Telma 40 is a prescription medication containing Telmisartan, an Angiotensin II Receptor Blocker (ARB). It is primarily used to treat high blood pressure (hypertension) and to reduce the risk of serious cardiovascular events like heart attacks and strokes. Produced by Beximco Pharmaceuticals Ltd., Telma 40 is a widely trusted brand for long-term blood pressure control.
What is Telma 40 Used For?
Telma 40 mg is formulated for adults to help manage chronic cardiovascular conditions. Its primary applications include:
-
Hypertension Management: Treatment of essential hypertension to keep blood pressure within a healthy range.
-
Cardiovascular Prevention: Reducing the risk of stroke, heart attack, or death from cardiovascular causes in high-risk patients.
-
Kidney Protection: Often used in diabetic patients to help protect kidney function from damage caused by high blood pressure.
-
Heart Failure: Sometimes prescribed to manage symptoms and improve heart efficiency in specific patient groups.
Clinical Insight: Telmisartan works by blocking the action of a hormone called angiotensin II, which naturally tightens blood vessels. By blocking this, the medication allows blood vessels to relax and widen. For detailed pharmacological data, visit the National Library of Medicine (NIH) – Telmisartan Profile.
Dosage
For the treatment of hypertension, the standard adult dose is one 40 mg tablet once daily.
Consistency is key; it should be taken at the same time every day to maintain stable blood levels. The tablet can be taken with or without food. While some patients may see results within two weeks, the full blood pressure-lowering effect usually takes 4 to 8 weeks to reach its peak. Always follow the specific titration schedule provided by your cardiologist.
Common Side Effects
Telma 40 is generally well-tolerated for long-term use. However, as the body adjusts to lower blood pressure, some users may experience:
-
Back pain or muscle cramps
-
Diarrhea or gastrointestinal upset
-
Sinus pain and nasal congestion (sinusitis)
-
Dizziness or lightheadedness (especially when standing up quickly)
Important Warnings & Precautions
-
Pregnancy Warning: Telma 40 must be stopped immediately if pregnancy is detected, as it can cause severe injury or death to the fetus.
-
Kidney/Liver Health: Use with caution in patients with severe hepatic or renal impairment; dose adjustments are often necessary.
-
Dehydration: Excessive sweating, vomiting, or diarrhea can lead to a drastic drop in blood pressure while on this medication.
-
Dual Blockade: Avoid taking Telma 40 alongside ACE inhibitors (like Enalapril) or Aliskiren unless specifically directed by a specialist.
Telma 40 vs. Amlopine 5: Key Differences and Usage
Patients are often prescribed either an ARB like Telma or a Calcium Channel Blocker (CCB) like Amlopine (Amlodipine).
| Feature | Telma 40 (Telmisartan) | Amlopine 5 (Amlodipine) |
| Drug Class | ARB (Angiotensin Blocker) | CCB (Calcium Channel Blocker) |
| Primary Use | High BP & Heart Protection | High BP & Angina (Chest Pain) |
| Action Mechanism | Blocks hormone that narrows vessels | Relaxes muscle cells in vessel walls |
| Common Side Effect | High Potassium / Back pain | Ankle swelling (Edema) |
| Unit Price | ৳12.50 | ৳5.00 – ৳7.00 |
Telma 40 Price (January 2026 Update)
Pricing for the Telma range by Beximco Pharmaceuticals Ltd. has seen a slight adjustment entering 2026.
| Product Name | Strength | Unit Price (BDT) | Strip Price (10 Tablets) |
| Telma 40 | 40 mg | ৳12.50 | ৳125.00 |
| Telma 80 | 80 mg | ৳20.00 | ৳200.00 |
| Telma 20 | 20 mg | ৳7.00 | ৳70.00 |
Telma 40 Alternative Brands & Prices
If Telma 40 is out of stock, these high-quality alternatives are available from other top manufacturers in Bangladesh at regulated prices.
| Brand Name | Company Name | Price per Unit (BDT) |
| Telmipres 40 | Incepta Pharmaceuticals | ৳9.00 |
| Telmilok 40 | Square Pharmaceuticals | ৳12.50 |
| Telpro 40 | Renata Limited | ৳12.50 |
| Arbitel 40 | ACI Limited | ৳12.50 |
| Telcardis 40 | UniMed UniHealth | ৳12.50 |
| Tems 40 | Eskayef (SK+F) | ৳12.50 |
| Telisa 40 | ACME Laboratories Ltd. | ৳10.00 |
| Temcard 40 | Aristopharma Ltd. | ৳12.50 |
| Telmivas 40 | Popular Pharmaceuticals | ৳12.50 |
| Teltab 40 | Ibn Sina Pharmaceuticals | ৳8.00 |
Frequently Asked Questions (FAQ) About Telma 40
1. What is the Telma 40 mg price in Bangladesh?
As of January 2026, the retail price is ৳12.50 per tablet. A standard strip of 10 tablets costs ৳125.00.
2. What are the common side effects of Telma 40?
Most users report mild side effects like back pain, diarrhea, and sinus congestion. Dizziness may occur when you first start the medication or increase the dose.
3. What is Telma 40 used for?
It is used to treat high blood pressure and to lower the risk of heart attacks and strokes in high-risk individuals.
4. Is Telma 40 safe during pregnancy?
No, Telma 40 is highly unsafe during pregnancy. It can cause birth defects, kidney failure in the fetus, or even pregnancy loss. It is strictly contraindicated, especially in the 2nd and 3rd trimesters.
5. Can I take Telma 40 with Ibuprofen?
You should be cautious. Taking NSAIDs like Ibuprofen with Telma 40 can reduce its effectiveness and increase the risk of kidney problems. Always consult your doctor before combining them.
6. Does Telma 40 make you sleepy?
Drowsiness is not a common side effect, but dizziness and fatigue can occur as your blood pressure lowers. Avoid driving if you feel lightheaded.
7. What is the recommended Telma 40 dose?
The standard starting dose is one 40 mg tablet once daily. Your doctor may increase this to 80 mg if your blood pressure targets are not met.
8. Is Telma 40 a “water pill” (diuretic)?
No, it is an ARB. However, there is a version called Telma Plus that combines Telmisartan with a diuretic (Hydrochlorothiazide) for enhanced effect.
9. Are there any alternatives to Telma 40 in Bangladesh?
Yes, widely used alternatives include Telmipres 40 (Incepta), Telmilok 40 (Square), and Telcardis 40 (UniMed), with prices ranging from ৳8.00 to ৳12.50.
Disclaimer: This is educational information only (updated January 2026). Not a substitute for professional medical advice. Always consult a qualified physician before starting/stopping any medication.
