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Telmed-AH Tablet is used for the treatment of hypertension (high blood pressure). It works by blocking the action of certain substances that are responsible for tightening the blood vessels. It allows the blood to flow more smoothly and makes the heart more efficient at pumping blood throughout the body. It works by relaxing and widening the blood vessels. Also, it helps to remove extra water and certain electrolytes from the body through urine. Thus, it lowers high blood pressure and reduces the chances of future heart attack and stroke. In some cases, you may experience side effects such as ankle swelling, headache, dizziness, tiredness, taste change, muscle weakness, dry mouth, and extreme thirst.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

AMLODIPINE-5MG+HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MG

Manufacturer/Marketer :

Medley Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Telmed-AH Tablet

Telmed-AH Tablet is a prescription medication used to manage high blood pressure (hypertension). It is typically prescribed when a single or double-agent therapy is not enough to keep your blood pressure within a healthy range. By controlling blood pressure, this medication helps lower the risk of severe cardiovascular issues like strokes and heart attacks.

For the best results, you must take Telmed-AH Tablet consistently at the same time every day. You can take this tablet with or without food, though choosing a consistent routine helps maintain steady levels of the medication in your body. Incorporating healthy lifestyle adjustments, such as eating a low-salt diet and staying active, will support the medication's effectiveness.

While taking Telmed-AH Tablet , some people may experience mild side effects like dizziness, lightheadedness, or swelling in the lower legs. However, you should contact your doctor immediately if you notice more serious signs, such as a severe allergic reaction, rapid heartbeat, or signs of kidney problems. Your healthcare provider is your best resource for addressing any unusual physical changes.

Do not take this medicine if you are pregnant, unable to pass urine, have severe kidney disease, bilateral renal artery stenosis, severe liver impairment, or a known allergy to hydrochlorothiazide or other sulfonamide-derived medicines. Before starting this treatment, talk to your doctor if you have a history of liver damage, diabetes, or electrolyte imbalances.

This medication can interact with other substances; for example, taking it with potassium supplements can lead to dangerously high blood potassium levels, while alcohol can cause your blood pressure to drop too low, leading to dizziness. Pregnant, breastfeeding, or elderly individuals must consult their doctor before using this medication. The active ingredients in this medicine may pass into breast milk, and your doctor will determine whether breastfeeding should continue or whether an alternative treatment is more appropriate.

Uses of Telmed-AH Tablet

Telmed-AH Tablet is prescribed for the following conditions.

  • Hypertension (High Blood Pressure): Telmed-AH Tablet helps lower blood pressure to normal levels in patients whose hypertension is not controlled by one or two medications alone.
  • Reduction of Cardiovascular Risks: By successfully lowering and maintaining healthy blood pressure, this medicine reduces the risk of serious complications like heart attacks and strokes.

Key Benefits

Telmed-AH Tablet may provide the following benefits when used as prescribed.

  • Three-in-One Blood Pressure Control: This combination contains three medicines that work through different mechanisms to help lower blood pressure more effectively than single-agent therapy in many patients.
  • Improved Blood Pressure Management: By targeting multiple pathways involved in hypertension, this medicine helps achieve and maintain healthier blood pressure levels throughout the day.
  • Reduced Risk of Cardiovascular Complications: Effective blood pressure control may lower the risk of serious complications such as heart attacks, strokes, heart failure, and other cardiovascular problems.
  • Protection of Vital Organs: Maintaining healthy blood pressure levels may help reduce long-term damage to organs that are particularly sensitive to uncontrolled hypertension, including the heart, kidneys, brain, and blood vessels.
  • Convenient Once-Daily Treatment: Combining telmisartan, amlodipine, and hydrochlorothiazide into a single tablet simplifies treatment regimens and may improve medication adherence.
  • Comprehensive Mechanism of Action: The combination helps relax blood vessels, improve blood flow, and reduce excess fluid retention, providing a well-rounded approach to blood pressure management.
  • Support for Long-Term Hypertension Control: Consistent use as prescribed may help prevent blood pressure fluctuations and support long-term cardiovascular health.
Side effects of Telmed-AH Tablet
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
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.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Directions for Use

To get the most benefit from Telmed-AH Tablet , follow these step-by-step instructions carefully:

  • Swallow the tablet whole with a glass of water. Do not chew, crush, or break the tablet.
  • Take this medication at the same time every day, either with or without food.
  • If you frequently experience increased urination, take your dose in the morning to prevent sleep disruptions.
  • Always follow your doctor's exact instructions regarding how and when to take your medication. Do not change your dose without consulting them first.

How Telmed-AH Tablet Works

Telmed-AH Tablet contains telmisartan, amlodipine, and hydrochlorothiazide, which work together to help lower blood pressure through complementary mechanisms. Telmisartan is an angiotensin II receptor blocker that prevents the action of a hormone responsible for narrowing blood vessels. This allows the blood vessels to relax and widen, making it easier for blood to flow through them. Amlodipine is a calcium channel blocker that relaxes the smooth muscle in the walls of blood vessels. This further widens the blood vessels, improves blood flow, and reduces the workload on the heart. Hydrochlorothiazide is a diuretic that helps the kidneys remove excess salt and water from the body through urine. This reduces the volume of fluid circulating in the bloodstream, which helps lower blood pressure. Together, these actions help improve blood flow, reduce strain on the heart, and provide effective control of high blood pressure.
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Alcohol

Unsafe

You are recommended not to consume alcohol along with Telmed-AH Tablet to avoid unpleasant side-effects.

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Pregnancy

Consult your doctor

Telmed-AH Tablet is not recommended during pregnancy unless your doctor considers it essential. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Breast Feeding

Consult your doctor

Telmed-AH Tablet is not recommended during breast-feeding. However, your doctor may prescribe it for you during breast-feeding if he/she feels that the benefit to you outweighs the risk.

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Driving

Unsafe

It is advised not to drive after taking Telmed-AH Tablet as it usually causes drowsiness and affects the driving ability.

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Liver

Caution

Telmed-AH Tablet is advised to be taken with caution, especially if you have or have had a history of liver disease.

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Kidney

Unsafe

It is not recommended in patients with chronic kidney disease (severe renal impairment). The safety and effectiveness in patients with renal impairment have not been established.

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Children

Consult your doctor

Telmed-AH Tablet is not recommended for use in children as the safety and efficacy are not established.

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Heart

Caution

Telmed-AH Tablet is safe for use in heart patients if prescribed by the physician. Please inform your doctor about any existing heart problems before using Telmed-AH Tablet .

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Geriatrics

Caution

Telmed-AH Tablet is safe for use if recommended by the physician in geriatric patients. Please consult your physician.

What if I have taken an overdose of Telmed-AH Tablet

If you suspect an overdose, seek immediate emergency medical care or contact a poison control centre right away. Symptoms of an overdose may include extreme dizziness, lightheadedness, feeling faint, or a rapid heart rate due to a severe drop in blood pressure.

Diet & Lifestyle Advise

  • Limit dietary sodium: Reduce your daily salt intake, as sodium causes fluid retention and directly raises your blood pressure.
  • Stay consistently hydrated: Drink moderate amounts of water throughout the day. Because this medicine contains a diuretic, sudden dehydration can cause blood pressure to drop too low.
  • Avoid potassium-rich salt substitutes: Consult your doctor before using salt alternatives that contain potassium, as this medicine can raise blood potassium levels.
  • Maintain moderate exercise: Engage in gentle physical activities, like walking or swimming, to help keep your blood vessels flexible and healthy.
  • Limit alcohol: Avoid or strictly limit alcohol intake, as it can worsen the dizziness and lightheadedness caused by this medication.
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How Soon It Starts Working

The time required for Telmed-AH Tablet to start to work: Telmed-AH Tablet ideally shows its action within 2 hours after administration. The time for which the effects of Telmed-AH Tablet last: The effect of Telmed-AH Tablet lasts for 24 hours.

What if you forget to take Telmed-AH Tablet

If you miss a dose, take it as soon as you remember. However, if your next scheduled dose is only a few hours away, skip the missed dose and return to your regular routine. Do not take a double dose to make up for a missed tablet.

Storage

• Store the tablets in their original blister packaging until use to protect them from moisture and light. •Keep the medication at room temperature, ideally between • Do not store this medicine in damp areas like the bathroom cabinet.

Drug Warnings

  • Stand up slowly: To prevent dizziness or fainting when rising from a sitting or lying position, stand up gradually.
  • Protect your skin: This medication can make your skin more sensitive to sunlight. Wear protective clothing and high-SPF sunscreen when outdoors.
  • Log your readings: Keep a regular record of your blood pressure measurements at home and share them with your healthcare provider during check-ups.
  • Inform medical staff: Always tell your dentist, surgeon, or emergency care provider that you are taking this triple-combination blood pressure medicine.
  • Get regular blood tests: Attend all scheduled appointments for blood tests to monitor your kidney function and electrolyte levels.
  • Attend Regular Monitoring Appointments: Your doctor may check your kidney function, blood pressure, and electrolyte levels before treatment and periodically during therapy to ensure the medicine remains safe and effective. 

Drug-Drug Interactions

verifiedApollotooltip

The following medicines may interact with Telmed-AH Tablet :

  • Other blood pressure drugs: Combining this with other blood pressure medications can cause your blood pressure to drop dangerously low.
  • Potassium supplements: Taking these alongside Telmed-AH Tablet can lead to abnormally high levels of potassium in your blood.
  • Lithium: This medicine can decrease how quickly your body gets rid of lithium, increasing the risk of lithium toxicity.
  • NSAIDs (like ibuprofen): These pain relievers can reduce the blood pressure-lowering effect of Telmed-AH Tablet and increase the risk of kidney damage.
Hydrochlorothiazide + Telmisartan + AmlodipineDantrolene
Critical
Hydrochlorothiazide + Telmisartan + AmlodipineAliskiren
Critical

Drug-Drug Interactions

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Hydrochlorothiazide + Telmisartan + AmlodipineDantrolene
Critical
How does the drug interact with Telmed-AH Tablet:
Telmed-AH Tablet and dantrolene may increase the risk of hyperkalemia (high blood potassium).

How to manage the interaction:
Taking Amlodipine with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Hydrochlorothiazide + Telmisartan + AmlodipineAliskiren
Critical
How does the drug interact with Telmed-AH Tablet:
Co-administration of Aliskiren with Telmed-AH Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telmisartan with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
Hydrochlorothiazide + Telmisartan + AmlodipineDofetilide
Critical
How does the drug interact with Telmed-AH Tablet:
Taking Dofetilide and Telmed-AH Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Hydrochlorothiazide together is not recommended as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
Hydrochlorothiazide + Telmisartan + AmlodipineCisapride
Critical
How does the drug interact with Telmed-AH Tablet:
Taking Cisapride and Telmed-AH Tablet can increase the risk of an irregular heart rhythm, which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Hydrochlorothiazide together is generally avoided as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
Hydrochlorothiazide + Telmisartan + AmlodipineRifampicin
Severe
How does the drug interact with Telmed-AH Tablet:
Coadministration of Hydrochlorothiazide + Telmisartan + Amlodipineand rifampicin together may lower amlodipine blood levels, which makes the medicine less effective.

How to manage the interaction:
Although there is an interaction between amlodipine and rifampicin, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
Hydrochlorothiazide + Telmisartan + AmlodipineTrimethoprim
Severe
How does the drug interact with Telmed-AH Tablet:
Taking trimethoprim with Telmed-AH Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, telmisartan can be taken with trimethoprim 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.
Hydrochlorothiazide + Telmisartan + AmlodipineAmiloride
Severe
How does the drug interact with Telmed-AH Tablet:
Co-administration of amiloride with Telmed-AH Tablet may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, and 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 essential to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
Hydrochlorothiazide + Telmisartan + AmlodipinePhenytoin
Severe
How does the drug interact with Telmed-AH Tablet:
Using Telmed-AH Tablet and phenytoin together may drastically lower amlodipine blood levels, which makes the medicine less effective.

How to manage the interaction:
Although amlodipine with phenytoin can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
Hydrochlorothiazide + Telmisartan + AmlodipineLisinopril
Severe
How does the drug interact with Telmed-AH Tablet:
Taking lisinopril with Telmed-AH Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, telmisartan 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.
Hydrochlorothiazide + Telmisartan + AmlodipineAminolevulinic acid
Severe
How does the drug interact with Telmed-AH Tablet:
Coadministration of Aminolevulinic acid with Telmed-AH Tablet can make your skin more sensitive to bright lights. This could increase the risk or severity of developing a sunburn.

How to manage the interaction:
Although there is a possible interaction between Aminolevulinic acid and Hydrochlorothiazide, it can be taken if advised by your doctor. Avoid exposure of the eyes and skin to sunlight or bright indoor lights for 48 hours. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip
  • Grapefruit or grapefruit juice: May modestly increase amlodipine levels in some individuals. Although the interaction is generally less significant than with certain other calcium channel blockers, limiting grapefruit consumption may help avoid excessive blood pressure lowering. 
AMLODIPINE-5MG+HYDROCHLOROTHIAZIDE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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AMLODIPINE-5MG+HYDROCHLOROTHIAZIDE-12.5MG+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:
Taking Telmed-AH Tablet with can cause high levels of potassium in your blood. Avoid taking potassium-containing salt substitutes or potassium supplements while being treated with Telmed-AH Tablet.

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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Telmed-AH Tablet belongs to the class of anti-hypertensives used for the treatment of hypertension (high blood pressure).
In case, If you forget to take Telmed-AH Tablet at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.
Telmed-AH Tablet can be safely taken as long as your doctor has prescribed it to you. Conditions such as high blood pressure are life-long conditions and one should not abruptly discontinue it without discussing it with a doctor.
Yes, Telmed-AH Tablet may cause dizziness, especially when starting treatment, after a dose adjustment, or when standing up quickly. This happens because the medicine lowers blood pressure. If you feel dizzy, sit or lie down until you feel better and avoid driving or operating machinery. Consult your doctor if the dizziness persists or becomes severe.
Yes, Telmed-AH Tablet is contraindicated in people with known allergy to any of the components of this medicine. It should be avoided in people with severe kidney or liver impairment and in 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.
Telmed-AH Tablet is a prescribed drug, given by a physician for preventing specific medical conditions. Taking it on your own can cause unwanted side effects.
Telmed-AH Tablet should be stored in a cool and dry place away from sunlight. Dispose of expired or unused medication safely and responsibly. Consult your pharmacist for guidance on proper disposal.
To manage your blood pressure, aim for a healthy weight through regular physical activity (at least 150 minutes/week) and stress reduction techniques like mindfulness and quality time with loved ones. Quit smoking to significantly lower heart disease risk. Follow a heart-healthy diet rich in whole grains, fruits, vegetables, and low-fat dairy products, and limit sodium intake to less than 2300mg/day. Incorporate omega-3 fatty acids and use low-fat cooking oils like olive or canola oil. Monitor your blood pressure daily and consult your doctor if you notice significant fluctuations.
Telmed-AH Tablet works by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body. It helps to lower high blood pressure, thus reducing the chances of future heart attack and stroke. It removes the extra water and certain electrolytes from the body through urine.
Take Telmed-AH Tablet exactly as prescribed by the doctor. However, it can effectively lower blood pressure whether taken in the morning or at bedtime. The medication's effectiveness does not depend on the time of day it's taken. Please consult your doctor if you have any concerns.
You can take Telmed-AH Tablet with food or without food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it.
The common side effects of Telmed-AH Tablet include ankle swelling, headache, dizziness, tiredness, taste change, muscle weakness, dry mouth, and extreme thirst. Most of these side effects of Telmed-AH Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
While taking Telmed-AH Tablet , avoid excessive salt intake, potassium supplements, and grapefruit juice. Limit alcohol and high-potassium foods like bananas. Don't take other blood pressure medications or NSAIDs without consulting your doctor. Stay hydrated and avoid intense exercise. Stick to your usual diet and exercise routine unless your doctor says otherwise. If you face any difficulty while taking Telmed-AH Tablet , consult your doctor immediately.
No, you must not take Telmed-AH Tablet during pregnancy. It contains active ingredients that can cause serious harm, developmental issues, or death to an unborn baby. If you suspect you are pregnant, stop taking the medicine and talk to your doctor immediately.
Some people may notice a reduction in blood pressure within the first few days of treatment. However, the full blood pressure-lowering effect, particularly from the telmisartan component, may take 4 to 8 weeks of regular use. Continue taking the medicine as prescribed even if improvements are not immediate. Talk to your doctor if your blood pressure remains high after several weeks.
One of the active components of this tablet is a mild diuretic (water pill) designed to help your body eliminate excess salt and water. This naturally increases how often you need to urinate. To avoid waking up during the night, try taking your dose in the morning.
Mild ankle swelling can sometimes occur with this medication. While it is usually harmless, you should inform your doctor so they can evaluate your condition and determine if a change in therapy is needed. Talk to your doctor if the swelling becomes painful or worsens.
No, you should avoid using salt substitutes that contain potassium. This medication can already raise the potassium levels in your blood, and adding extra potassium can lead to serious heart complications. Talk to your doctor before making dietary changes.
No. Do not stop taking Telmed-AH Tablet without consulting your doctor, even if your blood pressure is normal or you feel well. High blood pressure often has no symptoms, and stopping treatment may cause your blood pressure to rise again. Your doctor may gradually adjust your dose if needed.
Yes. Your doctor may recommend blood tests before starting treatment and periodically during therapy to monitor kidney function, electrolyte levels such as potassium and sodium, and overall treatment safety. Regular monitoring helps identify potential problems early and ensures the medicine continues to work effectively.

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Country of origin

INDIA

Manufacturer/Marketer address

Medley House, D2, M.I.D.C. Area, Andheri (East), Mumbai-400 093, INDIA
Other Info - TEL0289
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