Telmisartan 40 mg + Hydrochlorothiazide 12.5 mg Tablets

Pack: 10 tablets/strip

Dosage:

• Recommended Dose: One tablet once daily, taken preferably in the morning to avoid nocturnal diuresis (frequent urination during the night).
• Special Populations:
  • Renal Impairment: Caution is advised; regular monitoring of kidney function is necessary.
  • Hepatic Impairment: Use with caution; dose adjustments may be required based on liver function.
  • Elderly: Typically, no dose adjustment is needed, but close monitoring is advised due to the increased risk of electrolyte imbalance and dehydration.

Mode of Action:

• Telmisartan: An angiotensin II receptor blocker (ARB) that works by blocking the effects of angiotensin II, leading to the relaxation of blood vessels and lowering blood pressure.
• Hydrochlorothiazide: A thiazide diuretic that helps reduce blood pressure by eliminating excess salt and water from the body through the kidneys, leading to a decrease in blood volume.

Indication:

• Treatment of hypertension (high blood pressure) in patients who require a combination of telmisartan and hydrochlorothiazide.
• To reduce the risk of cardiovascular events such as stroke or heart attack in hypertensive patients at risk.

How to Take LARITEL-H:

• Take one tablet daily, preferably in the morning to reduce the likelihood of frequent urination at night.
• Swallow the tablet whole with water, with or without food.
• It is important to maintain a consistent routine to manage blood pressure effectively.
• Do not discontinue use without consulting your healthcare provider, even if you feel well.

Possible Side Effects:
As with all medications, LARITEL-H may cause side effects, although not everyone will experience them. Common side effects include:

• Dizziness or Lightheadedness: Especially when getting up quickly from a sitting or lying position, due to the blood pressure-lowering effects.
• Fatigue: Some patients may feel unusually tired or weak.
• Electrolyte Imbalance: Hydrochlorothiazide can lead to low potassium (hypokalemia), low magnesium (hypomagnesemia), and high calcium (hypercalcemia) levels. Symptoms may include muscle weakness, cramps, or irregular heartbeat.
• Increased Urination: Hydrochlorothiazide may cause more frequent urination, particularly when starting the medication.
• Headache: A common side effect that may lessen over time.
• Gastrointestinal Issues: Nausea, indigestion, or stomach pain may occur.
• Hyperuricemia: Increased levels of uric acid in the blood, potentially leading to gout in susceptible individuals.

Precautions:

• Kidney Function: Regular monitoring is required, especially in patients with existing kidney conditions.
• Liver Function: Use with caution; liver function should be monitored periodically.
• Electrolyte Monitoring: Regular blood tests may be needed to monitor electrolyte levels and prevent imbalances.
• Dehydration: Ensure adequate hydration to avoid dehydration, particularly during exercise, hot weather, or illness.
• Sun Sensitivity: Hydrochlorothiazide may increase sensitivity to sunlight. Use sunscreen and wear protective clothing when outdoors.

Consult Your Doctor:

• Before starting LARITEL-H if you have any pre-existing medical conditions, particularly related to the kidneys, liver, or gout.
• If you experience any side effects, especially symptoms of electrolyte imbalance or severe dizziness.
• For personalized advice on managing hypertension, including diet and lifestyle changes.

Disclaimer:
This information is provided for educational purposes only. For personalized medical advice and treatment options, consult a healthcare professional.