Telshell M 40mg/50mg Tablet belongs to the class antihypertensive agents used to treat hypertension (high blood pressure). It may also be used to lower the risk of heart attack and stroke in future. High blood pressure is a condition in which the force of the blood against the artery walls is too high leading to hypertension. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath).

Telshell M 40mg/50mg Tablet is a combination of two high blood pressure-lowering medicines: Telmisartan and Metoprolol succinate. Telmisartan belongs to the class of drugs called Angiotensin II receptor antagonists that works by blocking the angiotensin II receptor, relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate belongs to the class of drugs known as beta-blockers which reduces blood pressure by allowing the blood to flow more smoothly. Together, Telshell M 40mg/50mg Tablet helps in reducing the raised blood pressure. 

Take Telshell M 40mg/50mg Tablet as prescribed. You are advised to take Telshell M 40mg/50mg Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects such as headache, nausea, dizziness, weakness, stomach pain, and slow heart rate. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

To treat your condition effectually, continue taking Telshell M 40mg/50mg Tablet for as long as your doctor has prescribed it. Try not to stop taking it on your own as it may cause a sudden increase the blood pressure, chest pain or heart attack. Consult your doctor before starting Telshell M 40mg/50mg Tablet if you are pregnant or breastfeeding. Telshell M 40mg/50mg Tablet may cause dizziness, so drive only if you are alert. Avoid alcohol consumption with Telshell M 40mg/50mg Tablet as it may cause increased dizziness. Keep your doctor informed about your health condition and medications to rule out any interactions.

Telshell M 40mg/50mg Tablet is a combination of two blood pressure-lowering medicines: Telmisartan and Metoprolol succinate. Telmisartan belongs to the class of drugs called Angiotensin II receptor antagonists. It works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate belongs to the class of drugs known as beta-blockers. It helps to reduce blood pressure by allowing the blood to flow more smoothly. Together, Telshell M 40mg/50mg Tablet helps in lowering blood pressure to normal.

• Headache
• Nausea
• Weakness
• Slow heart rate (bradycardia)
• Decreased blood pressure
• Cold extremities
• Increased potassium levels in the blood (hyperkalemia)
• Dizziness

Do not take Telshell M 40mg/50mg Tablet if you are allergic to telmisartan or metoprolol succinate. Inform your doctor if you are taking monoamine oxidase inhibitors, aliskiren, quinidine, disopyramide, or other blood pressure-lowering medicines. Pregnant and breastfeeding women should consult their doctor before taking Telshell M 40mg/50mg Tablet. Telshell M 40mg/50mg Tablet is not recommended for children. Telshell M 40mg/50mg Tablet may cause dizziness and tiredness, so drive or operate heavy machinery only if you are alert. Keep your doctor informed if you have kidney or liver diseases, biliary obstruction, heart problems, low blood pressure, diabetes, elevated potassium levels, blood circulation problems, asthma, COPD, metabolic acidosis, phaeochromocytoma, slow heart rate, psoriasis, myasthenia gravis, or prinzmetal angina.

Drug-Drug Interactions: Telshell M 40mg/50mg Tablet may have interaction with medicines used to treat pain (aspirin, ibuprofen), anti-seizure (pregabalin), heart-related medicines (digoxin, flecainide), anti-depression drugs (lithium, fluvoxamine, sertraline, fluoxetine), and drugs used to treat erectile dysfunction (sildenafil).

Drug-Food Interactions: Maintain low salt and low-fat diet while taking Telshell M 40mg/50mg Tablet. Avoid consuming food rich in potassium, such as potassium-containing salt substitutes or over-the-counter potassium supplements. Avoid smoking and alcohol consumption.

Drug-Disease Interactions: Telshell M 40mg/50mg Tablet may have interactions with disease conditions such as diabetes, renal dysfunction (kidney disease), pulmonary disease, alcoholism, congestive heart failure (heart disease), hypotension (low blood pressure) and liver disease.

• ASPIRIN
• IBUPROFEN
• PREGABALIN
• DIGOXIN
• FLECAINIDE
• LITHIUM
• FLUVOXAMINE
• SERTRALINE
• FLUOXETINE
• SILDENAFIL

• You are advised to consume low salt and low-fat diet while taking Telshell M 40mg/50mg Tablet.
• Regular exercise is also recommended to complement treatment with Telshell M 40mg/50mg Tablet.
• Eat a diet rich in whole grains, vegetables, fruits.
• Avoid smoking and alcohol consumption.
• Maintain a healthy weight with proper diet and exercise.
• Managing stress with meditation, yoga, massage would also help in treating high blood pressure.

• Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
• Get up slowly while rising from a lying or sitting position as Telshell M 40mg/50mg Tablet may cause dizziness.
• Keep your doctor informed about your health/disease conditions and the medicines you are taking.

High blood pressure (hypertension): It is a condition in which the blood exerts increased pressure on the walls of blood vessels leading to hypertension. 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 blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.