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Chlorthalidone + Cilnidipine + Telmisartan

Uses of Chlorthalidone + Cilnidipine + Telmisartan

Chlorthalidone + Cilnidipine + Telmisartan is a triple combination medicine used to manage high blood pressure (hypertension), especially when it is not adequately controlled by a single medicine.
This combination is commonly used for:
• Hypertension: Combines three different mechanisms to lower blood pressure.
• Cardiovascular risk reduction: Helps lower the risk of complications such as heart attack and stroke linked to uncontrolled blood pressure.

Side effects of Chlorthalidone + Cilnidipine + Telmisartan

  • Headache

  • Dizziness

  • Fatigue

  • Nausea

  • Increased urination

How Chlorthalidone + Cilnidipine + Telmisartan works

  • Chlorthalidone + Cilnidipine + Telmisartan combines three distinct mechanisms to lower blood pressure.
  • Chlorthalidone is a thiazide-like diuretic. It helps the kidneys remove excess salt and water from the body, reducing the volume of fluid in the blood vessels and lowering blood pressure.
  • Cilnidipine is a calcium channel blocker. It prevents calcium from entering the smooth muscle cells of blood vessel walls, causing the vessels to relax and widen, which reduces blood pressure.
  • Telmisartan is an angiotensin II receptor blocker (ARB). It blocks angiotensin II, a hormone that narrows blood vessels, from acting on its receptors, keeping blood vessels open and relaxed.
    Together, these three actions—reducing fluid volume, relaxing blood vessel muscles, and blocking a key hormone—work through independent pathways to lower blood pressure.

Certified content

Written By

docImg
Dr Nikita LoboMedical Content Reviewer| 9 years

BDS, MDS

Reviewed By

Dr. Osama Ahmed
Dr. Osama AhmedMedical Content Writer| 4 years

Bachelor of Dental Surgery

Expert Advice

Dosage Forms Available

  • Chlorthalidone + Cilnidipine + Telmisartan is available in tablet form for oral administration.

Age and Dose Restrictions

  • This medicine is meant for use in adults.

Contraindications

  • Chlorthalidone + Cilnidipine + Telmisartan is contraindicated in patients with known hypersensitivity to any of its components.

  • It should not be used by patients with anuria (a condition where the body is unable to produce urine), or severe liver problems.

Other Medications to Avoid

  • This medicine may interact with other antihypertensive medications (e.g., captopril, enalapril, aliskiren), non-steroidal anti-inflammatory medicines (e.g., aspirin, ibuprofen), water pills (e.g., amiloride, spironolactone), heart-related medicines (e.g., quinidine, digoxin) and antibiotics (e.g., erythromycin, rifampicin).

Overdose and Missed Dose

  • Taking more than the prescribed dose of Chlorthalidone + Cilnidipine + Telmisartan may cause severe dizziness, fainting, low blood pressure, dehydration, electrolyte imbalance, or difficulty breathing. If you suspect an overdose, seek immediate medical attention.
  • If you miss a dose of Chlorthalidone + Cilnidipine + Telmisartan, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • To manage increased urination, plan your dosing time in such a way that frequent urination does not disturb your sleep.

Use in Driving and Operating Machinery

  • This medicine can cause side effects like dizziness and fatigue, which may affect your ability to drive or operate heavy machinery. Avoid such activities if you experience these side effects.

Use in Pregnancy and Lactation

  • This medicine is not recommended during pregnancy and breastfeeding unless specifically advised by a healthcare professional. Consult a doctor before taking this medicine during these periods.

Caution in Other Conditions

  • Caution should be exercised in patients with diabetes, gout, kidney stones and Addison’s disease (a condition in which the adrenal gland does not produce sufficient steroids) as dose adjustments may be needed.

Special Dietary and Lifestyle Recommendations

  • Incorporate foods rich in potassium in your diet, as Chlorthalidone can cause low potassium levels.

  • Limit the intake of sodium in your diet, as it can raise your blood pressure.

  • Avoid grapefruit products.

Frequently asked questions

No, Chlorthalidone + Cilnidipine + Telmisartan is not a steroid. It is a combination medication belonging to the class of antihypertensive medicines, which are used to manage high blood pressure.

There is no direct effect of Chlorthalidone + Cilnidipine + Telmisartan on sleep. However, any changes in sleep patterns should be reported to your doctor.

There are no effects of Chlorthalidone + Cilnidipine + Telmisartan on fertility. If you have any concerns about fertility, it is advised to discuss this with your doctor.

Yes, it is usually safe to take Chlorthalidone + Cilnidipine + Telmisartan as prescribed by your doctor. The medicine is designed to help manage high blood pressure, which usually requires consistent treatment.

The onset of action of Chlorthalidone + Cilnidipine + Telmisartan can vary depending on individual patient factors. You should consult your doctor for detailed information related to the timing of this medicine's effects.

It is not advisable to stop taking any prescribed medication without consulting your doctor first, as this could lead to a sudden increase in blood pressure and other complications.

While there is no direct evidence to suggest that Chlorthalidone + Cilnidipine + Telmisartan significantly affects the menstrual cycle, if you notice any changes in your cycle after starting this medication, it is recommended to consult your doctor.

Chlorthalidone + Cilnidipine + Telmisartan is used to manage high blood pressure (hypertension). It helps lower blood pressure by relaxing blood vessels and removing excess fluid from the body, thereby reducing the risk of heart attack, stroke, and kidney complications.

Terms & Conditions


List of medicines for Chlorthalidone + Cilnidipine + Telmisartan

Telmikind Trio 6.25 Tablet 10
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Dilnip Trio Tablet 10
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Telplus Trio Tablet 15
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Macsart Cc 12.5 Tablet 10
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Tsart Trio 12.5 Tablet 10
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₹216.12
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Cilacar Tc 12.5 Tablet 10
Cilacar Tc 12.5 Tablet 10
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₹213.28
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Telmikind Trio 12.5 Tablet 10
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