Amlodipine + Hydrochlorothiazide + Telmisartan
ANTIHYPERTENSIVEUses of Amlodipine + Hydrochlorothiazide + Telmisartan
- Amlodipine + Hydrochlorothiazide + Telmisartan combines three anti-hypertensive medicines, which are prescribed for managing blood pressure when single salt medicines don’t work.
- It also indirectly helps in lowering the risk and morbidity of heart attacks and strokes for individuals at risk.
Side effects of Amlodipine + Hydrochlorothiazide + Telmisartan
- Fatigue
- Influenza-like symptoms
- Dizziness
- Nausea
- Diarrhoea
- Sinusitis
- Upper respiratory tract infection
How Amlodipine + Hydrochlorothiazide + Telmisartan works
- Amlodipine belongs to the calcium channel blockers. It inhibits the inflow of calcium ions into vascular smooth muscle and cardiac muscle. The contractile activities of cardiac and vascular smooth muscle cells rely on the movement of extracellular calcium ions through specific ion channels. Amlodipine's mechanism involves disrupting this process, helping regulate the contraction of these muscles.
- Hydrochlorothiazide directly hinders the sodium chloride cotransporter situated on the apical membrane cells of the distal convoluted tubules in the kidney. The distal convoluted tubule, responsible for reabsorbing around 5% to 10% of kidney sodium, has its sodium resorption impeded by this inhibition. Consequently, sodium concentration increases in the collecting ducts. Hydrochlorothiazide achieves this by curtailing sodium-potassium ATPase pump activity on the basolateral surface, hindering sodium movement across the tubular lumen and preventing sodium and water influx into the interstitial space.
- Telmisartan is part of a medication class known as angiotensin II receptor antagonists. It works by blocking the effects of angiotensin II, particularly in tissues like blood vessels and the adrenal gland. This helps prevent blood vessel constriction and the release of aldosterone, leading to various positive effects on the cardiovascular system.
Certified content
Written By
Amit SharmaClinical Health & Medical Writer| 3 years
B. Pharm
Reviewed By
Amatul Ameen Clinical Health & Medical Writer| 13 years
B. Pharm, MSc.
Expert Advice
Dosage Forms Available
- Amlodipine + Hydrochlorothiazide + Telmisartan is available for use via the oral route (tablets).
Age and Dose Restrictions
- This combination is meant for adults and children above 18 years of age.
Contraindications
- Amlodipine + Hydrochlorothiazide + Telmisartan is contraindicated in patients with known allergies to amlodipine, hydrochlorothiazide, telmisartan and who have heart, liver or kidney problems.
Other Medications To Avoid With This Medicine
- This combination could interact with medications used for mood disorders (lithium), heart disorders (digoxin), diabetes (metformin), erectile dysfunction (sildenafil), cholesterol reduction (simvastatin), ACE inhibitors (enalapril, lisinopril, ramipril), immunosuppression (cyclosporine), and other antihypertensive medications (aliskiren).
Use In Driving And Operating Machinery
- This combination may affect your ability to drive or operate heavy machinery. Avoid driving if you feel dizzy after taking this combination.
Overdose and Missed Dose
- Overdose of this combination can cause hypotension, dizziness and tachycardia, bradycardia. Inform your doctor regarding these effects and follow the advice accordingly.
- If you forget to take this combination, take it as soon as you remember. But avoid repeating the dose.
Use in Pregnancy and Lactation
- Amlodipine + Hydrochlorothiazide + Telmisartan is not recommended during pregnancy and while breastfeeding.
Special Dietary & Lifestyle Recommendation
- Avoid alcohol when you are taking Amlodipine + Hydrochlorothiazide + Telmisartan.
- Individuals managing hypertension and heart conditions should consider lifestyle changes, including dietary adjustments such as incorporating a low-sodium, low-carbohydrate, and low-fat diet alongside Amlodipine + Hydrochlorothiazide + Telmisartan.
- People with hypertension are continuously at risk of heart attacks and strokes. It is crucial to establish a routine for monitoring blood pressure, either at home using a digital blood pressure monitoring device or through regular visits to the doctor.
- Proper education on recognising the signs and symptoms of heart attacks and strokes is essential. This knowledge can lead to quicker interventions, minimising complications and ultimately promoting a faster and more complete recovery.
Frequently asked questions
1. How much time does Amlodipine + Hydrochlorothiazide + Telmisartan take to work?
This combination works within a few minutes to a few hours after it is taken.
2. What warnings and precautions should I take while taking Amlodipine + Hydrochlorothiazide + Telmisartan?
Exercise caution if you are allergic this combination and have a history of heart, liver or kidney problems.
3. Can I stop taking Amlodipine + Hydrochlorothiazide + Telmisartan if I feel healthy?
Do not stop taking this combination without consulting your doctor, even if you feel healthy.
4. Is Amlodipine + Hydrochlorothiazide + Telmisartan safe for patients with kidney or liver issues?
Consult your doctor before taking this combination if you have kidney or liver issues to ensure its safety and proper dosage.
Amlodipine + Hydrochlorothiazide + Telmisartan in other salts
AMLODIPINEAMLODIPINE + METOPROLOLAMLODIPINE + OLMESARTAN MEDOXOMILAMLODIPINE + TELMISARTANCILNIDIPINE + TELMISARTANS-AMLODIPINEHYDROCHLOROTHIAZIDE + TELMISARTANMETOPROLOL SUCCINATE + TELMISARTANHYDROCHLOROTHIAZIDE + LOSARTANHYDROCHLOROTHIAZIDE + OLMESARTAN MEDOXOMILAMLODIPINE + ATENOLOLCHLORTHALIDONE + TELMISARTANTELMISARTANAMLODIPINE + RAMIPRILHYDROCHLOROTHIAZIDE + RAMIPRILAMLODIPINE + ENALAPRILAMLODIPINE + METOPROLOL SUCCINATEAMLODIPINE + VALSARTANBISOPROLOL + TELMISARTANAMLODIPINE + ATORVASTATINAMLODIPINE + LISINOPRILAMLODIPINE + LOSARTANHYDROCHLOROTHIAZIDE + QUINAPRILAMLODIPINE + HYDROCHLOROTHIAZIDEAMILORIDE + HYDROCHLOROTHIAZIDEAMLODIPINE + INDAPAMIDEAMLODIPINE + CHLORTHALIDONEAMLODIPINE + HYDROCHLOROTHIAZIDE + LOSARTANAMLODIPINE + NEBIVOLOL NEBIVOLOL + S-AMLODIPINEAMLODIPINE + PERINDOPRILATENOLOL + S-AMLODIPINEHYDROCHLOROTHIAZIDERAMIPRIL + TELMISARTANCILNIDIPINE + METOPROLOL SUCCINATE + TELMISARTANATORVASTATIN + S-AMLODIPINELOSARTAN + S-AMLODIPINES-AMLODIPINE + TELMISARTANHYDROCHLOROTHIAZIDE + S-AMLODIPINERAMIPRIL + S-AMLODIPINEATENOLOL + HYDROCHLOROTHIAZIDEHYDROCHLOROTHIAZIDE + METOPROLOL SUCCINATEBENIDIPINE + TELMISARTANBENIDIPINE + CHLORTHALIDONE + TELMISARTANBISOPROLOL + HYDROCHLOROTHIAZIDEHYDROCHLOROTHIAZIDE + METOPROLOLAMLODIPINE + BISOPROLOLCHLORTHALIDONE + CILNIDIPINE + TELMISARTANHYDROCHLOROTHIAZIDE + VALSARTANHYDROCHLOROTHIAZIDE + IRBESARTANHYDROCHLOROTHIAZIDE + LOSARTAN + RAMIPRILENALAPRIL + HYDROCHLOROTHIAZIDEAMLODIPINE + CHLORTHALIDONE + TELMISARTANHYDROCHLOROTHIAZIDE + NEBIVOLOLS-AMLODIPINE + S-METOPROLOLAMLODIPINE + HYDROCHLOROTHIAZIDE + OLMESARTAN MEDOXOMILHYDROCHLOROTHIAZIDE + LISINOPRILATENOLOL + HYDROCHLOROTHIAZIDE + LOSARTANCHLORTHALIDONE + METOPROLOL SUCCINATE + TELMISARTANS-METOPROLOL + TELMISARTANNEBIVOLOL + TELMISARTANAMLODIPINE + CHLORTHALIDONE + OLMESARTAN MEDOXOMILHYDROCHLOROTHIAZIDE + RAMIPRIL + TELMISARTANROSUVASTATIN + TELMISARTANAZELNIDIPINE + TELMISARTANEFONIDIPINE + TELMISARTANCILNIDIPINE + METOPROLOL + TELMISARTAN
Available medicines for AMLODIPINE + HYDROCHLOROTHIAZIDE + TELMISARTAN
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