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compositionComposition:CHLORTHALIDONE-12.5MG+TELMISARTAN-40MG
prescription
Prescription Medicine
info
Tistel 40/12.5mg Ct Tablet 10's

Tistel 40/12.5mg Ct Tablet is used to treat hypertension (high blood pressure). It contains Telmisartan and Chlorthalidone, which relaxes and widens the blood vessels. Also, it prevents the absorption of excess salt in the body, preventing fluid retention. Thus, it lowers blood pressure and prevents the risk of any future stroke, heart attack, and oedema (fluid retention). In some cases, you may experience dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms. 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 Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CHLORTHALIDONE-12.5MG+TELMISARTAN-40MG

Manufacturer/Marketer :

Okinawa Pharmaceuticals Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Tistel 40/12.5mg Ct Tablet

Tistel 40/12.5mg Ct Tablet is a prescription medicine used to treat high blood pressure (hypertension). By lowering elevated blood pressure, it helps reduce the risk of serious cardiovascular events like strokes and heart attacks. This medication is typically prescribed when a single medicine is not enough to control your blood pressure effectively.

For the best results, take Tistel 40/12.5mg Ct Tablet consistently at the same time every day, either with or without food. To help this medicine work effectively, your doctor will likely recommend adopting a low-salt diet and maintaining a regular, moderate exercise routine. Consistent daily use is essential, even if you feel completely healthy, as high blood pressure often has no obvious symptoms.

While taking Tistel 40/12.5mg Ct Tablet , some people may experience mild side effects such as dizziness, fatigue, or an upset stomach. However, you must contact your doctor immediately if you experience serious symptoms like extreme muscle weakness, severe dizziness, or swelling of your face, lips, or throat.

Do not take this if you are pregnant, as this medicine can cause severe harm or death to an unborn baby. Before starting Tistel 40/12.5mg Ct Tablet , you must talk to your doctor if you have a history of liver damage, severe kidney disease, or diabetes. It is also important to tell your doctor if you have experienced severe dehydration or abnormal electrolyte levels in your blood.

Certain medicines, including pain relievers like NSAIDs, can interact with Tistel 40/12.5mg Ct Tablet and reduce its effectiveness or increase the risk of kidney damage. Consuming alcohol while taking this medicine can cause your blood pressure to drop too low, leading to severe dizziness or fainting. Pregnant or breastfeeding women should not use this medication, and elderly individuals should use it with caution under close medical supervision.
 

Uses of Tistel 40/12.5mg Ct Tablet

Tistel 40/12.5mg Ct Tablet is prescribed to help control high blood pressure and reduce the risk of complications associated with hypertension, including:

  • High Blood Pressure (Hypertension): Helps lower elevated blood pressure by relaxing blood vessels and removing excess fluid from the body, reducing strain on the heart and circulatory system.
  • Prevention of Heart Attack and Stroke: Long-term blood pressure control helps reduce the risk of serious cardiovascular events such as heart attacks and strokes.

Key Benefits

Tistel 40/12.5mg Ct Tablet provides several important health benefits when used regularly as prescribed, including:

  • Effective Blood Pressure Control: Helps maintain healthy blood pressure levels throughout the day and night with convenient once-daily dosing.
  • Reduced Cardiovascular Risk: Lowers the risk of complications associated with uncontrolled hypertension, including heart attack, stroke, and heart failure.
  • Protection of Vital Organs: Helps prevent long-term damage to organs that can be affected by high blood pressure, such as the heart, kidneys, brain, and eyes.
  • Improved Blood Vessel Health: Supports healthier blood vessel function by reducing excessive pressure on arterial walls.
  • Reduced Fluid Retention: The chlorthalidone component helps remove excess salt and water from the body, contributing to better blood pressure management.
  • Long-Term Health Preservation: Consistent blood pressure control can help reduce the likelihood of chronic complications and support overall cardiovascular wellbeing.
  • Greater Peace of Mind: Although high blood pressure often causes no noticeable symptoms, maintaining controlled blood pressure can provide reassurance and help protect long-term health.
     
Side effects of Tistel 40/12.5mg Ct Tablet
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.
Here are the steps to manage the medication-triggered Sinusitis (Sinus infection or Inflammation Of Sinuses):
  • Consult your doctor if you experience symptoms of sinusitis, such as nasal congestion, facial pain, or headaches, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your sinusitis symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • If your doctor advises, you can use nasal decongestants or saline nasal sprays to help relieve nasal congestion and sinus pressure.
  • To help your body recover, get plenty of rest, stay hydrated, and engage in stress-reducing activities. If your symptoms persist or worsen, consult your doctor for further guidance.
  • 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.
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.
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
  • Gently massage the affected area using your hands or a massager.
  • Light exercises such as walking or climbing stairs may help the muscles return to normal.
  • Apply heat/ice to the affected area.
  • Drink electrolyte-rich fluids.

Directions for Use

Follow these step-by-step instructions to take Tistel 40/12.5mg Ct Tablet safely and effectively:

  • Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet.
  • You can take this medicine with or without food, but try to take it at the same time every day to maintain steady levels in your body.
  • Because this medicine increases urination, it is usually best to take it in the morning to avoid waking up during the night to use the bathroom.
  • Always take this medication exactly as prescribed by your doctor. Do not stop taking it suddenly, even if your blood pressure readings improve.
     

How Tistel 40/12.5mg Ct Tablet Works

Tistel 40/12.5mg Ct Tablet is a combination of two active ingredients that work in different ways to lower your blood pressure more effectively than either drug alone. The first active component is telmisartan, which belongs to a class of medicines called angiotensin II receptor blockers (ARBs). It works by blocking a natural substance in the body that causes 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. The second active component is chlorthalidone, which is a diuretic, often called a 'water pill.' It helps your kidneys remove extra water and salt (sodium) from your body through your urine. This reduces the total volume of fluid circulating in your blood vessels, which directly lowers the pressure against your artery walls.
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Alcohol

Unsafe

You are recommended not to consume alcohol and Tistel 40/12.5mg Ct Tablet to avoid unpleasant side effects like drowsiness, dizziness, and liver damage.

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Pregnancy

Unsafe

Tistel 40/12.5mg Ct Tablet is not recommended during pregnancy as it is a category D pregnancy drug. This medicine may cause fetal damage and can affect the unborn baby (fetus).

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Breast Feeding

Consult your doctor

Tistel 40/12.5mg Ct 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. Either you need to stop breastfeeding for using Tistel 40/12.5mg Ct Tablet , or you need to stop takingTistel 40/12.5mg Ct Tablet .

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Driving

Unsafe

Drive with caution, Tistel 40/12.5mg Ct Tablet usually causes drowsiness and affects driving ability.

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Liver

Caution

Tistel 40/12.5mg Ct Tablet to be taken with caution, especially if you have had a history of liver disease. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Kidney

Unsafe

Tistel 40/12.5mg Ct Tablet is not recommended in patients with chronic kidney disease (severe renal impairment).

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Children

Caution

Efficacy and safety of Tistel 40/12.5mg Ct Tablet have not been established in children. If prescribed, it should be strictly under medical supervision and only if the benefits overweight the harms.

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Heart

Safe if prescribed

Tistel 40/12.5mg Ct Tablet is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Tistel 40/12.5mg Ct Tablet should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Tistel 40/12.5mg Ct Tablet

Do not take more than the prescribed dose of Tistel 40/12.5mg Ct Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Reduce sodium intake: Limit your consumption of salt, processed foods, and canned meals, as sodium causes your body to retain fluid and increases blood pressure.
  • Stay moderately hydrated: Since this medicine contains a diuretic that increases urination, drink an adequate amount of water daily. Consult your doctor about the right fluid intake for your specific health needs.
  • Eat a heart-healthy diet: Focus on foods rich in potassium, magnesium, and fiber, such as leafy greens, whole grains, and fresh fruits, unless your doctor advises otherwise.
  • Monitor your potassium levels: This medicine can alter potassium levels in your blood. Attend all scheduled blood tests so your doctor can monitor these levels safely.
  • Avoid excessive alcohol: Alcohol can intensify the blood pressure-lowering effect of Tistel 40/12.5mg Ct Tablet , increasing the risk of dizziness and fainting.
     

Have a query?

How Soon It Starts Working

The time required for Tistel 40/12.5mg Ct Tablet to start to work: Tistel 40/12.5mg Ct Tablet ideally shows its action within 2 hours after administration. The time for which the effects of Tistel 40/12.5mg Ct Tablet last: The effect of Tistel 40/12.5mg Ct Tablet lasts for 24 to 72 hours.

What if you forget to take Tistel 40/12.5mg Ct Tablet

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and take the next dose at the scheduled time. Do not take a double dose.

Storage

•Keep the tablets at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Store the tablets in their original blister pack or container until you are ready to take them to protect them from moisture and light.

Drug Warnings

  • Preventing Dizziness and Falls: Stand up slowly from a sitting or lying position to minimise dizziness and prevent falls, as your blood pressure may drop temporarily when you change positions.
  • Blood Pressure Monitoring: Check your blood pressure regularly at home using a reliable monitor and keep a log of your readings to share with your doctor during visits.
  • Potassium Precautions: Do not use potassium supplements or salt substitutes containing potassium without consulting your doctor first, as this combination can lead to dangerously high blood potassium levels.
  • Before Medical Procedures: Inform any doctor, surgeon, or dentist treating you that you are taking Tistel 40/12.5mg Ct Tablet , especially before undergoing any surgery or medical procedures.
  • Regular Health Monitoring: Ensure you have regular kidney function and blood electrolyte tests as scheduled by your doctor to verify that this medicine is working safely for you.
     

Drug-Drug Interactions

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Drug-Drug Interactions

Tistel 40/12.5mg Ct Tablet may interact with certain medications, potentially affecting its effectiveness or increasing the risk of side effects. Inform your doctor about all prescription medicines, over-the-counter products, and supplements you are taking, including:

  • Lithium: Concurrent use may increase lithium levels in the blood, raising the risk of lithium toxicity. Close monitoring is usually required if both medicines are used together.
  • NSAIDs (such as ibuprofen, naproxen, or diclofenac): Regular use of nonsteroidal anti-inflammatory drugs may reduce the blood pressure-lowering effects of Tistel 40/12.5mg Ct Tablet and increase the risk of kidney function impairment.
  • Other Blood Pressure Medications: Combining this medicine with other antihypertensive drugs may lead to an excessive reduction in blood pressure, causing dizziness, weakness, or fainting.
  • Potassium-Sparing Diuretics or Potassium Supplements: These may increase potassium levels in the blood, potentially leading to hyperkalaemia, which can affect heart rhythm.
  • Other Diuretics (Water Pills): Concurrent use may increase the risk of dehydration, electrolyte imbalances, or excessively low blood pressure.
  • Antidiabetic Medicines: Blood sugar levels may be affected, and dosage adjustments of diabetes medications may occasionally be necessary.


Drug-Food Interactions

Certain foods and beverages may influence the effects of Tistel 40/12.5mg Ct Tablet . Consider the following precautions:

  • Alcohol: Alcohol may enhance the blood pressure-lowering effect of this medicine, increasing the risk of dizziness, light-headedness, or fainting, particularly when standing up suddenly.
  • Salt Substitutes Containing Potassium: Potassium-based salt substitutes should be used cautiously, as they may increase blood potassium levels and raise the risk of hyperkalaemia.
  • Maintain Adequate Hydration: Excessive fluid loss from vomiting, diarrhoea, or inadequate fluid intake may increase the risk of dehydration and low blood pressure during treatment.

Drug-Disease Interactions

Certain medical conditions may require special precautions or monitoring while taking Tistel 40/12.5mg Ct Tablet . Tell your doctor if you have any of the following:

  • Kidney Disease: This medicine may affect kidney function, particularly in patients with existing kidney impairment. Regular monitoring of kidney function may be required.
  • Liver Disease: Patients with liver impairment may experience altered drug metabolism and may require careful dose adjustment and monitoring.
  • Diabetes: The chlorthalidone component may influence blood glucose levels, making periodic monitoring and possible adjustments to diabetes treatment necessary.
  • Gout: Chlorthalidone can increase uric acid levels in the blood, potentially triggering or worsening gout attacks.
  • Electrolyte Imbalances: Conditions associated with abnormal potassium, sodium, magnesium, or calcium levels may be worsened and require monitoring during treatment.
  • Dehydration or Low Blood Volume: Patients with significant fluid loss may be at greater risk of excessive blood pressure reduction and kidney-related side effects.
     
Telmisartan + chlorthalidoneCisapride
Critical
Telmisartan + chlorthalidoneAliskiren
Critical

Drug-Drug Interactions

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Telmisartan + chlorthalidoneCisapride
Critical
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of Tistel 40/12.5mg Ct Tablet and cisapride may increase the risk or severity of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Tistel 40/12.5mg Ct Tablet with Cisapride is not recommended, it can be taken if prescribed by the doctor. However, if you experience sudden dizziness, lightheadedness, fainting, rapid heartbeats, consult the doctor. Do not discontinue the medication without consulting a doctor.
Telmisartan + chlorthalidoneAliskiren
Critical
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of Aliskiren with Tistel 40/12.5mg Ct Tablet can increase the risk of hyperkalemia (high potassium levels in the blood), low blood pressure, kidney function impairment.

How to manage the interaction:
Taking Tistel 40/12.5mg Ct Tablet with Aliskiren is not recommended as it can possibly lead to an interaction, but it can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, tingling in your hands and feet, feelings of heaviness in your legs, 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.
Telmisartan + chlorthalidoneTrimethoprim
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Taking trimethoprim with Tistel 40/12.5mg Ct Tablet 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 there is a possible interaction, Tistel 40/12.5mg Ct Tablet can be taken with trimethoprim if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, tingling in your hands and feet, feelings of heaviness in your legs, 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.
Telmisartan + chlorthalidonePerindopril
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Taking perindopril with Tistel 40/12.5mg Ct 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, Tistel 40/12.5mg Ct Tablet can be taken with perindopril if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, tingling in your hands and feet, feelings of heaviness in your legs, 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.
Telmisartan + chlorthalidonePotassium iodide
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Taking Potassium Iodide with Tistel 40/12.5mg Ct Tablet can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Tistel 40/12.5mg Ct Tablet together can cause an interaction, it can be taken if your doctor has suggested it. However, consult the doctor if you experience nausea, vomiting, tingling in your hands and feet, feelings of heaviness in your legs, 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.
Telmisartan + chlorthalidoneEnalapril
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of Enalapril with Tistel 40/12.5mg Ct Tablet can increase the risk of kidney function impairment, low blood pressure, and high potassium levels.

How to manage the interaction:
Although there is a possible interaction between Enalapril and Tistel 40/12.5mg Ct Tablet, you can take these medicines together if prescribed by your doctor. However, consult the doctor if you experience nausea, vomiting, tingling in your hands and feet, feelings of heaviness in your legs, 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.
Telmisartan + chlorthalidoneAminolevulinic acid
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of Aminolevulinic acid and Tistel 40/12.5mg Ct Tablet may increase the risk of severe sunburn.

How to manage the interaction:
Taking Tistel 40/12.5mg Ct Tablet with Aminolevulinic acid together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you notice that your skin is very sensitive to sunlight or if you have a really bad sunburn, contact a doctor. Avoid exposure of the eyes and skin to sunlight or bright indoor lights for 48 hours, after treatment. Do not discontinue any medications without consulting a doctor.
Telmisartan + chlorthalidonePimozide
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of Tistel 40/12.5mg Ct Tablet with pimozide can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is an interaction, Tistel 40/12.5mg Ct Tablet can be taken with pimozide if prescribed by the doctor. Consult the doctor if you develop sudden dizziness, lightheadedness, fainting, fast heartbeats, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, dizziness, nausea, or vomiting. Do not discontinue any medications without consulting a doctor.
Telmisartan + chlorthalidoneAmiloride
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of amiloride with Tistel 40/12.5mg Ct 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 with Tistel 40/12.5mg Ct Tablet may lead to an interaction, it can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, tingling in your hands and feet, feelings of heaviness in your legs, 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.
Telmisartan + chlorthalidoneZiprasidone
Severe
How does the drug interact with Tistel 40/12.5mg Ct Tablet:
Co-administration of Tistel 40/12.5mg Ct Tablet with ziprasidone can increase the risk of low blood pressure, irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Tistel 40/12.5mg Ct Tablet can be taken with ziprasidone if prescribed by the doctor. it can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, rapid heartbeats, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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CHLORTHALIDONE-12.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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CHLORTHALIDONE-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 Tistel 40/12.5mg Ct Tablet along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid high potassium rich food while taking Tistel 40/12.5mg Ct Tablet as it can possibly result in an interaction. However, consult a doctor if you experience weakness, irregular heartbeat, confusion and feelings of heaviness in the legs.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Tistel 40/12.5mg Ct 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 medicine. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend discontinuing it.
Yes, Tistel 40/12.5mg Ct Tablet can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Tistel 40/12.5mg Ct Tablet . In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.
You should not take Tistel 40/12.5mg Ct Tablet if you have ever had liver disease, kidney failure, glaucoma, high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or allergic to penicillin or sulfa drugs, anuria (reduction or absence of urine) and pregnant women in their second or third trimesters. Besides this, avoid using Tistel 40/12.5mg Ct Tablet (in case of diabetes) with aliskiren (a blood pressure medicine) as it can lead to a life-threatening condition.
In case you have missed a dose of Tistel 40/12.5mg Ct Tablet , you are advised to take it as soon as you remember. However, try not to miss a dose in the first place; if it's time for you to take your next dose, then do not take both doses together. Take only one dose; taking a double dose of Tistel 40/12.5mg Ct Tablet will lead to low blood pressure.
Yes, prolonged intake of Tistel 40/12.5mg Ct Tablet can cause an increase in blood potassium level. So, patients taking Tistel 40/12.5mg Ct Tablet should avoid taking supplements and food rich in potassium to avoid any unpleasant side-effect.
Tistel 40/12.5mg Ct Tablet contains a diuretic (chlorthalidone) which may affect a man's ability to maintain or gain an erection (erectile dysfunction). However, if you have any problem, you can consult your doctor, and accordingly, your medicine can be changed as other blood pressure-lowering medication does not affect erection.
To manage high blood pressure, focus on eating more fruits, vegetables, and whole grains. Limit sodium intake by reducing consumption of processed foods. Choose lean proteins and healthy fats. Avoid excessive sugar and alcohol. If you have specific dietary needs or concerns, consult a healthcare professional.
Most of these side effects of Tistel 40/12.5mg Ct Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
If you stop taking Tistel 40/12.5mg Ct Tablet without talking to your doctor, your blood pressure might go up suddenly. This can be bad for your health. It's important to discuss any changes to your medication with your doctor.
Yes, it's usually okay to take Tistel 40/12.5mg Ct Tablet for a long time, but your doctor should check you regularly. Long-term use can sometimes cause side effects, so it's important to talk to your doctor about any concerns.
If isn't helping, talk to your doctor. They can help you figure out why and decide what to do next. Don't stop taking the medicine without talking to them first.
To help your blood pressure, eat healthy, exercise regularly, and manage your weight. Try to limit alcohol and caffeine, and avoid smoking. If you have any questions, talk to your doctor.
Tistel 40/12.5mg Ct Tablet is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill).
It is not recommended to take Tistel 40/12.5mg Ct Tablet if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity). It contains telmisartan, a category D pregnancy drug, and it is harmful to the baby.
Common side effects of Tistel 40/12.5mg Ct Tablet may include, dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms
Yes, Tistel 40/12.5mg Ct Tablet can interact with other medications. So, it's important to inform your doctor about all the medications you're taking, including prescription medications, over-the-counter drugs and herbal supplements.
Store in a cool and dry place away from sunlight. Keep Tistel 40/12.5mg Ct Tablet out of the sight and reach of children.
Efficacy and safety of Tistel 40/12.5mg Ct Tablet have not been established in children. If prescribed, it should be strictly under medical supervision and only if the benefits overweight the harms.
Tistel 40/12.5mg Ct 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. Either you need to stop breastfeeding for using Tistel 40/12.5mg Ct Tablet , or you need to stop taking Tistel 40/12.5mg Ct Tablet .
Tistel 40/12.5mg Ct Tablet contains a diuretic (water pill) component. It works by helping your kidneys eliminate excess water and salt from your body, which naturally increases the frequency of urination. This process helps lower your blood pressure. Talk to your doctor if this becomes bothersome.
You should avoid or severely limit alcohol while taking Tistel 40/12.5mg Ct Tablet . Alcohol can interact with this medicine to significantly lower your blood pressure, making you feel highly dizzy, lightheaded, or prone to fainting. Talk to your doctor or pharmacist about safe alcohol limits.
Muscle cramps can be a sign of altered electrolyte levels, such as low potassium or sodium, caused by the diuretic component of this medicine. If you experience persistent or painful muscle cramps, do not try to treat them yourself. Talk to your doctor, who may want to check your blood electrolyte levels.
It is generally recommended to take Tistel 40/12.5mg Ct Tablet in the morning. Because this medication increases urination, taking it early in the day helps prevent your sleep from being interrupted by nighttime trips to the bathroom. Talk to your doctor or pharmacist to find the schedule that works best for you.
In some cases, especially in patients with existing kidney issues, dehydration, or those taking certain other medications like NSAIDs, Tistel 40/12.5mg Ct Tablet can affect kidney function. Your doctor will monitor your kidneys using simple blood tests to ensure the medicine remains safe for you. Talk to your doctor if you notice sudden swelling in your feet or ankles.
Yes, your doctor will likely recommend a low-sodium (low-salt) diet to help lower your blood pressure. You should also avoid using potassium-based salt substitutes unless specifically advised otherwise, as they can cause potassium to build up in your body. Talk to your doctor or a registered dietitian for personalized dietary advice.

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Reference

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  3. U.S. Food and Drug Administration (FDA). 020850S035Ltr [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026] Check here
  4. Drugs.com Clinical Review Team. Telmisartan Pregnancy and Lactation Reference Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026] Check here
  5. Drugs.com Clinical Review Team. Chlorthalidone Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026] Check here
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  7. Telmisartan [Internet]. Ncbi.nlm.nih.gov. 2025 [Accessed on 27 March 2025]Check here

Country of origin

India

Manufacturer/Marketer address

H.No.15-21-211/1, Flat No.301, SriSadan Apartments Balaji Nagar, Kukatpally Hyderabad Hyderabad TG 500072 IN , - , .
Other Info - TIS0066

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