Tricinod 10/12.5 Tablet (Telmisartan 40mg / Cilnidipine 10mg / Chlorthalidone 12.5mg)

Tricinod 10/12.5 Tablet

Tricinod-10/12.5 Tablet is a combination medicine which may be used for the treatment of high blood pressure (hypertension). It may also help to reduce the risk of adverse effects on the heart (complications) associated with high blood pressure levels. Patients are advised to maintain a strict exercise and diet regimen along with this medicine to get the best possible effect.

Side effects

Major & minor side effects for Tricinod-10/12.5 Tablet
Changes in vision
Dizziness
Increased heartbeat
Difficulty or painful urination
Diarrhea
Back pain
Weakness
Muscle pain
Fever
Swelling of face, lips, eyelids, tongue, hands and feet
Shaking of hands or feet
Skin Rash
Decrease in libido
Increased urination frequency
Stomach pain
Low blood pressure (hypotension)
Photosensitivity
Constipation
Loss of appetite
Nausea
Vomiting
Headache

Uses of Tricinod-10/12.5 Tablet

What is it prescribed for?
Hypertension
This medicine may be used in the treatment of hypertension, which is an increase in the blood pressure levels that may be caused by genetic and/or environmental factors.

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to chlorthalidone, other sulfonamides, cilnidipine, telmisartan, any other angiotensin-receptor blockers, or any other inactive ingredients present along with these medicines.
Aliskiren
Coadministration of aliskiren and Tricinod-10/12.5 Tablet is not recommended due to the increased risk of serious adverse effects. Coadministration of these medicines is contraindicated in patients suffering from diabetes, patients with CrCl less than 60 ml/min and in elderly patients since the risk of serious adverse effects is significantly high in these patients.
Anuria
This medicine is not recommended for use in patients with anuria, a condition where the kidney is unable to produce urine, due to the increased risk of worsening of the patient’s condition.
Severe renal impairment
This medicine is not recommended for use in patients with severe renal impairment (CrCl < 30 ml/min) due to the increased risk of serious adverse effects.
Severe liver impairment
This medicine is not recommended for use in patients with severe liver impairment due to the increased risk of severe adverse effects.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings
Hyperkalemia
This medicine may increase potassium levels in the blood (hyperkalemia). This may cause serious side effects such as fatal cardiac rhythm irregularities. It is advised to avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (ACE inhibitors and potassium supplements) during treatment with this medicine. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Use in Children
This medicine is not recommended for use in children since the safety and efficacy of use are not clinically established.
Hypotension
Use of this medicine may increase the risk of hypotension (low blood pressure levels), especially in patients with volume depletion. Regular monitoring of blood pressure levels is recommended while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Kidney Function Impairment
This medicine should be used with caution in patients with a known history of kidney diseases due to the increased risk of worsening of the patient’s condition. Close monitoring of kidney function tests is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Liver impairment
This medicine should be used with extreme caution in patients suffering from liver diseases due to an increase in the risk of serious adverse effects. Close monitoring of liver function is advised while taking this medicine. Report any symptoms of confusion or jaundice to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Volume and electrolyte disturbances
This medicine may alter the blood volume and electrolyte levels in some patients. This may cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in patients suffering from kidney and liver diseases. Close monitoring of blood pressure and electrolyte levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Driving or operating machines
This medicine may cause drowsiness or dizziness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating heavy machinery if you experience any of these symptoms during treatment with this medicine.

Dosage

Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

General Instructions
Take this medicine exactly as advised by your doctor. It can be taken with or without food. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.