Teleshal-H Tablet (Telmisartan/Hydrochlorothiazide)

Teleshal-H Tablet is a fixed-dose combination containing Telmisartan (80mg) and Hydrochlorothiazide (12.5mg). This antihypertensive medication combines an ARB with a diuretic to effectively lower blood pressure and reduce cardiovascular risk.

Uses

Teleshal-H Tablet treats essential hypertension in patients whose blood pressure is not adequately controlled by monotherapy. It’s prescribed when combination therapy is needed to achieve target blood pressure levels and reduce risk of stroke, heart attack, and kidney problems.

Benefits

• Provides dual mechanism blood pressure control
• Reduces risk of cardiovascular events
• Offers convenient once-daily dosing
• Improves patient compliance with combination therapy
• Protects kidney function in diabetic patients
• Reduces fluid retention and swelling
• Lowers risk of stroke and heart attack
• Maintains electrolyte balance better than higher diuretic doses
• Suitable for long-term blood pressure management

How It Works

Telmisartan blocks angiotensin II receptors, preventing blood vessel constriction and reducing aldosterone release. Hydrochlorothiazide increases sodium and water excretion through the kidneys, reducing blood volume. This dual action provides comprehensive blood pressure reduction through different mechanisms.

Dosage

Take Teleshal-H at the same time each day, preferably in the morning with or without food. Swallow whole with water.

Duration of Action

Teleshal-H begins lowering blood pressure within 2-4 hours of administration. Maximum blood pressure reduction typically occurs within 4-8 weeks of regular use. The combination provides 24-hour blood pressure control with once-daily dosing, maintaining effectiveness throughout the dosing interval.

Side Effects

Common side effects include dizziness, headache, fatigue, and increased urination. Some patients may experience dry cough, muscle cramps, or mild electrolyte imbalances. Most side effects are mild and decrease as the body adjusts to the medication.

Warning

Do not use during pregnancy as it can cause fetal harm or death. May cause excessive blood pressure drop in volume-depleted patients. Can worsen kidney function in some patients. Monitor blood pressure regularly and report persistent dizziness, fainting, or signs of kidney problems to your healthcare provider.

Pregnancy and Breastfeeding

Teleshal-H is contraindicated during pregnancy and should be discontinued immediately if pregnancy is detected. Both components can cause fetal harm including kidney damage and death. Unknown if components pass into breast milk; consult healthcare provider about breastfeeding while taking this medication.

Interaction

• May increase lithium levels leading to toxicity
• NSAIDs may reduce antihypertensive effects
• Potassium supplements may cause hyperkalemia
• Diabetes medications may require dose adjustments
• May increase effects of other blood pressure medications
• Alcohol may enhance blood pressure lowering effects

Precaution

Monitor kidney function and electrolyte levels regularly. Use with caution in patients with liver disease, severe heart failure, or diabetes. May cause photosensitivity reactions. Avoid dehydration and excessive sweating. Rise slowly from sitting or lying positions to prevent dizziness.

Important Information

Teleshal-H requires regular medical monitoring including blood pressure checks and laboratory tests. Take exactly as prescribed, even if feeling well. Don’t stop taking without consulting your doctor as this may cause blood pressure to rise suddenly. Maintain a healthy diet, regular exercise, and limit alcohol consumption for optimal blood pressure control.