Telwel-A Tablet contains two medicines, both of which help to control high blood pressure. It lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body. This will reduce your risk of having a heart attack or a stroke.
Telwel-A Tablet may be taken on an empty stomach or along with food. However, it is better to take it regularly at a fixed time each day, as prescribed by your doctor. The dose will depend on your condition and how you respond to the medicine. It’s important to keep taking this medicine even if you feel well. By lowering your blood pressure, it is reducing your risk of heart attack or stroke so do not stop taking it unless your doctor tells you to. You can help this medication work better by making a few changes to your lifestyle such as keeping active, stopping smoking, and eating a low salt and low-fat diet.
The most common side effects of this medicine include swelling in your ankles or feet (edema), headache, sleepiness, dizziness, tiredness, and upset stomach. Since it may cause sleepiness and dizziness, do not drive or do anything requiring concentration until you know how it affects you. Talk to your doctor if any of the side effects bother you or will not go away.
Before taking this medicine, let your doctor know if you have any kidney or liver problems or severe dehydration. Pregnant or breastfeeding women should also consult their doctor before taking it. While using this medicine, your blood pressure will need to be checked often and your kidney function may also need to be tested.
In Treatment of Hypertension (high blood pressure)
Both of the medicines in this combination work to lower blood pressure but in different ways. Together they help to relax blood vessels and make it easier for your heart to pump blood around your body. This lowers blood pressure. If your blood pressure is controlled you are less at risk of having a heart attack, stroke, or kidney problems. The medicine must be taken regularly as prescribed to be effective. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well.
Side effects of Telwel-A 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 Telwel-A
Sleepiness
Ankle swelling
Headache
Dizziness
Tiredness
Upset stomach
Peripheral edema
Sudden decrease in blood pressure
How to use Telwel-A 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. Telwel-A Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Telwel-A Tablet works
Telwel-A Tablet is a combination of two medicines: Telmisartan and Amlodipine. Telmisartan is an angiotensin receptor blocker (ARB) and Amlodipine is a calcium channel blocker (CCB). They work by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body. Together, they lower blood pressure effectively.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Telwel-A Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Telwel-A 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
SAFE IF PRESCRIBED
Telwel-A Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Telwel-A Tablet may cause side effects which could affect your ability to drive. It may cause dizziness, headaches, nausea or tiredness, all of which could affect your ability to concentrate and drive.
Kidney
SAFE IF PRESCRIBED
Telwel-A Tablet is safe to use in patients with kidney disease. No dose adjustment of Telwel-A Tablet is recommended.
Liver
CAUTION
Telwel-A Tablet should be used with caution in patients with liver disease. Dose adjustment of Telwel-A Tablet may be needed. Please consult your doctor.
What if you forget to take Telwel-A Tablet?
If you miss a dose of Telwel-A Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly.
Blood preasure patients has to be investigated completely, there body prakriti etc, its better you consult ayurveda personaly, restriuct salt intake is very important
Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.
Q. What should I avoid while taking Telwel-A Tablet?
You should avoid potassium supplements or salt substitutes, unless advised by your doctor. Also, avoid alcohol consumption as doing so can further lower your blood pressure and may cause some side effects. In addition to that, avoid getting dehydrated, drink enough fluids during exercise and in hot weather. The medicine may make you dizzy so avoid driving, using machinery or doing anything that needs concentration unless you know how this medicine affects you. If you feel dizzy, lie down so you do not faint. Then sit for a few moments before standing to prevent feeling dizzy again.
Q. What happens if I take too much of Telwel-A Tablet?
If you accidentally take too much of Telwel-A Tablet, you may experience symptoms such as low blood pressure, dizziness, lightheadedness, weakness, vomiting and rapid heartbeat. However, in some cases slow heartbeat, reduced kidney function including kidney failure (e.g., reduced urine output) have also been reported. If you experience any of such symptoms contact your doctor immediately and seek medical help.
Q. Can I come off Telwel-A Tablet when my blood pressure is under control or normal?
Even if your blood pressure is successfully lowered by this medicine, it is advised to continue your medication. If you stop taking Telwel-A Tablet, your blood pressure could rise back up again. Blood pressure lowering medicines only help to control your condition but do not cure it. You will probably need to take them for the rest of your life. Remember, by keeping your blood pressure controlled you are reducing your risk of having a heart attack or stroke.
Q. What happens if I forget to take Telwel-A Tablet?
If you forget to take a dose, take it as soon as you remember. However, if it is close to the time of your next dose, skip the missed one and take the next scheduled dose. Do not take a double dose to make up for the one you missed. If you often forget doses, it may help to set an alarm to remind you. If not sure then you can consult your doctor for other ways to help you remember.
Q. What will happen if I stop taking Telwel-A Tablet?
You should not stop taking Telwel-A Tablet without talking to your doctor first. If you do stop taking it, your blood pressure may rise and you may put yourself at greater risk of having a heart attack or a stroke. If you experience side effects, such as dizziness, nausea, diarrhea, etc., talk to your doctor.
Q. Is it safe to take Telwel-A Tablet for a long time?
Telwel-A Tablet is generally safe to take for a long time. Remember to follow your doctor's advice/instructions.
Q. How long will I be taking Telwel-A Tablet for?
You may have to take Telwel-A Tablet for a long-term or even lifelong. The medicine only keeps your blood pressure under control for as long as you are taking it. Therefore, it is advised to continue your medication and follow your doctor's advice.
Q. What if Telwel-A Tablet doesn’t make me feel any better?
High blood pressure does not usually have any symptoms, so you may not feel ill if there is any change in the blood pressure. Therefore, this medicine may not make you feel “better”. This does not mean that you can stop the medicine as they are working in the background to reduce your risk of serious illness.
Q. Can Telwel-A Tablet affect my fertility or sex life?
Telwel-A Tablet may very rarely lead to erectile dysfunction (inability to gain or maintain an erection). Consult your doctor if you are worried or notice some changes. However, untreated hypertension (high blood pressure) itself can lead to erectile dysfunction, therefore it is important that you take your medicine regularly and keep track of your blood pressure.
Q. What other lifestyle changes should I make while taking Telwel-A Tablet?
Lifestyle changes play a major role in keeping you healthy if you are taking Telwel-A Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Telwel-A Tablet and to keep yourself healthy.
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References
European Medicines Agency. Telmisartan + amlodipine. [Accessed 10 Apr. 2019] (online) Available from:
Telmisartan and amlodipine [Summary of Product Characteristics]. Ingelheim am Rhein, Germany: Boehringer Ingelheim Pharma GmbH & Co. KG. [Accessed 28th Sept. 2023] (online) Available from:
Telmisartan and Amlodipine Tablets [Patient Information]. Goa, India: Lupin Limited; 2018. [Accessed 28th Sept. 2023] (online) Available from:
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