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Written By Divya L , PharmaD
Reviewed By Sureshvarma D , MPharma
48 Hrs returnable
COD available

Online payment accepted

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Whats That

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Manufacturer/Marketer :

Glenmark Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

Therapeutic Class

ANTI- HYPERTENSIVES

Country of origin

India

Manufacturer/Marketer address

Glenmark Pharmaceuticals Limited, B/2, Mahalaxmi Chambers, 22, Bhulabhai Desai Road, Mumbai €“ 400 026.
Other Info - TEL0938

Author Details

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FAQs

Telma Act 40 mg/6.25 mg/5 mg Tablet consists of anti-hypertensive/ blood pressure-lowering drugs: Amlodipine, Chlorthalidone, and Telmisartan. These medicines collectively lower the blood pressure by preventing the fluid build-up and widening the blood vessels, thus improving the blood supply and oxygen delivery to the heart.

Yes, Telma Act 40 mg/6.25 mg/5 mg Tablet can make you feel dizzy. Dizziness usually occurs when you suddenly stand up from a lying or sitting position. Try rising slowly when you change your posture to relieve dizziness. If the side effect persists longer, please seek medical help.

Telma Act 40 mg/6.25 mg/5 mg Tablet may cause ankle swelling upon long-term use. Please try to keep your feet at elevated levels when sitting for long hours or sleeping. If the problem persists, consult your doctor and do as advised.

Telma Act 40 mg/6.25 mg/5 mg Tablet can cause high potassium levels in the blood leading to hyperkalemia (high potassium levels in the blood). Hence it is not recommended to use potassium supplements along with Telma Act 40 mg/6.25 mg/5 mg Tablet . However, consult your doctor if you are already taking other medicines before starting Telma Act 40 mg/6.25 mg/5 mg Tablet .

Do not stop using Telma Act 40 mg/6.25 mg/5 mg Tablet even if you feel better. It should be strictly used as advised by your doctor to avoid the recurrence of symptoms and worsening of the disease.

Please inform your doctor if you are taking Telma Act 40 mg/6.25 mg/5 mg Tablet and need to undergo any surgery. Your doctor may ask you to stop using Telma Act 40 mg/6.25 mg/5 mg Tablet or prescribe any alternate medication because blood pressure may be further lowered if taken along with general anesthesia.

Disclaimer

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.
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Alcohol

Unsafe

It is unsafe to consume alcohol since alcohol consumption with Telma Act 40 mg/6.25 mg/5 mg Tablet may increase the risk of low blood pressure and cause adverse effects, such as dizziness, fainting, light-headedness, or headache.

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Pregnancy

Unsafe

Telma Act 40 mg/6.25 mg/5 mg Tablet is not recommended and unsafe in pregnancy. It can affect and harm the developing baby. Consult your doctor before taking Telma Act 40 mg/6.25 mg/5 mg Tablet if you plan to become pregnant or already pregnant. Your doctor will weigh the potential risks and benefits before prescribing Telma Act 40 mg/6.25 mg/5 mg Tablet .

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Breast Feeding

Caution

There is no evidence on how Telma Act 40 mg/6.25 mg/5 mg Tablet affects breastfeeding. Please consult your doctor before taking Telma Act 40 mg/6.25 mg/5 mg Tablet if you are breastfeeding.

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Driving

Caution

Telma Act 40 mg/6.25 mg/5 mg Tablet may cause side effects like dizziness, headaches, nausea, or tiredness, which can affect your ability to concentrate and drive. Hence, it is recommended not to drive or operate machinery until you are mentally alert.

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Liver

Caution

Let your doctor know if you have any history of liver diseases before taking Telma Act 40 mg/6.25 mg/5 mg Tablet . The dosage will be initiated in lower doses and will be further increased in patients with liver diseases. However, Telma Act 40 mg/6.25 mg/5 mg Tablet is not recommended in patients with severe hepatic impairment.

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Kidney

Caution

Telma Act 40 mg/6.25 mg/5 mg Tablet may affect kidney functioning. Hence it is advised to seek doctor advice before starting Telma Act 40 mg/6.25 mg/5 mg Tablet if you have kidney problems. However, it is not recommended in patients with severe renal impairment.

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Children

Unsafe

Safety and effectiveness of Telma Act 40 mg/6.25 mg/5 mg Tablet in pediatric patients have not been established.

About Telma Act 40 mg/6.25 mg/5 mg Tablet

Telma Act 40 mg/6.25 mg/5 mg Tablet belongs to the anti-hypertensive drugs class, primarily used to treat high blood pressure (hypertension). Hypertension is a medical condition in which blood pressure is elevated persistently in the arteries. It is considered an essential risk factor for cardiovascular diseases. 

Telma Act 40 mg/6.25 mg/5 mg Tablet consists of three anti-hypertensive medicines, namely: Amlodipine, Chlorthalidone, and Telmisartan. Amlodipine belongs to the class of calcium channel blockers. It is a vasodilator that dilates (widens) blood vessels and increases blood flow, further improving the oxygen delivery to the heart tissue. Chlorthalidone belongs to the class of diuretics (water pill) with antihypertensive activity. It inhibits sodium and chloride reabsorption from absorbing excess salts that cause fluid retention or build-up. Chlorthalidone lowers blood pressure by decreasing the amount of blood the heart pumps (cardiac output) and reducing plasma and extracellular fluid volume (body fluids outside the cells). Telmisartan belongs to a group of drugs called angiotensin II receptor antagonists (angiotensin is a hormone that constricts blood vessels and increases blood pressure). It lowers blood pressure and increases blood flow by preventing the narrowing of blood vessels. 

In some cases, Telma Act 40 mg/6.25 mg/5 mg Tablet can cause side effects like sleepiness, taste changes, ankle swelling, headache, flushing (feeling warmth in the face, ears, neck, and trunk), dizziness, tiredness, palpitations (irregular heartbeat), and upset stomach. Most of these side effects of Telma Act 40 mg/6.25 mg/5 mg Tablet do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to Telma Act 40 mg/6.25 mg/5 mg Tablet or any other medicines, please inform your doctor. Before taking Telma Act 40 mg/6.25 mg/5 mg Tablet , let your doctor know if you have any heart, kidney, or liver problems, diabetes, electrolyte imbalance, and dehydration. Avoid potassium supplements with Telma Act 40 mg/6.25 mg/5 mg Tablet as it may lead to high potassium levels in the blood. Pregnant or breastfeeding women should also consult their doctor before taking Telma Act 40 mg/6.25 mg/5 mg Tablet . It is advised to complete the prescribed course, even if you feel better. Please do not stop taking Telma Act 40 mg/6.25 mg/5 mg Tablet on your own, as it may lead to the recurrence of symptoms or worsen the disease. Do not consume alcohol with Telma Act 40 mg/6.25 mg/5 mg Tablet as it may increase the risk of low blood pressure. 

Uses of Telma Act 40 mg/6.25 mg/5 mg Tablet

Hypertension (high blood pressure)

Medicinal Benefits Mweb

Medicinal Benefits

Telma Act 40 mg/6.25 mg/5 mg Tablet is an anti-hypertensive drug that treats high blood pressure (hypertension). It contains Amlodipine, Chlorthalidone, and Telmisartan. Amlodipine is a calcium channel blocker that dilates (widens) blood vessels and increases blood flow. It is used to treat high blood pressure, chest pain (angina), and other conditions caused by coronary artery disease. Chlorthalidone is a diuretic (water pill). It prevents the body from absorbing excess salts that cause fluid retention or build-up. It effectively treats high blood pressure, fluid retention in patients with congestive heart failure, cirrhosis (chronic damage) of the liver, kidney disorders, or edema caused by steroids or estrogen therapy. Telmisartan is an angiotensin II receptor antagonist (angiotensin is a hormone that constricts blood vessels and increases blood pressure). It lowers blood pressure and increases blood flow by preventing the narrowing of blood vessels. It reduces the risk of stroke, heart attack, or death from heart problems.

Directions for Use

Swallow Telma Act 40 mg/6.25 mg/5 mg Tablet as a whole with water; do not crush, break or chew it.

Side Effects of Telma Act 40 mg/6.25 mg/5 mg Tablet

  • Sleepiness
  • Taste changes
  • Ankle swelling
  • Headache
  • Flushing (feeling warmth in the face, ears, neck, and trunk)
  • Dizziness
  • Tiredness
  • Palpitations (irregular heartbeat)
  • Altered blood glucose levels
  • Upset stomach 

Drug Warnings

Monitor your blood pressure levels regularly. If you are known to be allergic to Telma Act 40 mg/6.25 mg/5 mg Tablet or have any kidney or liver problems or severe dehydration, please inform your doctor beforehand. Brief your medical history if you have low blood pressure, diabetes, gout, lupus (immune system disorder), hyperkalemia (high potassium levels), heart diseases (aortic stenosis, heart failure), angioedema (swelling of the lower layer of skin and tissue), anuria (low or no urine output), and asthma before starting Telma Act 40 mg/6.25 mg/5 mg Tablet . Avoid potassium supplements with Telma Act 40 mg/6.25 mg/5 mg Tablet as it may lead to high potassium levels in the blood. Too much sweating, diarrhea, or vomiting while using Telma Act 40 mg/6.25 mg/5 mg Tablet may lead to dehydration; hence it is advised to drink enough fluids. Telma Act 40 mg/6.25 mg/5 mg Tablet can affect and harm the developing baby during pregnancy. Consult your doctor before using Telma Act 40 mg/6.25 mg/5 mg Tablet if you are a pregnant or breastfeeding mother. Complete the course strictly as suggested by the doctor, even if you feel better, to avoid disease recurrence. Avoid consumption of alcohol with Telma Act 40 mg/6.25 mg/5 mg Tablet as it may increase the risk of low blood pressure. Safety and effectiveness of Telma Act 40 mg/6.25 mg/5 mg Tablet in pediatric patients have not been established.

Drug-Drug Interactions

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AmlodipineDantrolene
Critical
TelmisartanAliskiren
Critical

Drug-Drug Interactions

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AmlodipineDantrolene
Critical
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Using Telma Act 40 mg/6.25 mg/5 mg Tablet together with dantrolene may increase the risk of hyperkalemia (high blood potassium).

How to manage the interaction:
Taking Telma Act 40 mg/6.25 mg/5 mg Tablet with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
TelmisartanAliskiren
Critical
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Co-administration of Aliskiren with Telma Act 40 mg/6.25 mg/5 mg Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Telma Act 40 mg/6.25 mg/5 mg Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
chlorthalidoneCisapride
Critical
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Co-administration of Telma Act 40 mg/6.25 mg/5 mg Tablet and cisapride may increase the risk or severity of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Telma Act 40 mg/6.25 mg/5 mg Tablet with Cisapride is not recommended, please consult your doctor before taking it. Do not discontinue the medication without consulting a doctor.
AmlodipineRifabutin
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Using Telma Act 40 mg/6.25 mg/5 mg Tablet and rifabutin together may lower Telma Act 40 mg/6.25 mg/5 mg Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although there is an interaction between Telma Act 40 mg/6.25 mg/5 mg Tablet with rifabutin, but it can be taken if a doctor has advised it. Consult the doctor if you experience any unusual symptoms. Do not discontinue any medications without consulting a doctor.
AmlodipineFosphenytoin
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
When Telma Act 40 mg/6.25 mg/5 mg Tablet is taken with Fosphenytoin, it may decrease the blood levels of Telma Act 40 mg/6.25 mg/5 mg Tablet, which may make Telma Act 40 mg/6.25 mg/5 mg Tablet less effective.

How to manage the interaction:
Although taking Telma Act 40 mg/6.25 mg/5 mg Tablet and Fosphenytoin together can cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without a doctor's advice.
AmlodipineItraconazole
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Coadministration of Telma Act 40 mg/6.25 mg/5 mg Tablet with itraconazole may significantly raise the blood levels and effects of Telma Act 40 mg/6.25 mg/5 mg Tablet.

How to manage the interaction:
Telma Act 40 mg/6.25 mg/5 mg Tablet and itraconazole may interact, but if prescribed by a doctor, they can be used together. Consult a doctor if you develop chest discomfort, trouble breathing, dizziness or fainting, swelling of the hands, ankles, or feet, or any other of these symptoms. Without consulting a doctor, never stop taking any medication.
AmlodipineLemborexant
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Coadministration of lemborexant and Telma Act 40 mg/6.25 mg/5 mg Tablet may increase the blood levels of lemborexant.

How to manage the interaction:
Although co-administration of Telma Act 40 mg/6.25 mg/5 mg Tablet with Lemborexant can result in an interaction, it can be taken if a doctor has advised it. However, consult your doctor if you experience abnormal sleep patterns, worsening of depression, changes in heartbeat, or headache. Do not discontinue any medications without consulting a doctor.
AmlodipineCeritinib
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Coadministration of Ceritinib together with Telma Act 40 mg/6.25 mg/5 mg Tablet can slow heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Telma Act 40 mg/6.25 mg/5 mg Tablet with Ceritinib, it can be taken if a doctor has advised it. However, if you have sudden dizziness, lightheadedness, fainting, or an irregular heartbeat, consult the doctor. Do not discontinue any medications without consulting a doctor.
AmlodipineEnzalutamide
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Using a combination of Telma Act 40 mg/6.25 mg/5 mg Tablet and enzalutamide may drastically lower Telma Act 40 mg/6.25 mg/5 mg Tablet blood levels, making the medicine less effective.

How to manage the interaction:
Taking Telma Act 40 mg/6.25 mg/5 mg Tablet with enzalutamide can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
AmlodipineRifampicin
Severe
How does the drug interact with Telma Act 40 mg/6.25 mg/5 mg Tablet:
Coadministration of Telma Act 40 mg/6.25 mg/5 mg Tablet and rifampicin together may lower Telma Act 40 mg/6.25 mg/5 mg Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although there is an interaction between Telma Act 40 mg/6.25 mg/5 mg Tablet and rifampicin, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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AMLODIPINE-5MG+CHLORTHALIDONE-6.25MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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AMLODIPINE-5MG+CHLORTHALIDONE-6.25MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Tomatoes, Sweet Potatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Taking potassium rich food while on the treatment with Amlodipine, chlorthalidone and telmisartan can increase the levels of potassium salt in blood which lead to experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Avoid or limit taking potassium rich food while on the treatment with Amlodipine, chlorthalidone and telmisartan.

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • NEBIVOLOL
  • METOPROLOL
  • ALISKIREN
  • RAMIPRIL
  • BENAZEPRIL
  • LISINOPRIL
  • DULOXETINE
  • INSULIN GLARGINE
  • ERGOCALCIFEROL
  • CHOLECALCIFEROL
  • ASPIRIN
  • NAPROXEN
  • IBUPROFEN
  • APIXABAN
  • ATORVASTATIN
  • PREGABALIN
  • LITHIUM
  • CISAPRIDE
  • DOFETILIDE
  • DROSPIRENONE

Habit Forming

No

Special Advise

  • Keep a check on your daily blood pressure, and if you notice any fluctuations, please consult a doctor.
  • Your doctor may ask you to undergo blood and urine tests if you have been suffering from vomiting or dehydration.
  • If you have diabetes, using Telma Act 40 mg/6.25 mg/5 mg Tablet may affect your blood sugar levels. Inform your doctor so that your diabetes medication may be adjusted accordingly.
  • Your dietician may prescribe you a suitable exercise program and diet to manage your blood pressure.
  • Thiazide diuretics like Chlorthalidone may increase serum triglyceride and cholesterol levels. Hence it is advised to monitor your cholesterol levels regularly.
  • Therapy with Telma Act 40 mg/6.25 mg/5 mg Tablet should be discontinued if you have been suggested tests for parathyroid function in cases like hyperparathyroidism (excessive parathyroid hormone levels).

Diet & Lifestyle Advise

  • Reduce sodium intake in your diet to maintain your blood pressure.
  • Eat natural and healthy foods by cutting down on high on sodium processed foods.
  • Lose those extra pounds since being obese can be a risk factor for hypertension.
  • Exercise regularly to maintain good heart health.
  • Avoid smoking and alcohol intake.
  • Chronic stress may also cause high blood pressure. Therefore, avoid stress triggers and make time for yourself to relax and do activities that you enjoy.
  • Try to include heart-healthy omega-3 fatty acids-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.
  • Limit sodium chloride intake (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.

Telma Act 40 mg/6.25 mg/5 mg Tablet Substitute

Substitutes safety advice
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