There is no well-documented adverse interaction between Zivifresh and either Ecosprin Gold 20 or Telmisartan 40. Since Zivifresh works locally on the surface of the eye and is minimally absorbed into the bloodstream, significant systemic drug interactions are unlikely. However, if you develop eye redness, swelling, irritation, or persistent discomfort after using the drops, discontinue use and consult your doctor. It is also advisable to keep your healthcare provider informed about all medicines and eye drops you are using, especially while on long-term cardiac and blood pressure treatment.