Telma-MCT 50/12.5 Tablet ER is a fixed-dose combination medication used for the treatment of hypertension (high blood pressure). It contains three active ingredients:

• Telmisartan (50 mg) – An angiotensin II receptor blocker (ARB) that relaxes blood vessels.

• Metoprolol Succinate (ER, dose not specified but likely ~25-50 mg) – A beta-blocker that reduces heart rate and cardiac workload.

• Chlorthalidone (12.5 mg) – A thiazide-like diuretic that removes excess water and salt from the body.

Key Benefits:

• Effectively lowers blood pressure by multiple mechanisms.

• Reduces the risk of heart-related complications in hypertensive patients.

Dosage & Administration:

• Take once daily, preferably at the same time each day.

• Can be taken with or without food, but consistency is important.

• Swallow the tablet whole—do not crush, chew, or break it.

• Best taken during the day to avoid nighttime frequent urination (due to the diuretic effect).

Common Side Effects:

• Nausea, diarrhea, upset stomach

• Headache, dizziness

• Cold hands/feet, numbness

• Low blood pressure, slow heart rate

• Increased cholesterol levels

Precautions & Warnings:

• Avoid alcohol (can worsen dizziness and blood pressure drop).

• Not safe in pregnancy (risk of fetal harm).

• Breastfeeding should be avoided (limited safety data).

• Caution in kidney/liver disease—dose adjustment may be needed.

• Avoid driving if dizziness or drowsiness occurs.

Drug Interactions:

• Other blood pressure medications (risk of excessive BP drop).

• NSAIDs (e.g., ibuprofen) may reduce effectiveness.

• Diuretics or potassium supplements may cause electrolyte imbalance.

Lifestyle Recommendations:

• Follow a low-salt diet.

• Exercise regularly.

• Avoid smoking.

• Stay hydrated to manage diuretic-induced thirst.

Missed Dose?

• Take as soon as remembered, but skip if close to the next dose.

• Do not double the dose.

Storage:

• Keep at room temperature, away from moisture and heat.

Always consult your doctor before starting or stopping this medication, as abrupt withdrawal of beta-blockers can be dangerous.