TELSARTA-D 40mg Tablet 14s

• Allergy

  This medicine is not recommended for use in patients with a known allergy to hydrochlorothiazide, other sulfonamides, telmisartan, or any other angiotensin receptor blockers.

• Anuria

  This medicine is not recommended for use in patients with anuria, a condition where the kidney is unable to produce urine.

• Cholestasis and biliary obstructive disorders

  This medicine is not recommended for use in patients with cholestasis and biliary obstructive disorders due to the increased risk of severe adverse effects.

• Aliskiren

  Coadministration of aliskiren and this combination medicine is not recommended due to the increased risk of serious adverse effects. This risk is especially higher in the elderly population and in patients with diabetes and kidney diseases.

• 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.

• Pregnancy

  This medicine is not recommended for use in pregnant women except in life-threatening conditions. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.

• 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. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.

• Systemic Lupus Erythematosus

  This medicine should be used with caution in patients with a known history of Systemic Lupus Erythematosus due to the increased risk of worsening of the patient's condition. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

• Volume and electrolyte depletion

  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.

• Renal diseases

  This medicine may cause Azotemia in patients with a known history of severe renal diseases. Close monitoring of kidney function is necessary while taking this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

• Use in athletes

  This medicine is not recommended to be used by athletes as per the World Anti-Doping Agency (WADA).

• Hyperkalemia

  This medicine may increase the 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.

• Impaired liver function

  This medicine should be used with extreme caution in patient's suffering from liver diseases due to an increase in the risk of serious adverse effects including coma. Close monitoring of liver function is advised while taking this medicine. Report any symptoms of confusion or jaundice to the doctor on priority. Replacement with a suitable alternative may be required based on the clinical condition.

• Pediatric population

  This medicine is not recommended for use in children since the safety and efficacy of use are not clinically established.

• Hypersensitivity reactions

  Hypersensitivity reactions to this medicine may occur in patients with or without a history of allergy or bronchial asthma but are more likely in patients with such a history.

Take this medicine exactly as advised by your doctor. Do not take in larger amounts than prescribed. It is advised to take this medicine at daytime to prevent sleep disturbance. Drink an adequate amount of water. Monitoring of kidney function and electrolytes levels is necessary while taking this medicine. Report any adverse effects to the doctor on priority. Do not stop the use of this medicine without consulting your doctor.

• Can be taken with or without food, as advised by your doctor
• To be taken as instructed by doctor
• May cause sleepiness