Description
💊 Triple Power BP Tablet: Telmisartan 40mg + Cilnidipine 10mg + Chlorthalidone 6.25mg
📌 What Is It?
This tablet is a triple-combination antihypertensive medication used to treat high blood pressure (hypertension). It combines three different classes of drugs to achieve better blood pressure control and reduce the risk of complications such as stroke, heart attack, kidney damage, and heart failure.
It is often prescribed when blood pressure is not adequately controlled with one or two medications.
🔬 Ingredients & How They Work
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Telmisartan (40mg) – Angiotensin II Receptor Blocker (ARB)
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Blocks angiotensin II receptors, preventing blood vessel constriction.
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Helps relax blood vessels and lower blood pressure.
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Offers kidney protection, especially in diabetic patients.
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Cilnidipine (10mg) – Calcium Channel Blocker (CCB)
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Blocks L-type and N-type calcium channels.
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Reduces peripheral vascular resistance and lowers blood pressure.
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Reduces sympathetic nerve activity, potentially beneficial in stress-related hypertension.
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Chlorthalidone (6.25mg) – Thiazide-like Diuretic
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Promotes sodium and water excretion from the kidneys.
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Reduces fluid volume in the blood vessels, lowering blood pressure.
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Has a longer duration of action compared to hydrochlorothiazide.
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💊 How to Use
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Take once daily, preferably in the morning.
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Can be taken with or without food.
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Swallow the tablet whole with water.
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Take at the same time each day for best results.
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Do not skip doses or stop suddenly without consulting your doctor.
😕 Common Side Effects
Most are mild and go away with time:
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Dizziness or lightheadedness
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Frequent urination (due to diuretic)
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Muscle cramps or weakness
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Headache
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Swelling in ankles or feet (from Cilnidipine)
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Fatigue
⚠️ Serious Side Effects (Seek Medical Help)
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Low blood pressure (fainting, confusion)
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Kidney dysfunction (reduced urine output, swelling)
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High potassium levels (muscle weakness, abnormal heartbeat)
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Allergic reactions (rash, itching, swelling of face/tongue)
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Severe electrolyte imbalance (especially low sodium or potassium)
🩺 Monitoring & Follow-Up
Regular follow-up is essential to ensure safe and effective use:
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Blood Pressure: Monitor regularly at home or in clinic.
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Kidney Function Tests: Serum creatinine, eGFR every 3–6 months.
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Electrolytes: Sodium, potassium, especially if symptoms occur.
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Blood Sugar: If diabetic.
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Uric Acid Levels: May increase due to diuretic effect.
⚠️ Warnings & Precautions
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Pregnancy: Contraindicated. Can cause fetal harm.
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Kidney or Liver Disease: Use with caution, monitor closely.
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Diabetes: Monitor blood sugar and kidney function.
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Gout: Chlorthalidone may increase uric acid levels.
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Driving/Operating Machinery: Use caution if dizzy or lightheaded.
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NSAIDs: Can reduce the effectiveness of the medication and harm kidneys.
📝 Summary
Telmisartan + Cilnidipine + Chlorthalidone is a highly effective triple-combination tablet that lowers blood pressure through three synergistic mechanisms—vasodilation, reduced sympathetic tone, and fluid reduction. It is typically prescribed for moderate to severe hypertension or when dual therapy isn’t enough.
While effective, it requires regular monitoring of blood pressure, kidney function, and electrolytes. The medication is generally well-tolerated, but some patients may experience dizziness, muscle weakness, or swelling. With proper medical supervision, it offers strong protection against cardiovascular and renal complications.
Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.
