CHLORTHALIDONE+TELMISARTAN belongs to the class of anti-hypertensives primarily taken to treat hypertension (high blood pressure). Hypertension or high blood pressure is a life-long or chronic condition in which the blood pressure against the artery wall becomes too high. It can lead to the risk of heart diseases, like heart attack and stroke.
CHLORTHALIDONE+TELMISARTAN is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). Telmisartan is an angiotensin receptor blocker that helps to relax and widen the blood vessels (arteries). Chlorthalidone is a diuretic that prevents absorption of excess salt in the body, preventing fluid retention. Together it lowers blood pressure and prevents the risk of any future stroke, heart attack, and oedema (fluid retention).
You can take CHLORTHALIDONE+TELMISARTAN with food or an empty stomach. It should be swallowed whole with a glass of water. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience dizziness, feeling tired, skin ulcers, diarrhoea, nausea diarrhoea, back pain, and cold/flu symptoms. Most of these side effects of CHLORTHALIDONE+TELMISARTAN do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Do not use potassium supplements or salt substitutes unless the doctor has told you. In rare cases, CHLORTHALIDONE+TELMISARTAN can cause a condition that results in a skeletal muscle problem, leading to further kidney failure. If you notice unexplained muscle pain, dark colour urine, tenderness, or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor. If you suspect pregnancy while taking CHLORTHALIDONE+TELMISARTAN, tell your doctor right away. CHLORTHALIDONE+TELMISARTAN should not be taken if you are breastfeeding as CHLORTHALIDONE+TELMISARTAN can pass into breast milk, so before starting CHLORTHALIDONE+TELMISARTAN, you need to stop nursing or do not take CHLORTHALIDONE+TELMISARTAN while breastfeeding. Besides this, you should not use the CHLORTHALIDONE+TELMISARTAN if you are unable to urinate. If you have diabetes, do not use CHLORTHALIDONE+TELMISARTAN with any medication that contains aliskiren (a blood pressure medicine). Before taking CHLORTHALIDONE+TELMISARTAN, tell your doctor if you have ever had liver disease, kidney failure, glaucoma (increased eye pressure), high or low levels of magnesium or potassium in your blood, have allergies or asthma, lupus (an autoimmune disease), diabetes, or an allergy to penicillin or sulfa drugs.
Hypertension (high blood pressure)
CHLORTHALIDONE+TELMISARTAN belongs to the class of anti-hypertensives primarily taken to treat hypertension (high blood pressure). CHLORTHALIDONE+TELMISARTAN is a combination of Telmisartan (angiotensin II receptor antagonist) and Chlorthalidone (thiazide diuretic or water pill). CHLORTHALIDONE+TELMISARTAN works by relaxing and widening the blood vessels (arteries), making the heart more efficient at pumping blood throughout the body. It helps to lower high blood pressure, thus reduces the chances of future heart attack and stroke. Besides this, it prevents excessive water and electrolytes (like sodium, potassium, etc.) from the body through urine which can otherwise raise high blood pressure. In addition to this, CHLORTHALIDONE+TELMISARTAN also reduces the future risk of any stroke or heart attack.
CHLORTHALIDONE+TELMISARTAN should not be given to the people allergic to CHLORTHALIDONE+TELMISARTAN or any of its ingredients, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women, or planning to get pregnant and breastfeeding women. It should be used with caution in patients who have diabetes. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem). CHLORTHALIDONE+TELMISARTAN can pass into breast milk, so before starting CHLORTHALIDONE+TELMISARTAN, either you need to stop nursing, or you should not take CHLORTHALIDONE+TELMISARTAN while breastfeeding. If you have anuria (non-passage of urine), please do not take CHLORTHALIDONE+TELMISARTAN as it is contra-indicated in it and may lead to further complications.
Drug-Drug interaction: This medicine may have an interaction with medicines used to treat mood disorders (lithium), medicines used to treat heart disorders (digoxin), blood thinner (aspirin), antidiabetic medicines (metformin, insulin), medicines used to treat erectile dysfunction (sildenafil), medicines used to lower cholesterol levels (such as simvastatin), immunosuppressants (cyclosporine), and other anti-hypertensive medicines (atenolol, aliskiren, enalapril, lisinopril, ramipril, metoprolol), and NSAIDs (ibuprofen).
Drug-Food Interaction: CHLORTHALIDONE+TELMISARTAN may interact with high potassium-containing food and drinks. So, if you are using any of the OTC items, please tell your doctor. Also, alcohol should not be consumed while taking CHLORTHALIDONE+TELMISARTAN.
Drug-Disease Interaction: The efficacy of CHLORTHALIDONE+TELMISARTAN is affected, and the disease condition may even worsen if taken in patients with a recent or history of heart attack, low blood pressure, low potassium level, low electrolytes (sodium, potassium, calcium, etc.), anuria (non-passage of urine), angioedema (an allergic condition with swelling under the skin), lupus (an autoimmune disease), kidney disease, liver disease, asthma, diabetes.
You are recommended not to consume alcohol and CHLORTHALIDONE+TELMISARTAN to avoid unpleasant side effects like drowsiness, dizziness, and liver damage.
CHLORTHALIDONE+TELMISARTAN 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).
CHLORTHALIDONE+TELMISARTAN 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 CHLORTHALIDONE+TELMISARTAN, or you need to stop takingCHLORTHALIDONE+TELMISARTAN.
Drive with caution, CHLORTHALIDONE+TELMISARTAN usually causes drowsiness and affects driving ability.
CHLORTHALIDONE+TELMISARTAN 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.
Not recommended in patients with chronic kidney disease (severe renal impairment). Safety and effectiveness in patients with severe renal impairment have not been established.
Efficacy and safety of CHLORTHALIDONE+TELMISARTAN have not been established in children. If prescribed, it should be strictly under medical supervision and only if the benefits overweight the harms.
Hypertension: It is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.
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