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

Tistel 40/12.5mg Ct Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Chlorthalidone 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 any future stroke, heart attack, and oedema (fluid retention).

You can take Tistel 40/12.5mg Ct Tablet with food or an empty stomach. It should be swallowed whole with a glass of water. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of Tistel 40/12.5mg Ct 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 salt substitutes unless the doctor has told you. In rare cases, Tistel 40/12.5mg Ct Tablet can cause a condition that results in a skeletal muscle problem, leading to further 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. If you suspect pregnancy while taking Tistel 40/12.5mg Ct Tablet , tell your doctor right away. Tistel 40/12.5mg Ct Tablet should not be taken if you are breastfeeding as Tistel 40/12.5mg Ct Tablet can pass into breast milk, so before starting Tistel 40/12.5mg Ct Tablet , you need to stop nursing or do not take Tistel 40/12.5mg Ct Tablet while breastfeeding. Besides this, you should not use the Tistel 40/12.5mg Ct Tablet if you are unable to urinate. If you have diabetes, do not use Tistel 40/12.5mg Ct Tablet with any medication that contains aliskiren (a blood pressure medicine). Before taking Tistel 40/12.5mg Ct Tablet , tell your doctor if you have ever had liver disease, kidney failure, glaucoma (increased eye pressure), 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.

Tistel 40/12.5mg Ct Tablet belongs to the class of anti-hypertensives primarily taken to treat hypertension (high blood pressure). Tistel 40/12.5mg Ct Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Tistel 40/12.5mg Ct 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 which can otherwise raise high blood pressure. In addition to this, Tistel 40/12.5mg Ct Tablet also reduces the future risk of any stroke or heart attack.

• Dizziness
• Feeling tired
• Nausea
• Skin ulcers
• Diarrhoea
• Back pain
• Cold/flu symptoms

Tistel 40/12.5mg Ct Tablet should not be given to the people allergic to Tistel 40/12.5mg Ct Tablet or any of its ingredients, 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 who have 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). Tistel 40/12.5mg Ct Tablet can pass into breast milk, so before starting Tistel 40/12.5mg Ct Tablet , either you need to stop nursing, or you should not take Tistel 40/12.5mg Ct Tablet while breastfeeding. If you have anuria (non-passage of urine), please do not take Tistel 40/12.5mg Ct Tablet as it is contra-indicated in it and may lead to further complications.

Drug-Drug interaction: This medicine may have an interaction with medicines used to treat mood disorders (lithium), medicines used to treat heart disorders (digoxin), blood thinner (aspirin), antidiabetic medicines (metformin, insulin), medicines used to treat erectile dysfunction (sildenafil), medicines used to lower cholesterol levels (such as simvastatin), immunosuppressants (cyclosporine), and other anti-hypertensive medicines (atenolol, aliskiren, enalapril, lisinopril, ramipril, metoprolol), and NSAIDs (ibuprofen).

Drug-Food Interaction: Tistel 40/12.5mg Ct Tablet may interact with high potassium-containing food and drinks. So, if you are using any of the OTC items, please tell your doctor. Also, alcohol should not be consumed while taking Tistel 40/12.5mg Ct Tablet .

Drug-Disease Interaction: The efficacy of Tistel 40/12.5mg Ct Tablet is affected, and the disease condition may even worsen if taken in patients with a recent or history of heart attack, low blood pressure, low potassium level, low electrolytes (sodium, potassium, calcium, etc.), anuria (non-passage of urine), angioedema (an allergic condition with swelling under the skin), lupus (an autoimmune disease), kidney disease, liver disease, asthma, diabetes.

• LITHIUM
• DIGOXIN
• ASPIRIN
• METFORMIN
• INSULIN
• SILDENAFIL
• SIMVASTATIN
• CYCLOSPORINE
• ATENOLOL
• ALISKIREN
• ENALAPRIL
• LISINOPRIL
• RAMIPRIL
• METOPROLOL
• IBUPROFEN

• Keep your weight under control with a BMI of 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 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 to lower your elevated blood pressure.

• Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).

• Get up slowly while rising from lying or sitting position as Tistel 40/12.5mg Ct Tablet may cause dizziness.

Hypertension: It 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. Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. 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.