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About CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN

CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN belongs to the group of anti-hypertensive medicines used to treat high blood pressure (hypertension). CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke. High blood pressure is a condition in which the blood exerts increased pressure on the walls of blood vessels. Symptoms include headache, dizziness, nosebleeds, changes in vision, chest pain, weakness, and dyspnea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.
 
CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN is a combination of three drugs, namely: Chlorthalidone, Telmisartan, and Metoprolol succinate. Chlorthalidone lowers blood pressure and swelling by removing excess fluid and electrolytes via urine. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN helps treat hypertension.
 
Take CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN as prescribed. You are advised to take CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN for as long as your doctor has prescribed it for you, depending on your medical condition. Sometimes, you may experience common side effects such as headache, nausea, dizziness, stomach upset, and weakness. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Consult your doctor before taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN if you are pregnant or breastfeeding. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN is not recommended for children as efficacy and safety have not been established. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Inform your doctor about all the medicines you are taking and your health condition to rule out any unpleasant side effects.

Uses of CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN

Hypertension (high blood pressure)

Medicinal Benefits

CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN contains Chlorthalidone, Telmisartan, and Metoprolol succinate. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN is used to treat hypertension. Chlorthalidone is a diuretic that lowers blood pressure and swelling by removing excess fluid and electrolytes via urine. Telmisartan is an angiotensin receptor blocker that works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate is a beta-blocker that slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN helps treat hypertension. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.

Directions for Use

Take CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN with or without food as advised by the doctor. Swallow it as a whole with a glass of water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN

  • Headache
  • Nausea
  • Weakness
  • Stomach upset
  • Diarrhoea
  • Changes in taste
  • Dizziness

In-Depth Precautions and Warning

Drug Warnings

Do not take CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN if you are allergic to any of its contents. Inform your doctor before taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN if you have diabetes, circulation problems, asthma, thyroid disorder, adrenal gland tumour, heart/kidney/liver problems or if you are on a low-salt diet. Consult your doctor before taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN if you are pregnant or breastfeeding. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN is not recommended for children as efficacy and safety have not been established. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Rise slowly from lying/sitting position as CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may cause dizziness (orthostatic hypotension).

Drug Interactions

Drug-Drug Interaction: CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may have interaction with medicines such as anti-hypertensive (aliskiren), anti-depressant (duloxetine), painkiller (aspirin), anti-convulsant (pregabalin), anti-diabetic (insulin glargine), diuretic (furosemide), hormone (levothyroxine), benzodiazepine (alprazolam), vitamin (ergocalciferol, cholecalciferol).

Drug-Food Interaction:  Avoid consuming potassium-rich food, such as potassium-containing salt substitutes or over-the-counter potassium supplements. 

Drug-Disease Interaction: CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may interact with disease conditions such as diabetes, renal dysfunction (kidney disease), pulmonary disease, ischemic heart disease, hypotension (low blood pressure) and liver disease.

Drug-Drug Interactions Checker List:

  • ASPIRIN
  • ALISKIREN
  • DULOXETINE
  • PREGABALIN
  • INSULIN GLARGINE
  • FUROSEMIDE
  • LEVOTHYROXINE
  • ALPRAZOLAM
  • ERGOCALCIFEROL
  • CHOLECALCIFEROL
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Avoid or limit consumption of alcohol while taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN as it might cause increased dizziness.

    • Safety Warning

      Pregnancy

      caution

      Please consult your doctor before taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks. CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN should be discontinued during the second and third trimester of pregnancy as it might affect the developing foetus.

    • Safety Warning

      Breast Feeding

      caution

      Please consult your doctor; your doctor will decide whether CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN can be taken by breastfeeding mothers or not.

    • Safety Warning

      Driving

      caution

      CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.

    • Safety Warning

      Liver

      caution

      Dose adjustment may be needed. Please consult your doctor if you have liver problems or any concerns regarding this.

    • Safety Warning

      Kidney

      caution

      Dose adjustment may be needed. Please consult your doctor if you have kidney problems or any concerns regarding this.

    • Safety Warning

      Children

      caution

      CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN is not recommended for children as safety and effectiveness have not been established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • You are advised to consume low salt and low-fat diet while taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN. 
    • Regular exercise is also recommended to complement treatment with CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN.
    • Eat a diet rich in whole grains, vegetables, fruits.
    • Avoid smoking and alcohol consumption.
    • Maintain a healthy weight with proper diet and exercise.
    • Practice meditation or yoga as it helps in managing stress.
    • Avoid consuming potassium-rich food, such as bananas, broccoli, almonds, avocado, and potassium supplements.

    Special Advise

    • Regular monitoring of blood pressure levels, kidney function and electrolyte levels while taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN is advised.
    • If you are due to have any surgery, inform the doctor that you are taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN.

    Patients Concern

    Disease/Condition Glossary

    Hypertension: The blood exerts increased pressure on the walls of blood vessels leading to hypertension. High blood pressure is expressed as systolic/diastolic pressure. Systolic pressure is the pressure in the arteries when the heart beats or pumps out blood. Diastolic pressure is the pressure in the arteries between the heartbeats. Blood pressure is measured in millimetres of mercury (mmHg) by a blood pressure monitor called a sphygmomanometer. Symptoms include headache, dizziness, nosebleeds, changes in vision, chest pain, weakness, and dyspnea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.

    FAQs

    How does CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN work?

    CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN contains Chlorthalidone, Telmisartan, and Metoprolol succinate. Chlorthalidone lowers the blood pressure and swelling by removing excess fluid and electrolytes via urine. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN helps treat hypertension.

    Does CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN cause slow heart rate (bradycardia)?

    CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry; however, if a slow heart rate continues or you begin to feel unwell, speak with your doctor.

    What happens when the blood pressure is high?

    High blood pressure increases the workload on the arteries and heart. If untreated, it could damage the blood vessels of the heart, brain, kidney and might result in stroke, heart failure or kidney failure. Hypertension increases the risk of heart attacks. Therefore, anti-hypertensives such as CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.

    Can I stop taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN on my own?

    Please do not stop taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN without consulting your doctor as it may lead to a rise in blood pressure. To treat your condition effectually, continue taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN.

    Does CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN cause orthostatic hypotension?

    Orthostatic hypotension could be a side-effect of CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN. Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead lie down and get up slowly only when you feel better. People taking CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN are advised to regularly monitor their blood pressure levels to avoid unpleasant events.

    Does CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN cause dehydration?

    CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN may cause dehydration. Consult your doctor if you are sweating more than usual, have muscle weakness, very dry mouth, or have extreme thirst. Avoid becoming dehydrated or overheated during exercise or in hot weather.

    Available Medicines for

    CHLORTHALIDONE+METOPROLOL SUCCINATE+TELMISARTAN