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Hydrochlorothiazide + Ramipril + Telmisartan

Uses of Hydrochlorothiazide + Ramipril + Telmisartan

  • Hydrochlorothiazide + Ramipril + Telmisartan is primarily used to manage high blood pressure (hypertension) and belongs to a group of medicines, including diuretics, ACE inhibitors, and angiotensin receptor blockers.

  • This combination may also be prescribed in certain cases for the management of heart failure or to reduce the risk of cardiovascular events in patients who are at high risk.

Side effects of Hydrochlorothiazide + Ramipril + Telmisartan

  • Dizziness

  • Lightheadedness when standing up

  • Headache

  • Tiredness or weakness

  • Nausea or upset stomach

How Hydrochlorothiazide + Ramipril + Telmisartan works

  • Hydrochlorothiazide + Ramipril + Telmisartan is a comprehensive anti-hypertensive medication combination.

  • Hydrochlorothiazide is a type of diuretic known as a "water pill". It assists the kidneys in eliminating excessive salt and water from the body through urination, lowering blood volume and consequently reducing blood pressure.

  • Ramipril belongs to the angiotensin converting enzyme (ACE) inhibitors category. It operates by diminishing the production of angiotensin II, a hormone that causes blood vessels to constrict. Reduced levels of this hormone result in the relaxation and widening of blood vessels, improving blood flow and consequently lowering blood pressure.

  • Telmisartan is an angiotensin receptor blocker (ARB). It prevents angiotensin II from binding to receptors on blood vessels, enabling these vessels to remain relaxed and open, which also contributes to lowering blood pressure.

Certified content

Written By

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Dr. Michelle FrankMedical Content Writer| 8 Years

Doctor of Medicine

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 Years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Hydrochlorothiazide + Ramipril + Telmisartan is available in tablet form.

  • This medicine is taken orally.

Age and Dose Restrictions

  • This medicine is meant for adult patients only.

Contraindications

  • This medicine is contraindicated in patients who have a history of angioedema related to previous treatment with an ACE inhibitor.

  • It is also contraindicated for individuals with severe renal impairment or renal artery stenosis.

  • Patients with hyperkalemia (high potassium levels) should not take this medication.

Other Medications to Avoid

  • This combination may interact with other diuretics (such as furosemide), potassium supplements (including over-the-counter potassium pills), mood stabilizers (like lithium), and non-steroidal anti-inflammatory drugs (NSAIDs like ibuprofen).

Overdose and Missed Dose

  • An overdose of Hydrochlorothiazide + Ramipril + Telmisartan can lead to severe dehydration, electrolyte imbalances, and possibly kidney failure. Immediate medical attention is required in case of a suspected overdose.

  • If you miss a dose of this medicine, take it as soon as you remember unless it is close to your next dose. In that case, skip the missed dose and continue your regular schedule. Do not take two doses at one time.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience severe side effects or worsening symptoms, please consult your doctor.

  • If dizziness occurs, especially after standing up, try to rise slowly from sitting or lying positions.

  • Maintain adequate hydration, especially if you are experiencing diarrhea or excessive sweating.

Use in Driving and Operating Machinery

  • This medication may impair your ability to drive or operate heavy machinery. If you experience dizziness or fatigue while taking this medication, it is advisable to avoid these activities.

Use in Pregnancy and Lactation

  • It is not safe to use Hydrochlorothiazide + Ramipril + Telmisartan during pregnancy or while breastfeeding. There are risks of harm to the fetus or nursing infant.

  • Always consult your doctor before using this medication if you are pregnant or planning to become pregnant.

Caution in Other Conditions

  • Patients with kidney disease must be cautious, as Hydrochlorothiazide + Ramipril + Telmisartan can affect kidney function. Regular monitoring of kidney function might be required.

  • This medication should be used with caution in patients with liver disease as it can affect liver enzyme levels.

  • People who have diabetes should monitor their blood sugar levels closely as this medication may affect blood glucose control.

Special Dietary and Lifestyle Recommendations

To manage hypertension, which this medication addresses, consider making the following dietary and lifestyle changes:

  • Lowering your sodium intake can help control blood pressure.

  • Regular exercise such as walking, jogging, or cycling can help lower blood pressure.

  • Stress can raise blood pressure; techniques such as yoga or meditation might be beneficial.

Frequently asked questions

The combination of Hydrochlorothiazide + Ramipril + Telmisartan does not directly influence mood swings. However, as with any medication, individual responses can vary. If you experience any unexpected mood changes while taking this medication, please inform your doctor.

There is no direct link between Hydrochlorothiazide + Ramipril + Telmisartan and increased appetite. You should consult your doctor if you notice any significant change in your eating habits or weight.

Yes, it is generally safe to exercise while taking Hydrochlorothiazide + Ramipril + Telmisartan. Exercise is often recommended as part of a healthy lifestyle to manage hypertension. However, if you feel dizzy or lightheaded during workouts, you should immediately stop exercising and consult your doctor.

Hydrochlorothiazide + Ramipril + Telmisartan tablets may contain lactose. If you have been told by your doctor that you have an intolerance to certain sugars, please consult your doctor before starting this medication.

This combination is not known to directly affect the menstrual cycle. However, any concerns regarding changes to your menstrual cycle should be discussed with your doctor.

The half-life of a medicine is the time taken for the plasma concentration of a medicine to reduce to half its original value. The half-life of Hydrochlorothiazide, Ramipril, and Telmisartan varies but is generally within 24 hours. However, please consult your doctor or pharmacist for more accurate information.

While no specific food interactions have been reported with this combination, it's important to maintain a balanced diet and regular exercise in managing hypertension. If you have any concerns about diet and medication interactions, it's always best to consult with your doctor.

Terms & Conditions


Available medicines for HYDROCHLOROTHIAZIDE + RAMIPRIL + TELMISARTAN
Telipril-h 2.5/40/12.5 MG Tablet 10
Telipril-h 2.5/40/12.5 MG Tablet 10
Sun Pharma Laboratories Ltd.
Pack of 10 Units
₹69.64
MRP ₹84.93
18.00% OFF
Teram H 5/40/12.5 MG Tablet 10
Teram H 5/40/12.5 MG Tablet 10
Torrent Pharmaceuticals Ltd.
Pack of 10 Units
₹73.39
MRP ₹89.50
18.00% OFF
Ramtel H 5/40/12.5 MG Tablet 10
Ramtel H 5/40/12.5 MG Tablet 10
Abbott Healthcare Pvt. Ltd
Pack of 10 Units
₹80.32
MRP ₹97.95
18.00% OFF
Telipril-h 5/40/12.5 MG Tablet 10
Telipril-h 5/40/12.5 MG Tablet 10
Sun Pharma Laboratories Ltd.
Pack of 10 Units
₹68.72
MRP ₹83.81
18.00% OFF

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