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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Telvas H 40/12.5 Tablet is used for the treatment of hypertension (high blood pressure). It contains Telmisartan and Hydrochlorothiazide, which helps to relax and widen the blood vessels (arteries). Also, it prevents absorption of excess salt in the body, preventing fluid retention. Thus, it lowers blood pressure and prevents the risk of stroke, heart attack and oedema (fluid retention). In some cases, you may experience side effects such as dizziness, feeling tired, nausea, diarrhoea, back pain, and cold/flu symptoms. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer :

Aristo Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

Jan-27

About Telvas H 40/12.5 Tablet

Telvas H 40/12.5 Tablet belongs to the class of anti-hypertensives primarily taken for the treatment of hypertension (high blood pressure). Hypertension or high blood pressure is a life-long or chronic condition in which the force exerted by the blood against the artery wall becomes too high. It can lead to the risk of heart diseases, like heart attack and stroke.

Telvas H 40/12.5 Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Hydrochlorothiazide (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Hydrochlorothiazide is a diuretic that prevents absorption of excess salt in the body, preventing fluid retention. Together it lowers blood pressure and prevents the risk of stroke, heart attack and oedema (fluid retention).

You can take Telvas H 40/12.5 Tablet with food or empty stomach. It should be swallowed whole with a glass of water. Your doctor will advise you how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, feeling tired, nausea, diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Telvas H 40/12.5 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use potassium supplements or its salt substitutes, unless the doctor has told you. In rare cases, Telvas H 40/12.5 Tablet can cause a condition that results in the skeletal muscle problem, leading to further to kidney failure. If you notice unexplained muscle pain, dark colour urine, tenderness, or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor. Do not use if you are pregnant, planning to get pregnant, stop taking Telvas H 40/12.5 Tablet and tell your doctor right away. Besides this, you should not use Telvas H 40/12.5 Tablet if you are unable to urinate. If you have diabetes, do not use Telvas H 40/12.5 Tablet with any medication that contains aliskiren (a blood pressure medicine). Before taking Telvas H 40/12.5 Tablet , tell your doctor if you have ever had liver disease, kidney failure, glaucoma, high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or an allergy to penicillin or sulfa drugs.  

Uses of Telvas H 40/12.5 Tablet

Treatment of Hypertension (high blood pressure)

Directions for Use

Telvas H 40/12.5 Tablet should not be used unless prescribed by a doctor. Always take Telvas H 40/12.5 Tablet exactly as your doctor told you. Your doctor will advise you how often you take your tablets based on your medical condition. Swallow Telvas H 40/12.5 Tablet with a full glass of water. If required tablets can be broken in half to give a smaller dose.

Medicinal Benefits

Telvas H 40/12.5 Tablet works by relaxing and widening the blood vessels (arteries) making the heart more efficient at pumping blood throughout the body. It helps to lower high blood pressure thus reduces the chances of future heart attack and stroke. Besides this, it prevents excessive water and electrolytes (like sodium, potassium etc.) from the body through urine that can raise high blood pressure.

How Telvas H 40/12.5 Tablet Works

Telvas H 40/12.5 Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Hydrochlorothiazide (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Hydrochlorothiazide is a diuretic that prevents absorption of excess salt in the body, preventing fluid retention. Together it lowers blood pressure and prevents the risk of stroke, heart attack and oedema (fluid retention).

Storage

Store in a cool and dry place away from sunlight

Side Effects of Telvas H 40/12.5 Tablet

  • Dizziness

  • Feeling tired

  • Nausea

  • Diarrhoea

  • Back pain

  • Cold/flu symptoms

What if I have taken an overdose of Telvas H 40/12.5 Tablet

Do not take more than the prescribed dose of Telvas H 40/12.5 Tablet as it may cause overdose. The symptoms of overdose include fainting, feeling light-headed and slow or fast heart rate. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Telvas H 40/12.5 Tablet should not be given to the people allergic to Telvas H 40/12.5 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. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem). Telvas H 40/12.5 Tablet can pass into breast milk, but its effect on the baby is not known. So, it is better to tell your doctor if you are taking Telvas H 40/12.5 Tablet and breastfeeding.

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
HydrochlorothiazideDofetilide
Critical

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
How does the drug interact with Telvas H 40/12.5 Tablet:
Co-administration of Aliskiren with Telvas H 40/12.5 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telvas H 40/12.5 Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
HydrochlorothiazideDofetilide
Critical
How does the drug interact with Telvas H 40/12.5 Tablet:
Taking Dofetilide and Telvas H 40/12.5 Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Telvas H 40/12.5 Tablet together is not recommended as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
HydrochlorothiazideCisapride
Critical
How does the drug interact with Telvas H 40/12.5 Tablet:
Taking Cisapride and Telvas H 40/12.5 Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Telvas H 40/12.5 Tablet together is generally avoided as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
TelmisartanPotassium acetate
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Co-administration of Potassium acetate can make Telvas H 40/12.5 Tablet more likely to cause high levels of potassium in the blood.

How to manage the interaction:
Although taking Potassium acetate and Telvas H 40/12.5 Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without a doctor's advice.
TelmisartanAmiloride
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Co-administration of amiloride with Telvas H 40/12.5 Tablet may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm).

How to manage the interaction:
Although there is a possible interaction, amiloride may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is important to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
TelmisartanQuinapril
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Taking quinapril with Telvas H 40/12.5 Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telvas H 40/12.5 Tablet can be taken with quinapril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium, such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanEnalapril
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Coadministration of enalapril with Telvas H 40/12.5 Tablet may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Enalapril together with Telvas H 40/12.5 Tablet may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, papayas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
TelmisartanPotassium iodide
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Taking Potassium Iodide with Telvas H 40/12.5 Tablet can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Telvas H 40/12.5 Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without a doctor's advice.
TelmisartanPotassium citrate
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Taking Potassium citrate with Telvas H 40/12.5 Tablet together may increase potassium levels in the blood, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm.

How to manage the interaction:
Although taking Potassium citrate with Telvas H 40/12.5 Tablet together can possibly result in an interaction, it can be taken if a doctor has advised it. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is essential to maintain proper fluid intake while taking these medications. It is advised to reduce the intake of potassium-rich foods. Do not discontinue any medications without a doctor's advice.
TelmisartanSpironolactone
Severe
How does the drug interact with Telvas H 40/12.5 Tablet:
Taking spironolactone with Telvas H 40/12.5 Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Telvas H 40/12.5 Tablet can be taken with spironolactone if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Consumption of Telvas H 40/12.5 Tablet with potassium-containing salt substitutes may increase the levels of potassium in the body. Avoid potassium-containing salt substitutes while being treated with Telvas H 40/12.5 Tablet. Consult a doctor if you experience weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs.

Diet & Lifestyle Advise

  • Keep your weight under control with BMI 19.5-24.9.

  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.

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

  • If you are taking alcohol then only one serving for women and two servings for men is advisable.

  • Quitting smoking is the best strategy to lower the risk of heart disease.

  • Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress and practice mindfulness techniques.

  • Monitor your blood pressure daily and if there is too much fluctuation then immediately contact your doctor.

  • 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 can help in lowering your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Telvas H 40/12.5 Tablet Substitute

Substitutes safety advice
  • Aquris Telartan Hyd-40 Tablet 10's

    by Others

    12.50per tablet
  • Telma H Tablet 15's

    by Others

    20.13per tablet
  • Telmikind-H Tablet 10's

    by Others

    8.91per tablet
  • Tazloc-H 40 Tablet 10's

    by Others

    15.39per tablet
  • Sartel H Tablet 15's

    by Others

    18.15per tablet
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Alcohol

Unsafe

You are recommended not to consume alcohol along with Telvas H 40/12.5 Tablet to avoid unpleasant side effects like drowsiness, dizziness and liver damage.

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Pregnancy

Unsafe

Telvas H 40/12.5 Tablet is not recommended during pregnancy. This medicine may cause fetal damage and can affect the unborn baby (foetus).

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Breast Feeding

Caution

Telvas H 40/12.5 Tablet is known to pass breast milk, but, its effect on the baby is not known. So, before breastfeeding, let your doctor know about this.

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Driving

Unsafe

Drive with caution, Telvas H 40/12.5 Tablet usually causes drowsiness and affects driving ability.

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Liver

Caution

Telvas H 40/12.5 Tablet to be taken with caution, especially if you have or have had a history of liver disease. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Kidney

Unsafe

Not recommended in patients with chronic kidney disease (severe renal impairment). Safety and effectiveness in patients with severe renal impairment have not been established.

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Children

Safe if prescribed

Telvas H 40/12.5 Tablet can be given safely to children aged 6 - 12 years provided; dose has been prescribed by a child specialist.

FAQs

Telvas H 40/12.5 Tablet is used for the treatment of hypertension (high blood pressure).

No, you are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend to discontinue it.

Yes, Telvas H 40/12.5 Tablet can cause ankle swelling in some cases which can be due to oedema (fluid retention). If you feel the swelling is persistent, please inform your doctor.

Telvas H 40/12.5 Tablet can be safely taken as long as your doctor has prescribed it to you. Conditions such as high blood pressure are life-long conditions, and one should not abruptly discontinue it without discussing it with a doctor.

Yes, Telvas H 40/12.5 Tablet can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Telvas H 40/12.5 Tablet . In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.

Country of origin

India

Manufacturer/Marketer address

Mercantile Chamber, 3rd Floor, 12, J.N. Heredia Marg, Ballard Estate, Mumbai – 400 001, India.
Other Info - TEL0038

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