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Indapamide+telmisartan

About Indapamide+telmisartan

Indapamide+telmisartan is a prescription medicine used to treat high blood pressure (hypertension). It helps lower elevated blood pressure to normal levels, reducing the strain on your cardiovascular system. This combined approach is typically prescribed when a single medicine is not enough to control your blood pressure.

For the best results, you must take Indapamide+telmisartan consistently every day, exactly as your doctor prescribes. You can take this tablet with or without food, preferably at the same time each day to help you remember. Along with this medicine, adopting healthy changes like reducing salt in your diet and staying physically active can significantly support your blood pressure goals.

While taking Indapamide+telmisartan, you might experience mild side effects like dizziness, tiredness, or back pain. These are usually temporary, but you must seek immediate medical help if you experience serious symptoms such as swelling of your face, severe dizziness, or a sudden change in urination.

Do not take this if you are pregnant, as it can cause serious harm to an unborn baby. You should also avoid this medication if you have severe kidney problems, liver damage, or difficulty urinating. Talk to your doctor before starting this medicine if you have diabetes, gout, or a history of heart valve issues.

This medicine can interact with certain pain relievers, lithium, and potassium supplements, which can alter its effectiveness or cause harmful side effects. Avoid drinking alcohol while taking this medicine, as it can make you feel excessively dizzy. If you are breastfeeding or are an elderly patient, consult your doctor to ensure this medication is safe for you.

Uses of Indapamide+telmisartan

Treatment of Hypertension (high blood pressure).

Medicinal Benefits

Indapamide+telmisartan helps manage high blood pressure by combining two complementary blood pressure-lowering medicines in a single tablet. By providing effective and sustained blood pressure control, it supports long-term cardiovascular health and helps protect vital organs from hypertension-related complications.

  • Helps Maintain Healthy Blood Pressure Levels: By lowering and controlling elevated blood pressure, Indapamide+telmisartan helps reduce strain on the heart and blood vessels, supporting stable blood pressure throughout the day.
  • Supports Long-Term Heart, Kidney, and Eye Health: Effective blood pressure control with Indapamide+telmisartan helps reduce the risk of complications such as heart failure, kidney damage, stroke, and vision problems caused by uncontrolled hypertension.
  • Offers Convenient Combination Therapy: By combining two antihypertensive medicines into a single daily tablet, Indapamide+telmisartan simplifies your treatment routine, supports better medication adherence, and helps maintain consistent blood pressure control over time.

Directions for Use

  • Take Indapamide+telmisartan with or without food or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with glass of water.
  • Do not crush, break, or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Indapamide+telmisartan

Like all prescription medications, Indapamide+telmisartan can cause side effects, though not everyone experiences them. Most side effects are mild and resolve as your body adapts to the medicine.

Common Side Effects (Usually mild)

  • Dizziness or lightheadedness, especially when standing up quickly
  • Feeling tired, weak, or fatigued
  • Back pain or muscle aches
  • Cold-like symptoms, such as a runny nose, sore throat, or sinus congestion
  • Nausea or mild upset stomach

Serious Side Effects (Consult a doctor right away)

  • Signs of a severe allergic reaction, such as swelling of your face, lips, tongue, or throat, or difficulty breathing
  • Severe dizziness, fainting, or a spinning sensation
  • Signs of electrolyte imbalance, including extreme muscle weakness, severe muscle cramps, or a very fast or irregular heartbeat
  • Yellowing of your skin or the whites of your eyes, which may point to liver damage
  • A significant decrease in how much you urinate, or pain when urinating
     

Drug Warnings

  • Check your blood pressure regularly: Keep a record of your readings so your doctor can evaluate how well the medication is working.
  • Stand up slowly: To prevent dizziness or fainting, take your time when moving from a lying or sitting position to standing.
  • Avoid potassium supplements: Do not start taking potassium supplements or using potassium-based salt alternatives unless your doctor specifically advises you to do so.
  • Stay alert to dehydration: Tell your doctor if you experience prolonged vomiting, diarrhoea, or heavy sweating, as these can lead to dangerously low blood pressure.
  • Limit alcohol consumption: Alcohol can increase the blood pressure-lowering effect of Indapamide+telmisartan, making you feel light-headed, drowsy, or dizzy.
  • Keep up with blood tests: Attend all scheduled medical appointments so your doctor can check your kidney function and electrolyte levels through routine blood tests.

Drug Interactions

  • Other blood pressure-lowering medicines: Combining Indapamide+telmisartan with ACE inhibitors or aliskiren may excessively lower your blood pressure and increase the risk of kidney problems.
  • Lithium: This medicine can raise the levels of lithium in your blood, increasing the risk of lithium toxicity.
  • Non-steroidal anti-inflammatory drugs (NSAIDs): Painkillers like ibuprofen or naproxen can reduce the blood pressure-lowering effect of Indapamide+telmisartan and increase your risk of kidney damage.
  • Potassium-sparing diuretics or potassium supplements: Taking these alongside Indapamide+telmisartan can lead to dangerously high levels of potassium in your blood.

Drug-Drug Interactions Checker List:

  • ALISKIREN
  • AMIODARONE
  • ACARBOSE
  • PHENYLEPHRINE
  • DEXTROMETHORPHAN
  • PARACETAMOL
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      You are recommended not to consume alcohol and Indapamide+telmisartan to avoid unpleasant side effects like drowsiness, dizziness, and liver damage.

    • Safety Warning

      Pregnancy

      caution

      Indapamide+telmisartan may cause fetal damage and can affect the unborn baby (fetus). Please consult your doctor before taking Indapamide+telmisartan if you are pregnant or planning to conceive

    • Safety Warning

      Breast Feeding

      caution

      Indapamide+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.

    • Safety Warning

      Driving

      caution

      Drive with caution, Indapamide+telmisartan usually causes dizziness and affects driving ability.

    • Safety Warning

      Liver

      caution

      Please take Indapamide+telmisartan only with the doctor's advice if you have a history of liver diseases/conditions

    • Safety Warning

      Kidney

      caution

      Let your doctor know if you have any history of kidney diseases or impairment before taking Indapamide+telmisartan.

    • Safety Warning

      Children

      caution

      Indapamide+telmisartan is not recommended in children younger than 18 years of age.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Reduce your salt intake: High sodium levels can raise your blood pressure. Avoid processed foods and limit the amount of table salt you add to meals.
    • Stay hydrated: Drink adequate amounts of water daily. Since indapamide acts as a diuretic, maintaining hydration is vital, but talk to your doctor about how much fluid is right for you.
    • Eat a heart-healthy diet: Focus on whole grains, lean proteins, fruits, and vegetables. Be cautious with potassium-rich foods or salt substitutes containing potassium, as telmisartan can raise your body's potassium levels.
    • Engage in regular physical activity: Incorporate moderate exercises, like walking, swimming, or cycling, into your weekly routine as approved by your physician.
    • Monitor your blood pressure at home: Keep a daily log of your readings to share with your doctor during your routine check-ups.

    Special Advise

    • Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).

    • Get up slowly while rising from lying or sitting position as Indapamide+telmisartan may cause dizziness.

    • Your doctor may advice regular monitoring of electrolyte, as Indapamide+telmisartan may cause fluctuations in electrolytes.

    Patients Concern

    Disease/Condition Glossary

    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 the 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.

    FAQs

    Indapamide+telmisartan 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 Indapamide+telmisartan. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend to discontinue it.

    The use of Indapamide+telmisartan is considered harmful to people with known allergy to any of the components of Indapamide+telmisartan. It should preferably be avoided in people with severe kidney or liver damage and people with anuria (reduction or absence of urine). It should also be avoided in women who are in the second and third trimesters of their pregnancy.

    Yes, prolonged intake of Indapamide+telmisartan can cause an increase in blood potassium level. So, patients taking Indapamide+telmisartan should avoid taking supplements and food rich in potassium to avoid any unpleasant side-effect.

    Yes, the use of Indapamide+telmisartan can cause dizziness in some people, as it is one of the side effect of Indapamide+telmisartan. So if you feel dizzy or lightheaded, take some rest and resume after you feel better.

    Indapamide+telmisartan should be stored in a cool, dry place away from sunlight, at room temperature. Make sure to keep it out of reach of children and pets.

    If Indapamide+telmisartan doesn't seem to make you feel any better, it is important to consult your doctor. They may change your dosage, it’s crucial not to stop taking the medication without your doctor’s advice, as this could lead to a rise in blood pressure and increased risk of heart attack or stroke.

    There is no clear confirmation that Indapamide+telmisartan affects fertility in either men or women. However, some blood pressure medications can impact sexual function. If you notice any changes or have any concerns regarding this, consult your doctor.

    While taking Indapamide+telmisartan, it's important to make some lifestyle changes to help manage your blood pressure effectively like reducing salt intake, managing stress, maintaining a healthy diet, exercising regularly, limiting alcohol, quitting smoking, and getting enough sleep.

    Indapamide+telmisartan can cause side effects like nausea, stomach pain, diarrhoea, constipation, headache, infection, back pain, dizziness, nose inflammation, weakness, chest pain, indigestion, peripheral edema, nervousness, cough, sore throat, sinus inflammation, and conjunctivitis. If any of these persist or worsen please consult your doctor.

    No, you should not take Indapamide+telmisartan if you are pregnant or planning to become pregnant. It contains active ingredients (telmisartan and indapamide) that can cause severe harm or even death to an unborn baby, especially during the second and third trimesters. If you discover you are pregnant, stop taking this medicine immediately and talk to your doctor.

    You may notice your blood pressure starting to decrease within a few days, but it can take up to 4 to 8 weeks of consistent daily use to experience the full blood pressure-lowering benefits of this medicine. Talk to your doctor if your blood pressure does not improve after several weeks.

    Because this medicine contains a mild diuretic (water pill) that increases urination, it is generally recommended to take it in the morning to avoid waking up during the night to use the bathroom. However, your physician may suggest a different schedule based on your specific needs. Talk to your doctor to determine the best timing for you.

    Take the missed dose as soon as you remember. If your next scheduled dose is only a few hours away, skip the missed dose and resume your regular daily schedule. Do not take two doses at the same time to make up for a missed one. Talk to your doctor or pharmacist if you frequently miss doses.

    Yes, the indapamide component in this medication is a mild diuretic, which helps your body get rid of excess water and salt. This can cause you to urinate more frequently, especially when you first start taking the medicine. To prevent sleep disruption, try to take your dose in the morning. Talk to your doctor if this becomes problematic.

    You should avoid using salt substitutes that contain potassium while taking this medicine. The telmisartan in this medicine can cause your body to retain potassium, and combining it with potassium-based salt substitutes can lead to dangerously high potassium levels in your blood. Talk to your doctor or pharmacist for safe dietary recommendations.

    Regular blood tests allow your healthcare provider to monitor your kidney function and check the levels of essential electrolytes, such as potassium, sodium, and uric acid, in your blood. This monitoring ensures that the medicine is working safely without causing silent complications. Talk to your doctor about how often you need these checks.

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