Teneceed DP 10 Tablet (1*10)

Telmisartan+cilnidipine

About Telmisartan+cilnidipine

Telmisartan+cilnidipine belongs to the class of anti-hypertensives primarily taken for the treatment of hypertension (high blood pressure) and heart-related chest pain (angina). It comprises of Cilnidipine (calcium channel blocker) and Telmisartan (angiotensin receptor blocker). Hypertension is a lifelong or chronic condition in which the force exerted by the blood against the artery walls becomes so high that it leads to heart diseases. Angina is chest pain caused by reduced blood flow to the heart. 

Telmisartan+cilnidipine is composed of Cilnidipine and Telmisartan, prescribed to treat hypertension. Cilnidipine blocks the activities of the calcium channels present in the blood vessels of the heart. As a result, the blood vessels widen, and supply to the heart increases, lowering the elevated blood pressure and the workload placed on the heart. Telmisartan works by blocking the action of certain substances that are responsible for tightening the blood vessels. It allows the blood to flow more smoothly and makes the heart more efficient at pumping blood throughout the body. Thus, it reduces the chance of having any heart attack or stroke in the future.

You can take Telmisartan+cilnidipine with food or without food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it. Your doctor will advise you how often you take your tablets based on your medical condition. Common side effects of Telmisartan+cilnidipine include sore back, diarrhoea, congested feeling, spinning sensation, soreness in the sinus. Most of these side effects of Telmisartan+cilnidipine do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Don't stop taking Telmisartan+cilnidipine without your doctor advice. Sudden Stopping Telmisartan+cilnidipine may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. It is advised to drink plenty of fluids while taking this medicine to overcome dry mouth and extreme thirst. Patients suffering from kidney problems may be required to undergo regular blood creatinine, and potassium levels test as Telmisartan+cilnidipine affects electrolytes level in our body can be monitored.

Uses of Telmisartan+cilnidipine

Treatment of Hypertension (high blood pressure)

Medicinal Benefits

Telmisartan+cilnidipine is composed of Cilnidipine and Telmisartan, prescribed to treat hypertension. Cilnidipine blocks the activities of the calcium channels present in the blood vessels of the heart. As a result, the blood vessels widen, and supply to the heart increases, lowering the elevated blood pressure and the workload placed on the heart. Due to its calcium channel-blocking nature, it may also be prescribed to relieve the heart’s workload caused by a heart attack or stroke. Telmisartan works by blocking the action of certain substances that are responsible for tightening the blood vessels. It allows the blood to flow more smoothly and makes the heart more efficient at pumping blood throughout the body. Thus, it reduces the chance of having any heart attack or stroke in the future. Additionally, it has a protective effect on the kidney, and in the condition of diabetes.

Directions for Use

Telmisartan+cilnidipine should be taken with food to allow its slow absorption and to reduce the risk of sudden lowering of blood pressure. Swallow the whole tablet with a glass of water. Do not crush, chew, or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Telmisartan+cilnidipine

• Sore back
• Diarrhoea
• Congested feeling
• Spinning sensation
• Soreness in the sinus

Drug Warnings

Telmisartan+cilnidipine should be taken with caution in patients with congestive heart failure, liver disease, peripheral oedema (swelling of hands/legs), cardiogenic shock (when heart suddenly can not pump sufficient blood), recent MI (myocardial infarction) or acute unstable angina (chest pain), severe aortic stenosis (when heart valves become diseased). You should monitor your blood pressure regularly to make sure the Telmisartan+cilnidipine is working efficiently. Besides this, prolonged intake of Telmisartan+cilnidipine can lead to lowering of blood pressure (hypotension). So, daily monitoring of blood pressure is advisable.

Drug Interactions

Drug-Drug interaction: Telmisartan+cilnidipine is known to interact with an anticancer drug (quinidine), antiepileptic medicine (phenytoin), anti TB drug (rifampicin), antibiotics (erythromycin), other blood pressure-lowering pills and anti-psychotic drugs, potassium-sparing diuretics or potassium supplements, lithium.

Drug-Food Interaction: Generally, no food interaction is found with this medicine. However, one should limit or avoid intake of alcoholic beverages.

Drug-Disease Interaction: Telmisartan+cilnidipine is contraindicated in patients with severe aortic stenosis (narrowed heart valve), cardiogenic shock (when suddenly the heart does not get enough blood supply), the recent history of unstable angina (chest pain), heart failure and hypotension (low blood pressure).

Drug-Drug Interactions Checker List:

  QUINIDINE

  PHENYTOIN

  RIFAMPICIN+ISONIAZID

  ERYTHROMYCIN

  LITHIUM

Safety Advice

Alcohol

unsafe

Telmisartan+cilnidipine can lower your blood pressure causing dizziness and drowsiness. It can also cause orthostatic hypotension (sudden fall in blood pressure while standing). So try to avoid intake of Telmisartan+cilnidipine with alcoholic beverages.

Pregnancy

caution

There is no clinical data on the safety of Telmisartan+cilnidipine during pregnancy. So, it should be taken with caution.

Breast Feeding

caution

Nursing mother should consult doctor before taking Telmisartan+cilnidipine.

Driving

unsafe

Telmisartan+cilnidipine may cause side effects which could affect your ability to drive. Taking Telmisartan+cilnidipine may lower your blood pressure

Liver

caution

There is limited information available on the use of Telmisartan+cilnidipine in patients with liver disease. So Telmisartan+cilnidipine should be taken with caution and with consultation with the doctor only.

Kidney

safe if prescribed

Telmisartan+cilnidipine is probably safe to use in patients with kidney disease. It has shown beneficial and protective effects on the kidney.

Children

safe if prescribed

The safety and effectiveness of Telmisartan+cilnidipine has not been established in children due to limited testing of this drug on children by competent authorities across the world. Hence, it is best to consult a child specialist.