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Telvarin-H®

Patient Details

Telvarin-H®

Generic Name: Telmisartan and Hydrochlorothiazide

Form: Film-coated, scored tablets of 12.5/40, 12.5/80, and 25/80 mg

Drug Class: Antihypertensive

Indications:
This medication is used to control high blood pressure (hypertension)

 

Telvarin-H®

Telvarin-H® contains two drugs: Telmisartan and Hydrochlorothiazide, and is used for the management of high blood pressure.

  • Telmisartan works by blocking the angiotensin II receptor, leading to the dilation of blood vessels.

  • Hydrochlorothiazide works by increasing the excretion of sodium and water through urine, which also helps to lower blood pressure.
    Together, these effects result in effective blood pressure reduction.

Indications

Treatment of chronic high blood pressure in adults.

Dosage Form

Film-coated, scored tablets of 12.5/40, 12.5/80, and 25/80 mg.

Dosing and Administration 

  • Take Telvarin-H® as prescribed by your doctor and do not discontinue the medication on your own.
  • It is important that Telvarin-H® is taken under regular medical supervision, especially during the start of the treatment, while on treatment, and when stopping the medication.
  • Take Telvarin-H® with a glass of water at a consistent time, either with or without food. It is recommended to take the medication at the same time every day.

Missed Dose

If you miss a dose, take it as soon as you remember, unless it is close to the time of your next dose. In that case, skip the missed dose. Do not take two doses together to make up for a missed dose.

Overdose

If you take more than the prescribed dose, immediately inform your doctor or visit a healthcare facility.

Monitoring During Treatment

  • Blood pressure
  • Serum electrolytes
  • Serum creatinine and urea levels

Contraindications for Telvarin-H®

  • Hypersensitivity to Telmisartan, Hydrochlorothiazide, or any components of the formulation.
  • Concurrent use with Aliskiren in patients with diabetes or moderate to severe kidney impairment.
  • Anuria (lack of urine production or very low urine production).
  • Concurrent use with sulfonamide-based drugs like sulfasalazine, sulfamethoxazole, etc.
  • Pregnancy
  • Breastfeeding
  • Fructose or galactose intolerance.

Warnings and Precautions

  • If you have a history of severe allergic reactions or angioedema (swelling of the face, lips, throat, or tongue), seek medical attention immediately.
  • Inform your doctor if you experience symptoms of high potassium levels, such as irregular heartbeat, dizziness, weakness, lightheadedness, fainting, or shortness of breath.
  • If you have gout, consult your doctor before starting Telmisartan and Hydrochlorothiazide.
  • Patients with volume depletion (e.g., diarrhea, use of other diuretics, heart failure) may experience low blood pressure while taking this medication.
  • If you have angle-closure glaucoma or nearsightedness and experience eye pain or vision loss while taking this medication, notify your doctor immediately.
  • Avoid prolonged exposure to direct sunlight without protection. Use protective clothing and sunscreen.
  • Use with caution in patients with kidney or liver problems, and consult your doctor if you have a history of any such conditions.
  • If you have a history of angina or heart attack, inform your doctor.
  • Ensure adequate fluid intake while using this medication.
  • If you have diabetes or prediabetes, this medication should be used with caution. Inform your doctor of your condition.
  • Use with caution in patients with liver or bile duct obstruction or kidney issues.
  • Telmisartan and Hydrochlorothiazide reduce calcium excretion through the kidneys. If you have hypercalcemia, inform your doctor.
  • This combination may increase cholesterol and triglyceride levels.
  • If you have parathyroid gland disorders, take this medication with caution.
  • Hydrochlorothiazide may exacerbate or activate systemic lupus erythematosus (SLE). Patients with this condition should use it cautiously.

Pregnancy and Lactation

Telmisartan and Hydrochlorothiazide should not be used during pregnancy or while breastfeeding.

Side Effects of Telvarin-H®

While the medication has therapeutic benefits, some side effects may occur, though not all individuals will experience them. Possible side effects include:

  • Skin rashes or redness
  • Diarrhea, abdominal pain, nausea, or vomiting
  • Dizziness, fatigue, or weakness
  • Back pain
  • Elevated serum urea or creatinine levels

Drug Interactions

Consult with your healthcare provider or pharmacist before using Telvarin-H® with other medications or supplements.

Packaging

Each pack contains 30 tablets (3 blisters × 10 tablets)

Storage Conditions

  • Store the medication below 30°C, away from light and moisture.

  • Do not use beyond the expiration date printed on the packaging.

  • Keep the medication out of the reach of children.

  • Keep the medication in its original packaging until use.

References

  1. Telmisartan and Hydrochlorothiazide: Drug information, UpToDate 2025

  2. https://www.medicines.org.uk/emc/product/9974/smpc

Telvarin-H®
Prescribing Information