Available Dosages
| SKU: | 1086 |
|---|---|
| Generic For: | Micardis |
| Active Ingredient: | Telmisartan Hctz |
| Manufacturer: | Glenmark, India |
Buy Telma H 40/12.50 mg (Telmisartan Hctz) Online
Telma H is a combination medicine for hypertension (high blood pressure) that contains two active ingredients, Telmisartan and Hydrochlorothiazide. Telmisartan is an angiotensin II receptor antagonist that prevents the blood vessels from narrowing, improving blood flow and lowering blood pressure. Hydrochlorothiazide is a thiazide diuretic (water pill) that stops the body from absorbing too much salt, which can lead to fluid retention. High levels of salt in the body can lead to high blood pressure.
Many other drugs can interact with Telma H. Let your doctor know in advance if you use any other drugs or related products (OTC vitamin pills or other medicines, or herbal products), especially other blood pressure medicines, cholestyramine, cyclosporine, rifampin, ritonavir, barbiturates, muscle relaxers, narcotic medicines, lithium, NSAIDs (ibuprofen, naproxen, or others), steroids, cholestyramine, colestipol, insulin, oral diabetes medicines, a potassium supplement such as K-Dur, Klor-Con, salt substitutes that contain potassium, or diuretics. However, these are not the only drugs that can interact with Telmisartan and Hydrochlorothiazide. There may be others. Never start a new medication without proper medical advice.
Do not take Telma H if you are allergic to Telmisartan or Hydrochlorothiazide or if you are unable to urinate. To make sure that this medicine is safe for you, inform your doctor in advance if you have any of these conditions: heart disease or congestive heart failure, kidney disease (or if you are on dialysis), liver disease, lupus, gout, glaucoma diabetes, asthma, or an allergy to sulfa drugs or penicillin.
Telma H is a pregnancy category D drug. Do not take this medicine if you are a pregnant woman. If you become pregnant during the treatment with this medicine, stop taking it and contact your doctor immediately. Use of effective birth control is recommended while taking this medicine. It is unknown whether this medicine can pass into breast milk and harm a nursing baby. Consult your doctor about safely taking this medicine if breastfeeding a baby.
Telmisartan and Hydrochlorothiazide may increase your potassium levels. Hence, avoid potassium supplements or salt substitutes containing potassium while taking this medicine unless directed by your doctor.
In rare cases, Telma H can lead to a condition which results in the breakdown of skeletal muscle tissue, causing kidney failure. Seek medical attention immediately if you have unexplained muscle pain, tenderness, or weakness, especially if you also have a fever, unusual fatigue, and dark-coloured urine.
Things and Activities to avoid while taking Telma H
Avoid or limit the consumption of alcohol. Do not become overheated or dehydrated during exercise and hot weather. Follow your doctor’s directions about the type and number of fluids you should drink. Telmisartan and Hydrochlorothiazide may increase your potassium levels. Hence, avoid potassium supplements or regular salt substitutes containing potassium while taking this medicine.
Some common side effects of Telma H are dizziness, lightheadedness, swollen ankles or feet, or flushing. If any of these effects persist or deteriorate, get medical attention immediately. A serious side effect is unlikely. However, if you get any serious side effects like fast, irregular, rapid heartbeat, fainting, or any other serious side effect, seek medical attention immediately.
The side effects mentioned above are not the only ones you may experience or witness due to Telmisartan and Hydrochlorothiazide. If you get any serious side effects due to this medication, contact your doctor right away.
Take Telma H strictly according to your doctor’s direction or instructions on the medication label. Do not alter the dosage unless your doctor advises you to do so. Also, do not take this medication after the prescribed period is over. This drug may take up to 4 weeks of regular intake (as directed) to reign in your blood pressure. Take this medicine with a full glass of water. While taking this medicine, watch out for vomiting, diarrhea, or excessive sweating. These can lead to severe dehydration, further lowering your blood pressure. Low blood pressure can be a dangerous and fatal condition. Contact your doctor immediately if you experience these conditions while taking this medicine.
You may have to take this medicine for many years, even if you look fine. High blood pressure doesn’t have any outward signs. Always store this medicine in a cool and dry place.
Telmisartan and Hydrochlorothiazide Dosing Information
Telma H dosage may depend on a range of factors like age, sex, drug allergies, or seriousness of the condition, among several other factors. Your doctor will determine your dosage after examining you properly. Remember to follow your doctor’s advice properly for the best results.
What is Telma H 40/12.5mg?
Telma H 40/12.5mg is a fixed-dose combination of Telmisartan 40mg and Hydrochlorothiazide (HCTZ) 12.5mg. It combines the unique benefits of Telmisartan — the longest-acting ARB with PPAR-γ activity — with the volume-reducing effect of HCTZ to provide dual-mechanism blood pressure control. It is prescribed when Telmisartan 40mg alone has not achieved blood pressure targets.
How do Telmisartan and HCTZ work together in Telma H?
Telma H contains Telmisartan and Hydrochlorothiazide (HCTZ), which work together to control high blood pressure. Telmisartan relaxes and widens blood vessels, helping blood flow more easily and reducing pressure on the heart. HCTZ is a diuretic, or “water pill,” that helps remove extra salt and water from the body through urine. Together, they lower blood pressure more effectively than either medicine alone. Regular use of Telma H can help reduce the risk of heart attack, stroke, kidney damage, and other complications linked to high blood pressure.
How should Telma H 40/12.5mg be taken?
Take one Telma H tablet once daily in the morning with or without food. Morning dosing is preferred because the diuretic effect of HCTZ increases urination for several hours after dosing — morning administration avoids disrupting sleep with nocturia. Maintain consistent daily timing for stable blood pressure control. Blood pressure should be reassessed four to six weeks after starting to determine if the dose is adequate.
Is Telma H 40/12.5mg more effective than Telmisartan alone?
Yes. The addition of HCTZ 12.5mg to Telmisartan 40mg typically provides an additional 4–6 mmHg systolic blood pressure reduction beyond Telmisartan monotherapy. Clinical studies confirm that the ARB/diuretic combination achieves target blood pressure in a significantly higher proportion of patients than either drug alone. This makes Telma H 40/12.5mg an efficient second-step therapy when initial monotherapy is insufficient.
Is Telma H 40/12.5mg safe for patients with gout?
Caution is required. HCTZ raises uric acid levels, potentially precipitating gout in susceptible patients. Telmisartan does not have the uricosuric effect that Losartan has (which partially offsets HCTZ-induced uric acid rise). For hypertensive patients with gout, Losartan-based combinations (e.g., Cosart H) may be preferable. If Telma H is used in a gout patient, monitor uric acid levels and discuss allopurinol prophylaxis with your doctor.
Can Telma H 40/12.5mg be used in diabetic patients?
Yes, with attention. Telmisartan's PPAR-γ activity is metabolically favourable for diabetics. However, HCTZ at 12.5mg can mildly impair glucose tolerance and insulin sensitivity. The net metabolic effect at this low HCTZ dose is generally acceptable. Monitor fasting glucose and HbA1c more closely during the first three to six months. The antihypertensive benefit of Telma H is valuable in diabetics who carry high cardiovascular risk.
How does Telma H 40/12.5mg compare to Micardis HCT 40/12.5mg?
Telma H 40/12.5mg and Micardis HCT 40/12.5mg both contain Telmisartan 40mg and Hydrochlorothiazide 12.5mg. They are bioequivalent and therapeutically identical. Micardis HCT is the Boehringer Ingelheim originator brand sold at premium prices in the USA and Europe. Telma H from Glenmark, available at AllDayChemist, provides the same antihypertensive combination at substantially reduced cost.
Is Telma H 40/12.5mg an affordable combination antihypertensive?
Yes. Telma H 40/12.5mg from Glenmark Pharmaceuticals is significantly more affordable than Micardis HCT. AllDayChemist offers Telma H at prices well below Western retail, with direct manufacturer sourcing ensuring quality. For patients requiring a fixed-dose ARB/diuretic combination for long-term blood pressure management, the cost savings at AllDayChemist can be substantial over months and years.
Can I buy Telma H 40/12.5mg at AllDayChemist?
Yes. Telma H 40/12.5mg is available at AllDayChemist with worldwide shipping to the USA, UK, Australia, and 200+ countries. AllDayChemist has operated since 2002 with direct manufacturer sourcing. Orders arrive in discreet, plain packaging with tracking. Free shipping is available on qualifying orders. Visit AllDayChemist.com.
What are the benefits of ordering Telma H 40/12.5mg from AllDayChemist?
AllDayChemist offers Telma H 40/12.5mg at prices significantly below Micardis HCT and equivalent US generic combinations. Glenmark's Telma H is a quality-assured product from an internationally recognised manufacturer. Since 2002, AllDayChemist has served 200+ countries with free worldwide shipping on qualifying orders, discreet delivery, and reliable customer support for ongoing antihypertensive therapy.
What side effects does Telma H 40/12.5mg cause?
Side effects include increased urinary frequency (from HCTZ, especially in the first few hours after dosing), dizziness (from blood pressure reduction), electrolyte disturbances (low potassium, low Sodiumium from HCTZ), mild uric acid elevation, and photosensitivity (HCTZ). Telmisartan's component effects include dizziness and fatigue. The combined potassium effects are partially opposing — monitor electrolytes periodically.
What monitoring is needed with Telma H 40/12.5mg?
Check electrolytes (potassium, Sodiumium), creatinine, and uric acid at baseline and after four to eight weeks of starting. In diabetic patients, monitor fasting glucose and HbA1c. Apply SPF 30+ sunscreen due to HCTZ photosensitivity. Report muscle cramps (possible hypokalaemia), excessive thirst, dizziness, or palpitations to your doctor. Do not use during pregnancy. Avoid NSAIDs and potassium supplements without medical guidance.
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