Temsan-H Tablet (Telmisartan 40mg / Hydrochlorothiazide 12.5mg)

Description

Temsan H (12.5/40 mg) Tablet is a combination medicine that consists of Hydrochlorothiazide and Telmisartan. It is used for the treatment of high blood pressure. It works by relaxing your blood vessels and helps your heart to pump blood easily. This medicine also reduces the risk of heart attack and stroke.

Temsan H (12.5/40 mg) Tablet has some side effects like dizziness, headache, dry mouth, stomach pain, weakness, etc. You may also experience increased urination. These side effects may subside by themselves. Consult your doctor if any of these symptoms bother you for a longer time or worsen. Do not use this medicine if you are allergic to it.

Temsan H (12.5/40 mg) Tablet can be taken with or without food. Do not take more than the prescribed dose. Take this medicine around the same time every day for the ease of remembering and better results. Do not stop taking this medicine without consulting your doctor.

Temsan H (12.5/40 mg) Tablet is not recommended for use in children below 18 years of age. It is also not recommended if you have severe liver or kidney problems. Inform the doctor of your complete medical history including all medications that you may be using. Consult your doctor if you are pregnant, or are breastfeeding before using this medicine. Using this medicine and also making certain lifestyle changes like regular exercise, weight control, quitting smoking, limiting alcohol use, and lowering the quantity of salt will also help to decrease your blood pressure.

Side effects

Major & minor side effects for Temsan H (12.5/40 mg) Tablet
Increased urination
Itching or rash
Stomach pain
Dry mouth
Chest pain
Changes in vision
Dizziness
Difficulty or painful urination
Headache
Diarrhoea
Back pain
Weakness
Muscle pain
Fever
Low blood pressure

Uses of Temsan H (12.5/40 mg) Tablet

What is it prescribed for?
Hypertension
Hypertension is high blood pressure that may be caused by genetic or environmental factors. Temsan H (12.5/40 mg) Tablet is used in the treatment of high blood pressure, it decreases the effects of angiotensin (a hormone that narrows blood vessels), causing blood vessels to relax. This helps your heart to pump blood more freely.

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When not to use?

Allergy
Avoid taking Temsan H (12.5/40 mg) Tablet if you are allergic to it. Serious allergic reactions to this medicine are rare. However, seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.
Anuria
Anuria is a condition where your kidneys are unable to produce urine. Temsan H (12.5/40 mg) Tablet is not recommended if you have Anuria as it may increase the risk of kidney damage.
Cholestasis (Obstruction of bile duct)
Avoid taking Temsan H (12.5/40 mg) Tablet if you have cholestatic jaundice (a condition that is caused by reduced bile flow from your liver to the small intestine) or obstruction in the bile duct as this medicine is eliminated from your body through bile. Hence, such conditions may increase the risk of serious side effects.
Aliskiren
Aliskiren is a drug used to treat high blood pressure. Using Aliskiren together with Temsan H (12.5/40 mg) Tablet may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in your blood. In severe cases, this could lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest.
Angioedema
Angioedema is an allergic reaction to any food, medicine or pollen in which there is a painless swelling under the skin. Symptoms of angioedema are swelling of the face, extremities, eyes, lips, or tongue, as well as trouble swallowing or breathing. Temsan H (12.5/40 mg) Tablet is not recommended if you have a history of angioedema as a result of using hydrochlorothiazide, or for those who have genetic angioedema.

Warnings

Warnings for special population
Pregnancy
Temsan H (12.5/40 mg) Tablet is not recommended for use in pregnancy as it can harm your developing foetus. Hence, consult your doctor before taking this medicine.
Breast-feeding
It is not known whether Temsan H (12.5/40 mg) Tablet passes into breastmilk or not. Hence, it is not recommended for use while breastfeeding. Consult your doctor before taking this medicine.
General warnings
Alteration in blood volume and electrolyte levels
Use Temsan H (12.5/40 mg) Tablet with caution as it may alter the blood volume levels and electrolyte levels in your body. Your doctor may suggest tests to closely monitor your electrolyte levels if necessary while taking this medicine. Report any symptoms such as weakness, lethargy, dry mouth muscle pain, drowsiness, dizziness, irregular heartbeat, etc., to your doctor immediately.
Kidney diseases
Temsan H (12.5/40 mg) Tablet may cause azotemia (elevated levels of urea and other nitrogen compounds in the blood) if you have a history of kidney problems. Your doctor may suggest tests to closely monitor your kidney function if necessary while taking this medicine.
Use in athletes
Temsan H (12.5/40 mg) Tablet is not recommended to be used by athletes as per the World Anti-Doping Agency (WADA).
Hyperkalemia
Hyperkalemia is an increase of potassium levels in your blood. Temsan H (12.5/40 mg) Tablet may increase the potassium levels leading to serious side effects such as heart rhythm irregularities (improper beating of the heart). It is advised that you avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (ACE inhibitors and potassium supplements) during treatment with this medicine.
Hypotension
Hypotension is low blood pressure. Use Temsan H (12.5/40 mg) Tablet with caution as it may lead to very low blood pressure.
Use in children
It is not recommended to use Temsan H (12.5/40 mg) Tablet in children below 18 years of age as the safety and efficacy data for use are not available.

Dosage

Missed Dose
Do not skip any dose of Temsan H (12.5/40 mg) Tablet. If you forget to take a dose, take it as soon as you remember. However, if it is time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Never take more than the prescribed dose. If you suspect that you might have taken an overdose of Temsan H (12.5/40 mg) Tablet, seek immediate medical attention.

Interactions

General Instructions
Take Temsan H (12.5/40 mg) Tablet with or without food. Do not take in larger amounts than prescribed.

Temsan H (12.5/40 mg) Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, dry mouth or muscle weakness.

It may cause dizziness. Get up slowly when you rise from a sitting or lying position. Consult your doctor if you experience any undesirable effects.

Do not stop taking the medicine without consulting your doctor as it may cause withdrawal symptoms.

Do not chew, crush or break the tablet. Take the tablet immediately after peeling it from the strip.

Keep the medicine away from the reach of children and pets. Ensure that unused medicine is disposed of properly.