Hydrochlorothiazide + Ramipril + Telmisartan

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.