INTRODUCTION

Telmicart 3D Tablet is a combination of medicines used to treat hypertension (high blood pressure) when a single medication is not effective. It helps to lower high blood pressure thus reduces chances of future heart attack and stroke.

Telmicart 3D Tablet should be taken with or without food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more so, it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly to get the most benefit from it even if you feel well. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase.

The most common side effects of this medicine include ankle swelling, headache, dizziness, tiredness, and taste change. Consult your doctor If any of these bother you, or get worse, or won’t go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, level of electrolytes, and blood sugar level checked regularly to make sure that this medicine is working properly.

USES OF TELMICART 3D TABLET

• Hypertension (high blood pressure)

Hypertension (high blood pressure)

Description of Hypertension (high blood pressure)

Introduction 

Hypertension is a condition in which the blood vessels have persistently raised pressure. 

Blood pressure is one of the vital signs of life. It is the pressure exerted by the blood against the walls of your blood vessels. In hypertension, the blood exerts increased pressure on the walls of the vessels. Therefore, it is also called high blood pressure. It is measured in millimeters of mercury (mmHg) and expressed as systolic/diastolic blood pressure. ‘Systolic’ is the maximum pressure exerted when your heart contracts to pump blood. ‘Diastolic’ is the minimum pressure exerted when your heart is at rest between contractions. 

Some people may have high blood pressure readings when measured at the doctor’s clinic but normal blood pressure readings when measured at home or while performing their routine activities (ambulatory blood pressure). This condition is termed white coat hypertension. In contrast, some people may have normal blood pressure readings when measured at the doctor’s clinic but consistently above normal blood pressure readings when measured at home or while performing their routine activities. This condition is termed masked hypertension.

According to A Global Brief on Hypertension published by the World Health Organization, “Hypertension is defined as a systolic blood pressure equal to or above 140 mmHg and/or diastolic blood pressure equal to or above 90 mmHg.”

According to the American Heart Association (AHA) 2017 guidelines, hypertension is defined as systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥80 mmHg.

Types:

There are two main types of hypertension:

1. Essential hypertension – It is the type of high blood pressure which has no obvious underlying medical condition. It has three subtypes:

Systolic hypertension in teenagers and young adults – It occurs mainly in people aged between 17-25 yrs of age. Its prevalence varies and may reach up to 25% in young men. There is an underlying sympathetic system overactivity.

Diastolic hypertension in middle age – It is a condition in which both the systolic and the diastolic blood pressures are elevated. It mostly occurs in patients between 30-50 yrs of age and is associated with weight gain.

Isolated systolic hypertension in older adults – It is a condition in which the systolic blood pressure is increased and the diastolic blood pressure is normal or lower. Therefore, the difference between the systolic BP and diastolic BP is increased. It is often seen in older people with hypertension.

2. Secondary hypertension – This type of high blood pressure is caused as a result of some underlying medical conditions of the kidneys, heart, blood vessels, or endocrine (hormonal) system. Some of the common causes are renal parenchymal disease, acute/chronic renal diseases, renovascular hypertension, endocrinal causes like pheochromocytoma, acromegaly, hypothyroidism, hyperparathyroidism, etc. and coarctation of aorta, especially in young people with high blood pressure.

Further, based on fluctuations in blood pressure within your arteries, you may also be classified as one among the following types:

1. Labile hypertension: Some elderly patients undergo frequent changes in blood pressure over a short-term duration. Conventional medication is unable to stabilize the blood pressure in such patients.

2. Malignant hypertension: This is the most severe form of hypertension in which a very high blood pressure develops suddenly and quickly. This is a medical emergency. The diastolic blood pressure often rises above 130 mmHg and is accompanied by bleeding in the retina. Also, there is leaking of lipid residues from damaged retinal capillaries (called as exudates) with a swelling of optic disc (called as papilledema). Optic disc is the place where the nerve that goes to your brain is connected inside your eyes. 

3. Accelerated hypertension: This type is identified by the presence of high blood pressure accompanied by retinal bleeding and/or exudates but without optic disc swelling.

Severe rise in BP (>180/120 mmHg), accompanied with organ damage like hypertensive encephalopathy, acute ischemic stroke, acute MI, etc. is termed as hypertensive emergency. If the severe elevations in BP are not associated with progressive organ dysfunction then the situation is termed as hypertensive urgency. Majority of such situations arise due to inadequate treatment of hypertension or if the person fails or refuses to take medications as prescribed (non-compliance).

Scientific synonyms 

• HTN/HT
• Arterial hypertension

Non-scientific synonyms

• Increased blood pressure
• Elevated blood pressure
• High blood pressure

BENEFITS OF TELMICART 3D TABLET

In Hypertension (high blood pressure)

Telmicart 3D Tablet relaxes the blood vessels so that blood can flow more easily around your body. It also eliminates excess water from the body and increases urine output. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.

SIDE EFFECTS OF TELMICART 3D TABLET

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of  Telmicart 3D

• Ankle swelling
• Headache
• Dizziness
• Tiredness
• Palpitations
• Sleepiness
• Increased blood uric acid
• Glucose intolerance
• Taste change
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Upset stomach
• Altered blood lipid level

HOW TO USE TELMICART 3D TABLET

• Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Telmicart 3D Tablet may be taken with or without food, but it is better to take it at a fixed time.

HOW TELMICART 3D TABLET WORKS

• Telmicart 3D Tablet is a combination of three medicines: Telmisartan, Amlodipine and Hydrochlorothiazide. Telmisartan is an angiotensin receptor blocker (ARB) and Amlodipine is a calcium channel blocker (CCB). They work by widening and relaxing the blood vessels, thereby lowering blood pressure. Hydrochlorothiazide is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time it also works by relaxing blood vessels and improves blood flow