TELI CM 50 TABLET is a combination of Cilnidipine, Metoprolol and Telmisartan which belongs to the group of medicines called Antihypertensive agents. It is used to treat hypertension (high blood pressure). It can also be used to reduce the risk of heart attack (myocardial infarction), stroke, chest pain (angina) or uneven heartbeat (arrhythmia).

 

Before taking TELI CM 50 TABLET inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have diabetes, thyroid problems, asthma, low blood pressure, poor blood circulation, psoriasis, allergic reactions, dehydration or gout as a precaution.

 

TELI CM 50 TABLET is not recommended for use in patients with severe heart problems apart from hypertension (such as uncontrollable heart failure or heart block). Do not take this medicine without consulting your doctor if you are pregnant or breastfeeding.

The most common side effects of taking this medicine are low blood pressure, slow heart rate, cold hands and feet, racing heartbeat, swelling of ankles or other body parts, flushing, headache, dizziness, nausea, diarrhoea and constipation. Consult your doctor if any of these side effect worsens.

 

USES OF TELI CM 50 TABLET

It is used to:


Treat Hypertension (high blood pressure)
Prevent heart attack, stroke, angina (chest pain) or arrhythmia (uneven heartbeat)


 

HOW TELI CM 50 TABLET WORKS

TELI CM 50 TABLET is an antihypertensive medicine. It contains three medicines namely, metoprolol, cilnidipine and telmisartan. Metoprolol reduces the heart rate and force of contraction of heart muscles.

 

DIRECTIONS FOR USE

Take TELI CM 50 TABLET as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Do not stop taking this medicine without consulting your doctor.

 

SIDE EFFECTS OF TELI CM 50 TABLET

COMMON


Swelling of the ankles or other body parts
Headache, dizziness, sleepiness
Low blood pressure
Slow or fast heart rate
Flushing (redness and warmth of the skin)
Stomach pain, nausea, vomiting, diarrhea, constipation, indigestion
Shortness of breath even with mild physical activity
Changes in bowel habit
Tiredness, weakness
Gingival hyperplasia (enlargement of gums with inflammation)


 

UNCOMMON


Chest pain
Weight gain
Depression
Concentration problems, nightmares
Inability to sleep
Drowsiness
Tingling in the skin
Rashes
Increased sweating, fluid retention
Muscle cramps
Low or high blood potassium levels
Vertigo (spinning sensation)
Fast or irregular heartbeat
Low blood pressure causing dizziness while standing up
Dry mouth
Back pain, muscle spasm or pain
Erectile dysfunction (inability to get or keep an erection)
Increased blood uric acid levels
Sore throat, sinus inflammation, common cold, cough
Urinary tract infections
Anaemia
Kidney problems


 

RARE


Worsening of diabetes
Dry mouth, runny nose, hair loss
Nervousness, anxiety
Visual disturbances
Dry or irritated eyes
Bending of penis on erection (peyronie’s syndrome)
Low blood sugar levels
Low blood platelet count (causing unusual bleeding or bruising)
High blood calcium levels


Stop taking TELI CM 50 TABLET and contact your doctor immediately if you experience any of the following side effects:


Severe allergic reactions (such as skin rash, itching, swelling of the face, lips, mouth, or throat which can lead to difficulty in breathing or swallowing)
Severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane)
Sepsis (infection of blood characterized by sever signs of illness and fever)


 

HOW TO MANAGE SIDE EFFECTS



Constipation

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.



Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.



Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.



Nausea And Vomiting

Take TELI CM 50 TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

WARNING & PRECAUTIONS



PREGNANCY

CONTRAINDICATED

TELI CM 50 TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, consult your doctor before taking it. If you become pregnant while undergoing therapy with TELI CM 50 TABLET, stop taking it and consult your doctor immediately.



BREASTFEEDING

CONTRAINDICATED

TELI CM 50 TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.



DRIVING AND USING MACHINES

USE WITH CAUTION

Do not drive or operate any machines if your ability is affected by TELI CM 50 TABLET.



ALCOHOL

CONSULT YOUR DOCTOR

Avoid consumption of alcohol while taking TELI CM 50 TABLET as it may make you feel dizzier and drowsier.



KIDNEY

CONSULT YOUR DOCTOR

TELI CM 50 TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries). Therefore, consult your doctor before taking it.



LIVER

CONSULT YOUR DOCTOR

TELI CM 50 TABLET is not recommended for use in patients with severe liver impairment (such as cholestasis, jaundice, biliary obstruction). It should be used with caution in patients with mild to moderate liver problems. Therefore, consult your doctor before taking it.



ALLERGY

CONTRAINDICATED

Do not take TELI CM 50 TABLET if you are allergic to Metoprolol, Cilnidipine or to Telmisartan.



LUNGS

CONTRAINDICATED

TELI CM 50 TABLET is not recommended for use in patients with severe asthma or chronic obstructive pulmonary disease. Therefore, consult your doctor for advice before taking it.



HEART DISEASE

CONSULT YOUR DOCTOR

TELI CM 50 TABLET is not recommended for use in patients with severe heart problems (such as heart block, uncontrollable heart failure, sick sinus syndrome or a very slow or uneven heartbeat). It should be used with caution in patients with other heart problems (such as a recent heart attack, or angina attack, enlarged heart muscles, or surgery in the heart within the last 4 months). Therefore, consult your doctor before taking it.

 

 

TELI CM 50 TABLET is not recommended for use if you:


Are in shock caused due to poor blood circulation
Have poor blood circulation caused due to blockage in the blood vessels
Have a very low blood pressure
Have metabolic acidosis (too much acidity in blood)
Have untreated phaeochromocytoma (tumor present in adrenal glands)
Have diabetes related kidney problems
Have low potassium levels in blood
Have high calcium levels in blood


Before taking TELI CM 50 TABLET, inform your doctor if you:


Are prone to allergic reactions very often (such as even for insect bites)
Have problems in blood circulation around the body (especially in fingers, arms and feet)
Have diabetes
Have thyrotoxicosis (increased thyroid hormones in the body)
Are severely dehydrated
Have low sodium, potassium, or magnesium levels in the blood
Have gout
Have psoriasis (white scaly patches on the skin)
Have edema (swelling of body parts)
Have primary hyperaldosteronism (problems in adrenal gland)
Are on a low-salt diet
Have had skin cancer
Have an auto-immune disease condition affecting the skin (such as SLS)
Are scheduled for any upcoming surgery


 

Use in pediatrics:

TELI CM 50 TABLET is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor for advice.

 

Use in geriatrics:

TELI CM 50 TABLET should be used with caution in the elderly patients. Therefore, consult your doctor before taking it.

 

INTERACTIONS

A. Drug - Drug interactions:

Before taking TELI CM 50 TABLET, inform your doctor if you are taking any of the following medicines such as:


Medicines used to treat advanced renal cell carcinoma (Ex. aldesleukin)
Medicines used to treat epilepsy (Ex. carbamazepine, phenytoin, phenobarbital)
Medicines used for bacterial infections (Ex. erythromycin)
Medicines used to treat tuberculosis (Ex. rifampicin)
Medicines used to treat hypertension (Ex. aliskiren, propranolol, amlodipine, diltiazem, verapamil, propafenone, captopril, enalapril, losartan, valsartan, clonidine, moxonidine, methyldopa, rilmenidine)
Medicines used for psychosis (Ex. risperidone, thioridazine, quetiapine, olanzapine)
Medicines used to treat diabetes (such as insulin, metformin, glimepiride, teneligliptin, pioglitazone)
Cimetidine (a medicine used to treat stomach ulcers)
Medicines used to treat uneven heartbeat (such as digoxin, disopyramide, quinidine or amiodarone)
Medicines used for pain and inflammation (such as ibuprofen, indomethacin, sulindac, diclofenac)
Medicines used to treat depression (such as fluoxetine, paroxetine, bupropion, lithium)
Ritonavir (a medicine used to treat HIV infection)
Antihistamines (used to treat allergic reactions) such as diphenhydramine
Medicines used to treat malaria (such as hydroxychloroquine, mefloquine)
Terbinafine (a medicine used to treat fungal infection)
Adrenaline (a medicine used to stimulate heart functions)
Phenylpropanolamine (a medicine used to reduce the swelling of the nasal mucosa)
Beta blockers used for glaucoma (such as timolol, pindolol, labetalol)
Ergotamine (a medicine used for migraine headache)
Medicines used to treat angina (such as nitroglycerin)
Anaesthetics (used to cause numbness or loss of sensation) such as lidocaine, sevoflurane, halothane
Alpha blockers (used to treat high blood pressure and benign prostatic hyperplasia) such as prazosine, tamsulosin, terazosine, doxazosine
Antacids (medicines used to neutralise stomach acid) such as aluminium hydroxide, magaldrate
Potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
Heparin (a medicine used to prevent or treat blood clots)
Medicines used to treat bacterial infections (Ex. trimethoprim)
Medicines used to suppress immune functions (such as ciclosporin, tacrolimus)
Diuretics (used to reduce edema and blood pressure) such as furosemide, hydrochlorothiazide


 

Overdosage:

If you or anyone else accidentally took more TELI CM 50 TABLET, consult your doctor immediately. Overdosage may cause low blood pressure, decreased heartbeat, problems in breathing, vomiting, feeling faint and fits.

 

SYNOPSIS




Drug
:  
Cilnidipine, Metoprolol, Telmisartan


Pharmacological Category
:  
Calcium Channel Blockers, Beta-blockers, Angiotensin II Receptor Blockers


Therapeutic Indication
:  
Hypertension, Angina, Heart attack, Stroke            


Dosage Forms
:  
Tablet




 

MORE INFORMATION


Keep TELI CM 50 TABLET out of the sight and reach of children
Store TELI CM 50 TABLET at room temperature