INTRODUCTION ABOUT T MART 20MG TABLET

T MART 20MG TABLET is used to manage essential hypertension. It contains Telmisartan which belongs to the group of medicines called Angiotensin II receptor antagonists. It is also used to reduce the risk of cardiovascular events such as heart attack or stroke in adults who are known to have a reduced or blocked blood supply to the heart or legs and had a stroke or with a high risk of diabetes. T MART 20MG TABLET makes blood vessels to relax and thus lowers the blood pressure by blocking the effects of Angiotensin II (substance produced in your body which causes narrowing of blood vessels).

Your doctor may check the kidney function test, blood pressure and the amount of electrolytes (Ex. potassium) in body prior to the management or at regular intervals during management with this medicine. T MART 20MG TABLET is not recommended for use in patients having severe liver problems such as cholestasis or biliary obstruction (flow of bile from liver stops or slows). T MART 20MG TABLET should be used with caution in patients having diabetes, kidney disease, heart problems and raised aldosterone levels.

T MART 20MG TABLET is not recommended for use in early pregnancy and must not be taken by women who are pregnant for more than 3 months and it is not recommended for use in breastfeeding women. T MART 20MG TABLET is not recommended for use in children and adolescents (up to the age of 18 years) and it should be used with caution in elderly patients (aged 65 years and above). The most common side effect of taking T MART 20MG TABLET is low blood pressure. Consult your doctor if the side effects worsen or persists for a longer period.

USES OF T MART 20MG TABLET

It is used to:

manage essential hypertension (high blood pressure)
reduce the risk of cardiovascular events (such as stroke and heart attack)

HOW T MART 20MG TABLET WORKS

T MART 20MG TABLET makes blood vessels to relax and thus lowers the blood pressure by blocking the effects of Angiotensin II (substance produced in your body which causes narrowing of blood vessels).

DIRECTIONS FOR USE

Take T MART 20MG TABLET as advised by your physician
Swallow this medicine with a glass of water. Do not crush or chew the medicine
Your doctor will decide the correct dose and duration of T MART 20MG TABLET for you depending upon your age, body weight and disease condition

SIDE EFFECTS OF T MART 20MG TABLET

Common side effects of T MART 20MG TABLET:

low blood pressure
urinary tract infection
signs of upper respiratory tract infection (sore throat, inflamed sinuses, common cold)
anemia, weakness, feeling of spinning (vertigo)
insomnia
slow heart rate, chest pain
dizziness on standing up (orthostatic hypotension)
cough
shortness of breath
abdominal pain, abdominal discomfort, bloating
diarrhea
vomiting
increased sweating
muscle cramps, muscle or back pain

Stop taking T MART 20MG TABLET and contact your doctor immediately if you experience any of the following side effects:

angioedema (rapid swelling of the skin and mucosa)

T MART 20MG TABLET should be used with caution in elderly patients (aged 65 years and above).

OTHERS

Before taking T MART 20MG TABLET, inform your doctor if you have:

high potassium levels in the body
raised aldosterone levels (water and salt retention in the body along with imbalance of various blood minerals)
diabetes

INTERACTIONS

A. Drug-Drug interactions:

Before taking T MART 20MG TABLET, inform your doctor if you are taking any of the following medicines:

Angiotensin converting enzyme inhibitors (Ex. enalapril, lisinopril, ramipril)
Angiotensin II receptor antagonists (Ex. candesartan, irbesartan)
Cardiac glycosides (Ex. Digoxin)
Anti-maniac agents (Ex. Lithium)
Non-steroidal anti-inflammatory agents (Ex. aspirin, ibuprofen)
Anti-coagulant (Ex. Heparin)
Immunosuppressive agents (Ex. ciclosporin or tacrolimus)
Antibiotics (Ex. trimethoprim)
Diuretics (Ex. furosemide, hydrochlorothiazide)
Potassium-sparing diuretics (Ex. amiloride, spironolactone)
Corticosteroids (Ex. dexamethasone, hydrocortisone)
Skeletal muscle relaxants (Ex. Baclofen)
Cytoprotectants (Ex. Amifostine)
Barbiturates (Ex. phenobarbital, pentobarbital)
Antidepressants (Ex. citalopram, fluoxetine, paroxetine)
Narcotics (Ex. morphine and codeine)

Overdosage:

If you or anyone else accidentally takes too much of T MART 20MG TABLET, consult your doctor immediately or visit the nearby hospital. The most common symptoms of overdose are low blood pressure, fast or slow heartbeat, dizziness, elevated levels of creatinine and sudden kidney failure.

SYNOPSIS

Drug	:	Telmisartan
Pharmacological Category	:	Angiotensin receptor blockers
Therapeutic Indication	:	Essential hypertension, management of heart attack and stroke
Dosage Forms	:	Tablet

FAQs ABOUT T MART 20MG TABLET

Q: What is T MART 20MG TABLET used for?

A: T MART 20MG TABLET (telmisartan) is primarily used to manage high blood pressure (hypertension). It helps reduce the risk of heart attack, stroke, and kidney problems caused by long-term high blood pressure.

Q: Is T MART 20MG TABLET safe for kidneys?

A: Yes, T MART 20MG TABLET is generally beneficial for kidneys, particularly in patients with hypertension and diabetes. By lowering blood pressure, it reduces kidney strain. However, in some cases, this medicine may cause a slight increase in creatinine levels or affect kidney function, especially in individuals with pre-existing kidney disease. Regular monitoring of kidney function is advised during treatment.

Q: Can I take T MART 20MG TABLET twice a day?

A: T MART 20MG TABLET is usually prescribed once daily. However, in cases of severe hypertension, your doctor might increase the dose to 80 mg daily or divide the dose (e.g., 40 mg twice daily). Do not adjust the dose without consulting your doctor.

Q: When to take telmisartan, morning or night?

A: T MART 20MG TABLET can be taken in the morning or night, depending on your doctor’s recommendation. However, taking it at the same time daily ensures consistent blood pressure control. Some studies suggest that taking blood pressure medication at night may provide better cardiovascular protection.

Q: How much BP is reduced by T MART 20MG TABLET?

A: The blood pressure reduction depends on factors like the individual’s baseline BP, dose, and responsiveness to the medication. On average, this medicine can reduce Systolic BP 10-20 mmHg and diastolic BP is reduced by 5-10 mmHg. The full effect of T MART 20MG TABLET is seen after 4-6 weeks of consistent use.

Q: When is the best time to take T MART 20MG TABLET?

A: The best time is usually once daily, at the same time every day, either morning or evening. Taking it after a meal can reduce the chance of an upset stomach.

Q: Does T MART 20MG TABLET increase creatinine?

A: T MART 20MG TABLET can cause a mild increase in serum creatinine levels in some patients. This is usually not harmful and occurs because the medication reduces the filtration pressure in the kidneys. However, a significant or persistent increase may indicate kidney problems and requires medical attention.

Q: What foods should I avoid when taking telmisartan?

A: Following of the foods should be avoided while taking this medicine,

Potassium-rich foods (e.g., bananas, oranges, spinach, potatoes): Telma can raise potassium levels, and excessive potassium intake may lead to hyperkalemia (high potassium levels), Salt substitutes containing potassium and High-sodium foods: These can counteract the blood pressure-lowering effects. A low-sodium, balanced diet is recommended.

Q: What is the difference between telmisartan and T MART 20MG TABLET?

A: Telmisartan is the generic name of the drug, while T MART 20MG TABLET is a brand name manufactured by Glenmark Pharmaceuticals. Both refer to the same medication but may differ in price or additional inactive ingredients.

Q: Does telmisartan raise cholesterol?

A: No, telmisartan does not raise cholesterol. In fact, some studies suggest that it may have a mild lipid-lowering effect by reducing triglycerides and improving HDL (good cholesterol).

Q: What are the three main causes of high blood pressure?

A: Generally, hypertension is caused due to unhealthy lifestyle habits like high salt intake, poor diet, and excess alcohol, lack of physical activity, smoking or tobacco use, Chronic conditions like kidney disease, diabetes, or sleep apnea that can increase blood pressure or hormonal imbalances (e.g., due to thyroid disorders or adrenal gland issues), genetic and age-related factors like family history of hypertension increases risk or aging that causes stiffening of blood vessels, leading to higher blood pressure. A combination of lifestyle changes and medications like T MART 20MG TABLET is often required to manage hypertension effectively.

REFERENCES

1. KD. Tripathi. Drugs Affecting Renin Angiotensin System. Essentials of medical pharmacology. Eighth edition. 2019. Page – 535-538.

2. Philippe Gosse. A Review of Telmisartan in the Treatment of Hypertension: Blood Pressure Control in the Early Morning Hours. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. September 2006. [Accessed on 7th May 2022] click here

3. A Prem Kumar, Anirudra Ghorai, Vasudev Kriplani, Rabindra Kumar Dash, J Aravinda, Paramesh Shamanna, TK Sabeer, Abdul Hannan, and Santosh Revankar. Clinical data analysis of telmisartan for hypertension management in Indian population. NIH National Library of Medicine, National center for biotechnology information. PubMed Central June 2021. [Accessed on 7th May 2022] click here

4. Accord Healthcare Ireland Limited. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed on 7th May 2022] click here

5. Hetero Labs Limited. U.S. Food & Drug Administration. [Revised in August 2015] [Accessed 7th May 2022] click here

USEFUL DIAGNOSTIC TESTS

AUTHOR DETAILS

Written By Srilekha. R - B.Pharm

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 18 Nov 2024 | 03:03 PM(IST)