Telma-ACT 40/5/12.5 Tablet is an anti-hypertensive drug primarily used to treat high blood pressure (hypertension). Hypertension is a medical condition in which blood pressure is elevated persistently in the arteries. It is considered an essential risk factor for cardiovascular diseases. 

Telma-ACT 40/5/12.5 Tablet consists of three anti-hypertensive medicines, Amlodipine, Chlorthalidone, and Telmisartan. Amlodipine belongs to the class of calcium channel blockers. It is a vasodilator that dilates (widens) blood vessels and increases blood flow, further improving the oxygen delivery to the heart tissue. Chlorthalidone belongs to the class of diuretics (water pills) with antihypertensive activity. It inhibits sodium and chloride reabsorption from absorbing excess salts that cause fluid retention or build-up. Chlorthalidone lowers blood pressure by decreasing the amount of blood the heart pumps (cardiac output) and reducing plasma and extracellular fluid volume (body fluids outside the cells). Telmisartan belongs to a group of drugs called angiotensin II receptor antagonists (angiotensin is a hormone that constricts blood vessels and increases blood pressure). It lowers blood pressure and increases blood flow by preventing the narrowing of blood vessels. 

In some cases, Telma-ACT 40/5/12.5 Tablet can cause side effects like sleepiness, taste changes, ankle swelling, headache, flushing (feeling warmth in the face, ears, neck, and trunk), dizziness, tiredness, palpitations (irregular heartbeat), and upset stomach. Most of these side effects of Telma-ACT 40/5/12.5 Tablet do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to Telma-ACT 40/5/12.5 Tablet or any other medicines, please inform your doctor. Before taking Telma-ACT 40/5/12.5 Tablet , let your doctor know if you have any heart, kidney, or liver problems, diabetes, electrolyte imbalance, and dehydration. Avoid potassium supplements with Telma-ACT 40/5/12.5 Tablet as it may lead to high potassium levels in the blood. Pregnant or breastfeeding women should also consult their doctor before taking Telma-ACT 40/5/12.5 Tablet . It is advised to complete the prescribed course, even if you feel better. Please do not stop taking Telma-ACT 40/5/12.5 Tablet on your own, as it may lead to the recurrence of symptoms or worsen the disease. Do not consume alcohol with Telma-ACT 40/5/12.5 Tablet as it may increase the risk of low blood pressure.

Telma-ACT 40/5/12.5 Tablet is an anti-hypertensive drug that treats high blood pressure (hypertension). It contains Amlodipine, Chlorthalidone, and Telmisartan. Amlodipine is a calcium channel blocker that dilates (widens) blood vessels and increases blood flow. It is used to treat high blood pressure, chest pain (angina), and other conditions caused by coronary artery disease. Chlorthalidone is a diuretic (water pill). It prevents the body from absorbing excess salts that cause fluid retention or build-up. It effectively treats high blood pressure, fluid retention in patients with congestive heart failure, cirrhosis (chronic damage) of the liver, kidney disorders, or edema caused by steroids or estrogen therapy. Telmisartan is an angiotensin II receptor antagonist (angiotensin is a hormone that constricts blood vessels and increases blood pressure). It lowers blood pressure and increases blood flow by preventing the narrowing of blood vessels. It reduces the risk of stroke, heart attack, or death from heart problems.

• Sleepiness
• Taste changes
• Ankle swelling
• Headache
• Flushing (feeling warmth in the face, ears, neck, and trunk)
• Dizziness
• Tiredness
• Palpitations (irregular heartbeat)
• Altered blood glucose levels
• Upset stomach 

Monitor your blood pressure levels regularly. If you are known to be allergic to Telma-ACT 40/5/12.5 Tablet or have any kidney or liver problems or severe dehydration, please inform your doctor beforehand. Brief your medical history if you have low blood pressure, diabetes, gout, lupus (immune system disorder), hyperkalemia (high potassium levels), heart diseases (aortic stenosis, heart failure), angioedema (swelling of the lower layer of skin and tissue), anuria (low or no urine output), and asthma before starting Telma-ACT 40/5/12.5 Tablet . Avoid potassium supplements with Telma-ACT 40/5/12.5 Tablet as it may lead to high potassium levels in the blood. Too much sweating, diarrhea, or vomiting while using Telma-ACT 40/5/12.5 Tablet may lead to dehydration; hence it is advised to drink enough fluids. Telma-ACT 40/5/12.5 Tablet can affect and harm the developing baby during pregnancy. Consult your doctor before using Telma-ACT 40/5/12.5 Tablet if you are a pregnant or breastfeeding mother. Complete the course strictly as suggested by the doctor, even if you feel better, to avoid disease recurrence. Avoid consumption of alcohol with Telma-ACT 40/5/12.5 Tablet as it may increase the risk of low blood pressure. Safety and effectiveness of Telma-ACT 40/5/12.5 Tablet in pediatric patients have not been established.

Drug-Drug Interaction: Telma-ACT 40/5/12.5 Tablet may interact with other blood pressure treating medicines (nebivolol, metoprolol, aliskiren, ramipril, benazepril, lisinopril), antidepressants (duloxetine), diabetes medicines (insulin glargine), vitamins (ergocalciferol, cholecalciferol), pain killers (aspirin, naproxen, ibuprofen), blood thinners (apixaban), cholesterol-lowering drugs (atorvastatin), fits medicine (pregabalin), drugs treating mood disorders (lithium), stomach related drugs (cisapride), drugs treating abnormal heart rhythms (dofetilide), and birth control pills (that contain drospirenone).

Drug-Food Interaction: Minimize high potassium foods intake and avoid over-the-counter potassium supplements, grapefruit, or juice. Alcohol may increase the side effects of Telma-ACT 40/5/12.5 Tablet .

Drug-Disease Interaction: People with low blood pressure, kidney or liver problems, severe dehydration, diabetes, gout, lupus, hyperkalemia, heart diseases, angioedema, anuria, and asthma should consult the doctor before taking Telma-ACT 40/5/12.5 Tablet .

• NEBIVOLOL
• METOPROLOL
• ALISKIREN
• RAMIPRIL
• BENAZEPRIL
• LISINOPRIL
• DULOXETINE
• INSULIN GLARGINE
• ERGOCALCIFEROL
• CHOLECALCIFEROL
• ASPIRIN
• NAPROXEN
• IBUPROFEN
• APIXABAN
• ATORVASTATIN
• PREGABALIN
• LITHIUM
• CISAPRIDE
• DOFETILIDE
• DROSPIRENONE

• Reduce sodium intake in your diet to maintain your blood pressure.

• Eat natural and healthy foods by cutting down on high on sodium processed foods.

• Lose those extra pounds since being obese can be a risk factor for hypertension.

• Exercise regularly to maintain good heart health.

• Avoid smoking and alcohol intake.

• Chronic stress may also cause high blood pressure. Therefore, avoid stress triggers and make time for yourself to relax and do activities that you enjoy.

• Try to include heart-healthy omega-3 fatty acids-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

• Limit sodium chloride intake (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.

• Keep a check on your daily blood pressure, and if you notice any fluctuations, please consult a doctor.

• Your doctor may ask you to undergo blood and urine tests if you have been suffering from vomiting or dehydration.

• If you have diabetes, using Telma-ACT 40/5/12.5 Tablet may affect your blood sugar levels. Inform your doctor so that your diabetes medication may be adjusted accordingly.

• Your dietician may prescribe you a suitable exercise program and diet to manage your blood pressure.

• Thiazide diuretics like Chlorthalidone may increase serum triglyceride and cholesterol levels. Hence it is advised to monitor your cholesterol levels regularly.

• Therapy with Telma-ACT 40/5/12.5 Tablet should be discontinued if you have been suggested tests for parathyroid function in cases like hyperparathyroidism (excessive parathyroid hormone levels).

Hypertension is a medical condition in which blood pressure is elevated persistently in the arteries. It is considered an essential risk factor for cardiovascular diseases and can be caused due to obesity, diabetes, smoking, high salt intake, stress, lack of physical activity, or ageing. Blood pressure is measured in the ratio of systolic pressure to diastolic pressure. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is the pressure 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. The ideal blood pressure range lies in between 90/60 mmHg and 120/80 mmHg. If the blood pressure is 140/90 mmHg or greater, it is considered high blood pressure.