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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Telma R 2.5 Tablet is used to treat high blood pressure. It contains Telmisartan and Ramipril which work by widening the narrowed blood vessels and lowering the production of substances that could increase blood pressure. This medicine may sometimes cause side effects such as nausea, vomiting, diarrhoea, weakness, indigestion, and dizziness. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Manufacturer/Marketer :

Glenmark Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Telma R 2.5 Tablet

Telma R 2.5 Tablet belongs to a group of medications called ‘antihypertensives’ used in the treatment of hypertension (high blood pressure). High blood pressure is a chronic (long-term) condition in which blood pressure is elevated persistently in higher than normal levels. If left untreated, this condition can increase the risk of heart-related diseases like heart attack, heart failure, stroke, irregular heartbeat, and other complications.

Telma R 2.5 Tablet contains Telmisartan and Ramipril. Telmisartan is an angiotensin-II receptor blocker (ARB). Angiotensin narrows the blood vessels increasing the blood pressure, therefore blocking angiotensin can result in the widening of the narrowed blood vessels. Ramipril is an angiotensin-converting enzyme (ACE) inhibitor and works by lowering the body’s production of substances (angiotensin) that could increase blood pressure. Together, Telma R 2.5 Tablet allows the blood to flow more smoothly in the blood vessels.

Take Telma R 2.5 Tablet exactly as prescribed. Telma R 2.5 Tablet may cause side effects such as sinus pain and congestion, back pain, dizziness, hypotension (abnormally low blood pressure), especially when you stand or sit up quickly, dry cough, weakness, stomach pain, diarrhea, indigestion, feeling or being sick, skin rash, chest pain, muscle cramps and hyperkalemia (increased potassium levels in the blood). Inform your doctor immediately, if any of these side effects persist or get worse.

It is not recommended to take Telma R 2.5 Tablet if you are allergic to any contents of it. Before taking Telma R 2.5 Tablet , inform your doctor if you have any liver, kidney or heart problems, angioedema (serious allergic reaction), renal artery stenosis (a kidney problem in which blood supply to the kidney is reduced), severe hypotension (abnormally low blood pressure), atherosclerosis (obstruction of blood flow due to presence of clots) and diabetic kidney disease. It is also not recommended for use in children, and pregnant and breastfeeding women. The dose may have to be adjusted in elderly people. It is not advised to consume alcohol as it can increase dizziness. Telma R 2.5 Tablet may cause dizziness, so do not drive or operate heavy machinery if you feel dizzy.

Uses of Telma R 2.5 Tablet

Treatment of Hypertension

Directions for Use

• Telma R 2.5 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.• Swallow Telma R 2.5 Tablet as a whole with a glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Telma R 2.5 Tablet is used in the treatment of hypertension and essential hypertension (that doesn't have an identifiable cause). It works by lowering the body’s production of substances that could increase blood pressure and also widens narrowed blood vessels. It allows the blood to flow more smoothly in the blood vessels. It can reduce the risk of heart failure, stroke and delay worsening of kidney problems. It can also be given as a treatment for chronic heart failure.

How Telma R 2.5 Tablet Works

Telma R 2.5 Tablet contains Telmisartan and Ramipril. Telmisartan is an angiotensin-II receptor blocker (ARB). Angiotensin narrows the blood vessels increasing the blood pressure, therefore blocking angiotensin can result in the widening of the narrowed blood vessels. Ramipril is an angiotensin-converting enzyme (ACE) inhibitor and works by lowering the body’s production of substances (angiotensin) that could increase blood pressure. Together, Telma R 2.5 Tablet allows the blood to flow more smoothly in the blood vessels.

Storage

Keep this medicine out of the sight and reach of children.

What if I have taken an overdose of Telma R 2.5 Tablet

Avoid exceeding the recommended dose as it might cause an overdose. Seek immediate medical attention if you experience any unusual symptoms.

Drug Warnings

Telma R 2.5 Tablet may cause hypotension (low blood pressure) and result in dizziness or fainting. The risk is high in patients who are taking water pills, are on a low-sodium diet, undergoing dialysis treatment, have heart problems and suffering from severe vomiting and diarrhea. Regularly check your blood pressure levels to avoid any risk. Telma R 2.5 Tablet may affect kidney function and alter kidney test results. So, it should be used with caution in patients with kidney diseases. If you notice swelling in the hands, feet or ankles, inform your doctor immediately as it can be a sign of kidney problems. Telma R 2.5 Tablet should also be used with caution in patients who are taking treatment for allergy, have hyperkalemia (high potassium levels), have adrenal gland problems and have systemic lupus erythematosus (a skin disease).

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Telma R 2.5 Tablet:
Co-administration of Aliskiren with Telma R 2.5 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telma R 2.5 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.
How does the drug interact with Telma R 2.5 Tablet:
Taking aliskiren together with Telma R 2.5 Tablet may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in the blood. High levels of potassium can develop into a condition known as hyperkalemia, which in severe cases can lead to kidney problems, muscle paralysis and irregular heart rhythm.

How to manage the interaction:
Taking Telma R 2.5 Tablet with Aliskiren is not recommended, but can be taken if prescribed by a doctor. However, consult your doctor if you feel nausea, vomiting, weakness, confusion, tingling in the hands and feet, a sensation of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. You must drink enough fluids while taking these medications. It is advised to reduce the intake of foods high in potassium, including tomatoes, raisins, figs, potatoes, lima beans, bananas, plantains, papayas, pears, cantaloupes, mangoes. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Telma R 2.5 Tablet:
Taking trimethoprim with Telma R 2.5 Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Telma R 2.5 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.
How does the drug interact with Telma R 2.5 Tablet:
Taking tizanidine with Telma R 2.5 Tablet may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Telma R 2.5 Tablet can be taken with tizanidine if prescribed by your doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Be cautious when getting up from a sitting or lying position. Do not discontinue the medications without consulting a doctor.
TelmisartanEluxadoline
Severe
How does the drug interact with Telma R 2.5 Tablet:
Co-administration of Telma R 2.5 Tablet increases levels of eluxadoline by increasing metabolism.

How to manage the interaction:
Taking Telma R 2.5 Tablet with Eluxadoline together can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not discontinue any medications without consulting a doctor.
TelmisartanPotassium iodide
Severe
How does the drug interact with Telma R 2.5 Tablet:
Taking Potassium Iodide with Telma R 2.5 Tablet can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Telma R 2.5 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.
How does the drug interact with Telma R 2.5 Tablet:
Taking lisinopril with Telma R 2.5 Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Telma R 2.5 Tablet can be taken with lisinopril 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.
How does the drug interact with Telma R 2.5 Tablet:
Taking perindopril with Telma R 2.5 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, Telma R 2.5 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.
How does the drug interact with Telma R 2.5 Tablet:
Taking quinapril with Telma R 2.5 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, Telma R 2.5 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.
TelmisartanPotassium citrate
Severe
How does the drug interact with Telma R 2.5 Tablet:
Taking Potassium citrate with Telma R 2.5 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 Telma R 2.5 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.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Keep your weight under control with a body mass index (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.
  • Limit alcohol intake. One serving for women and two servings for men is advisable.
  • Quit smoking as it 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 and 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.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES
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Alcohol

Caution

It is not advised to consume alcohol while taking Telma R 2.5 Tablet as it can increase dizziness.

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Pregnancy

Unsafe

It is not recommended to take Telma R 2.5 Tablet while you are pregnant (especially during the second and third trimesters) as it may be harmful to the unborn baby. Consult your doctor before using Telma R 2.5 Tablet , if you are pregnant or planning for pregnancy.

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Breast Feeding

Unsafe

It is not recommended to take Telma R 2.5 Tablet while you are breastfeeding as it may cause harmful effects on the nursing baby, consult your doctor before using Telma R 2.5 Tablet if you are a breastfeeding.

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Driving

Caution

Telma R 2.5 Tablet may cause dizziness, so do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Telma R 2.5 Tablet should be given with caution in patients with a history of liver diseases. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Telma R 2.5 Tablet should be given with caution in patients with a history of kidney diseases. The dose may be adjusted by your doctor as required.

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Children

Unsafe

Telma R 2.5 Tablet is not recommended for use in children as the efficacy and safety have not been established.

Have a query?

FAQs

Telma R 2.5 Tablet is used in the treatment of hypertension (high blood pressure).

Telma R 2.5 Tablet contains Telmisartan and Ramipril. Telmisartan acts by widening the narrowed blood vessels. Ramipril works by lowering the body’s production of substances that could increase blood pressure. Together, Telma R 2.5 Tablet can effectively reduce blood pressure and prevent complications associated with it.

Please inform your doctor before surgery or any dental procedures (that requires taking anesthesia) if you are taking Telma R 2.5 Tablet as it needs to be stopped. Telma R 2.5 Tablet might lower the blood pressure further if taken along with general anesthesia.

Telma R 2.5 Tablet is probably safe when used for hypertension in diabetic patients. However, in cases such as diabetes with end-organ damage (damage to the major organs such as heart, kidney, brain, and eyes), Telma R 2.5 Tablet is not recommended as it can result in kidney dysfunction.

Telma R 2.5 Tablet may cause side-effects such as sinus pain and congestion, back pain, dizziness, hypotension (abnormally low blood pressure), especially when you stand or sit up quickly, dry cough, weakness, stomach pain, diarrhea, indigestion, feeling or being sick, skin rash, chest pain, muscle cramps and hyperkalemia (increased potassium levels in the blood). Inform your doctor immediately, if any of these side-effects persist or get worse.

Telma R 2.5 Tablet should not be taken along with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen as it can lower the effect of Telma R 2.5 Tablet . In addition, if these medicines are used together frequently or for longer durations, it may affect kidney function. So, it is advised to consult your doctor before using medicine while taking Telma R 2.5 Tablet .

No, you should not stop taking Telma R 2.5 Tablet even if your blood pressure is under control. High blood pressure often has no symptoms, so stopping Telma R 2.5 Tablet could worsen your condition. Therefore, complete the full course of treatment as prescribed by your doctor.

No, you should not take any other supplements for controlling blood pressure along with Telma R 2.5 Tablet without consulting your doctor to avoid possible interactions.

Nausea is a common side effect of Telma R 2.5 Tablet . To overcome this side effect eat smaller, more frequent meals. Avoid salty, spicy, fried, or fatty foods as these can increase nausea. Stay hydrated by drinking plenty of water. However, if the nausea persists, please consult your doctor.

While taking Telma R 2.5 Tablet , you are recommended to monitor your heart rate, blood pressure, breathing, and oxygen levels closely.

To avoid missing a dose, set an alarm, use medication reminders app like medsafe and mytherapy, use a pill organizer. Ask a family member or friend to remind you. Place sticky notes in visible places.

Country of origin

India

Manufacturer/Marketer address

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