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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
Telma D Tablet is used to treat hypertension (high blood pressure). It contains Telmisartan and Indapamide, which helps to relax and widen the blood vessels (arteries). It removes extra water and several electrolytes from the body. It also relaxes blood vessels and enhances blood flow. Thus, it lowers blood pressure and prevents the risk of stroke, heart attack and oedema (fluid retention). It may cause side effects such as nausea, diarrhoea, stomach pain, constipation, infection, headache, dizziness, back pain, inflammation of the nose, chest pain, weakness, indigestion, hypertonia (increased muscle tone), nervousness, peripheral oedema, sore throat, cough, conjunctivitis (inflammation in the eyeball), sinus inflammation. 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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Side effects of Telma D Tablet
Managing Low Blood Pressure Triggered by Medication: Expert Advice:
  • If you experience low blood pressure symptoms like dizziness, lightheadedness, or fainting while taking medication, seek immediate medical attention.
  • Make lifestyle modifications and adjust your medication regimen under medical guidance to manage low blood pressure.
  • As your doctor advises, regularly check your blood pressure at home. Record your readings to detect any changes and share them with your doctor.
  • Fluid intake plays a vital role in managing blood pressure by maintaining blood volume, regulating blood pressure, and supporting blood vessel function. Drinking enough fluids helps prevent dehydration, maintain electrolyte balance, and regulate fluid balance.
  • Take regular breaks to sit or lie down if you need to stand for long periods.
  • When lying down, elevate your head with extra pillows to help improve blood flow.
  • Avoid heavy exercise or strenuous activities that can worsen low blood pressure.
  • Wear compression socks as your doctor advises to enhance blood flow, reduce oedema, and control blood pressure.
  • If symptoms persist or worsen, or if you have concerns about your condition, seek medical attention for personalized guidance and care.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

Drug-Drug Interactions

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IndapamideDroperidol
Critical

Drug-Drug Interactions

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IndapamideDroperidol
Critical
How does the drug interact with Telma D Tablet:
Taking Droperidol with Telma D Tablet can lead to severe heart problems.

How to manage the interaction:
Taking Droperidol with Telma D Tablet is not recommended, but can be taken if prescribed by the doctor.
How does the drug interact with Telma D Tablet:
Taking Telma D Tablet with Thioridazine can increase the risk of heart problems.

How to manage the interaction:
Taking Thioridazine with Telma D Tablet is not recommended, but can be taken if prescribed by the doctor.
IndapamideProtriptyline
Critical
How does the drug interact with Telma D Tablet:
Taking Protriptyline along with Telma D Tablet can lead to serious heart problems.

How to manage the interaction:
Taking Protriptyline with Telma D Tablet is not recommended, but can be taken if prescribed by the doctor.
How does the drug interact with Telma D Tablet:
Co-administration of Aliskiren with Telma D Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telma D 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.
How does the drug interact with Telma D Tablet:
Co-administration of Telma D Tablet with Pimozide can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Telma D Tablet and Pimozide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, rapid heartbeat, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Telma D Tablet:
Taking Telma D Tablet with Ziprasidone can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Telma D Tablet and Ziprasidone together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Telma D Tablet:
Co-administration of Tizanidine with Telma D Tablet may reduce blood pressure greatly leading to side effects.

How to manage the interaction:
Although taking Telma D Tablet and Tizanidine together can cause an interaction, it can be taken if a doctor has suggested it. However, if you notice any of these signs - feeling dizzy, having a headache, feeling lightheaded, or fainting, Consult a doctor. Do not discontinue any medications without a doctor's advice.
IndapamideAminolevulinic acid
Severe
How does the drug interact with Telma D Tablet:
Using Aminolevulinic acid with Telma D Tablet, your skin becomes more sensitive to strong light. This increases your risk of getting a bad sunburn.

How to manage the interaction:
Although taking Telma D Tablet and Aminolevulinic acid together can cause an interaction, it can be taken if a doctor has suggested it. After treatment, you should wait 48 hours before exposing your eyes, and skin, to any bright lights indoors. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Telma D Tablet:
Co-administration of Telma D Tablet with Arsenic trioxide can increase the risk of abnormal heart rhythms.

How to manage the interaction:
Taking Telma D Tablet and Arsenic trioxide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, rapid heartbeat, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
IndapamideDofetilide
Severe
How does the drug interact with Telma D Tablet:
Co-administration of Telma D Tablet with Dofetilide can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Telma D Tablet and Dofetilide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, fainting, shortness of breath, rapid heartbeat, weakness, muscle pain, cramps, nausea, or vomiting, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.

Drug-Food Interactions

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INDAPAMIDE-1.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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INDAPAMIDE-1.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Tomatoes, Sweet Potatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Taking potassium rich food while on the treatment with Telmisartan and Indapamide can increase the levels of potassium salt in blood which lead to experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Avoid or limit consumption of potassium rich food while on the treatment with Telmisartan and Indapamide.

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