Extel 40 Tablet is a medicine used to treat high blood pressure and heart failure. Lowering blood pressure helps to prevent future heart attacks and strokes. This medicine is also effective in preserving kidney function in patients with diabetes.

Extel 40 Tablet can be prescribed either alone or in combination with other medicines. It may be taken with or without food during the day or at night. However, try to take it at the same time each day to get the most benefit. It is important to continue taking it regularly even if you feel well or if your blood pressure is controlled. Most people with high blood pressure do not feel ill, but if you stop taking this medicine, your condition could get worse. This is a widely used medicine and is considered safe for long-term use.

Making some changes in your lifestyle will also help lower your blood pressure. These may include regular exercise, losing weight, smoking cessation, reducing alcohol intake, and reducing the amount of salt in your diet as advised by your doctor.

This medicine is tolerated well by most patients and has few side effects. However, it may cause hypotension (low blood pressure) in some people. Let your doctor know if you experience any of these side effects. They may be able to help by reducing the dosage or by prescribing you an alternate medicine.

Before taking this medicine, let your doctor know if you have any kidney or liver problems. Pregnant or breastfeeding mothers should also consult their doctor before taking it. Your doctor may check your kidney function, blood pressure, and potassium levels in your blood at regular intervals while you are taking this medicine.

Uses of Extel Tablet

Hypertension (high blood pressure)
Heart failure
Prevention of heart attack and stroke

Side effects of Extel Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Extel

Upper respiratory tract infection
Back pain
Diarrhea
Intermittent claudication
Sinus inflammation
Skin ulcer

How to use Extel Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Extel 40 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Extel Tablet works

Extel 40 Tablet is an angiotensin receptor blocker (ARB). It relaxes blood vessels by blocking the action of a chemical that usually makes blood vessels tighter. This lowers the blood pressure, allowing the blood to flow more smoothly to different organs and the heart to pump more efficiently.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Extel 40 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Extel 40 Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Information regarding the use of Extel 40 Tablet during breastfeeding is not available. Please consult your doctor.

Driving

UNSAFE

Extel 40 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Extel 40 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Extel 40 Tablet may be needed. Please consult your doctor.
However, inform your doctor if you have an underlying kidney disease. Regular monitoring of blood pressure, creatinine, and potassium levels may be advised while you are taking this medicine.

Liver

CAUTION

Extel 40 Tablet should be used with caution in patients with liver disease. Dose adjustment of Extel 40 Tablet may be needed. Please consult your doctor.
Use of Extel 40 Tablet is not recommended in patients with severe liver disease.

What if you forget to take Extel Tablet?

If you miss a dose of Extel 40 Tablet, skip it and continue with your normal schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Extel 40 Tablet

₹6.27/Tablet

Telmavas 40 Tablet

Biochem Pharmaceutical Industries

₹5.9/tablet

6% cheaper

Telgard 40 Tablet

Cipla Ltd

₹5.9/tablet

6% cheaper

Telkonol 40mg Tablet

Knoll Pharmaceuticals Ltd

₹5.89/tablet

6% cheaper

Telma 40 Tablet

Glenmark Pharmaceuticals Ltd

₹7.3/tablet

16% costlier

Telmikind 40 Tablet

Mankind Pharma Ltd

₹4.1/tablet

35% cheaper

View all substitutes

Quick tips

Take it at the same time each day to maintain stable blood pressure levels.
Drink plenty of water to stay hydrated while on this medication.
Regularly check your blood pressure to ensure the medication is working effectively.
Limit alcohol intake as it can lower blood pressure and increase side effects.
Do not stop taking Extel 40 Tablet suddenly without consulting your doctor, as this can worsen your condition.
Extel 40 Tablet can make you feel dizzy for the first few days. Rise slowly if you have been sitting or lying down for a long time.
Incorporate a healthy diet and regular exercise to enhance the effectiveness of the medication.

Fact Box

Chemical Class

Benzimidazole derivative

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Angiotensin Receptor Blockers (ARBs)

Interaction with drugs

Taking Extel with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Eplerenone (Oral Route) Severe

Concurrent use may cause high blood potassium levels. If concurrent use is essential, watch out for symptoms such as muscle weakness, fatigue, cramps, nausea, vomiting, tingling, ... More

Spironolactone (Oral Route) Severe

Concurrent use may increase the risk of high blood potassium levels, which may be fatal for individuals with diabetes and kidney impairment. If concurrent use is essential, watch ... More

Co-trimoxazole (Oral Route) Severe

Concurrent use may cause high blood potassium levels and/or kidney impairment. Do not consume Telmisartan with Co-trimoxazole. If concurrent use is essential, please consult your ... More

Amiloride (Oral Route) Severe

Concurrent use may cause high blood potassium levels. Do not consume Telmisartan with Amiloride if you have kidney disorders. If concurrent use is essential, your doctor may monit... More

Triamterene (Oral Route) Severe

Concurrent use may cause high blood potassium levels. Do not consume Telmisartan with Triamterene if you have kidney disorders. If concurrent use is essential, your doctor may mon... More

View all drug interactions

Patient concerns

Fast symbol of heart attack and stroke

Dr. Nabajit Talukdar

Cardiology

risk factors undue fatigue chest pain etc

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Diabetes with heart paining and high BLood pressure

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It is not good control. A person can control his or her sugar levels by doing regular exercise and walk or regular aerobic exercises at least 30 to 45 minutes per day.MEDICAL NUTRITIONAL THERAPY THAT IS TO MAINTAIN CALORIES INTAKE AS PER BMI .TAKE HELP OF DIABETIC EDUCATOR. VISIT YOUR DOCTOR AND FOLLOW ALL WHAT DOCTOR SUGGESTED.IN TIME ALL ROUTINE INVESTIGATIONS SHOULD BE DONE.you should not treat it as disease but a start of a healthy life.Uncontrolled sugar levels for long time leads to lower limb weakness which is neuropathy and which is followed by foot ulcers and other complications like kidney or heart problems .online prescription is not allowed without seeing pt.so contact doctor nearby for any change or dose adjustment or visit my clinic at gurgaon sector 52 RdCity snergy multi speciality clinic near SRS MARKET

FAQs

Should Extel 40 Tablet be taken in the morning or at night?

Extel 40 Tablet is generally recommended to be taken once daily, either in the morning or in the evening. Consider taking it at the same time each day as it will help you to remember taking it.

How long does it take for Extel 40 Tablet to work?

You may see an improvement within a few days. But, the maximum benefit can be seen within 4-8 weeks of starting treatment.

My blood pressure is now controlled. Can I stop taking Extel 40 Tablet now?

No, do not stop taking Extel 40 Tablet without consulting your doctor even if your blood pressure is controlled. Stopping it suddenly may increase your blood pressure which could be detrimental for you. Extel 40 Tablet does not cure high blood pressure but controls it. So, you may have to take the medicine lifelong. Talk to your doctor if you have any concerns.

If I have some kidney problem, can I take Extel 40 Tablet? Can it further deteriorate my kidney function?

You can take Extel 40 Tablet if it has been advised by your doctor. Your doctor may ask you to get regular tests done (potassium and creatinine levels) in order to monitor your kidney function. Extel 40 Tablet may cause worsening of kidney function, therefore you should contact your doctor in case you notice swelling in your feet, ankles, or hands or unexplained weight gain.

I am overweight and the doctor has prescribed me Extel 40 Tablet for blood pressure control. I am bothered that Extel 40 Tablet can increase my weight. Is it true?

No, do not worry since Extel 40 Tablet is not known to cause weight gain. In fact in animal studies Extel 40 Tablet has been found to decrease fat tissue.

Does Extel 40 Tablet affect blood glucose levels in diabetics?

Extel 40 Tablet may lower blood glucose levels in patients with diabetes. Therefore, it is essential to keep a regular track of your blood glucose levels. Talk to your doctor if you are a diabetic because the dose of insulin or antidiabetic medicines may need adjustment.

Can the use of Extel 40 Tablet cause hyperkalemia (increased potassium level in blood)?

Yes, Extel 40 Tablet can cause hyperkalemia (increased potassium level in blood). A regular monitoring of blood potassium levels may be advised by your doctor while taking this medicine.

Does Extel 40 Tablet work by causing excessive urination?

No, Extel 40 Tablet does not cause excessive urination and does not belong to the diuretic class of medicines. Extel 40 Tablet works by relaxing the blood vessels by blocking the effect of a substance known as angiotensin II. This substance is responsible for increasing the blood pressure by narrowing down the blood vessels.

Do I need to follow any precautions if I take ibuprofen and Extel 40 Tablet together?

If you are taking ibuprofen and Extel 40 Tablet together, you should continuously keep a check on your blood pressure and kidney function. Extel 40 Tablet may enhance the side effects of ibuprofen which may further cause water retention, especially in patients taking Extel 40 Tablet for heart failure. Ibuprofen may interfere with the working of Extel 40 Tablet and decrease its efficiency at lowering blood pressure.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Pfeffer MA, Opie LH. Inhibitors of the Renin-Angiotensin-Aldosterone System. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 157.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1322-23.
Telmisartan. Bracknell, Berkshire: Boehringer Ingelheim Limited; 1998 [revised Nov. 2017]. [Accessed 20 Mar. 2019] (online) Available from:
Telmisartan. Ingelheim, Germany: Boehringer Ingelheim Pharma KG; 1998. [Accessed 20 Mar. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 19 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:
Telmisartan [Package Insert]. Gangtok, Sikkim: Torrent Pharmaceuticals Ldt.; 2022. [Accessed 01 Aug. 2023]. (online) Available from:

Marketer details

Name: Hetero Drugs Ltd

Address: 7-2-A2, Hetero Corporate, Industrial Estates, Sanath Nagar, Hyderabad – 500 018. Telangana, INDIA

Country of origin: India

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