Newtel-AM Tablet (Telmisartan 40mg / Amlodipine 5mg)

Description

Newtel AM (5/40 mg) Tablet is a combination of Amlodipine and Telmisartan. It is an anti-hypertensive medicine used for the treatment of high blood pressure. This medicine works by relaxing the blood vessels, making the blood flow easily, thus lowering blood pressure. This will reduce your risk of having a heart attack or a stroke by making it easier for your heart to pump blood around your body.

Newtel AM (5/40 mg) Tablet shows some common side effects like swelling in your ankles or feet, dizziness, back pain, headache, sleepiness, nausea, diarrhoea and stomach pain. Most of these are temporary and usually resolve with time. Newtel AM (5/40 mg) Tablet is also known to cause sleepiness and dizziness, so you should not drive or do any activity that requires mental focus after taking medicine. Avoid consuming alcohol with this medicine as it can worsen dizziness.

Newtel AM (5/40 mg) Tablet can be taken with or without food. The dose will be decided by your doctor depending on your blood pressure levels. Avoid abrupt discontinuation of the treatment as your blood pressure may increase if you do so.

Newtel AM (5/40 mg) Tablet is not recommended for use if you are allergic to it. If you have any pre-existing kidney or liver problems, or other medical conditions, inform your doctor about them. Inform your doctor about all medicines and supplements you are taking as this medicine can interact with them and can cause side effects.

Newtel AM (5/40 mg) Tablet is not recommended for use in children below 18 years of age. Consult your doctor if you are pregnant, or are breastfeeding.

Side effects

Major & minor side effects for Newtel AM (5/40 mg) Tablet
Swelling of ankles or feet
Difficulty in breathing
Dizziness
Back pain
Redness of face, neck, arms and chest
Muscle pain
Weakness
Stomach pain
Anxiety
Diarrhoea
Constipation
Sweating
Changes in vision
Difficulty or painful urination
Headache
Sleepiness
Nausea
Fast or pounding heartbeat

Uses of Newtel AM (5/40 mg) Tablet

What is it prescribed for?
Essential hypertension
Essential hypertension is high blood pressure that doesn’t have a clear identifiable cause, but may be due to various factors such as genetics, poor diet, obesity or lack of exercise. Over time, high blood pressure can cause blood vessel damage that leads to heart disease, kidney disease, stroke, and other problems. Newtel AM (5/40 mg) Tablet is used in the treatment of high blood pressure which may be caused by genetic or environmental factors.

When not to use?

Allergy
Avoid taking Newtel AM (5/40 mg) Tablet if you have a known allergy to amlodipine, telmisartan or any other component of this medicine. This could lead to symptoms like skin rash, itching/swelling (especially of the face/tongue/throat), breathing difficulty, hives (painful eruptions that itch and sting), etc.
Aliskiren
Aliskiren is the first in a class of drugs called direct renin inhibitors used for the treatment of hypertension ( increase in blood pressure). Coadministration of aliskiren and Newtel AM (5/40 mg) Tablet is not recommended as it may increase the risk of hyperkalaemia (high levels of potassium in your blood), which in severe cases can lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest. This risk is especially higher in people with diabetes and kidney problems.

Warnings

Warnings for special population
Pregnancy
Newtel AM (5/40 mg) Tablet should not be used by pregnant women as it may cause harm to the developing foetus. Consult you doctor if you are pregnant or planning a pregnancy.
Breast-feeding
Newtel AM (5/40 mg) Tablet is not recommended for use in breastfeeding women as may pass into breastmilk in some amounts. Consult your doctor if you are breastfeeding while taking this medicine.

General warnings

Hypotension
Newtel AM (5/40 mg) Tablet should be used with caution if you have aortic stenosis ( narrowing of the valve of the aorta, the largest artery to branch off from the heart). This medicine may decrease the functioning of the heart and lead to extremely low blood pressure and heartbeat.
Use in children
Newtel AM (5/40 mg) Tablet is not recommended for use in children below 18 years of age since the safety and efficacy of the use of this medicine are not clinically established.
Hyperkalaemia
Hyperkalaemia (increase in the blood potassium levels) may occur after taking Newtel AM (5/40 mg) Tablet. It may result in kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest. It is important to maintain adequate fluid intake during treatment with this medicine
Renal artery stenosis
Renal artery stenosis is the narrowing of one or more arteries that carry blood to your kidneys. Newtel AM (5/40 mg) Tablet should be used with caution if you have renal artery stenosis as this medicine will alter the flow of the blood in these blood vessels, which may lead to improper filtering of the blood. Your blood urea and serum creatinine levels will be closely monitored by your doctor.
Primary aldosteronism
Primary aldosteronism occurs when your adrenal glands produce too much of a hormone called aldosterone. This hormone regulates salt and water levels in the body. Newtel AM (5/40 mg) Tablet is not recommended for use if you have primary hyperaldosteronism since it may affect the salt and water balance in your body and worsen your condition.
Driving and operating machines
Newtel AM (5/40 mg) Tablet has a moderate effect on the ability to drive or use machines. If you experience side effects such as dizziness or drowsiness, avoid performing activities that require high mental alertness like driving or operating machines.
Liver impairment and biliary obstruction
Newtel AM (5/40 mg) Tablet is not recommended for use if you have severe liver problems. This medicine is broken down and absorbed in the liver. If you take this medicine while you have pre-existing liver problems, it will worsen your condition further.
Kidney impairment
Newtel AM (5/40 mg) Tablet should be used with caution if you have severe kidney problems. This medicine is filtered and excreted through the kidneys. Using this medicine while you have kidney problems will damage your kidneys and worsen your condition.

Dosage

Missed Dose
If you forget to take the dose of Newtel AM (5/40 mg) Tablet at a given time, then take it as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose
Never take more than the dose prescribed by your doctor. If you have intentionally or accidentally consumed more than the prescribed amount of Newtel AM (5/40 mg) Tablet, then you might feel headache, confusion, fever, change in the heartbeat, nausea, vomiting etc. Contact your doctor immediately for further guidance.

Interactions

General Instructions
Newtel AM (5/40 mg) Tablet may be taken with or without food. Swallow the tablet whole with a sufficient amount of water. Do not crush, break or chew the tablet. The dose prescribed is based on your situation thus, avoid taking more or less dose than that prescribed by your doctor. You should not stop taking the medicine abruptly without your doctor’s consultation as it can cause withdrawal symptoms.

You should follow a balanced diet and exercise regularly to get the maximum benefit from the treatment. Avoid taking potassium-rich food as it may increase your potassium level in the blood. Also, avoid taking grapefruit juice with Newtel AM (5/40 mg) Tablet as it can increase the level of this medicine in your blood.

Be careful while standing up from sitting or lying down position as this medicine may cause a sudden drop in your blood pressure which can make you dizzy. Newtel AM (5/40 mg) Tablet can cause swelling in your ankles and feet so try raising your legs when you are sitting. Consult your doctor if the swelling worries you. This medicine can cause sleepiness and dizziness so try to avoid activities that require mental focus, especially at the start of the treatment or until you know how this medicine will affect you.