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Telma H Tablet: Uses, Side Effects, Composition & Dosages

Telma H tablet is used to treat hypertension, more commonly known as high blood pressure. Telma H is prescribed to reduce the risk of heart attacks and strokes.

It is manufactured by Glenmark Pharmaceuticals Limited and it is available in 40mg and 12.5 mg tablets, depending on the dosage required.


Composition and Nature of Telma H Tablet:

Telma H is composed of two drugs: Telmisartan and hydrochlorothiazide. Hydrochlorothiazide is a diuretic whereas Telmisartan is an angiotensin receptor blocker (ARB). Together, they work to keep the blood pressure at lower levels.


Uses of Telma H Tablet:

Telma H tablet is used in very specific cases:

  • Telma H tablet is used to decrease high blood pressure or hypertension.
  • Over time, this tablet helps decrease the risk of developing heart related conditions, heart attacks and strokes.
  • Telma H tablet is also known to be used to prevent fluid retention since it contains a diuretic.


Side Effects of Telma H Tablet:

Telma H may have some side effects. However there is no guarantee that they will occur. It depends from person to person. Some of these side effects include:

  • Some common side effects of Telma H tablet are dizziness, dry mouth, increased heartbeat, altered blood lipids, chest pain, skin rashes or itchiness and changes in vision.
  • Telma H tablet may also cause abdominal pain, back pain, diarrhea, increased and/or painful urination, pain, stiffness and/or swelling in muscles, weakness and fever.
  • Telma H may cause dehydration. It is advised to drink a lot of water.

This is not a complete list of side effects of Telma H tablet. If you experience these or any other effects in a severe manner or for a prolonged period of time please consult your doctor.


Dosage of Telma H Tablet:

Telma H tablet is to be taken at the time and for the duration prescribed by your doctor. The tablet can be taken on an empty stomach or with food, though it is best to stick to a particular schedule.

The tablet has to be swallowed whole and not broken, crushed or chewed. If you happen to miss a dose of this medicine, then take it as soon as you remember it. However, skip the dose if it’s too close to your next dose. Do not take a double dose.


How Telma H Tablet Works?

Telma H tablets contain two salts: Telmisartan and Hydrochlorothiazide. These two work together to lower high blood pressure.

Telmisartan is an angiotensin receptor blocker (ARB), which means it is a blocker for the hormone angiotensin. By doing so, it relaxes the blood vessels, which ensures smooth flow of blood and that the heart pumps blood more productively.

Hydrochlorothiazide is a diuretic. It works by removing excess water and some electrolytes from the body, and thus, it enhances blood flow and helps relaxes blood vessels.


Warnings and Precautions Related to Telma H Tablet:

There are certain general warnings and precautions that should be kept in mind when using Telma H tablet:

  • Telma H tablet should not be mixed with alcohol. The hydrochlorothiazide in Telma H when mixed with alcohol further lowers blood pressure, which may cause dizziness, headaches, fainting or changes in heart rate.
  • Telma H tablet should not be used by pregnant women as it may cause adverse effects to the foetus. However, if it’s absolutely required, consult with your doctor about the risks and benefits of using Telma H.
  • Patients with kidney problems are advised to use this medicine with caution, and after a dose adjustment. However, those with severe kidney diseases are advised to not use this medicine, as it may cause Azotemia.
  • Patients with liver problems may use this tablet but with caution after a dose adjustment. Those with severe liver problems should not use this medicine, and report symptoms of jaundice immediately.
  • Patients with allergies to the saltssalts in Telma H tablet or with bronchial asthma should not consume this medicine as it may cause a hypersensitivity reaction.
  • Children should not be given Telma H tablet as it is unsafe for them.
  • Telma H may cause an imbalance in electrolyte levels in the body. It is imperative to do regular blood tests while doing a course of this medicine.
  • Patients with Systemic Lupus Erythematosus or with a history of it should use this medicine with caution.
  • According to the World Anti-Doping Agency, Telma H tablets should not be used by athletes.
  • Telma H may also cause hyperkalemia or increase in potassium levels.


Substitutes for Telma H Tablet:

There are some other medicines which may be used as alternatives to Telma H Tablet. Some of these substitutes are:

  • Telvas H 40 mg/ 12.5 mg tablet: It is manufactured by Aristo Pharmaceuticals Private Limited. It has the same composition and effects as Telma H tablet.
  • Tazloc H tablet: It is manufactured by USV Limited. It has the same composition and effects as Telma H tablet.
  • Telista H tablet: The manufacturer is Lupin Limited and it has the same salts and treats high blood pressure as well.
  • Cresar H tablet: The manufacturer is Cipla Limited and it has the same salts and treats high blood pressure as well.


Telma H Tablet Interactions:

Telma H tablet may not interact well with some medications, products or medical conditions.

  • Telma H tablet should not be consumed with alcohol as it may excessively lower blood pressure.
  • Telma H tablet causes changes in potassium levels. It is advised not to eat potassium rich foods like bananas or take potassium supplements while doing a course of medicine.
  • Do not use pain relievers like non-steroidal anti-inflammatory medicine with Telma H.
  • Telma H tablet does not interact well with antidepressants.
  • Other Medicines that treat high blood pressure like Aliskiren or Captopril should not be used with Telma H tablet.
  • Steroidal hormone medicines like Dexamethasone interact badly with Telma H.
  • Patients with diabetes, using insulin, should be careful while taking Telma H, as it may cause changes in blood glucose level.
  • Patients with these medical conditions should use Telma H with caution- Diabetes, Hyperuricemia, Angioedema, Hyperparathyroidism.




1) Is it safe to drive after taking Telma H?

Ans: Telma H may cause dizziness or blurred vision. As such it is may be unsafe to drive after taking Telma H.


2) Is it safe to breastfeed while using Telma H?

Ans: Studies show that Telma H is mostly safe to use when breastfeeding, as it does not pose a great risk to the baby.


3) Can I do anything to not experience side effects of this medicine?

Ans: Side effects may or may to occur. However, patients taking Telma H always advised to stick to a healthy diet and regularly exercise so as to get possible results.

Last updated on : 17-01-2019

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