Management of Essential Hypertension (High Blood Pressure) in patients who require more than two drugs to control their condition.
Management of Essential Hypertension (High Blood Pressure) in patients who require more than two drugs to control their condition.
Telmisartan blocks a substance that narrows blood vessels, allowing them to relax and widen. Amlodipine prevents calcium from entering the muscle cells of the heart and blood vessels, which relaxes the vessels and reduces the heart's workload. Hydrochlorothiazide helps the kidneys remove extra water and salt through urine, reducing the total volume of fluid circulating in your blood vessels.
Common: Dizziness, headache, tiredness, and swelling of the ankles or feet (edema). Metabolic: Increased urination, changes in electrolyte levels (low potassium), or increased blood sugar. Occasional: Dry cough, back pain, or a sudden drop in blood pressure when standing up.
It is usually taken once a day in the morning. Because it contains a diuretic (water pill), taking it at night may cause you to wake up frequently to urinate.
No. High blood pressure is often a 'silent' condition. The medication keeps it normal; stopping it could lead to a dangerous spike in pressure, increasing stroke or heart attack risk.
Ankle swelling (edema) is a common side effect of Amlodipine. If it becomes severe or painful, consult your doctor for a possible dosage adjustment.
Yes. Hydrochlorothiazide can lower potassium, while Telmisartan can sometimes increase it. Your doctor will likely perform periodic blood tests to monitor your electrolytes.
Be cautious. Many salt substitutes contain potassium. Since Telmisartan can raise potassium levels, using these could lead to 'Hyperkalemia' (dangerously high potassium).
Yes, especially during the first few days. This is due to the Hydrochlorothiazide component helping your body remove excess fluid.
Alcohol can further lower your blood pressure, leading to extreme dizziness, fainting, or lightheadedness. It is best to avoid or strictly limit intake.
No. Telmisartan is strictly contraindicated in pregnancy as it can cause serious injury or death to the unborn baby. Contact your doctor immediately if you become pregnant.
While less common than with ACE inhibitors, the Telmisartan component can occasionally cause a dry, persistent cough in some patients.
A 'first-dose effect' can occur where blood pressure drops significantly. Sit or lie down immediately and avoid sudden movements. Inform your doctor if this persists.