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compositionComposition:INDAPAMIDE-1.5MG+TELMISARTAN-40MG
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Prescription Medicine
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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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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

INDAPAMIDE-1.5MG+TELMISARTAN-40MG

Manufacturer/Marketer :

Glenmark Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Telma D Tablet

Telma D Tablet is a prescription medicine used to treat high blood pressure (hypertension). It helps lower elevated blood pressure to normal levels, reducing the strain on your cardiovascular system. This combined approach is typically prescribed when a single medicine is not enough to control your blood pressure.

For the best results, you must take Telma D Tablet consistently every day, exactly as your doctor prescribes. You can take this tablet with or without food, preferably at the same time each day to help you remember. Along with this medicine, adopting healthy changes like reducing salt in your diet and staying physically active can significantly support your blood pressure goals.

While taking Telma D Tablet , you might experience mild side effects like dizziness, tiredness, or back pain. These are usually temporary, but you must seek immediate medical help if you experience serious symptoms such as swelling of your face, severe dizziness, or a sudden change in urination.

Do not take this if you are pregnant, as it can cause serious harm to an unborn baby. You should also avoid this medication if you have severe kidney problems, liver damage, or difficulty urinating. Talk to your doctor before starting this medicine if you have diabetes, gout, or a history of heart valve issues.

This medicine can interact with certain pain relievers, lithium, and potassium supplements, which can alter its effectiveness or cause harmful side effects. Avoid drinking alcohol while taking this medicine, as it can make you feel excessively dizzy. If you are breastfeeding or are an elderly patient, consult your doctor to ensure this medication is safe for you.

Uses of Telma D Tablet

Telma D Tablet is used to treat high blood pressure (hypertension). The detailed uses of Telma D Tablet are as follows:

  • Hypertension (high blood pressure): Telma D Tablet helps lower elevated blood pressure back to a safe range, reducing the overall workload on your heart and blood vessels.
  • Reduction of cardiovascular risk: By maintaining controlled blood pressure, this medication helps lower your risk of experiencing serious, life-threatening complications like strokes or heart attacks.
     

Key Benefits

Telma D Tablet helps manage high blood pressure by combining two complementary blood pressure-lowering medicines in a single tablet. By providing effective and sustained blood pressure control, it supports long-term cardiovascular health and helps protect vital organs from hypertension-related complications.

  • Helps Maintain Healthy Blood Pressure Levels: By lowering and controlling elevated blood pressure, Telma D Tablet helps reduce strain on the heart and blood vessels, supporting stable blood pressure throughout the day.
  • Supports Long-Term Heart, Kidney, and Eye Health: Effective blood pressure control with Telma D Tablet helps reduce the risk of complications such as heart failure, kidney damage, stroke, and vision problems caused by uncontrolled hypertension.
  • Offers Convenient Combination Therapy: By combining two antihypertensive medicines into a single daily tablet, Telma D Tablet simplifies your treatment routine, supports better medication adherence, and helps maintain consistent blood pressure control over time.
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.

Directions for Use

  • Take Telma D Tablet with or without food or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with glass of water.
  • Do not crush, break, or chew it.

How Telma D Tablet Works

Telma D Tablet combines two active ingredients, telmisartan and indapamide, which use different methods to lower your blood pressure. By targeting the cardiovascular system from two angles, they work together to achieve better results than either would alone. Telmisartan belongs to a class of medicines called angiotensin receptor blockers (ARBs). It works by blocking a natural substance in your body that causes your blood vessels to tighten and narrow. By blocking this substance, telmisartan allows your blood vessels to relax and widen, making it easier for blood to flow through them. Indapamide is a thiazide-like diuretic, commonly known as a water pill. It works in your kidneys to help your body eliminate excess salt and water through your urine. This reduces the total volume of fluid circulating in your blood vessels, which naturally lowers the pressure against your artery walls.
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Alcohol

Caution

You are recommended not to consume alcohol and Telma D Tablet to avoid unpleasant side effects like drowsiness, dizziness, and liver damage.

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Pregnancy

Caution

Telma D Tablet may cause fetal damage and can affect the unborn baby (fetus). Please consult your doctor before taking Telma D Tablet if you are pregnant or planning to conceive

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Breast Feeding

Caution

Telma D 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

Caution

Drive with caution, Telma D Tablet usually causes dizziness and affects driving ability.

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Liver

Caution

Please take Telma D Tablet only with the doctor's advice if you have a history of liver diseases/conditions

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Kidney

Caution

Let your doctor know if you have any history of kidney diseases or impairment before taking Telma D Tablet .

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Children

Caution

Telma D Tablet is not recommended in children younger than 18 years of age.

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Heart

Safe if prescribed

Telma D Tablet is generally safe for heart patients if prescribed, but should be used under medical supervision.

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Geriatrics

Caution

Elderly patients may require caution and dose adjustments, as Telma D Tablet may increase the risk of side effects.

What if I have taken an overdose of Telma D Tablet

If you take too much of this medication, seek immediate medical attention. Symptoms of an overdose may include extreme dizziness, a rapid or slow heart rate, low blood pressure, or feeling unusually weak.

Diet & Lifestyle Advise

  • Reduce your salt intake: High sodium levels can raise your blood pressure. Avoid processed foods and limit the amount of table salt you add to meals.
  • Stay hydrated: Drink adequate amounts of water daily. Since indapamide acts as a diuretic, maintaining hydration is vital, but talk to your doctor about how much fluid is right for you.
  • Eat a heart-healthy diet: Focus on whole grains, lean proteins, fruits, and vegetables. Be cautious with potassium-rich foods or salt substitutes containing potassium, as telmisartan can raise your body's potassium levels.
  • Engage in regular physical activity: Incorporate moderate exercises, like walking, swimming, or cycling, into your weekly routine as approved by your physician.
  • Monitor your blood pressure at home: Keep a daily log of your readings to share with your doctor during your routine check-ups.
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How Soon It Starts Working

The time required for Telma D Tablet to start to work: The time required for Telma D Tablet to show its action is unknown. The time for which the effects of Telma D Tablet last: The duration of action for Telma D Tablet is unknown.

What if you forget to take Telma D Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a missed one.

Storage

•Store the medicine at a controlled room temperature, ideally between 20°C to 25°C (68°F to 77°F). •Avoid storing this medication in humid areas like bathroom cabinets or kitchens, and never allow the tablets to freeze.

Drug Warnings

  • Check your blood pressure regularly: Keep a record of your readings so your doctor can evaluate how well the medication is working.
  • Stand up slowly: To prevent dizziness or fainting, take your time when moving from a lying or sitting position to standing.
  • Avoid potassium supplements: Do not start taking potassium supplements or using potassium-based salt alternatives unless your doctor specifically advises you to do so.
  • Stay alert to dehydration: Tell your doctor if you experience prolonged vomiting, diarrhoea, or heavy sweating, as these can lead to dangerously low blood pressure.
  • Limit alcohol consumption: Alcohol can increase the blood pressure-lowering effect of Telma D Tablet , making you feel light-headed, drowsy, or dizzy.
  • Keep up with blood tests: Attend all scheduled medical appointments so your doctor can check your kidney function and electrolyte levels through routine blood tests.

Drug-Drug Interactions

verifiedApollotooltip
  • Other blood pressure-lowering medicines: Combining Telma D Tablet with ACE inhibitors or aliskiren may excessively lower your blood pressure and increase the risk of kidney problems.
  • Lithium: This medicine can raise the levels of lithium in your blood, increasing the risk of lithium toxicity.
  • Non-steroidal anti-inflammatory drugs (NSAIDs): Painkillers like ibuprofen or naproxen can reduce the blood pressure-lowering effect of Telma D Tablet and increase your risk of kidney damage.
  • Potassium-sparing diuretics or potassium supplements: Taking these alongside Telma D Tablet can lead to dangerously high levels of potassium in your blood.
Telmisartan + IndapamideBenazepril
Severe
Telmisartan + IndapamideDofetilide
Severe

Drug-Drug Interactions

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Telmisartan + IndapamideBenazepril
Severe
How does the drug interact with Telma D Tablet:
Taking Benazepril with Telmisartan and Indapamide can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Benazepril with Telmisartan and Indapamide may lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.
Telmisartan + IndapamideDofetilide
Severe
How does the drug interact with Telma D Tablet:
Co-administration of Telmisartan and Indapami with Dofetilide can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Telmisartan and Indapami with Dofetilide 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, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Telmisartan + IndapamideEnalapril
Severe
How does the drug interact with Telma D Tablet:
Taking Enalapril with Telmisartan and Indapamide can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Enalapril with Telmisartan and Indapamide may lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.
Telmisartan + IndapamidePimozide
Severe
How does the drug interact with Telma D Tablet:
Co-administration of Telmisartan and Indapami with Pimozide can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Telmisartan and Indapami with Pimozide 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, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Telmisartan + IndapamidePerindopril
Severe
How does the drug interact with Telma D Tablet:
Taking Perindopril with Telmisartan and Indapamide can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Perindopril with Telmisartan and Indapamide may lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.
Telmisartan + IndapamideDolasetron
Severe
How does the drug interact with Telma D Tablet:
Co-administration of Telmisartan and Indapami with Dolasetron can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Telmisartan and Indapami with Dolasetron 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, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Telmisartan + IndapamideAmiloride
Severe
How does the drug interact with Telma D Tablet:
Taking Amiloride with Telmisartan and Indapamide can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Amiloride with Telmisartan and Indapamide may lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.
Telmisartan + IndapamideSpironolactone
Severe
How does the drug interact with Telma D Tablet:
Taking Spironolactone with Telmisartan and Indapamide can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Spironolactone with Telmisartan and Indapamide may lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.
Telmisartan + IndapamideLithium
Severe
How does the drug interact with Telma D Tablet:
Co-administration of telmisartan and Indapamide with lithium may significantly increase the blood levels of Lithium.

How to manage the interaction:
Although there is an interaction between telmisartan and Indapamide with lithium, it can be taken if prescribed by a doctor. Consult a doctor if you experience symptoms of like drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, shaking of hands and legs, blurred vision, ringing sound in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor. Co-administration of telmisartan and Indapamide may significantly increase the blood levels of telmisartan and Indapamide.
Telmisartan + IndapamidePotassium citrate
Severe
How does the drug interact with Telma D Tablet:
Taking Potassium citrate with Telmisartan and Indapamide can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Potassium citrate with Telmisartan and Indapamide may lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Drinking alcohol while taking this medicine can cause your blood pressure to drop too low, resulting in severe dizziness or fainting.
  • Potassium-rich foods and salt substitutes: Excess intake of potassium-rich foods (like bananas or spinach) or salt substitutes containing potassium can cause high potassium levels in your blood.
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:
Apricots, Avocado, Bananas, Beans, Beetroot, Broccoli, Coconut Water, Lentils, Orange Juice, Oranges, Potatoes, Raisins, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, 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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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Telma D Tablet belongs to the class of anti-hypertensives used to treat 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 Telma D Tablet . Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend to discontinue it.
The use of Telma D Tablet is considered harmful to people with known allergy to any of the components of Telma D Tablet . It should preferably be avoided in people with severe kidney or liver damage and people with anuria (reduction or absence of urine). It should also be avoided in women who are in the second and third trimesters of their pregnancy.
Yes, prolonged intake of Telma D Tablet can cause an increase in blood potassium level. So, patients taking Telma D Tablet should avoid taking supplements and food rich in potassium to avoid any unpleasant side-effect.
Yes, the use of Telma D Tablet can cause dizziness in some people, as it is one of the side effect of Telma D Tablet . So if you feel dizzy or lightheaded, take some rest and resume after you feel better.
Telma D Tablet should be stored in a cool, dry place away from sunlight, at room temperature. Make sure to keep it out of reach of children and pets.
If Telma D Tablet doesn't seem to make you feel any better, it is important to consult your doctor. They may change your dosage, it’s crucial not to stop taking the medication without your doctor’s advice, as this could lead to a rise in blood pressure and increased risk of heart attack or stroke.
There is no clear confirmation that Telma D Tablet affects fertility in either men or women. However, some blood pressure medications can impact sexual function. If you notice any changes or have any concerns regarding this, consult your doctor.
While taking Telma D Tablet , it's important to make some lifestyle changes to help manage your blood pressure effectively like reducing salt intake, managing stress, maintaining a healthy diet, exercising regularly, limiting alcohol, quitting smoking, and getting enough sleep.
Telma D Tablet can cause side effects like nausea, stomach pain, diarrhoea, constipation, headache, infection, back pain, dizziness, nose inflammation, weakness, chest pain, indigestion, peripheral edema, nervousness, cough, sore throat, sinus inflammation, and conjunctivitis. If any of these persist or worsen please consult your doctor.
No, you should not take Telma D Tablet if you are pregnant or planning to become pregnant. It contains active ingredients (telmisartan and indapamide) that can cause severe harm or even death to an unborn baby, especially during the second and third trimesters. If you discover you are pregnant, stop taking this medicine immediately and talk to your doctor.
You may notice your blood pressure starting to decrease within a few days, but it can take up to 4 to 8 weeks of consistent daily use to experience the full blood pressure-lowering benefits of this medicine. Talk to your doctor if your blood pressure does not improve after several weeks.
Because this medicine contains a mild diuretic (water pill) that increases urination, it is generally recommended to take it in the morning to avoid waking up during the night to use the bathroom. However, your physician may suggest a different schedule based on your specific needs. Talk to your doctor to determine the best timing for you.
Take the missed dose as soon as you remember. If your next scheduled dose is only a few hours away, skip the missed dose and resume your regular daily schedule. Do not take two doses at the same time to make up for a missed one. Talk to your doctor or pharmacist if you frequently miss doses.
Yes, the indapamide component in this medication is a mild diuretic, which helps your body get rid of excess water and salt. This can cause you to urinate more frequently, especially when you first start taking the medicine. To prevent sleep disruption, try to take your dose in the morning. Talk to your doctor if this becomes problematic.
You should avoid using salt substitutes that contain potassium while taking this medicine. The telmisartan in this medicine can cause your body to retain potassium, and combining it with potassium-based salt substitutes can lead to dangerously high potassium levels in your blood. Talk to your doctor or pharmacist for safe dietary recommendations.
Regular blood tests allow your healthcare provider to monitor your kidney function and check the levels of essential electrolytes, such as potassium, sodium, and uric acid, in your blood. This monitoring ensures that the medicine is working safely without causing silent complications. Talk to your doctor about how often you need these checks.

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Country of origin

India

Manufacturer/Marketer address

Glenmark Pharmaceuticals Limited, B/2, Mahalaxmi Chambers, 22, Bhulabhai Desai Road, Mumbai – 400 026.
Other Info - TEL1026
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