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TELMA ACT 40/5/12.5 TABLET

Original price was: ₹217.00.Current price is: ₹184.45.

TELMA ACT 40 TABLET

Telmisartan 40mg + Amlodipine 5mg + Chlorthalidone 12.5mg

Glenmark Pharmaceuticals Ltd

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💊 TrioGuard HT: Metoprolol Succinate 50mg + Amlodipine 5mg + Telmisartan 40mg Tablet


📌 What Is It?

TrioGuard HT is a triple combination tablet containing:

  • Metoprolol Succinate 50mg (a beta-blocker),

  • Amlodipine 5mg (a calcium channel blocker), and

  • Telmisartan 40mg (an angiotensin II receptor blocker or ARB).

This fixed-dose combination is used for comprehensive management of hypertension and prevention of cardiovascular events. It is prescribed to patients with moderate to severe hypertension, particularly when dual-drug therapy has proven inadequate.


🔬 How It Works: Triple Mechanism of Action

Each component works differently to lower blood pressure and reduce cardiovascular risk:

  1. Metoprolol Succinate (50mg)Beta-1 Selective Beta-Blocker

    • Slows the heart rate and reduces the force of contraction.

    • Decreases cardiac output and lowers blood pressure.

    • Beneficial in patients with ischemic heart disease, arrhythmias, or post-heart attack.

  2. Amlodipine (5mg)Calcium Channel Blocker (CCB)

    • Relaxes arterial walls by blocking calcium entry into smooth muscles.

    • Lowers peripheral vascular resistance.

    • Effective for angina and patients with stiff arteries or elderly hypertension.

  3. Telmisartan (40mg)Angiotensin II Receptor Blocker (ARB)

    • Prevents angiotensin II from constricting blood vessels.

    • Reduces systemic vascular resistance.

    • Offers kidney and cardiovascular protection, especially in patients with diabetes or chronic kidney disease.

Together, these agents provide a broad-spectrum antihypertensive effect, target multiple physiological pathways, and help minimize dose-related side effects.


Uses

  • Essential hypertension

  • Hypertension with heart disease or high cardiovascular risk

  • Patients with suboptimal control on dual therapy

  • Diabetics or kidney disease patients with elevated BP


💊 How to Take

  • Once daily, ideally in the morning.

  • Take with a glass of water, with or without food.

  • Swallow whole—do not crush or chew (especially due to extended-release metoprolol).

  • Maintain a consistent schedule to ensure stable blood levels.


😕 Common Side Effects

Most are mild and manageable:

  • Fatigue or tiredness

  • Dizziness or lightheadedness

  • Slow heart rate (bradycardia)

  • Swelling of ankles or feet (from Amlodipine)

  • Headache


⚠️ Serious Side Effects (Seek Immediate Help)

  • Sudden drop in heart rate or fainting

  • Shortness of breath or worsening heart failure

  • Severe hypotension

  • Allergic reaction (rash, facial swelling)

  • High potassium (muscle weakness, irregular heartbeat)


🩺 Monitoring & Follow-Up

  • Blood Pressure & Heart Rate: Regular checks at home and clinic.

  • ECG: If heart rate abnormalities or symptoms present.

  • Kidney Function & Electrolytes: Creatinine, eGFR, and potassium every 3–6 months.

  • Signs of Edema: Especially in patients on amlodipine.


⚠️ Precautions & Warnings

  • Pregnancy: Contraindicated—may harm the fetus.

  • Asthma/COPD: Use beta-blockers cautiously.

  • Heart Block or Bradycardia: Avoid or monitor closely.

  • Liver or kidney impairment: Dose adjustments may be needed.

  • Diabetics: Beta-blockers may mask hypoglycemia symptoms.


📝 Summary

Metoprolol Succinate 50mg + Amlodipine 5mg + Telmisartan 40mg offers a potent triple-therapy approach to managing complex or resistant hypertension. With complementary mechanisms and once-daily dosing, it improves patient adherence, ensures comprehensive cardiovascular protection, and helps prevent complications like stroke, heart failure, and kidney damage.

Regular monitoring and adherence are key to maximizing benefits while minimizing risks.

Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.

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