Introduction About TELMA AM 40MG TABLET

What is Telma AM 40mg Tablet?

Telma AM 40mg is a prescription medicine used to manage high blood pressure (hypertension). It contains Telmisartan (40mg) and Amlodipine (5mg), which help to relax blood vessels and improve blood flow.

Telma AM 40 helps to controls high blood pressure, reduces the risk of heart-related complications and improves blood circulation.

Take one Telma AM 40mg tablet daily with or without food, as directed by your doctor. Do not exceed the prescribed dose.

Avoid alcohol while taking Telma AM 40mg. Inform your doctor if you have kidney or liver disease.

The most common side effects of taking Telma AM 40mg are dizziness, swelling in ankles or feet, headache or fatigue. Talk to your doctor if any of these side effects trouble you.

Key Composition

The active ingredients of Telma AM 40 mg are:

• Telmisartan (40mg) – An angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels
• Amlodipine (5mg) – A calcium channel blocker (CCB) that helps prevent blood vessels from narrowing, improving blood flow and reducing blood pressure

Uses Of TELMA AM 40MG TABLET

• High blood pressure (Hypertension)

Benefits of TELMA AM 40MG TABLET

1. Controls high blood pressure (hypertension):

• Helps lower blood pressure by relaxing blood vessels
• Reduces strain on the heart and arteries
• Reduces complications like stroke and kidney damage

2. Reduces the risk of heart-related complications:

• Lowers the chances of heart attack, stroke, and heart failure
• Helps in managing conditions like angina (chest pain)
• Supports long-term cardiovascular health

3. Improves blood circulation:

• Enhances oxygen and nutrient supply to vital organs
• Helps to reduce dizziness, fatigue, and shortness of breath
• Supports better heart function and overall well-being

How TELMA AM 40MG TABLET Works

1. Telmisartan (Angiotensin II Receptor Blocker - ARB):

• Blocks Angiotensin II, a hormone that narrows blood vessels and increases blood pressure
• When blocked, blood vessels stay relaxed and open, lowering blood pressure

2. Amlodipine (Calcium Channel Blocker - CCB):

• Inhibits calcium from entering blood vessel muscles, stopping them from tightening
• This helps blood vessels remain wide, allowing better blood flow and reducing pressure

Who should take Telma AM 40mg?

• Patients with hypertension – helps control blood pressure and reduces complications

• Individuals with Heart disease – reduces the risk of heart attack, stroke, and heart failure
• People with poor blood circulation – helps widen blood vessels and improve oxygen flow

List age groups, risk factors, and conditions it manages:

• Adults (18-65 years) – commonly prescribed for hypertension management
• Elderly (65+ years) – used under medical supervision due to possible sensitivity to medication

Individuals with risk factors:

• Family history of hypertension or heart disease
• Diabetes or high cholesterol
• Obesity or sedentary lifestyle
• Excessive salt or alcohol intake
• Stress-related high blood pressure

How to use TELMA AM 40MG TABLET

Take one tablet daily with or without food, as directed by your doctor. Do not exceed the prescribed dose.

Dosage Guidelines of Telma AM 40 mg:

• Always follow your doctor’s prescription for the correct dosage
• For adults: Adults: one tablet Telma AM 40mg once daily
• Elderly patients: Dosage may be adjusted based on health conditions
• Patients with kidney or liver issues: Lower doses or close monitoring may be required

Administration instructions for Telma AM 40mg Tablet:

• Swallow whole with a glass of water. Do not crush, chew, or break the tablet
• Take once daily, preferably at the same time each day for consistent blood pressure control
• Telma AM can be taken with or without food

Best time to take Telma AM 40mg:

• It is usually taken in the morning to maintain stable blood pressure throughout the day
• If prescribed at night, follow your doctor’s advice

How long should you take Telma AM 40mg – Short term Vs Long term

Short term use:

• In rare cases, doctors may prescribe Telma AM 40mg for temporary blood pressure management (e.g., after surgery or sudden hypertension episodes)
• If the underlying cause is reversible (like stress-related hypertension), the doctor may gradually stop the medication

Long term use (most common):

• Hypertension and heart disease are chronic conditions, meaning lifelong medication may be required to reduce complications like stroke or heart attack
• If blood pressure stabilizes over time with lifestyle changes, the doctor may adjust or taper the dosage

Doctor recommendations:

• For Chronic hypertension: Take lifelong, unless lifestyle changes lead to natural BP control
• For mild cases: Regular BP monitoring may help decide if dosage can be reduced over time
• For High-Risk Patients (Diabetes, Heart Disease): Long-term use is highly recommended to reduce cardiovascular complications.

Should I drink more water while taking Telma AM?

• Drink 6-8 glasses (1.5 to 2 liters) of water per day unless your doctor advises otherwise
• It helps to reduce dehydration, which can cause dizziness and low blood pressure when taking Telma AM 40
• Also supports kidney function and helps flush out excess sodium
• Avoid excessive water intake if you have kidney disease, swelling (edema) or heart failure

What if I forgot to take TELMA AM 40MG TABLET

What happens if you miss a dose?

• Occasionally missing one dose may not cause severe issues, but frequent missed doses can lead to uncontrolled blood pressure, increasing the risk of stroke, heart attack, or kidney problems
• Take the missed dose as soon as possible.
• If it is close to your next scheduled dose, skip the missed dose and take the next one at the usual time
• Do not take two doses together to make up for the missed one

Overdose

Overdose symptoms are extreme dizziness, weakness, fatigue, nausea & vomiting, confusion and excessive sweating. Consult your doctor or visit nearby hospital.

Side Effects Of TELMA AM 40MG TABLET

The possible common side effects are:

• dizziness
• swelling in ankles or feet
• headache
• fatigue

When to consult a doctor?

• severe decrease in low blood pressure
• swelling of body parts and unexplained weight gain
• chest pain
• high blood potassium levels

Common vs. Serious side effects of Telma AM"

How To Manage Side Effects

Swelling in ankles or feet:

• Massage gently as it stimulates circulation and reduces fluid retention
• Limit salt intake because too much salt leads to water retention
• Always stay active as walking or light exercise improves circulation

Warning & Precautions

Pregnancy

Contraindicated

There are limited studies for Telma AM 40, but ARBs (like telmisartan) are linked to birth defects, kidney failure, and fetal defect especially in the 2nd and 3rd trimester. Telma AM is not safe during pregnancy hence it has come under category D - high risk. This should be discontinued immediately if pregnancy is detected.

Breastfeeding

Contraindicated

There is no well-controlled studies, but due to potential hypotension (low BP) and kidney effects, Telma AM 40 use is not recommended while breastfeeding.

Driving and Using Machines

Use with Caution

Do not drive or handle heavy tools or machines if your ability is affected by Telma AM 40 mg.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking Telma AM 40 as it could make your dizzier.

Kidney

Use with Caution

Telma AM 40 should be used with caution in patients having kidney problems.

Liver

Use with Caution

Telma AM 40 should be used with caution in patients having liver problems.

Allergy

Contraindicated

Do not take Telma AM 40 if you are allergic to Amlodipine or Telmisartan or any other ingredients of this medicine.

Heart Disease

Consult your doctor

Telma AM 40 should not be used in patients with severely decreased blood pressure. It should be used with caution in patients suffering from other heart problems such as heart attack, severe hypertensive crisis.

Use In Pediatrics

Consult your doctor

It is not known whether the combination of Amlodipine and Telmisartan is safe for use in children aged below 18 years. Consult your doctor for advice.

Use In Geriatrics

Use with Caution

Telma AM 40 should be used with caution in elderly patients (aged 65 years or more), especially if suffering from kidney problems.

Other Warnings for TELMA AM 40MG TABLET

Inform your doctor if you,

• have diabetes
• have edema (swelling of hands and legs)
• have high potassium levels in blood
• are on low-sodium diet
• are dehydrated due to vomiting, diarrhea or high fever

Safety Advice

• Telma AM 40 is not safe during pregnancy as Telmisartan can cause serious birth defects and fetal kidney damage
• Telma AM is not recommended for breastfeeding as it may pass into breast milk and harm the baby
• Avoid alcohol intake as it may increase dizziness, drowsiness, and lowers BP excessively
• Take Low-Salt diet because too much salt can reduce the effect of the medicine
• Individuals with Kidney disease should be used with caution
• It is not recommended for patients with Liver Disease as liver metabolism may be affected, increasing the risk of side effects
• Check your BP Regularly
• Do not stop this medicine suddenly as it can cause a dangerous BP spike or heart problems

Diet and Lifestyle Advice

Foods to Avoid (High-sodium & Processed foods)

• High-sodium foods – chips, instant noodles, packaged soups, burgers, fries, pizza, processed meats, soy sauce, ketchup, bottled dressings, cheese and butter
• Potassium-rich foods – bananas, oranges, potatoes, spinach, and coconut water
• Caffeine - coffee, energy drinks, strong tea

Heart-Healthy alternatives (DASH Diet)

The DASH (Dietary Approaches to Stop Hypertension) Diet is ideal for those taking Telma AM. It includes:

• Low-Sodium Foods - home-cooked meals (use less salt), apples, berries, carrots, cucumbers, herbs & spices instead of salt (turmeric, basil, garlic, lemon)
• Lean Proteins - fish (salmon, tuna), chicken, turkey (grilled/baked), lentils, beans, tofu, chickpeas
• Whole Grains & Fiber - brown rice, quinoa, oats, whole wheat bread, almonds, walnuts, flaxseeds
• Healthy Fats - olive oil, avocado, nuts, and seeds, fat-free or low-fat dairy (milk, yogurt)

Can I exercise while taking Telma AM?

1. Recommended workouts for Hypertension patients:

• Low-impact cardio: Brisk walking (30 minutes), Cycling, Swimming and Stretching
• Strength training
• Light resistance training
• Low-weight dumbbells
• Tai chi & meditation
• Breathing exercises

2. Safety tips to avoid dizziness & fatigue

• Warm up & cool down
• Start slow & increase gradually
• Stay hydrated
• Avoid high-intensity workouts
• Monitor your Blood pressure before & after exercise
• Exercise at the right time

Telma AM and alcohol: Is It safe?

1. Why are alcohol and Telma AM a risky combination:

• It may cause excessive blood pressure drop (hypotension)
• Alcohol may increase drowsiness and fatigue
• Higher risk of heart & kidney issues

2. Alternative relaxation tips without alcohol:

• Herbal teas (chamomile, green tea, lavender)
• Deep breathing & meditation
• Light exercise (walking)
• Music & aromatherapy
• Dark chocolate (in moderation)

Telmisartan & Amlodipine Combination benefits:

• It has more effective BP control - works on two different mechanisms to lower blood pressure better than a single drug
• Lower risk of stroke & heart attack - reduces strain on the heart, protecting against cardiovascular diseases
• Fewer side effects - Amlodipine reduces sudden BP drops caused by Telmisartan alone
• Kidney protection - Telmisartan helps to reduce kidney damage, especially in diabetic patients
• Reduces swelling (edema) - Telmisartan counteracts the leg swelling side effect of Amlodipine

Drug - Drug interaction

Telma AM and other medications: Safe combinations?

1. Painkillers (NSAIDs and Analgesics):

2. Diabetes Medications:

3. Other Blood pressure medications:

4. Other medications to be cautious with:

Drug - Food interaction

Telma AM 40mg and Grapefruit juice:

1. Increases amlodipine levels:

• Grapefruit juice blocks liver enzymes (CYP3A4) that break down Amlodipine
• This raises Amlodipine levels in the blood, leading to stronger effects & side effects

2. Can cause excessive blood pressure drop (hypotension):

• Too much Amlodipine relaxes blood vessels too much, leading to dizziness, lightheadedness, fainting

3. May worsen swelling (Edema)

• Increased amlodipine levels can cause more ankle and foot swelling

Synopsis

More Information

Comparison & Alternative Medications

Telmikind AM 40mg Tablet 10'S

Tazloc AM 40mg Tablet 10'S

Stamlo T Tablet 10'S

Tellzy AM 40mg Tablet 15'S

Telsartan AM 40mg Tablet 10'S

High Risk Group - Why It is risky?

FAQs About TELMA AM 40MG TABLET

Q: What is Telma AM 40 mg Tablet used for?

A: Telma AM 40 mg Tablet is used in the management of hypertension.

Q: Can I take Telma AM if I have kidney disease?

A: It should be used with caution. Telma AM (telmisartan + amlodipine) can affect kidney function, so its use in patients with kidney disease must be carefully monitored by a doctor.

Q: How does Telma AM compare to Amlodipine 5mg?

A: Telma AM have dual action which relaxes blood vessels & reduces fluid retention. Amlodipine 5mg have single action relaxes blood vessels to lower BP.

Q: Can I take Telma AM 40mg if I am pregnant?

A: No, Telma AM 40 is not recommended during pregnancy. Consult your doctor for advice.

Q: Can I stop taking Telma AM 40mg suddenly?

A: No, stopping suddenly may cause a spike in blood pressure. Consult your doctor before discontinue Telma AM 40.

Q: Can Telma AM cause weight gain?

A: No, Telma AM (Telmisartan + Amlodipine) does not directly cause weight gain, but it may lead to fluid retention (swelling) in some patients, which can appear as weight gain.

Q: How quickly does Telma AM lower BP?

A: Telma AM starts working within a few hours, but its full effect develops over 2 to 4 weeks of regular use.

Q: Does Telma AM make you feel sleepy?

A: Telma AM can cause mild drowsiness or fatigue in some people, but it is not a common side effect.

Q: Where to buy Telma AM online at the best price?

A: You can purchase Telma AM 40mg Tablet (15's) online from Netmeds a reputed online pharmacy

Q: What precautions should be followed while taking Telma AM 40mg?

A: Before taking Telma AM 40mg inform your doctor if you have any heart, liver or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure volume or are severely dehydrated. Stop taking Telma AM 40mg and consult your doctor immediately if you become pregnant. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.

Q: How does Telma AM 40mg work?

A: Telma AM 40mg is a combination of Telmisartan (40mg) and Amlodipine (5mg), which work together to lower blood pressure by relaxing blood vessels and improving blood flow.

Q: Is Telma AM 40mg a diuretic?

A: No, Telma AM 40mg is not a diuretic. It does not work by increasing urine output. Instead, it is a combination of an Angiotensin Receptor Blocker (ARB) and a Calcium Channel Blocker (CCB) that relaxes blood vessels to lower blood pressure.

Q: How long does it take for Telma AM 40mg to start working?

A: Telma AM 40mg starts working within a few hours, but its full effect develops over 2 to 4 weeks with regular use.

Q: Can I consume alcohol while taking Telma AM 40mg?

A: Avoid consumption of alcohol while taking Telma AM 40mg as it might make you feel dizzier and drowsier.

Q: Is Telma AM 40 mg safe to use in diabetic patients?

A: Telma AM 40 mg may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before taking the medicine.

Q: What are the side effects of Telma AM 40 mg?

A: The most common side effects of taking Telma AM 40 mg are dizziness, swelling in ankles or feet, headache or fatigue.

Q: Can the use of Telma AM 40 mg affect the liver?

A: Yes. Telma AM 40 mg may affect the way your liver work. It can elevate the levels of certain liver enzymes in your body. Therefore, it is strictly not recommended for use in patients with severe liver diseases. It should be used with caution in patients with other minor liver problems. Consult your doctor before taking the medicine.

Q: Can I take Telma AM 40mg with ibuprofen?

A: Caution is advised when taking Telma AM 40mg with Ibuprofen or other NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) like Aspirin, Naproxen, or Diclofenac.

References

1. KD. Tripathi. Essentials of Medical Pharmacology. Cardiovascular Drugs. Anti-anginal and Anti-ischemic Drugs. Drugs Affecting Renin-Angiotensin system. 8th Edition. Page-595 & 537.

2. Efficacy of Combination Therapy with Telmisartan Plus Amlodipine in Patients with Poorly Controlled Hypertension. NIH. National Library of Medicine. National Center for biotechnology Information. PMC. PubMed Central. September-October 2010. [Accessed on 11, February 2025]

3. Amlodipine 5 and 10mg Tablet. Dr. Reddy’s Laboratories (UK) Ltd. EMC. UK. [Revised in February 2024]. [Accessed on 11, February 2025]

4. Telmisartan 20, 40 and 80mg. Glenmark-film coated tablet. EMC. UK. [Revised in February 2024]. [Accessed on 11, February 2025]

5. Telmisartan / Amlodipine Tablets. PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION. [Revised in October 2023]. [Accessed on 11, February 2025]

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Author Details

Written By Dr. Janet.C - Pharm.D

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 13 Feb 2025 | 10:10 AM(IST)