TELMA NB 40mg is a Fixed Dose Combination medication that contains Telmisartan and Nebivolol. This combination medicine is used to treat hypertension (high blood pressure) and can help to prevent cardiovascular complications. TELMA NB 40mg provides a dual mechanism of action to effectively control blood pressure and support overall cardiovascular health.

• Treatment of hypertension (high blood pressure)
• Prevention of cardiovascular complications

• Headache
• Nausea
• Dizziness
• Fatigue
• Low blood pressure
• Edema (swelling)

Take TELMA NB 40mg orally with or without food, as directed by your doctor. It is important to take the medication regularly at the same time each day to maintain consistent blood pressure control.

• Pregnancy - TELMA NB 40mg is not recommended during pregnancy. Consult your doctor for alternative treatment options.
• Alcohol - It is generally safe to consume alcohol in moderation while taking this medicine. However, excessive alcohol consumption may interfere with the effectiveness of the medication.
• Old Age - No specific precautions need to be taken while using TELMA NB 40mg in the elderly population. However, regular monitoring of blood pressure and kidney function is advised.
• Breast Feeding - TELMA NB 40mg is not recommended while breastfeeding. Consult your doctor for alternative treatment options.
• Children - TELMA NB 40mg is not recommended for use in children. Consult your doctor for alternative treatment options.

• Store at room temperature (20-25°C) -
• Protect from moisture and light -
• Keep out of reach of children -

• Drug-Drug - There may be potential drug interactions with other medications, including other antihypertensive drugs, diuretics, and non-steroidal anti-inflammatory drugs (NSAIDs). Inform your doctor about all the medications you are taking.
• Drug-Food - There are no known significant drug-food interactions with TELMA NB 40mg.
• Drug-Disease - TELMA NB 40mg should be used with caution in patients with liver or kidney disease. Dose adjustments may be required. Consult your doctor for appropriate dosage adjustments.

• Q. What should I do if I miss a dose of TELMA NB 40mg?
  If you miss a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed dose.
• Q. Can TELMA NB 40mg cause impotence or sexual dysfunction?
  Both Telmisartan and Nebivolol have a low risk of causing impotence or sexual dysfunction. However, if you experience any such symptoms, consult your doctor for further evaluation.
• Q. Can I stop taking TELMA NB 40mg if my blood pressure is well controlled?
  No, it is important to continue taking TELMA NB 40mg as prescribed by your doctor, even if your blood pressure is well controlled. Stopping the medication abruptly can cause your blood pressure to increase again. Consult your doctor before making any changes to your treatment plan.
• Q. Is it safe to drive or operate machinery while taking TELMA NB 40mg?
  Some people may experience dizziness or fatigue as side effects of the medication. If you experience these symptoms, avoid driving or operating machinery until you know how TELMA NB 40mg affects you.
• Q. Can I take herbal supplements or natural products while on TELMA NB 40mg?
  It is important to consult your doctor before taking any herbal supplements or natural products while on TELMA NB 40mg. Some herbal supplements may interact with the medication and affect its effectiveness.