Telmized CC 12.5 Tablet (1*10)

About Chlorthalidone+cilnidipine+telmisartan

Chlorthalidone+cilnidipine+telmisartan is used to treat hypertension (high blood pressure) and reduce the risk of heart attack or stroke in adults. Hypertension is a condition in which the force of blood against the artery walls is very high. It will be an addition to the workload of the heart and arteries.

Chlorthalidone+cilnidipine+telmisartan is a combination of three drugs, namely: Chlorthalidone (diuretic), Cilnidipine (calcium channel blocker), and Telmisartan (angiotensin II receptor blocker). Chlorthalidone belongs to the class of diuretics (water tablets) that work by increasing the removal of excess water and certain salts, such as sodium and potassium, from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels and improves blood flow. Cilnidipine is a calcium channel blocker that acts on muscle cells in the artery walls and relaxes muscle cells. Thereby, it relaxes and widens arteries (blood vessels) and improves the blood flow and oxygen supply to the heart. Telmisartan works by blocking a hormone called angiotensin II in the body that causes the narrowing of blood vessels leading to high blood pressure. Thereby, Chlorthalidone+cilnidipine+telmisartan widens and relaxes blood vessels. Thus, it lowers high blood pressure.

Take Chlorthalidone+cilnidipine+telmisartan as prescribed by your doctor. You are advised to take Chlorthalidone+cilnidipine+telmisartan for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience dizziness, headache, low blood pressure, stomach upset, or tiredness. Most of these side effects of Chlorthalidone+cilnidipine+telmisartan do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are allergic to Chlorthalidone+cilnidipine+telmisartan or any other medicines, please tell your doctor. Chlorthalidone+cilnidipine+telmisartan is not recommended for children below 18 years of age. If you are pregnant or breastfeeding, avoid taking Chlorthalidone+cilnidipine+telmisartan and consult a doctor. If you are about to take anesthesia or undergo any surgery, you are advised to inform your doctor that you are taking Chlorthalidone+cilnidipine+telmisartan. Drive only if you are alert, as Chlorthalidone+cilnidipine+telmisartan may cause dizziness or tiredness. You are recommended to avoid alcohol consumption with Chlorthalidone+cilnidipine+telmisartan as it may increase the risk of low blood pressure.

Uses of Chlorthalidone+cilnidipine+telmisartan

Treatment of Hypertension (high blood pressure)

Medicinal Benefits

Chlorthalidone+cilnidipine+telmisartan contains Chlorthalidone, Cilnidipine, and Telmisartan used to treat high blood pressure. Chlorthalidone is a diuretic (water tablet) that increases the removal of excess water and certain salts, such as sodium and potassium, from the blood. This removal of water from blood reduces the fluid volume circulating through blood vessels and improves blood flow. Cilnidipine and Telmisartan relax and widen blood vessels. Thus, Chlorthalidone+cilnidipine+telmisartan lowers high blood pressure and reduces the risk of stroke, heart attack, or other heart problems.

Directions for Use

Take Chlorthalidone+cilnidipine+telmisartan with food to avoid stomach upset or take it as prescribed by your doctor. Swallow it as a whole 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 Chlorthalidone+cilnidipine+telmisartan

• Dizziness
• Headache
• Low blood pressure
• Stomach upset
• Tiredness
• Tachycardia
• Ankle Swelling
• Flushing
• Loss of appetite
• Change in blood glucose levels
• Gastric Irritation

Drug Warnings

If you are allergic to Chlorthalidone+cilnidipine+telmisartan or any other medicines, please tell your doctor. Chlorthalidone+cilnidipine+telmisartan is not recommended for children below 18 years of age. If you are pregnant or breastfeeding, avoid taking Chlorthalidone+cilnidipine+telmisartan and consult a doctor. If you are about to take anesthesia or undergo any surgery, you are advised to inform your doctor that you are taking Chlorthalidone+cilnidipine+telmisartan. Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have low levels of sodium or potassium in the blood, gout, kidney stones, Addison’s disease (adrenal gland does not produce sufficient steroids), high blood levels of calcium, or severe liver or kidney problems. Drive only if you are alert as Chlorthalidone+cilnidipine+telmisartan may cause dizziness or tiredness. You are recommended to avoid alcohol consumption with Chlorthalidone+cilnidipine+telmisartan as it may increase the risk of low blood pressure.

Drug Interactions

Drug-Drug Interaction: Chlorthalidone+cilnidipine+telmisartan may interact with non-steroidal anti-inflammatory drugs (aspirin, ibuprofen), calcium channel blockers (amlodipine), water pills (amiloride, spironolactone), heart-related medicines (quinidine, digoxin), antimanic drug (lithium), antibiotics (erythromycin, rifampicin), anticonvulsant (phenytoin).

Drug-Food Interaction: Avoid taking potassium-rich foods such as bananas, sweet potatoes, nuts, and noni juice with Chlorthalidone+cilnidipine+telmisartan as it may result in hyperkalemia (high levels of potassium in the blood) and cause severe adverse effects. Also, Chlorthalidone+cilnidipine+telmisartan may interact with grapefruit juice and increase the levels of Chlorthalidone+cilnidipine+telmisartan in blood.

Drug-Disease Interaction: Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have low levels of sodium or potassium in the blood, gout, kidney stones, Addison’s disease (adrenal gland does not produce sufficient steroids), high blood levels of calcium, severe liver or kidney problems. If you have diabetes, high cholesterol, low blood pressure, renal artery stenosis (narrowing of blood vessels to one or both the kidneys), heart, liver, or kidney problems, inform your doctor before taking Chlorthalidone+cilnidipine+telmisartan.

Drug-Drug Interactions Checker List:

  ASPIRIN

  IBUPROFEN

  AMLODIPINE

  AMILORIDE

  SPIRONOLACTONE

  QUINIDINE

  DIGOXIN

  LITHIUM

  ERYTHROMYCIN

  RIFAMPICIN

  PHENYTOIN

Safety Advice

Alcohol

unsafe

Avoid consumption of alcohol with Chlorthalidone+cilnidipine+telmisartan as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache.

Pregnancy

unsafe

Chlorthalidone+cilnidipine+telmisartan is not recommended for pregnant women as it may cause serious harm to the unborn baby. Please consult a doctor if you are pregnant.

Breast Feeding

unsafe

Chlorthalidone+cilnidipine+telmisartan may be excreted in human milk and harm the baby. Therefore, avoid taking Chlorthalidone+cilnidipine+telmisartan if you are breastfeeding and consult a doctor.

Driving

caution

Chlorthalidone+cilnidipine+telmisartan may cause dizziness or tiredness in some people. Therefore, avoid driving if you feel dizzy or tired after taking Chlorthalidone+cilnidipine+telmisartan.

Liver

caution

Take Chlorthalidone+cilnidipine+telmisartan with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have severe liver disease.

Kidney

caution

Take Chlorthalidone+cilnidipine+telmisartan with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Chlorthalidone+cilnidipine+telmisartan if you have severe kidney disease.

Children

unsafe

Chlorthalidone+cilnidipine+telmisartan is not recommended for children below 18 years as safety and effectiveness is not established.