INTRODUCTION

Telmicart MT 50 Tablet ER is a medicine used for treating high blood pressure. By lowering the blood pressure, it helps in preventing future heart attack and stroke. Early treatment with this medicine also improves chances of survival in patients of heart attack.

It is advised to take Telmicart MT  50 Tablet ER with food at a fixed time each day to maintain consistent levels of medicine in the blood. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.

Some common side effects of this medicine include headache, weakness, dizziness, decreased blood pressure, and increased potassium level in blood. It is advised to avoid potassium rich food and supplements while taking this medicine. It may cause dizziness, avoid driving or rise slowly from the sitting position. You may be asked for regular monitoring of blood pressure, blood sugar level, kidney functioning, urea, or electrolytes level during the treatment.

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.

USES OF TELMICART-MT TABLET ER

• 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).

BENEFITS OF TELMICART MT TABLET ER

In Hypertension (high blood pressure)

Hypertension or an increase in blood pressure occurs when the blood vessels that supply blood to your heart become narrow. As a result of this, blood cannot flow smoothly to the heart, heart rate increases and it fails to pump blood effectively to other parts of the body. This puts a strain on the heart that can cause a chest pain or even a heart attack.
Telmicart AM 50 Tablet ER reduces pressure in the blood vessels. It relaxes the blood vessels so that blood can flow more easily to your heart. This reduces strain on the heart and slows down heart rate. This further reduces the 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.

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SIDE EFFECTS OF TELMICART MT TABLET ER

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 –MT 50

• Headache
• Weakness
• Dizziness
• Cold extremities
• Slow heart rate
• Increased potassium level in blood
• Numbness of extremity
• Decreased blood pressure

HOW TO USE TELMICART MT TABLET ER

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 MT 50 50 Tablet ER is to be taken with food.

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HOW TELMICART MT TABLET ER WORKS

Telmicart MT 50 Tablet ER is a combination of two blood-pressure lowering medicines: Telmisartan and Metoprolol Succinate. Telmisartan is an angiotensin receptor blocker (ARB). It works by blocking the chemical angiotensin, thereby relaxing blood vessels. Metoprolol Succinate is a beta blocker which works specifically on the heart to reduce heart rate and lower blood pressure. Together they allow the blood to flow more smoothly and the heart to pump more efficiently.