Telmistal M Tablets

Precautions and Warnings

Pregnancy

Can I take Telmistal M Tab during pregnancy?

• Do not take this medicine if you are pregnant or if you are planning to have a baby
• This medicine may cause serious harm to your baby
• If you are on this medication and planning pregnancy, inform the same to your doctor, so that your prescription can be changed

Breast Feeding

Can I take Telmistal M Tab while breastfeeding?

This medicine passes into the mother’s milk. You should not take this medicine if you are breastfeeding. In case of breastfeeding, infant needs close monitoring for side effects like slowing of heart rate.

Driving

Can I drive if I have consumed Telmistal M Tab?

This medicine may affect your ability to drive or operate machines. Do not drive or operate machines if you experience dizziness, tiredness and drowsiness.

Alcohol

Can I consume alcohol with Telmistal M Tab?

Alcohol consumption, along with this medicine can lower your blood pressure and can increase side effects like sleepiness, dizziness or drowsiness, it is advised not to consume alcohol during the treatment.

Other General Warnings

Talk to your doctor if

• If you have asthma
• If you have diabetes, caution is required. Metoprolol may cause low blood sugar levels and also change the body’s response to low blood sugar. You may experience warning signs of low blood sugar such as an increase in heart rate, sweating, hunger pangs, headache, etc.
• If you have a tumour of adrenal gland tissue (Pheochromocytoma)
• If you have an overactive thyroid (a condition when the thyroid gland produces too much of the thyroxine hormone)
• If you are suffering from psoriasis
• If you have a circulation related problem in toes, arm, legs or fingers
• If you are suffering from a type of chest pain (Prinzmetal’s angina)
• If you recently had any heart attack, chest pain or heart surgery
• If you have kidney disease or have had a kidney transplant or liver disease
• If you are known to have narrowed or blockage of the blood vessels of one or both kidneys
• If you develop diarrhoea or vomiting, this dehydration can result in low blood pressure, have an adequate amount of water and fluids
• If you are suffering from low blood pressure (hypotension)
• If you have a high level of potassium in your blood
• If you are taking medicines like Ramipril and Lisinopril