Chlorthalidone+metoprolol+telmisartan
About Chlorthalidone+metoprolol+telmisartan
Chlorthalidone+metoprolol+telmisartan is used to treat high blood pressure (hypertension). 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).
Chlorthalidone+metoprolol+telmisartan is a combination of three drugs, namely: Cilnidipine, Chlorthalidone, and Metoprolol succinate. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping blood flow smoothly. Chlorthalidone lowers blood pressure and swelling by removing excess fluid and electrolytes via urine. Metoprolol succinate slows down the heart rate and makes it easier to pump blood throughout the body.
In some cases, you may experience certain common side effects, such as headache, nausea, dizziness, abdominal pain, 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 the side effects persist or worsen.
Consult your doctor if you are pregnant or breastfeeding. Limited information is available regarding the usage of Chlorthalidone+metoprolol+telmisartan in children; please consult a doctor if you have any concerns. Inform your doctor about all the medicines you are taking and your health condition to rule out any unpleasant side effects/interactions.
Uses of Chlorthalidone+metoprolol+telmisartan
Medicinal Benefits
- Chlorthalidone+metoprolol+telmisartan is a combination of three drugs, namely: Cilnidipine, Chlorthalidone, and Metoprolol succinate.
- Chlorthalidone+metoprolol+telmisartan is used to treat hypertension.
- Cilnidipine is a calcium channel blocker which acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping blood flow smoothly.
- Chlorthalidone is a thiazide diuretic that lowers blood pressure and swelling by removing excess fluid and electrolytes via urine.
- It also helps relax blood vessels and improve blood flow.
- 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.
- Thus, Chlorthalidone+metoprolol+telmisartan helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.
Directions for Use
- Chlorthalidone+metoprolol+telmisartan 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. It is best to take this medication at the same time each day for optimal effectiveness.
- Swallow the whole Chlorthalidone+metoprolol+telmisartan with a glass of water.
- Do not crush, chew, or break it.
Storage
Side Effects of Chlorthalidone+metoprolol+telmisartan
- Headache
- Nausea
- Weakness
- Stomach upset
- Diarrhoea
- Changes in taste
- Dizziness
Drug Warnings
- Do not take Chlorthalidone+metoprolol+telmisartan if you are allergic to any of its contents.
- Inform your doctor if you have diabetes, circulation problems, asthma, thyroid disorder, adrenal gland tumour, gout, high cholesterol, hypotension/low blood pressure, heart/kidney/liver problems, if you are on a low-salt diet or if you are unable to urinate.
- Consult your doctor if you are pregnant or breastfeeding.
- Chlorthalidone+metoprolol+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+telmisartan may cause dizziness (orthostatic hypotension).
Drug Interactions
Drug-Drug Interactions: Inform the doctor if you are taking 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 Interactions: No interactions found/established.
Drug-Disease Interactions: Inform your doctor if you have diabetes, renal dysfunction (kidney disease), pulmonary disease, ischemic heart disease, hypotension (low blood pressure) or liver disease.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeAvoid or limit consumption of alcohol while taking Chlorthalidone+metoprolol+telmisartan as it might cause increased dizziness.
Pregnancy
cautionPlease consult your doctor if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks. Chlorthalidone+metoprolol+telmisartan should be discontinued during the second and third trimester of pregnancy as it might affect the developing foetus.
Breast Feeding
consult your doctorPlease consult your doctor; your doctor will decide whether Chlorthalidone+metoprolol+telmisartan can be taken by breastfeeding mothers or not.
Driving
unsafeChlorthalidone+metoprolol+telmisartan may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionA dose adjustment may be needed. Please consult your doctor if you have liver problems or any concerns about this.
Kidney
cautionA dose adjustment may be needed. Please consult your doctor if you have kidney problems or any concerns about this.
Children
unsafeChlorthalidone+metoprolol+telmisartan is not recommended for children as safety and effectiveness have not been established.
Habit Forming
Diet & Lifestyle Advise
- You are advised to consume low salt and low-fat diet while taking Chlorthalidone+metoprolol+telmisartan.
- Regular exercise is also recommended to complement treatment with Chlorthalidone+metoprolol+telmisartan.
- Eat a diet rich in whole grains, vegetables, and fruits.
- Avoid smoking and alcohol consumption.
- Maintain a healthy weight with a proper diet and exercise.
- Practice meditation or yoga, as it helps in managing stress.
- Avoid consuming food rich in potassium, 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+telmisartan is advised.
- If you are due to have any surgery, inform the doctor that you are taking Chlorthalidone+metoprolol+telmisartan.
Patients Concern
Disease/Condition Glossary
High blood pressure (hypertension): It is a condition in which the blood exerts increased pressure on the walls of blood vessels, leading to hypertension. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and a heart attack (when the blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.
FAQs
Chlorthalidone+metoprolol+telmisartan is used to treat high blood pressure (hypertension). It helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.
Chlorthalidone+metoprolol+telmisartan contains chlorthalidone, Telmisartan, and Metoprolol. 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 blood pressure. Metoprolol slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Chlorthalidone+metoprolol+telmisartan helps treat hypertension.
Chlorthalidone+metoprolol+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.
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+telmisartan are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.
Please do not stop taking Chlorthalidone+metoprolol+telmisartan without consulting your doctor, as it may raise your blood pressure. To treat your condition effectively, continue taking Chlorthalidone+metoprolol+telmisartan for as long as your doctor has prescribed it. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Chlorthalidone+metoprolol+telmisartan.
Orthostatic hypotension, a sudden lowering of blood pressure that causes dizziness when standing, could be a side effect of Chlorthalidone+metoprolol+telmisartan. 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+telmisartan are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
Chlorthalidone+metoprolol+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.
The side effects of Chlorthalidone+metoprolol+telmisartan include nausea, dizziness, headache, stomach upset, and weakness. Most of these side effects resolve gradually over time on their own. However, consult the doctor if any of these symptoms persist or worsen.
Please consult your doctor if you are pregnant or breastfeeding; your doctor will prescribe only if the benefits outweigh the risks. Chlorthalidone+metoprolol+telmisartan should be discontinued during the second and third trimesters of pregnancy as it might affect the development of a foetus.
Chlorthalidone+metoprolol+telmisartan is generally safe and effective for elderly patients. However, it should be used with caution for high-risk individuals, and dose adjustments or monitoring may be needed based on renal function and overall health.
It's recommended to limit or avoid alcohol while taking Chlorthalidone+metoprolol+telmisartan. Alcohol can increase the risk of dehydration, dizziness, and low blood pressure.
Chlorthalidone+metoprolol+telmisartan may cause a skin rash in very rare cases. If you experience any unusual skin changes, consult your doctor promptly.
