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TELMACH 20MG TAB

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TELMACH 20MG TAB
Telmach Tablet 20mg
Uses and Benefits

Uses and Benefits

Telmach Tablet 20mg is an anti-hypertensive medicine which helps to reduce blood pressure by widening the blood vessels and also in the treatment of diabetic nephropathy in hypertensive patients with type-2 diabetes mellitus. This tablet is also used in patients with congestive heart failure as well as among those who can not tolerate ACE inhibitors. However, the uses mentioned here are not exhaustive. There may be other conditions for which this medication may be used upon doctor’s discretion.

Composition

Composition

The active ingredient of Telmach Tablet 20mg is Telmisartan 20mg.

Mechanism of Action of Drugs

Mechanism of Action of Telmisartan

Telmisartan acts by selectively antagonizing Angiotensin-2 AT 1 receptor. With this, it reduces vasoconstriction and blood pressure.

Contraindications and Cautions

Contraindications and Caution

Patients with the following conditions are suggested to seek advice from their health care professionals before taking the Telmach Tablet

  • Hypersensitivity to any of the components used in the Telmach Tablet 20mg such as Telmisartan
  • Caution:
  • Renal artery stenosis
  • Renal impairment
  • Hepatic impairment
  • Volume depletion
  • Hyponatremia
  • Severe CHF
Side Effects

Side and Adverse Effects

The following side effects may or may not occur during the usage of this tablet. It is generally well tolerated when taken in the prescribed dosage guidelines. More common ones are generally mild and may include:

  • Back pain
  • Diarrhea

Rare but more serious adverse effects may include:

  • Hypersensitivity reaction
  • Anaphylaxis
  • Angioedema
  • Hypotension, severe
  • Hyperkalemia
  • Renal impairment
  • Anemia
  • Thrombocytopenia
  • Rhabdomyolysis
How to Use

How to Use

Do not exceed the dose prescribed by your doctor. Swallow the tablet whole, immediately after opening the tablet from the strip. Do not break or chew the Telmach Tablet 20mg.
Avoid missing or forgetting a dose. If you do, take it as soon as you remember; but if it is time for your next dose, skip it and take it according to your normal schedule. Don’t swallow two doses at the same time which is dangerous to your health.
Telmach Tablet 20mg may be taken with or without food.
Take the dosage as directed by your doctor.

Overdosage

Avoid taking more than the prescribed dosage. In case of an accidental overdose, promptly seek medical advice. Depending on the dosage, symptoms may vary but you may experience any one or more of the following signs or symptoms:

  • Hypotension
  • Bradycardia
  • Tachycardia
  • Dizziness
  • Acute renal failure and serum creatinine
Warnings and Precautions

Warnings and Precautions

Take the tablet only on the advice of a medical practitioner. Dosage adjustment or complete avoidance of the medication may be required in the following:

Kidney:

Caution advised among people with renal problems. If you have any, it is highly recommended that you consult your doctor before the consumption of this medicine.

Liver:

Caution advised among people with hepatic problems and dosage adjustment may be needed. If liver impairment is severe this medicine is contraindicated in such patients so it is highly recommended that you consult your doctor before the consumption of this Telmach Tablet 20mg.

Pregnancy:

This medicine is not recommended if you are pregnant or planning to get pregnant because there is positive evidence of human fetal risk.

Lactation:

Do not take this medicine if you are a nursing mother because it is not known whether this drug could harm a breastfed infant or not.

Alcohol:

Do not drink alcohol if you are taking this medicine because alcohol may decrease your blood pressure and increases the side effects of Telmisartan.

Drug Interactions:

Caution always advised when used with other drugs such as Digoxin, Lithium, Diuretic or water pill, Ramipril or other BP medicines and NSAID’s, etc. However, inform your doctor about your previous and current history of medicines which you have used.

Precautions
  • Keep the medicine out of sight and reach of children.
  • Keep the medicine in room temperature away from heat and moisture.
  • Do not use Telmach Tablet 20mg beyond its expiry.
  • Do not use Telmach Tablet 20mg if the tablet strip is torn or the tablet is broken.
  • Avoid sudden or too quick sitting or lying positions to prevent a fall because the tablet some times lead to postural hypotension.
FDA Pregnancy Category

FDA Pregnancy Category

Category D: There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.


Drug Composition information
What is Telmisartan for:

This medication is angiotensin receptor blocker (ARBs), prescribed for hypertension. It works by relaxing blood vessels.

How does Telmisartan work:

Telmisartan lowers blood pressure by lowering a strong chemical in the body.

How should Telmisartan be used:

It comes as a tablet to take by mouth, with or without food. Hypertension- Adults- Oral: Initial: 40 mg once daily. Max: 80 mgday. Cardio Vascular risk reduction- Adults- Oral: 80 mg once per day.

Common side effects of Telmisartan :

Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing. Cough. Belly pain. High potassium level. Signs include feeling weak, lightheaded, dizzy, feel like passing out, or have numbness or tingling. Kidney function that gets worse.

What do I do if I miss a dose

Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. Do not change the dose or stop this drug. Talk with the doctor.

What precautions should I take when taking Telmisartan :

If you have an allergy to telmisartan or any other part of this drug. Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you have high blood sugar (diabetes) and are taking aliskiren. If you are pregnant or may be pregnant. If you are breast-feeding.

When do I need to seek medical help

If you think there was an overdose, call your local poison control center or ER right away. Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat. Very bad dizziness or passing out. Very bad headache. Signs of high potassium. Cough that does not go away. Too much sweat, fluid loss, throwing up, or loose stools. May lead to low blood pressure. For women, if you get pregnant while taking this drug. Any rash. Side effect or health problem is not better or you are feeling worse.

Can I take Telmisartan with other medicines:

Sometimes drugs are not safe when you take them with certain other drugs and food. - Taking them together can cause bad side effects. - Be sure to talk to your doctor about all the drugs you take.

Are there any food restrictions

Avoid Alcohol

How do I store Telmisartan :

Store in a cool, dry place away from the reach of children. - Medicines must not be used past the expiry date.

Pregnancy Category

Category C : Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Therapeutic Classification

Angiotensin II Antagonists

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