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  3. Telma NB Tablet 10's

Telma NB Tablet 10's, Pack of 10 TABLETS
Telma NB Tablet 10's, Pack of 10 TABLETS
Telma NB Tablet 10's, Pack of 10 TABLETS
Telma NB Tablet 10's, Pack of 10 TABLETS
Telma NB Tablet 10's, Pack of 10 TABLETS
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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Telma NB Tablet is used to treat high blood pressure. It works by relaxing blood vessels, slowing heart rate to improve blood circulation and decrease blood pressure. In some cases, you may experience headaches, nausea, dizziness, increased potassium levels, swollen legs, ankles, or feet, and low blood pressure. 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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Composition :

NEBIVOLOL-5MG + TELMISARTAN-40MG

Manufacturer/Marketer :

Glenmark Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Telma NB Tablet

Telma NB Tablet belongs to a class of medications called 'anti-hypertensives' primarily used to treat high blood pressure. Hypertension or high blood pressure is a chronic condition in which the force exerted by the blood against the artery wall is high. As a result, it leads to heart disease, irregular heartbeat, and other complications.

Telma NB Tablet is a combination of two drugs, namely  Nebivolol (Beta-blocker) & telmisartan (Angiotensin receptor blocker). Nebivolol works by relaxing blood pressure & slowing heart rate to improve blood circulation and decrease blood pressure. Telmisartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. 

In some cases, you may experience headache, nausea, dizziness, increased potassium level, Swollen legs, ankles, or feet, and low blood pressure. Most of these side effects of Telma NB Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Inform your doctor if you are suffering from any kidney/liver/heart disease or are diabetic. Consult the doctor if you are pregnant or breastfeeding. It should not be given to children less than 18 years of age. Do not use Telma NB Tablet if you have low blood pressure (hypotension) or cardiogenic shock (sudden stopping of blood flow to the heart). Please tell your doctor if you are taking any other medicines or are allergic to Telma NB Tablet .

Uses of Telma NB Tablet

Treatment of Hypertension (high blood pressure).

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Directions for Use

• Telma NB Tablet can be taken with or without food, as advised by your doctor.• Follow your doctor's instructions on the dosage and timing of this medication. However, it is best to take it at the same time each day for effective blood pressure control.• Swallow Telma NB Tablet as a whole with a glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Telma NB Tablet is primarily used to treat hypertension (high blood pressure). It is a combination of two medicines, Nebivolol &  telmisartan, which help lower raised blood pressure effectively. Nebivolol is a beta blocker that works specifically on the heart to reduce heart rate and lower blood pressure. Telmisartan is an angiotensin receptor blocker (ARB) that helps in relaxing our blood vessels by blocking the action of certain natural substances (angiotensin) in your body. This lowers your blood pressure and reduces your risk of having a future stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

How Telma NB Tablet Works

Telma NB Tablet is a combination of two drugs, namely  Nebivolol (Beta-blocker) & telmisartan (Angiotensin receptor blocker). Nebivolol works by relaxing blood pressure & slowing heart rate to improve blood circulation and decrease blood pressure. Telmisartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently.
Side effects of Telma NB Tablet
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
  • Always wear loose-fitting clothes which are suitable for your activity.
  • Include the diet containing fruits like watermelon, grapes, bananas and green leafy vegetables.
  • Drink plenty of water stay hydrated.
  • Avoid moving more and staying in hot sun.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

What if I have taken an overdose of Telma NB Tablet

Do not take more than the prescribed dose of Telma NB Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

Do not take Telma NB Tablet if you are allergic to any of its components. Inform the doctor if you have diabetes, kidney disease or a kidney transplant, liver disease, heart trouble, raised aldosterone levels (water and salt retention in the body), imbalance of various blood minerals, renal artery stenosis (narrowing of the blood vessels to one or both kidneys), low blood pressure (hypotension), dehydrated (excessive loss of body water) or have salt deficiency due to diuretic therapy, low salt diet, diarrhoea, or vomiting, elevated potassium levels in your blood, Raynaud’s disease (poor blood circulation which makes the toes and fingers numb and pale), Prinzmetal angina (a type of chest pain), intermittent claudication (pain, tension, and weakness in the legs when walking which is relieved by rest) or chronic bronchitis.

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
TelmisartanAmiloride
Severe

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
How does the drug interact with Telma NB Tablet:
Co-administration of Aliskiren with Telma NB Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telma NB 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.
TelmisartanAmiloride
Severe
How does the drug interact with Telma NB Tablet:
Co-administration of amiloride with Telma NB 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 Telma NB Tablet:
Taking quinapril with Telma NB 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, Telma NB 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.
TelmisartanTrimethoprim
Severe
How does the drug interact with Telma NB Tablet:
Taking trimethoprim with Telma NB Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Telma NB Tablet and trimethoprim, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, and a weak pulse. Do not discontinue the medications without consulting a doctor.
TelmisartanBenazepril
Severe
How does the drug interact with Telma NB Tablet:
Taking Telma NB Tablet with benazepril 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, Telma NB Tablet can be taken with benazepril 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 medication without consulting a doctor.
TelmisartanRamipril
Severe
How does the drug interact with Telma NB Tablet:
Taking ramipril with Telma NB 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, Telma NB Tablet can be taken with ramipril 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.
TelmisartanPotassium iodide
Severe
How does the drug interact with Telma NB Tablet:
Taking Potassium Iodide with Telma NB Tablet can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Telma NB 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.
TelmisartanPerindopril
Severe
How does the drug interact with Telma NB Tablet:
Taking perindopril with Telma NB 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, Telma NB Tablet can be taken with perindopril 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.
TelmisartanPotassium citrate
Severe
How does the drug interact with Telma NB Tablet:
Taking Potassium citrate with Telma NB 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 Telma NB 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.
TelmisartanLithium
Severe
How does the drug interact with Telma NB Tablet:
Co-administration of Telma NB Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Telma NB Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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NEBIVOLOL-5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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NEBIVOLOL-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:
When Telma NB Tablet is taken along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid taking potassium-containing salt substitutes or over-the-counter potassium supplements with Telma NB Tablet as this can lead to high potassium levels in the blood. However, 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 (Body Mass Index) 19.5-24.9.
  • Regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week, can help lower your raised blood pressure by about 5 mm of Hg.
  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • Limit your intake of sodium chloride (table salt) 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 spend 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 acid-containing food drinks in your daily diet. Low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil can help lower your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Telma NB Tablet Substitute

Substitutes safety advice
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Alcohol

Unsafe

Taking this medicine with alcohol may lead to harmful cases of low blood pressure; thus it is strictly not recommended.

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Pregnancy

Unsafe

Strictly not advised in pregnancy as harmful interactions have been reported.

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Breast Feeding

Caution

No information is available on the effect of Telma NB Tablet on breastfeeding mothers and its passage through milk. Consult the doctor if you are breastfeeding.

bannner image

Driving

Caution

Telma NB Tablet may cause dizziness and fatigue. Drive or operate machinery only if you are alert.

bannner image

Liver

Caution

No interaction has been reported. if experienced by a patient should consult a doctor immediately.

bannner image

Kidney

Caution

No adverse interaction has been reported, yet doctor's consultation is advised.

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Children

Unsafe

It is not recommended in children below 18 years as sufficient data on safety & efficacy is unavailable.

FAQs

Telma NB Tablet is used to treat high blood pressure (hypertension). It works by relaxing blood pressure, allowing the blood to flow more smoothly and the heart to pump more efficiently.

It is strictly not recommended to stop taking Telma NB Tablet on your own as it is prescribed for a long-term disease called hypertension; thus, a doctor's consultation is required.

If a dose is missed, take it as soon as possible. Never take a double dose at a time to make up for the missed dose.

Telma NB Tablet can mask the symptoms of higher sugar levels in diabetic patients. Therefore, this medicine should be used only if the doctor recommends it.

Taking too much Telma NB Tablet may make you feel dizzy or like your heart is beating too fast or too slow. If you think that you’ve taken too much, call your doctor or go to the emergency hospital right away.

No, different studies carried out by health professionals on this drug & its long term effects have found its beneficial effects to be more (heart and associated blood vessels) as compared to few rare side effects that are found with this drugs use.

The side effects of Telma NB Tablet include dizziness, weakness, headache, stomach upset, slow heart rate or decreased blood pressure. If these side effects persist or worsen, please consult your doctor.

No, do not take any supplements containing potassium or potassium salts with Telma NB Tablet . Telmisartan may increase blood potassium levels. Regular routine tests should be performed.

Take Telma NB Tablet as advised by your doctor. Telma NB Tablet can be taken with or without food. But try to take it at the same time every day for effective blood pressure control.

Telma NB Tablet is not a diuretic. It belongs to a class of medicines called angiotensin II receptor antagonists, which work by inhibiting the action of certain natural substances that constrict the blood vessels leading to high blood pressure. Thereby, by blocking the action of these chemicals, it allows smooth blood flow and makes the heart to pump blood more efficiently.

No, Telma NB Tablet is not a blood thinner. It is an antihypertensive medication used to manage high blood pressure.

Telma NB Tablet is usually not associated with weight gain.

Telma NB Tablet is usually taken daily as prescribed by your doctor to manage high blood pressure.

Yes, Telma NB Tablet is primarily used to treat high blood pressure.

Telma NB Tablet is generally not used to treat chest pain. If you have any concerns regarding this, please discuss with your doctor.

Use Telma NB Tablet for as long as it is prescribed. Your doctor will determine the dosage duration based on your specific medical condition.

Country of origin

India

Manufacturer/Marketer address

Glenmark Pharmaceuticals Limited, B/2, Mahalaxmi Chambers, 22, Bhulabhai Desai Road, Mumbai – 400 026.
Other Info - TEL1027

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 18, 2025 | 6:39 AM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Reference

  1. https://www.medicines.org.uk/emc/product/5828/smpc#gref
  2. https://pubmed.ncbi.nlm.nih.gov/22077832/
  3. https://medlineplus.gov/druginfo/meds/a608029.html#:~:text=Nebivolol%20is%20used%20alone%20or,flow%20and%20decrease%20blood%20pressure.
  4. https://pubmed.ncbi.nlm.nih.gov/26177892/

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