Telmisartan Hydrochlorothiazide Tablets PILL Taj Phrmaceuticals

Telmisartan and Hydrochlorothiazide 40mg/12.5mg or 80mg/12.
5mg Tablets Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Telmisartan and Hydrochlorothiazide Dosage & Rx Info | Telmisartan and Hydrochlorothiazide Uses, Side Effects, Telmisartan and Hydrochlorothiazide : Indications, Side Effects, Warnings, Telmisartan and Hydrochlorothiazide - Drug Information – Taj Pharma, Telmisartan and Hydrochlorothiazide dose Taj pharmaceuticals
Telmisartan and Hydrochlorothiazide interactions, Taj Pharmaceutical Telmisartan and Hydrochlorothiazide contraindications, Telmisartan and Hydrochlorothiazide price, Telmisartan and Hydrochlorothiazide Taj Pharma Telmisartan and Hydrochlorothiazide 40mg/12.5mg or 80mg/12.5mg tablets PIL- Taj Pharma Stay connected to all updated on Telmisartan and Hydrochlorothiazide Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Patient Information Leaflets,
PIL.
Telmisartan and Both of these substances help to

control high blood pressure.
Hydrochlorothiazide
40mg/12.5mg or 80mg/12.5mg - Telmisartan belongs to a group of
medicines called angiotensin II receptor
tablets Taj Pharma antagonists. Angiotensin-II is a substance
Package leaflet: Information for the produced in your body which causes your
patient blood vessels to narrow thus increasing
your blood pressure. Telmisartan blocks
Read all of this leaflet carefully before you the effect of angiotensin II so that the
start taking this medicine because it blood vessels relax, and your blood
contains important information for you. pressure is lowered.
- Keep this leaflet. You may need to read it
again. - Hydrochlorothiazide belongs to a group of
- If you have any further questions, ask medicines called thiazide diuretics, which
your doctor or pharmacist. cause your urine output to increase,
- This medicine has been prescribed for leading to a lowering of your blood
you only. Do not pass it on to others. It pressure.
may harm them, even if their signs of
illness are the same as yours. High blood pressure, if not treated, can damage
- If you get any side effects, talk to your blood vessels in several organs, which could
doctor or pharmacist. This includes any lead sometimes to heart attack, heart or kidney
possible side effects not listed in this failure, stroke, or blindness. There are usually no
leaflet. See section 4. symptoms of high blood pressure before damage
occurs. Thus it is important to regularly measure
blood pressure to verify if it is within the normal
What is in this leaflet range.
1. What Telmisartan/Hydrochlorothiazide is
and what it is used for Telmisartan/Hydrochlorothiazide is used
2. What you need to know before you take to treat high blood pressure (essential
Telmisartan/Hydrochlorothiazide hypertension) in adults whose blood pressure
3. How to take is not controlled enough when telmisartan is
Telmisartan/Hydrochlorothiazide used alone.
4. Possible side effects
5. How to store 2. What you need to know before you take
Telmisartan/Hydrochlorothiazide Telmisartan/Hydrochlorothiazide
6. Contents of the pack and other
information Do not take
Telmisartan/Hydrochlorothiazide:
1. What Telmisartan/Hydrochlorothiazide if you are allergic to telmisartan or any of the
is and what it is used for other ingredients of this medicine (listed in
section 6). if you are allergic to
Telmisartan/Hydrochlorothiazide is hydrochlorothiazide or to any other
a combination of two active sulfonamide-derived medicines.
substances, telmisartan and
hydrochlorothiazide in one tablet.
Telmisartan and Hydrochlorothiazide 40mg/12.5mg or 80mg/12.5mg Tablets Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, Telmisartan and Hydrochlorothiazide Dosage & Rx Info | Telmisartan and Hydrochlorothiazide Uses, Side Effects, Telmisartan and Hydrochlorothiazide : Indications, Side Effects, Warnings, Telmisartan and Hydrochlorothiazide - Drug Information – Taj Pharma, Telmisartan and Hydrochlorothiazide dose Taj pharmaceuticals
PIL.
if you are more than 3 months pregnant. (It is Raised aldosterone levels (water and salt
also better to avoid this medicine in early retention in the body along with imbalance of
pregnancy – see pregnancy section.) various blood minerals).
Systemic lupus erythematosus (also called

if you have severe liver problems such as
“lupus” or “SLE”) a disease where the body’s
cholestasis or biliary obstruction (problems with
immune system attacks the body.
drainage of the bile from the liver and gall
bladder) or any other severe liver disease.
if you have severe kidney disease.
The active ingredient hydrochlorothiazide can
if your doctor determines that you have low cause an unusual reaction, resulting in a
potassium levels or high calcium levels in your decrease in vision and eye pain. These could be
blood that do not get better with treatment. symptoms of an increase of pressure in your eye
and can happen within hours to weeks of taking
if you have diabetes or impaired kidney function Telmisartan/Hydrochlorothiazide. This can lead
and you are treated with a blood pressure to permanent vision impairment, if not treated.
lowering medicine containing aliskiren.
Talk to your doctor before taking
If any of the above applies to you, do not take Telmisartan/Hydrochlorothiazide:
the tablets and tell your doctor or pharmacist
before taking this medicine. if you are taking any of the following medicines
used to treat high blood pressure:
Warnings and precautions
an ACE-inhibitor (for example enalapril,
Talk to your doctor before taking this medicine lisinopril, ramipril), in particular if you have
if you are suffering or have ever suffered from diabetes-related kidney problems.
any of the
following conditions aliskiren.
or illnesses:
Low blood pressure (hypotension), likely to Your doctor may check your kidney function,
occur if you are dehydrated (excessive loss of blood pressure, and the amount of electrolytes
body water) or have salt deficiency due to (e.g. potassium) in your blood at regular
diuretic therapy (water tablets), low-salt diet, intervals. See also information under the heading
diarrhoea, vomiting, or haemodialysis. “Do not take Telmisartan/Hydrochlorothiazide”
Kidney disease or kidney transplant.
Renal artery stenosis (narrowing of the blood if you are taking digoxin.
vessels to one or both kidneys). Liver disease.
if you have had skin cancer or if you develop an
Heart trouble. Diabetes. unexpected skin lesion during the treatment.
Treatment with hydrochlorothiazide, particularly
Gout. long term use with high doses, may increase the
risk of some types of skin and lip cancer (non-
PIL.
melanoma skin cancer). Protect your skin from one of the medicines. This applies
sun exposure and UV rays while taking especially to the medicines listed below
taken at the same time with
Telmisartan/Hydrochlorothiazide.
Lithium containing medicines to treat some
You must tell your doctor if you think you are (or types of depression.
might become) pregnant. Medicines associated with low blood potassium
Telmisartan/Hydrochlorothiazide is not (hypokalaemia) such as other diuretics, ('water
recommended in early pregnancy, and must not be tablets'), laxatives (e.g. castor oil),
taken if you are more than 3 months pregnant, as it corticosteroids (e.g. prednisone), ACTH (a
may cause serious harm to your baby if used at hormone), amphotericin (an antifungal
that stage (see pregnancy section). medicine), carbenoxolone (used to treat mouth
ulcers), penicillin G sodium (an antibiotic), and
Treatment with hydrochlorothiazide may
salicylic acid and derivatives.
cause electrolyte imbalance in your body.
Typical symptoms of fluid or electrolyte Medicines that may increase blood potassium
imbalance include dry mouth, weakness, levels such as potassium-sparing diuretics,
lethargy, drowsiness, restlessness, muscle pain potassium supplements, salt substitutes containing
or cramps, nausea (feeling sick), vomiting,
potassium, ACE inhibitors cyclosporin (an
tired muscles, and an abnormally fast heart
immunosuppressant drug) and other medicinal
rate (faster than 100 beats per minute). If you
products such as heparin sodium (an
experience any of these you should tell your
doctor. anticoagulant).
You should also tell your doctor, if you
Medicines that are affected by changes of the
experience an increased sensitivity of the skin
blood potassium level such as heart medicines
to the sun with symptoms of sunburn (such as
(e.g. digoxin) or medicines to control the rhythm
redness, itching, swelling, blistering) occurring
of your heart (e.g. quinidine, disopyramide,
more quickly than normal. amiodarone, sotalol) medicines used for mental
In case of surgery or anaesthetics, you should disorders (e.g. thioridazine, chlorpromazine,
tell your doctor that you are taking this
levomepromazine) and other medicines such as
medicine.
These tablets may be less effective in lowering certain antibiotics (e.g. sparfloxacine,
the blood pressure in black patients. pentamidine) or certain medicines to treat
allergic reactions (e.g. terfenadine).
Children and adolescents
This medicine is not recommended in children Medicines for the treatment of diabetes (insulins or
and adolescents up to the age of 18 years. oral agents such as metformin). Cholestyramine
Other medicines and and colestipol, medicines for lowering blood fat
Telmisartan/Hydrochlorothiazide: levels.
Tell your doctor or pharmacist if you are Medicines to increase blood pressure, such as
taking, have recently taken or might take noradrenaline.
any other medicines. Your doctor may
need to change the dose of these other Muscle relaxing medicines, such as
medications or take other precautions. In tubocurarine. - Calcium supplements and/or
some cases you may have to stop taking vitamin D supplements.
PIL.
Anti-cholinergic medicines (medicines used to You can take

treat a variety of disorders such as Telmisartan/Hydrochlorothiazide with or
gastrointestinal cramps, urinary bladder spasm, without food. Avoid taking alcohol until you
asthma, motion sickness, muscular spasms, have talked to your doctor. Alcohol may
Parkinson’s disease and as an aid to anaesthesia) make your blood pressure fall more and/or
such as atropine and biperiden. increase the risk of you becoming dizzy or
feeling faint.
Amantadine (medicine used to treat Parkinson’s
disease and also used to treat or prevent certain Pregnancy and breast-feeding
illnesses caused by viruses).
Pregnancy
You must tell your doctor if you think you are
(or might become) pregnant. Your doctor will
Other medicines used to treat high blood normally advise you to stop taking this medicine
pressure, corticosteroids, painkillers (such as before you become pregnant or as soon as you
non-steroidal anti-inflammatory drugs know you are pregnant and will advise you to
take another medicine instead
[NSAIDs]), medicines to treat cancer, gout, or
Telmisartan/Hydrochlorothiazide. These tablets
arthritis
are not recommended during pregnancy, and
must not be taken when more than 3 months
If you are taking an ACE-inhibitor or aliskiren
pregnant, as it may cause serious harm to your
(see also information under the headings “Do
baby if used after the third month of pregnancy.
not take Telmisartan/Hydrochlorothiazide” and
“Warnings and precautions”). Breast-feeding
Tell your doctor if you are breast-feeding or
Digoxin. about to start breast- feeding. These tablets are
not recommended for mothers who are breast-
Telmisartan/Hydrochlorothiazide may increase the feeding, and your doctor may choose another
blood pressure lowering effect of other medicines
treatment for you if you wish to breast-feed.
used to treat high blood pressure or of medicines
with blood pressure lowering potential (e.g.
baclofen, amifostine). Furthermore, low blood Driving and using machines
pressure may be aggravated by alcohol,
barbiturates, narcotics or antidepressants. Some people feel dizzy or tired when taking
You may notice this as dizziness when Telmisartan/Hydrochlorothiazide If you feel
standing up. You should consult with your dizzy or tired, do not drive or operate
doctor if you need to adjust the dose of machinery.
your other medicine while taking Telmisartan/Hydrochlorothiazide contains milk
Telmisartan/Hydrochlorothiazide. sugar (lactose)
If you are intolerant to some sugars, consult
The effect of Telmisartan/Hydrochlorothiazide
your doctor before taking this medicine.
may be reduced when you take NSAIDs (non
steroidal anti-inflammatory medicines, e.g. 3. How to take
aspirin or ibuprofen). Telmisartan/Hydrochlorothiazide
Telmisartan/Hydrochlorothiazide with food
and alcohol
PIL.
Always take this medicine exactly as your Like all medicines, this medicine can cause side
doctor has told you. Check with your doctor or effects, although not everybody gets them.
pharmacist if you are not sure.
Some side effects can be serious and need
The recommended dose is one tablet a day. immediate medical attention:
Try to take a tablet at the same time each day.
You can take the tablets with or without You should see your doctor immediately if you
food. They should be swallowed with some experience any of the following symptoms:
water or other non-alcoholic drink. Sepsis* (often called “blood poisoning) is a
It is important that you take the tablets every day severe infection with whole-body inflammatory
until your doctor tells you otherwise. response, rapid swelling of the skin and mucosa
(angioedema, blistering and peeling of the top
If your liver is not working properly, the usual layer of skin (toxic epidermal necrolysis); these
dose should not exceed 40mg/12.5mg once a side effects are rare (may affect up to 1 in 1,000
day. people) or of unknown frequency (toxic
epidermal necrolysis) but are extremely serious
If you take more and patients should stop taking the medicine and
Telmisartan/Hydrochlorothiazide than you see their doctor immediately.
should
If you accidentally take too many tablets you If these effects are not treated they could
may experience symptoms such as low blood be fatal. Increased incidence of sepsis has
pressure and rapid heartbeat. Slow heartbeat, been observed with telmisartan only,
dizziness, vomiting, reduced kidney function however cannot be ruled out for
including kidney failure, have also been reported.
Telmisartan/Hydrochlorothiazide.
Due to the hydrochlorothiazide component,
markedly low blood pressure and low blood
Possible side effects of
levels of potassium can also happen, which may
result in nausea, sleepiness and muscle cramps
and/or irregular heartbeat associated with the Common side effects (may affect up to 1 in 10
concomitant use of drugs such as digitalis or people):
certain anti-arrhythmic treatments. Contact your Dizziness
doctor, pharmacist, or your nearest hospital Uncommon side effects (may affect up to 1 in
emergency department immediately. 100 people):
Decreased blood potassium levels Anxiety,
If you forget to take
Telmisartan/Hydrochlorothiazide fainting (syncope)
If you forget to take a dose, do not worry.
Take it as soon as you remember then carry on Sensation of tingling, pins and needles
as before. If you do not take your tablet on one (paraesthesia) Feeling of spinning (vertigo)
day, take your normal dose on the next day. Fast heart beat (tachycardia), heart rhythm
Do not take a double dose to make up for disorders
forgotten individual doses.
If you have further questions on the use of this Low blood pressure, a sudden fall in blood
medicine, ask your doctor or pharmacist. pressure when you stand up Shortness of breath
(dyspnoea)
4. Possible side effects Diarrhoea Flatulence Dry mouth
PIL.
Back pain, muscle spasm, muscle pain, chest Telmisartan/Hydrochlorothiazide, even if not
pain observed in clinical trials with this product.
Erectile dysfunction (inability to get or keep an Possible side effects of Telmisartan alone:
erection) Increased blood uric acid levels.
In patients taking telmisartan alone the
Rare side effects (may affect up to 1 in 1,000 following additional side effects have been
people): reported:
Inflammation of the lung (bronchitis) Uncommon side effects (may affect up to 1 in

100 people):
Activation or worsening of systemic lupus
erythematosus (a disease where the body’s Upper respiratory tract infection (e.g. sore
immune system attacks the body, which causes throat, inflamed sinuses, common cold) Urinary
joint pain, skin rashes and fever) tract infections
Sore throat, inflamed sinuses Feeling sad Deficiency in red blood cells (anaemia), high
(depression) potassium levels Slow heart rate (bradycardia)
Difficulty falling asleep (insomnia) Impaired Kidney impairment including acute kidney
vision failure Weakness
Difficulty breathing Cough.
Abdominal pain, constipation, bloating Rare side effects (may affect up to 1 in 1,000
(dyspepsia), feeling sick (vomiting) people):
Inflammation of the stomach (gastritis)
Abnormal liver function (Japanese patients are Low blood platelet count (thrombocytopenia),
more likely to experience this side effect) increase in certain white blood cells
Redness of the skin (erythema) (eosinophilia) Serious allergic reaction (e.g.
Allergic reactions such as itching or rash hypersensitivity, anaphylactic reaction, drug
Increased sweating Hives (urticaria) rash)
Joint pain (arthralgia) and pain in extremities Low blood sugar levels (in diabetic patients),
Muscle cramps upset stomach, eczema (a skin disorder) Joint
Flu-like-illness Pain pain (arthrosis)
Low levels of sodium Inflammation of the tendons
Increased levels of creatinine, liver enzymes or Decreased haemoglobin (a blood protein)

creatine phosphokinase in the blood. Somnolence.
Very rare side effects (may affect up to 1 in

Adverse reactions reported with one of the 10,000 people):
individual components of this medicine may be
potential adverse reactions with
PIL.
Progressive scarring of lung tissue (interstitial Inflammation of the salivary gland

lung disease)**
Decreases in the number (or even lack) of cells
The event may have happened by chance or in the blood, including low red and white blood
could be related to a mechanism currently not cell count
known.
Serious allergic reactions (e.g. hypersensitivity,
**Cases of progressive scarring of lung tissue anaphylactic reaction) Decreased or loss of
have been reported during intake of telmisartan. appetite
Restlessness, light-headedness
However, it is not known whether telmisartan
was the cause. Blurred or yellowing of vision, decrease in
vision and eye pain (possible signs of myopia or
Possible side effects of Hydrochlorothiazide acute-angle closure glaucoma)
alone:
Inflammation of blood vessels (vasculitis
In patients taking hydrochlorothiazide alone the necrotising), inflamed pancreas, upset stomach
following additional side effects have been Yellowing of the skin or eyes (jaundice)
reported: Lupus-like syndrome (a condition mimicking a
disease called systemic lupus erythematosus
Common side effects (may affect up to 1 in 10 where the body’s immune system attacks the
people): body)
Feeling sick (nausea) Skin disorders such as inflamed blood vessels in

the skin, increased sensitivity to sunlight, rash,
Low blood magnesium level. redness of the skin, blistering of the lips, eyes or
mouth, skin peeling
Rare side effects (may affect up to 1 in 1,000
people): Fever (possible signs of erythema multiforme)
Weakness
Reduction in blood platelets, which increases Kidney inflammation or impaired kidney
risk of bleeding or bruising (small purple-red function Glucose in the urine (glycosuria)
marks in skin or other tissue caused by bleeding) Fever
High blood calcium level Headache.
Very rare side effects (may affect up to 1 in Impaired electrolyte balance High blood
10,000 people): cholesterol levels Decreased blood volume
Increased pH (disturbed acid-base balance) due Increased blood levels of glucose, difficulties in
to low blood chloride level. controlling blood/urine levels of glucose in
patients with a diagnosis of diabetes mellitus, or
Side effects of unknown frequency (frequency fat in the blood.
cannot be estimated from the available data):
Skin and lip cancer (Non-melanoma skin cancer)
PIL.
stearate, mannitol, meglumine, povidone,

colloidal anhydrous silica, sodium hydroxide,
Reporting of side effects sodium stearyl fumarate, talc, iron oxide red.
What Telmisartan/Hydrochlorothiazide looks
If you get any side effects, talk to your doctor or like and contents of the pack
pharmacist. This includes any possible side Telmisartan/Hydrochlorothiazide 40mg/12.5mg
effects not listed in this leaflet. By reporting side tablets are biconvex, two-layered, capsule
effects, you can help provide more information shaped uncoated tablets wherein the
on the safety of this medicine. hydrochlorothiazide layer is white to off-white,
debossed with “424” and the telmisartan layer is
How to store mottled orange to reddish brown, without
Telmisartan/Hydrochlorothiazide debossing. The hydrochlorothiazide layer may
contain reddish brown specks.
Keep this medicine out of the sight and reach of
Telmisartan/Hydrochlorothiazide Tablets are
children.
available in blisters packs containing 14, 28, 30,
56, 90 or 98 tablets. Not all pack sizes may be
Do not use this medicine after the expiry date
available in your country.
which is stated on the carton after EXP. The
7. Manufactured By:
expiry date refers to the last day of that month.
Taj Pharmaceuticals Ltd.
You should store your medicine in the original at: Plot. No. 220, Mahagujarat
package in order to protect the tablets from Industrial Estate, At & Post-Moraiya,
moisture. Tal-Sanand, Dist- Ahmedabad Gujarat (India)
Do not use this medicine if you notice that the

tablets are discoloured.
Do not throw away any medicines via

wastewater or household waste. Ask your
pharmacist how to throw away medicines you no
longer use. These measures will help protect the
environment.
Contents of the pack and other information

What Telmisartan/Hydrochlorothiazide
contains
The active substances are telmisartan and
hydrochlorothiazide.
Each tablet contains 40mg telmisartan and
12.5mg hydrochlorothiazide or 80mg telmisartan
and 12.5mg hydrochlorothiazide.
The other ingredients are crospovidone (type A),
hypromellose, lactose monohydrate, magnesium

Telmisartan Hydrochlorothiazide Tablets PILL Taj Phrmaceuticals

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Telmisartan Hydrochlorothiazide Tablets PILL Taj Phrmaceuticals

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Telmisartan and Hydrochlorothiazide 40mg/12.5mg or 80mg/12.

Telmisartan and Both of these substances help to

Systemic lupus erythematosus (also called

Kidney disease or kidney transplant.

Anti-cholinergic medicines (medicines used to You can take

Inflammation of the lung (bronchitis) Uncommon side effects (may affect up to 1 in

Increased levels of creatinine, liver enzymes or Decreased haemoglobin (a blood protein)

Very rare side effects (may affect up to 1 in

Progressive scarring of lung tissue (interstitial Inflammation of the salivary gland

Feeling sick (nausea) Skin disorders such as inflamed blood vessels in

stearate, mannitol, meglumine, povidone,

Do not use this medicine if you notice that the

Do not throw away any medicines via

Contents of the pack and other information

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