Telmistrum Biso 40-5 Tablet 10 is used to manage high blood pressure (hypertension), chest pain (angina) and heart failure. By controlling blood pressure and heart rate together, it helps lower the risk of heart attack, stroke and kidney problems, particularly in people at high risk.
It contains bisoprolol, a beta-blocker that slows the heart rate and reduces its workload, and telmisartan, an angiotensin receptor blocker that relaxes and widens blood vessels. Take it at the same time each day, and do not stop it suddenly because this can worsen heart problems.
Healthy lifestyle changes support treatment alongside this medicine. These include reducing salt in your diet, staying active as advised, maintaining a healthy weight and limiting alcohol.
Before taking this medicine, tell your doctor if you have asthma or breathing problems, a slow heart rate, kidney problems, diabetes, or are taking other medicines. It is contraindicated during pregnancy, especially after the first trimester. Stand up slowly to reduce dizziness, and attend any kidney function or blood-salt checks your doctor recommends.
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Telmistrum Biso 40-5 Tablet 10
Strip of 10 Units
MRP ₹135.9
₹67.95
₹6.79/Units
100% genuine medicines
Safe & secure payments
15 days Easy returns
Prescription required for this medicine
Store Below 30° C
CompositionAbout Telmistrum Biso 40-5 Tablet 10
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Uses of Telmistrum Biso 40-5 Tablet 10
Telmistrum Biso 40-5 Tablet 10 is used in adults for the management of high blood pressure, angina and heart failure, combining two medicines that lower blood pressure and reduce the heart's workload.
Uses of Telmistrum Biso 40-5 Tablet 10 are:
- High Blood Pressure and Angina: Helps control high blood pressure and chest pain.
- Heart Failure: Used in the management of heart failure to ease the workload on the heart.
- Cardiovascular and Kidney Protection: Helps reduce the risk of heart attack, stroke and kidney problems.
Directions for Use of Telmistrum Biso 40-5 Tablet 10
Follow these instructions while taking Telmistrum Biso 40-5 Tablet 10:
Swallow the tablet whole with a glass of water.
Do not crush, break, or chew the tablet.
You can take this medicine with or without food.
Route of Administration
Telmistrum Biso 40-5 Tablet 10 is taken orally.
Side Effects of Telmistrum Biso 40-5 Tablet 10
Telmistrum Biso 40-5 Tablet 10 may cause side effects, although not everyone gets them.
A few common side effects of Telmistrum Biso 40-5 Tablet 10 are:
- Heart and Circulation: A slow heartbeat, low blood pressure, or cold hands and feet.
- Nervous System: Dizziness, headache, tiredness or weakness.
- Limbs: Numbness in the hands or feet may occur.
If side effects do not improve or become serious, speak to your doctor right away; do not stop this medicine without your doctor's advice.
Management Of Side Effects:
Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Telmistrum Biso 40-5 Tablet 10. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.
Dizziness: Try taking Telmistrum Biso 40-5 Tablet 10 before bedtime to reduce the impact of this side effect during daytime activities.
Fatigue: Consider taking this medicine in the evening so the tiredness occurs during your normal sleeping hours.
How Telmistrum Biso 40-5 Tablet 10 Works?
Telmistrum Biso 40-5 Tablet 10 contains two active ingredients that work together to lower blood pressure:
Bisoprolol (5 mg): This component is a beta-blocker that works by blocking beta-1 receptors in your heart. These receptors normally respond to hormones called catecholamines, which make your heart beat faster and harder. By blocking this action, bisoprolol slows down your heart rate and reduces the force of contractions, lowering your blood pressure.
Telmisartan (40 mg): This component is an angiotensin II receptor blocker (ARB). It works by blocking the action of angiotensin II, a hormone that causes your blood vessels to narrow. By preventing this effect, telmisartan allows your blood vessels to relax and widen, improving blood flow and reducing blood pressure.
Safety Measures & Warnings
Pregnancy
Telmistrum Biso 40-5 Tablet 10 is contraindicated during pregnancy, especially beyond the first trimester. If you are pregnant or planning to conceive, make sure to discuss this with your doctor before starting this medicine.
Breastfeeding
Telmistrum Biso 40-5 Tablet 10 is contraindicated for breastfeeding women. Consult your doctor to understand the potential risks and benefits if you are currently breastfeeding.
Alcohol
Avoid consuming alcohol while taking Telmistrum Biso 40-5 Tablet 10. Alcohol may increase the blood pressure-lowering effect of this medicine, potentially causing dizziness or fainting.
Liver
Caution is advised while taking Telmistrum Biso 40-5 Tablet 10 in case of mild to moderate liver impairment. It is contraindicated for severe liver diseases, such as cholestasis (reduced bile flow). If you have liver problems, discuss them with your doctor before starting this medicine.
Kidney
Caution is advised before using Telmistrum Biso 40-5 Tablet 10 if you have a history of kidney problems. Your doctor may monitor your kidney function while you are taking this medicine.
Use In Driving And Operating Machinery
Telmistrum Biso 40-5 Tablet 10 may cause dizziness or fatigue in some people. Avoid driving or operating machinery if you experience these symptoms, particularly when you first start taking the medicine.
Allergy
Caution is advised while taking Telmistrum Biso 40-5 Tablet 10 if you have any known allergies. If you experience symptoms like rash, itching, or swelling after taking this medicine, seek medical attention immediately.
Children
Telmistrum Biso 40-5 Tablet 10 is contraindicated for children under 18 years of age. Always consult your doctor before giving any medicine to a child.
Older Patients
Older patients should take Telmistrum Biso 40-5 Tablet 10 under medical supervision, as they may be more susceptible to its side effects. Your will guide you based on your health status.
Interactions of Telmistrum Biso 40-5 Tablet 10
Drug-Drug Interactions
Telmistrum Biso 40-5 Tablet 10 interacts with the following medicines:
Antihypertensives: Other blood pressure medicines like aliskiren or enalapril may enhance the blood pressure-lowering effects of Telmistrum Biso 40-5 Tablet 10, potentially causing very low blood pressure.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Medicines such as ibuprofen and diclofenac may reduce the effectiveness of Telmistrum Biso 40-5 Tablet 10 in lowering blood pressure.
Asthma Medicines: Medicines like theophylline may interact with the bisoprolol component, potentially reducing the effectiveness of both medicines.
Drug-Food Interactions
Telmistrum Biso 40-5 Tablet 10 interacts with the following food.
Grapefruit Juice: May increase the amount of telmisartan in your bloodstream, potentially leading to enhanced effects and side effects.
Drug-Disease Interactions
Telmistrum Biso 40-5 Tablet 10 interacts with the following diseases:
Liver Problems: This medicine may worsen liver function in patients with severe liver conditions like cholestasis or biliary obstruction.
Diabetes: Telmistrum Biso 40-5 Tablet 10 may affect blood sugar levels and mask symptoms of low blood sugar (hypoglycaemia).
Kidney Disease: The telmisartan component may affect kidney function, requiring careful monitoring in patients with existing kidney problems.
Heart Conditions: In certain heart conditions, the bisoprolol component may need careful dosing adjustment to prevent worsening of symptoms.
Dosage of Telmistrum Biso 40-5 Tablet 10
Daily Dose
The daily dose of Telmistrum Biso 40-5 Tablet 10 should be taken as prescribed by your doctor. The dosage may vary based on your blood pressure readings and how your body responds to the medicine. Always follow your doctor's instructions without changing the dose yourself.
Over Dose
Overdosing on Telmistrum Biso 40-5 Tablet 10 may cause dizziness, extreme tiredness, unusually slow heartbeat, or fainting. You might also experience cold hands and feet. Contact your doctor if you suspect an overdose has occurred.
Missed Dose
If you forget to take a dose, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with your regular schedule. Never take a double dose to make up.
Storage
Store at room temperature not exceeding 30°C.
Keep it in its original packaging until ready to use.
Protect from moisture, heat, and direct light.
Store out of reach of children.
Do not use after the expiry date printed on the package.
Special Dietary And Lifestyle Recommendation
Lowering your salt consumption helps manage high blood pressure (hypertension). Aim to limit salt to less than 5g daily by avoiding processed foods and not adding extra salt to meals.
Engage in moderate exercise like brisk walking for 30 minutes most days of the week to help lower blood pressure and improve heart health.
Fact Box
| Dosage Forms Available | Tablet |
| Habit Forming | No |
| Ailment | Hypertension, angina, heart failure |
| Drug Category | Beta-blocker, ARB |
| Therapeutic Category | Antihypertensive |
Frequently Asked Questions (FAQs)
What is Telmistrum Biso 40-5 Tablet 10 used for?
Telmistrum Biso 40-5 Tablet 10 is used to manage high blood pressure, chest pain (angina), and heart failure in adults. It helps reduce strain on your heart and improves blood flow.
How does Telmistrum Biso 40-5 Tablet 10 work in the body?
It contains bisoprolol, which slows your heart rate, and telmisartan, which relaxes blood vessels. Together, they lower blood pressure and reduce the workload on your heart.
Can I take Telmistrum Biso 40-5 Tablet 10 with other medicines?
You should consult your doctor about all medicines you take. This medicine may interact with pain relievers, asthma medicines, and potassium supplements.
What are the common side effects of Telmistrum Biso 40-5 Tablet 10?
Common side effects include headache, tiredness, dizziness, slower heart rate, cold hands and feet, and weakness. Most side effects are mild and improve over time.
Should I continue taking Telmistrum Biso 40-5 Tablet 10 if I feel better?
Continue taking it even if you feel better. Stopping suddenly may worsen your condition. Only change your medicine routine if your doctor advises.
Can I drive after taking Telmistrum Biso 40-5 Tablet 10?
You should avoid driving if you experience dizziness or tiredness after taking this medicine. These side effects may affect your ability to drive safely.
Who should not take Telmistrum Biso 40-5 Tablet 10?
You should not take this medicine if you have severe liver problems, are pregnant (especially after the first trimester), or are breastfeeding. Consult your doctor first.
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Manufacturer details
Country of origin: INDIA
References
MedlinePlus. (n.d.). Telmisartan. U.S. National Library of Medicine. https://medlineplus.gov/druginfo/meds/a601249.html
MedlinePlus. (n.d.). Bisoprolol. U.S. National Library of Medicine. https://medlineplus.gov/druginfo/meds/a693024.html
U.S. Food and Drug Administration. (2011). Zebeta (Bisoprolol Fumarate) Tablets for oral use. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/019982s016lbl.pdf
U.S. Food and Drug Administration. (2005). Micardis (telmisartan) Tablets. https://www.accessdata.fda.gov/drugsatfda_docs/label/2005/020850s013lbl.pdf
McClellan, K. J., & Markham, A. (1998). Telmisartan. Drugs, 56(6), 1039–1044. https://doi.org/10.2165/00003495-199856060-00007
Bazroon, A. A., & Alrashidi, N. F. (2023, August 17). Bisoprolol. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK551623/
Disclaimer
We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.
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