Chlorthalidone+cilnidipine+telmisartan
About Chlorthalidone+cilnidipine+telmisartan
Chlorthalidone+cilnidipine+telmisartan is used to treat hypertension (high blood pressure) and reduce the risk of heart attack or stroke in adults. Hypertension is a condition in which the force of blood against the artery walls is very high.
Chlorthalidone+cilnidipine+telmisartan contains Chlorthalidone, Cilnidipine, and Telmisartan, which work by relaxing and widening the blood vessels and facilitating the removal of excess water.
In some cases, you may experience dizziness, headache, low blood pressure, stomach upset, or tiredness. Most of these side effects of Chlorthalidone+cilnidipine+telmisartan do not require medical attention and resolve over time. However, if the side effects persist, please consult your doctor.
If you are allergic to Chlorthalidone+cilnidipine+telmisartan or any other medicines, please tell your doctor. Keep your doctor informed about your health conditions and medications to prevent any interactions.
Uses of Chlorthalidone+cilnidipine+telmisartan
Medicinal Benefits
- Chlorthalidone+cilnidipine+telmisartan contains Chlorthalidone, Cilnidipine, and Telmisartan, which work together to lower blood pressure.
- Chlorthalidone, a diuretic (water tablet), helps the body remove excess water and salts like sodium and potassium, thereby reducing blood volume and lowering pressure in the blood vessels.
- The removal of excess fluid decreases strain on the heart and improves overall blood flow.
- Cilnidipine (a calcium channel blocker) and Telmisartan (an angiotensin II receptor blocker) work by relaxing and widening blood vessels, allowing blood to flow more easily.
- By controlling high blood pressure, Chlorthalidone+cilnidipine+telmisartan helps reduce the risk of stroke, heart attack, heart failure, and other cardiovascular complications.
- The combination of three antihypertensive agents ensures effective and sustained management of hypertension.
Directions for Use
- Chlorthalidone+cilnidipine+telmisartan can be taken with food to avoid stomach upset or as prescribed by the doctor.
- Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
- Swallow Chlorthalidone+cilnidipine+telmisartan as a whole with a glass of water.
- Do not chew, crush, or break it.
Storage
Side Effects of Chlorthalidone+cilnidipine+telmisartan
- Dizziness
- Headache
- Low blood pressure
- Stomach upset
- Tiredness
- Tachycardia
- Ankle Swelling
- Flushing
- Loss of appetite
- Change in blood glucose levels
- Gastric Irritation
Drug Warnings
- If you are allergic to Chlorthalidone+cilnidipine+telmisartan or any other medicines, please tell your doctor.
- Chlorthalidone+cilnidipine+telmisartan is not recommended for children below 18 years of age.
- If you are pregnant or breastfeeding, avoid taking Chlorthalidone+cilnidipine+telmisartan and consult a doctor.
- If you are about to take anaesthesia or undergo any surgery, you are advised to inform your doctor that you are taking Chlorthalidone+cilnidipine+telmisartan.
- Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have low levels of sodium or potassium in the blood, gout, kidney stones, Addison’s disease (adrenal gland does not produce sufficient steroids), high blood levels of calcium, or severe liver or kidney problems.
- If you have diabetes, high cholesterol, low blood pressure, renal artery stenosis (narrowing of blood vessels to one or both the kidneys), heart, liver, or kidney problems, inform your doctor before taking Chlorthalidone+cilnidipine+telmisartan.
- Drive only if you are alert, as Chlorthalidone+cilnidipine+telmisartan may cause dizziness or tiredness.
- You are recommended to avoid alcohol consumption with Chlorthalidone+cilnidipine+telmisartan as it may increase the risk of low blood pressure.
- Let your doctor know if you are taking any other medicines, including supplements and herbal products.
Drug Interactions
Drug-Drug Interaction: Chlorthalidone+cilnidipine+telmisartan may interact with non-steroidal anti-inflammatory drugs (aspirin, ibuprofen), calcium channel blockers (amlodipine), water pills (amiloride, spironolactone), heart-related medicines (quinidine, digoxin), antimanic drug (lithium), antibiotics (erythromycin, rifampicin), and anticonvulsant (phenytoin).
Drug-Food Interaction: Avoid taking potassium-rich foods such as bananas, sweet potatoes, nuts, and noni juice with Chlorthalidone+cilnidipine+telmisartan as it may result in hyperkalemia (high levels of potassium in the blood) and cause severe adverse effects. Also, Chlorthalidone+cilnidipine+telmisartan may interact with grapefruit juice and increase the levels of Chlorthalidone+cilnidipine+telmisartan in blood.
Drug-Disease Interaction: Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have low levels of sodium or potassium in the blood, gout, kidney stones, Addison’s disease (adrenal gland does not produce sufficient steroids), high blood levels of calcium, or severe liver or kidney problems.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeAvoid consumption of alcohol with Chlorthalidone+cilnidipine+telmisartan as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache.
Pregnancy
unsafeChlorthalidone+cilnidipine+telmisartan is not recommended for pregnant women as it may cause serious harm to the unborn baby. Please consult a doctor if you are pregnant.
Breast Feeding
unsafeChlorthalidone+cilnidipine+telmisartan may be excreted in human milk and harm the baby. Therefore, avoid taking Chlorthalidone+cilnidipine+telmisartan if you are breastfeeding and consult a doctor.
Driving
cautionChlorthalidone+cilnidipine+telmisartan may cause dizziness or tiredness in some people. Therefore, avoid driving if you feel dizzy or tired after taking Chlorthalidone+cilnidipine+telmisartan.
Liver
cautionTake Chlorthalidone+cilnidipine+telmisartan with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have severe liver disease.
Kidney
cautionTake Chlorthalidone+cilnidipine+telmisartan with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have severe kidney disease.
Children
unsafeChlorthalidone+cilnidipine+telmisartan is not recommended for children below 18 years as safety and effectiveness have not been established.
Habit Forming
Diet & Lifestyle Advise
- Maintain a low-salt diet and minimise eating processed foods as they contain more sodium.
- Try to replace salt with spices or herbs to add flavour to the food.
- Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day.
- Chronic stress may also cause high blood pressure. Therefore, avoid stress by changing your expectations, reacting in certain situations, and doing activities that you enjoy by making time for yourself.
- Maintain a diet that is rich in fruits, vegetables, whole grains, and low-fat dairy products.
- Try to include heart-healthy omega-3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil, which may help in lowering high blood pressure.
- Quit smoking and avoid the consumption of alcohol.
Special Advise
- Monitor your blood pressure regularly, and if you notice any fluctuations, please consult a doctor
- Your doctor may order regular monitoring of blood glucose and electrolyte levels.
Patients Concern
Disease/Condition Glossary
High blood pressure: Hypertension is a chronic condition in which blood pressure is too high. 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.
FAQs
Chlorthalidone+cilnidipine+telmisartan is used to treat hypertension (high blood pressure) and reduce the risk of heart attack or stroke in adults.
Chlorthalidone+cilnidipine+telmisartan contains Chlorthalidone, Cilnidipine and Telmisartan. Chlorthalidone is a diuretic (water tablet) that increases the removal of excess water and certain salts such as sodium and potassium from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels and improves blood flow. Cilnidipine and Telmisartan relax and widen blood vessels. Thus, Chlorthalidone+cilnidipine+telmisartan lowers high blood pressure and reduces the risk of stroke, heart attack, or other heart problems.
You are not recommended to take ibuprofen with Chlorthalidone+cilnidipine+telmisartan as it may reduce the effect of Chlorthalidone+cilnidipine+telmisartan and increase the risk of impaired kidney function. However, if you experience loss of appetite, sudden weight loss or weight gain, weakness, muscle cramps, vomiting, nausea, decreased or increased urination, irregular heart rhythm, and fluid retention, please consult a doctor immediately. If you are supposed to use these medicines together, you are advised to contact your doctor so that the dose may be adjusted to be used safely.
Chlorthalidone+cilnidipine+telmisartan may increase potassium levels in the blood. Therefore, it is recommended to avoid the intake of potassium supplements and foods that are rich in potassium, such as bananas, sweet potatoes, nuts, and noni juice, as it may result in hyperkalaemia (high levels of potassium in the blood) and cause severe adverse effects such as irregular heartbeat, muscle paralysis, and kidney failure.
Chlorthalidone+cilnidipine+telmisartan may cause dizziness in some patients. Therefore, if you feel dizzy after taking Chlorthalidone+cilnidipine+telmisartan, avoid driving or operating heavy machinery.
You are not recommended to stop taking Chlorthalidone+cilnidipine+telmisartan without consulting your doctor, even if you find symptomatic relief, as it may worsen the condition. Therefore, take Chlorthalidone+cilnidipine+telmisartan for as long as your doctor has prescribed it, and if you experience any difficulty while using Chlorthalidone+cilnidipine+telmisartan, please consult your doctor.
Chlorthalidone+cilnidipine+telmisartan may cause side effects like dizziness, headache, low blood pressure, stomach upset, or tiredness. Most of these side effects of Chlorthalidone+cilnidipine+telmisartan do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.
Follow a low-salt diet; limit sodium to no more than 2,300 mg a day. Include fruits, vegetables, and whole grains in your diet. Reduce saturated fats and processed/fried foods.
