholesterol-lowering drugs).  Telmisartan works by blocking the action of angiotensin II in the body, which causes the narrowing of blood vessels (arteries) and leads to high blood pressure. Thereby relaxing and widening the blood vessels. Thus, it lowers high blood pressure. Atorvastatin lowers the level of low-density lipoprotein (LDL) or bad cholesterol in the blood. Breetel AT Tablet helps to decrease the production of cholesterol that may build up in the blood vessels (arteries) of the heart, brain, and other parts of the body. 

Your doctor will advise you on how often you need to take Breetel AT Tablet based on your medical condition. In a few cases, you may experience a sinus infection, dizziness, hyperglycemia (excess of glucose in the bloodstream), headache, blurred vision, constipation, nausea, diarrhoea, muscle spasms, and back pain. Most of these side effects of Breetel AT Tablet do not require medical attention and gradually resolve over time. Consult your doctor immediately if you have yellowing eye/skin (jaundice), dark urine, or repeated unexplained muscular pain.

Avoid intake of potassium supplements with Breetel AT Tablet as it may lead to high potassium levels in the blood, so the doctor may ask you to have a regular check of your potassium level. Do not consume alcohol with Breetel AT Tablet as it may increase the risk of low blood pressure. Breetel AT Tablet may cause a breakdown of skeletal muscle tissue, leading to kidney failure. This condition usually occurs in the elderly, people with kidney disease, and poorly controlled hypothyroidism (underactive thyroid). The efficiency of Breetel AT Tablet can be increased by taking low-fat or cholesterol-containing food and drinks, eating a low-salt diet, and regular exercise. 

Breetel AT Tablet is a combination drug, namely Telmisartan (blood pressure-lowering agent) and Atorvastatin (cholesterol-lowering agent), primarily taken to prevent heart attack and stroke in people with heart problems. It also lowers the raised level of bad cholesterol (especially those at high risk of heart disease). Telmisartan is an angiotensin receptor blocker (ARB) that lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). It allows these constricted blood vessels to relax and, therefore, helps lower high blood pressure. Atorvastatin is a lipid-lowering medication that blocks the enzyme required to make cholesterol in the body. It reduces the bad cholesterol (also known as low-density lipoproteins or LDL), triglycerides (TG) and increases the levels of good cholesterol (also known as high-density lipoproteins or HDL). Together, Breetel AT Tablet reduces the risk of heart attack and stroke.

• Dizziness
• Stuffy nose, sinus pain
• Nausea
• Stomach pain
• Constipation
• Muscle pain
• Hypotension (low blood pressure)
• Hyperglycemia (Increased glucose level in blood)

Breetel AT Tablet should not be given to the people allergic to Breetel AT Tablet, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women or planning to get pregnant and breastfeeding women. It should be used with caution in patients suffering from diabetes. Avoid intake of potassium supplements with Breetel AT Tablet as it may lead to high potassium levels in the blood, so the doctor may ask you to have a regular check of your potassium level. Taking Breetel AT Tablet with painkillers (like aspirin and ibuprofen) can increase the risk of kidney problems and reduced the efficiency of Breetel AT Tablet. If you are taking or have taken in the last 7 days a medicine called fusidic acid for bacterial infection orally or by injection. Breetel AT Tablet contains Atorvastatin, the combination of fusidic acid and Atorvastatin can lead to rhabdomyolysis (serious muscle problems). Breetel AT Tablet may cause tiredness or dizziness in some people. Make sure you are not affected before driving. Do not consume alcohol with Breetel AT Tablet as it may increase the risk of low blood pressure.

Drug-Drug Interaction: Breetel AT Tablet may interact with other high blood pressure-lowering pills (benazepril, metoprolol, ramipril, aliskiren, verapamil, simvastatin, lisinopril, amiloride, amlodipine, diltiazem), other medicines to regulate lipid levels (gemfibrozil, azilsartan, clofibrates, fenofibrate, colestipol, ezetimibe), medicines to regulate your heart rhythm (digoxin), a medicine used to reduces blood clotting (warfarin), antibiotics (trimethoprim, erythromycin, clarithromycin, telithromycin, fusidic acid), anti TB drug (rifampicin), antifungal (ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole), anti-HIV drugs (ritonavir, lopinavir, atazanavir, indinavir, darunavir), medicines used to treat hepatitis C(telaprevir, boceprevir), anti-epilepsy medicines (carbamazepine, phenytoin, phenobarbital, primidone), immune-suppressing drugs (cyclosporine, tacrolimus), and pain killers (ibuprofen, aspirin).

Drug-Food Interaction: Breetel AT Tablet severely interacts with grapefruit, grapefruit juices, and St. John’s wort (a plant used to treat depression). Hence it should not be taken with Breetel AT Tablet.

Drug-Disease Interaction: Breetel AT Tablet should not be given to people with electrolytes problem (low potassium, low magnesium or low sodium), cardiogenic shock (when the heart fails to pump required blood to the body), heart valve problem (stenosis), low blood pressure (hypotension), coronary heart disease, hypothyroidism (an under-active thyroid gland) severe respiratory failure, diabetes, liver disease, kidney problem, or heart failure.

• BENAZEPRIL
• METOPROLOL
• RAMIPRIL
• ALISKIREN
• VERAMAPIL
• SIMVASTATIN
• LISINOPRIL
• AMILORIDE
• AMLODIPINE
• DILTIAZEM
• GEMFIBROZIL
• AZILSARTAN MEDOXOMIL
• CLOFIBRATE
• FENOFIBRATE
• COLESTIPOL
• EZETIMIBE
• DIGOXIN
• WARFARIN
• TRIMETHOPRIM
• ERYTHROMYCIN
• CLARITHROMYCIN
• TELITHROMYCIN
• FUSIDIC ACID
• RIFAMPICIN
• KETOCONAZOLE
• ITRACONAZOLE
• VORICONAZOLE
• FLUCONAZOLE
• POSACONAZOLE
• RITONAVIR
• LOPINAVIR
• ATAZANAVIR
• INDINAVIR
• DARUNAVIR
• TELAPREVIR
• BOCEPREVIR
• CARBAMAZEPINE
• PHENYTOIN
• PHENOBARBITAL
• PRIMIDONE
• CYCLOSPORINE
• TACROLIMUS
• IBUPROFEN
• ASPIRIN

• Maintain a low salt diet and minimize eating processed foods as they contain more sodium. Try to replace salt with spices or herbs to add flavour to the food.

• Try to replace most of your saturated fats with unsaturated fats that can reduce total cholesterol and LDL cholesterol in a short span of time. Foods like avocados, olive oil, fatty fish, and nuts contain lots of heart-healthy unsaturated fats, so it’s beneficial to eat them regularly.

• Try to adopt a Mediterranean-style diet rich in olive oil, fruits, vegetables, nuts, whole grains, and fish, and low in red meat and most dairy.

• Try to give priority to more fruits and veggies in your daily meal as these contain antioxidants that help to lower LDL

• Minimize the intake of added sugar. The American Heart Association (ADA) recommends, one should not eat more than 100 calories (25 grams) of added sugar for women and children, and no more than 150 calories (37.5 grams) for men every day.

• American Heart Association recommends the intake of sodium chloride (table salt) should not exceed more than 2,300 mg per day as part of a healthy eating pattern.

• Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day.

• Try aromatherapy, yoga, meditation to help relax your body and mind.

• Chronic stress may also cause high blood pressure. Therefore, avoid stress by changing your expectations, the way you react in certain situations, and making time for yourself to do activities that you enjoy.

• As a precautionary measure, do not consume alcohol and quit smoking.

Monitor your blood pressure regularly and if you notice any fluctuations, please consult a doctor.

Hypertension: Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. Hypertension is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when the blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.

Hyperlipidemia: High cholesterol, known as hyperlipidemia or dyslipidemia, occurs when there is an excess of the unhealthy balance of cholesterol in the blood. When there is a high cholesterol level in the blood, your arteries get narrowed and clogged, which finally contributes to heart diseases like stroke and heart attack. Eating high-fat or high-cholesterol-containing food/drinks and genetic factors are the primary causes of high cholesterol.