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Cresar M 25 Tablet is used to treat hypertension (high blood pressure). It helps control blood pressure and lowers the risk of severe heart problems such as heart attack and stroke. It improves blood flow, reduces cardiac strain, and supports more efficient cardiac function.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Cipla Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Cresar M 25 Tablet

Cresar M 25 Tablet is a prescription medicine used to treat high blood pressure (hypertension). By lowering high blood pressure, it helps reduce strain on your heart and blood vessels, lowering the risk of serious complications such as heart attack, stroke, and kidney damage.

Take this medicine exactly as prescribed, preferably at the same time every day. You can take it with or without food, but taking it consistently in the same way each day helps maintain stable blood pressure. Following a low-salt diet, exercising regularly, and maintaining a healthy weight can further improve treatment outcomes.

Some people may experience mild side effects such as dizziness, tiredness, a slow heart rate, or cold hands and feet. These effects are usually mild and improve as your body adjusts. Seek immediate medical attention if you develop difficulty breathing, swelling of the face, lips, tongue, or throat, or a severe skin rash.

Before starting this medicine, tell your doctor if you have moderate to severe asthma, chronic obstructive pulmonary disease (COPD), diabetes, kidney disease, liver disease, or heart rhythm problems. Do not take this medicine if you have cardiogenic shock, certain severe heart block conditions (unless you have a pacemaker), severe slowing of the heart rate, or severe liver disease. Your doctor will determine whether this medicine is suitable for you.

Tell your doctor about all the medicines you take before starting treatment. Alcohol can increase the blood pressure-lowering effect of this medicine and increase the risk of dizziness or fainting, while smoking may reduce its cardiovascular benefits. If you are pregnant, planning a pregnancy, breastfeeding, or caring for an older adult, consult your doctor before taking this medicine.

Uses of Cresar M 25 Tablet

Your doctor may prescribe Cresar M 25 Tablet to help manage the following conditions:

  • High blood pressure (Hypertension): Cresar M 25 Tablet helps by keeping your blood vessels relaxed and managing your heart rate, which lowers the overall pressure in your cardiovascular system.
  • Cardiovascular risk reduction: By keeping your blood pressure in a healthy range, this medication helps protect your heart, brain, and kidneys from long-term damage, lowering your risk of heart attacks and strokes.

Key Benefits

When used as directed as part of your treatment plan, Cresar M 25 Tablet may provide the following benefits:

  • Lowers high blood pressure: Helps keep your blood pressure within a healthy range, reducing strain on your heart and blood vessels.
  • Protects your heart and blood vessels: Long-term blood pressure control helps lower the risk of complications such as heart attack, stroke, and kidney damage.
  • Supports heart function: Helps reduce the workload on your heart by relaxing blood vessels and slowing the heart rate, allowing your heart to pump blood more efficiently.
  • Provides convenient combination therapy: Combines two blood pressure medicines in a single tablet, making treatment simpler and helping you stay on track with your prescribed therapy.
Side effects of Cresar M 25 Tablet
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Managing depression as a side effect of medication: a comprehensive guide.
  • Remember, managing depression as a side effect of medication requires patience, persistence, and collaboration with your healthcare team.
  • Tell your doctor about your depression symptoms to adjust medication.
  • Consult a therapist or counsel for emotional support.
  • Engage in regular exercise to release endorphins (neurotransmitters).
  • Practice stress-reducing techniques like meditation and deep breathing.
  • Build a support network of friends, family, and support groups.
  • Establish a consistent sleep schedule.
  • Eat a nutritious diet rich in fruits, vegetables, and whole grains.
  • Limit or avoid alcohol and recreational substances.
  • Keep a mood journal to track symptoms and progress.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.

Directions for Use

  • Cresar M 25 Tablet should be taken with food or right after eating a meal.
  • It is typically taken once daily. However, follow your doctor's instructions regarding dosage and timing for optimal results.
  • Swallow Cresar M 25 Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Cresar M 25 Tablet Works

Cresar M 25 Tablet contains telmisartan and metoprolol tartrate, which work together to lower blood pressure by relaxing blood vessels and reducing the workload on your heart. Each medicine works in a different way to help keep your blood pressure under control. Telmisartan is an angiotensin II receptor blocker (ARB). It blocks the action of angiotensin II, a natural substance that narrows blood vessels. This allows the blood vessels to relax and widen, making it easier for blood to flow and lowering blood pressure. Metoprolol tartrate is a beta-blocker. It slows your heart rate and reduces the force with which your heart pumps blood by blocking the effects of stress hormones such as adrenaline. This helps lower blood pressure and reduces the workload on your heart.
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Alcohol

Unsafe

You are recommended to avoid alcohol consumption while taking Cresar M 25 Tablet to avoid unpleasant side effects. Alcohol intake might interfere with the working of Cresar M 25 Tablet . It may lower blood pressure below normal, resulting in hypotension.

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Pregnancy

Unsafe

It is not recommended to take Cresar M 25 Tablet while you are pregnant as it may cause foetal harm. Please consult your doctor if you have any concerns.

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Breast Feeding

Caution

Please consult your doctor. Your doctor will determine whether Cresar M 25 Tablet can be taken by breastfeeding mothers.

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Driving

Caution

Cresar M 25 Tablet may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Dose adjustment may be needed. Cresar M 25 Tablet should be used with caution in patients with liver impairment/liver disease.

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Kidney

Caution

Dose adjustment may be needed. Cresar M 25 Tablet should be used with caution in patients with kidney impairment/kidney disease.

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Children

Unsafe

Cresar M 25 Tablet is not recommended for children under 18 years of age, as its safety and efficacy have not been established.

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Heart

Caution

Cresar M 25 Tablet should be taken with caution in patients with heart problems. Therefore, please talk to your doctor before using Cresar M 25 Tablet .

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Geriatrics

Caution

Cresar M 25 Tablet should be given with caution in elderly patients due to an increased risk of side effects. It is important to inform a healthcare professional before use.

What if I have taken an overdose of Cresar M 25 Tablet

If you suspect an overdose, seek immediate medical attention or call emergency services right away. Signs of an overdose can include extremely low blood pressure, a dangerously slow heart rate, severe dizziness, or fainting.

Diet & Lifestyle Advise

  • Reduce your salt intake: Limit processed foods and avoid adding extra salt to your meals, as sodium causes your body to hold onto extra fluid, raising your blood pressure.
  • Avoid excessive potassium: Because of how this medicine works, your body may hold onto more potassium. Talk to your doctor before using potassium-based salt substitutes or taking potassium supplements.
  • Stay active: Aim for at least 150 minutes of moderate aerobic exercise, like brisk walking, each week to strengthen your heart and naturally lower blood pressure.
  • Limit alcohol consumption: Drinking alcohol can interact with this medicine, causing your blood pressure to drop too low and increasing dizziness.
  • Avoid smoking: Nicotine damages your blood vessels and raises your heart rate, which directly opposes the beneficial effects of this medication.
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How Soon It Starts Working

  • The time required for Cresar M 25 Tablet to start to work: Cresar M 25 Tablet starts to show its action within 1 to 2 hours of administration.
  • The time for which the effects of Cresar M 25 Tablet last: Cresar M 25 Tablet effect lasts for 24 hours.

What if you forget to take Cresar M 25 Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a missed one.

Storage

•Store Cresar M 25 Tablet at room temperature, ideally between 15°C and 30°C (59°F to 86°F). •Keep the medication in its original packaging to protect the tablets from moisture and direct light.

Drug Warnings

  • Monitor your blood pressure regularly: Check your blood pressure at home as advised by your doctor and keep a record of your readings.
  • Do not stop this medicine suddenly: Stopping treatment abruptly may cause your blood pressure to rise or worsen certain heart conditions. Always consult your doctor before stopping or changing your dose.
  • Stand up slowly: This medicine may cause dizziness, especially when you first start taking it or after a dose increase. Rising slowly from sitting or lying down can help reduce the risk of falls.
  • Monitor your blood sugar if you have diabetes: Metoprolol may mask some warning signs of low blood sugar, such as a fast heartbeat. Check your blood sugar regularly if advised by your doctor.
  • Tell healthcare professionals you are taking this medicine: Inform your doctor, dentist, or surgeon before any medical or dental procedure.

Drug-Drug Interactions

verifiedApollotooltip

The following medicines may interact with this medicine:

  • Other blood pressure medicines: Taking them together may lower your blood pressure too much, increasing the risk of dizziness or fainting.
  • Pain relievers (NSAIDs), such as ibuprofen or naproxen: These medicines may reduce the blood pressure-lowering effect and increase the risk of kidney problems, especially with long-term use.
  • Potassium supplements or potassium-sparing diuretics: Taking these together may increase potassium levels in your blood. Your doctor may monitor your potassium levels if these medicines are used together.
  • Diabetes medicines, including insulin: Metoprolol may mask some warning signs of low blood sugar, such as a fast heartbeat. People with diabetes should monitor their blood sugar as advised by their doctor.

Drug-Drug Interactions

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How does the drug interact with Cresar M 25 Tablet:
Co-administration of Aliskiren with Telmisartan can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telmisartan with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking Tizanidine with Telmisartan may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Tizanidine if prescribed by a doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking Quinapril with Telmisartan may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Quinapril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium, such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Co-administration of Aminophylline with Metoprolol together can make Metoprolol less effective and increase the effects of Aminophylline.

How to manage the interaction:
Taking Aminophylline with Metoprolol may lead to an interaction, it can be taken only if a doctor has advised it. If you experience nausea, vomiting, sleeplessness, restlessness, irregular heartbeats, or difficulty in breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Co-administration of Lithium with Telmisartan may significantly increase the blood levels of Lithium.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.
Severe
How does the drug interact with Cresar M 25 Tablet:
Co-administration of telmisartan increases levels of Eluxadoline by increasing metabolism.

How to manage the interaction:
Taking Telmisartan with Eluxadoline together can possibly result in an interaction, but it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Co-administration of Metoprolol with Verapamil may lead to increased side effects.

How to manage the interaction:
Although there may be an interaction, Metoprolol can be taken with Verapamil if prescribed by the doctor. Consult a prescriber if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Cresar M 25 Tablet:
Co-administration of Enalapril with Telmisartan can increase the risk of kidney failure, low blood pressure, and high potassium levels.

How to manage the interaction:
Although there is a possible interaction between Enalapril and Telmisartan, you can take these medicines together if prescribed by your doctor. However, contact a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without a doctor's advice.
Severe
How does the drug interact with Cresar M 25 Tablet:
Using Metoprolol and Saquinavir can increase the risk of an irregular heart rhythm.

How to manage the interaction:
There may be a possible interaction between Metoprolol and Saquinavir, but they can be taken together if a doctor has prescribed them. However, consult a doctor immediately if you experience dizziness, lightheadedness, fainting, slow pulse, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
Telmisartan + MetoprololPotassium citrate
Severe
How does the drug interact with Cresar M 25 Tablet:
Taking Potassium citrate with Telmisartan together may increase potassium levels in the blood, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm.

How to manage the interaction:
Although taking Potassium citrate with Telmisartan together can possibly result in an interaction, it can be taken if a doctor has advised it. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue any medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip

The following foods or drinks may affect how well this medicine works:

  • Alcohol: Drinking alcohol may increase the blood pressure-lowering effect of this medicine and increase the risk of dizziness or fainting.
  • Potassium-rich foods and salt substitutes: Telmisartan may increase potassium levels. Avoid potassium supplements or salt substitutes containing potassium unless recommended by your doctor.
METOPROLOL TARTRATE-25MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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METOPROLOL TARTRATE-25MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
When Cresar M 25 Tablet is taken along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid taking potassium-containing salt substitutes or over-the-counter potassium supplements as this can lead to high potassium levels in blood. However, consult a doctor if you experience weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs.

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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Cresar M 25 Tablet is a medicine used to treat high blood pressure. Lowering blood pressure helps prevent future heart attacks and strokes.
Cresar M 25 Tablet contains Metoprolol tartrate and Telmisartan. Metoprolol tartrate helps to reduce blood pressure by allowing the blood to flow more smoothly. Telmisartan works by blocking the angiotensin II receptor. Angiotensin II constricts blood vessels; by blocking its action, telmisartan allows them to relax and dilate. Together, Cresar M 25 Tablet helps reduce blood pressure to normal levels.
Yes, Cresar M 25 Tablet may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry. If a slow heart rate persists and you begin to feel unwell, consult your doctor.
Cresar M 25 Tablet might alter potassium levels. Therefore, inform your doctor if you are taking food rich in potassium, potassium-containing salt substitutes or over-the-counter potassium supplements.
Please do not stop taking Cresar M 25 Tablet without consulting your doctor on your own, as it may lead to a rise in blood pressure. Continue taking Cresar M 25 Tablet for as long as your doctor has prescribed it to you. Do not hesitate to speak with your physician if you experience any difficulty while taking Cresar M 25 Tablet .
Yes, orthostatic hypotension may be a side effect of Cresar M 25 Tablet . Orthostatic hypotension is a sudden decrease in blood pressure upon standing, leading to dizziness. If you experience this, do not attempt to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better. People taking Cresar M 25 Tablet are advised to regularly monitor their blood pressure to prevent adverse events.
If you experience any symptoms such as vision problems, dizziness, fainting, slow heart rate, sexual dysfunction, etc., inform your doctor immediately. Your dose will be adjusted by your physician based on your heart rate, blood pressure, serum Cresar M 25 Tablet level, and other relevant factors.
Consume low salt and low-fat diet and maintain a healthy diet rich in fruits, vegetables and whole grains. Limit intake or avoid pickles and packaged foods such as chips as they contain excess salt. Also, limit intake of potassium-containing foods like broccoli, spinach, or banana.
Yes, Cresar M 25 Tablet may cause dizziness as a side effect. This may occur when you suddenly get up from a sitting or lying position. To reduce the chance of feeling dizzy or passing out, get up slowly if you have been sitting or lying down.
You are advised to stop smoking and alcohol consumption. If you are obese or overweight, try to reduce your weight. Maintain a healthy diet which includes fruits and vegetables. Regular exercise is recommended while taking Cresar M 25 Tablet as it helps to lower blood pressure and improve blood flow.
Store Cresar M 25 Tablet at a temperature below 30°C. Keep out of reach of children.
No, Cresar M 25 Tablet is not an anticoagulant. It is a combination of antihypertensive medications used to lower blood pressure.
Cresar M 25 Tablet contains Metoprolol tartrate and Telmisartan as its active ingredients.
No, Cresar M 25 Tablet is not a diuretic. It is a combination of anti-hypertensive medicines.
No, Cresar M 25 Tablet is not a steroid.
Cresar M 25 Tablet should be used with caution in patients with kidney impairment or kidney disease. Therefore, before taking Cresar M 25 Tablet , inform your doctor if you have any kidney problems.
The side effects of Cresar M 25 Tablet include headache, dry mouth, nausea, weakness, dizziness, slow pulse, cramps, cold extremities and low blood pressure. If any of these side effects persist or worsen, please consult your doctor.
It is best to limit or avoid alcohol while taking this medicine. Alcohol can further lower your blood pressure and increase the risk of dizziness, light-headedness, or fainting.
No. This medicine is not recommended during pregnancy because telmisartan can seriously harm an unborn baby, particularly during the second and third trimesters. If you become pregnant while taking this medicine, contact your doctor immediately.
A dry cough is not commonly associated with telmisartan, which belongs to a group of medicines called angiotensin II receptor blockers (ARBs). A dry cough is much more common with ACE inhibitors. If you develop a persistent cough while taking this medicine, consult your doctor to identify the solution.
Regular use of pain relievers such as ibuprofen or naproxen may reduce the blood pressure-lowering effect of this medicine and increase the risk of kidney problems. Ask your doctor or pharmacist about suitable alternatives if you need pain relief.
Yes. Your doctor will check your blood pressure regularly and may occasionally order blood tests to monitor your kidney function and potassium levels, especially if you have kidney disease, diabetes, or take certain other medicines.
Be cautious with potassium supplements and salt substitutes containing potassium, as telmisartan may increase potassium levels. Your doctor or dietitian can advise you on the right amount of potassium for your individual needs.

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - CRE0375
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