Telvas 40 from Aristo Pharmaceuticals contains Telmisartan IP 40 mg. Among the ARBs, telmisartan has a quirk that explains a lot about how it behaves: it is the most lipophilic of the class, meaning it dissolves readily into fat rather than water. That lets it distribute deep into tissue and detach from its receptor only slowly, which is why its effect outlasts a 24-hour dosing interval when many alternatives have faded. In practice that means the tablet you take this morning is still holding your pressure down during tomorrow’s early-morning surge – the period when strokes and heart attacks cluster. It works by occupying the receptor angiotensin II needs in order to constrict a blood vessel. Strip of 15 tablets. Schedule H prescription medicine.

Key Features

• Telmisartan IP 40 mg tablet
• The most lipophilic ARB – distributes into tissue and detaches slowly
• Effect outlasts the 24-hour dosing interval
• No dry cough, unlike ACE inhibitors
• Strip of 15 tablets from Aristo Pharmaceuticals Pvt Ltd.

Composition

• Telmisartan IP – 40 mg per tablet

Composition as printed on the pack. Refer to the package insert for the complete list of excipients.

Uses & Benefits

• Lowers high blood pressure with once-daily dosing
• Still working through the early-morning pressure surge
• Reduces the long-term risk of stroke, heart attack and heart failure
• Protects the kidneys in diabetes with kidney involvement
• Free of the dry cough that limits ACE inhibitors
• Can be taken with or without food

Directions for Use

• Take one tablet once daily, exactly as prescribed, at the same time each day
• Swallow the tablet whole with water; may be taken with or without food
• Keep taking it even when you feel well – high blood pressure usually has no symptoms
• Do not take potassium supplements or potassium-based salt substitutes unless your doctor says so
• Do not stop or change the dose on your own; pressure rebounds when treatment stops

Precautions

• Stop immediately and contact your doctor if you become pregnant. The pack warns that telmisartan can cause injury and even death to the developing baby when used in the second and third trimesters
• Seek emergency care for swelling of the face, lips, tongue or throat, although this is rarer than with ACE inhibitors
• Blood tests for kidney function and potassium are done before and during treatment – potassium can rise
• Dizziness on standing is common early on, and worse if you are dehydrated or taking diuretics
• Tell your doctor about kidney disease, renal artery narrowing, liver disease, or if you take NSAIDs or lithium
• Do not combine with an ACE inhibitor or aliskiren unless a specialist directs it

Storage

• Store below 30°C, protected from light and moisture
• Keep tablets in the original blister until use
• Keep out of reach of children

Disclaimer

Schedule H prescription drug – not to be sold by retail without the prescription of a Registered Medical Practitioner. This information is for general awareness and is not a substitute for professional medical advice, diagnosis or treatment. Telmisartan must be stopped as soon as pregnancy is detected; blood pressure treatment must be reviewed regularly by your doctor.

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