Xstan-H 40mg/12.5mg Tablet contains two medicines, both of which help to control high blood pressure. It is generally used when one medicine alone is not controlling the blood pressure effectively. Lowering blood pressure helps to reduce your risk of having a heart attack or a stroke in the future.

You can take Xstan-H 40mg/12.5mg Tablet with or without food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It’s important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more, so it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly even if you feel better to get the most from it. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase.

The most common side effect is dizziness. Other side effects include feeling tired, nausea, shortness of breath, and changes to your heartbeat. Frequent urination is not a side effect of this medicine. It is the purpose of this medicine as frequent urination helps control your blood pressure. You may experience other possible side effects, but most are rare. Make sure you read the leaflet that comes with your medicines and tell your doctor if you are bothered by side effects or they do not go away. It may be possible to adjust your dose or try a different medicine.

Do not use potassium supplements or salt substitutes unless your doctor has told you to. This medicine is not recommended during pregnancy or while breastfeeding. You should ask your doctor before taking it if you have kidney or liver disease, heart trouble or diabetes. Drinking alcohol can further lower your blood pressure and may cause side effects.

Uses of Xstan-H Tablet

Treatment of Hypertension (high blood pressure)

Benefits of Xstan-H Tablet

In Treatment of Hypertension (high blood pressure)

Xstan-H 40mg/12.5mg Tablet is a combination of two medicines namely telmisartan and hydrochlorothiazide. It is generally used when one medicine alone is not controlling your blood pressure effectively. Telmisartan works by relaxing and widening your blood vessels so your blood can flow more easily. This will lower your blood pressure. Hydrochlorothiazide is known as a diuretic (water pill) which increases urine output thereby lowering blood pressure. If your blood pressure is controlled you are less at risk of having a heart attack, stroke, or kidney problems. The medicine must be taken regularly as prescribed to be effective. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well.

Side effects of Xstan-H Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Xstan-H

Fatigue
Dizziness
Nausea
Decreased magnesium level in blood

How to use Xstan-H Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Xstan-H 40mg/12.5mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Xstan-H Tablet works

Xstan-H 40mg/12.5mg Tablet is a combination of two medicines: Telmisartan and hydrochlorothiazide which lowers the blood pressure effectively. Telmisartan is an angiotensin receptor blocker (ARB). It works by blocking the hormone angiotensin, thereby relaxing the blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Hydrochlorothiazide is a diuretic that removes extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Xstan-H 40mg/12.5mg Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Xstan-H 40mg/12.5mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Xstan-H 40mg/12.5mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Xstan-H 40mg/12.5mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Xstan-H 40mg/12.5mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Xstan-H 40mg/12.5mg Tablet may be needed. Please consult your doctor.
Use of Xstan-H 40mg/12.5mg Tablet is not recommended in patients with severe kidney disease.

Liver

CAUTION

Xstan-H 40mg/12.5mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Xstan-H 40mg/12.5mg Tablet may be needed. Please consult your doctor.

What if you forget to take Xstan-H Tablet?

If you miss a dose of Xstan-H 40mg/12.5mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Xstan-H 40mg/12.5mg Tablet

₹3.5/Tablet

Telmizem-H Tablet

Zeelab Pharmacy Pvt Ltd

₹1.38/tablet

61% cheaper

Telmavas-H Tablet

Biochem Pharmaceutical Industries

₹14/tablet

300% costlier

Telkonol H 40mg/12.5mg Tablet

Knoll Pharmaceuticals Ltd

₹6.9/tablet

97% costlier

Venpres-H 40mg/12.5mg Tablet

Leeford Healthcare Ltd

₹6.21/tablet

77% costlier

Telgard H Tablet

Cipla Ltd

₹14.9/tablet

326% costlier

View all substitutes

Quick tips

It can be taken with or without food.
Xstan-H 40mg/12.5mg Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, very dry mouth or muscle weakness.
It may cause dizziness. Get up slowly when rising from a sitting or lying position.
Use of Xstan-H 40mg/12.5mg Tablet during pregnancy or breastfeeding is unsafe.

Fact Box

Habit Forming

Therapeutic Class

CARDIAC

Patient concerns

high blood pressure 160/90 and heart rate 130 I am already to taken tazloc-h 40mg

Dr. Saurabh Arora

Cardiology

Can change to besicor t 2.5/40 will control both rate and BP after consulting with your physician

I have 110-170 blood pressure,sugar fasting100,cholostrol normal ,but now l have very high headache with pain only one side(left)

Dr. Pushkar Mani

Physician

whatever medicine u taking for BP stop that and take ramistar H once daily

FAQs

Q. What should I avoid while taking Xstan-H 40mg/12.5mg Tablet?

You should avoid potassium supplements or salt substitutes, unless advised by your doctor. Also, avoid alcohol consumption as doing so can further lower your blood pressure and may cause some side effects. In addition to that, avoid getting dehydrated, drink enough fluids during exercise and in hot weather. The medicine may make you dizzy so avoid driving, using machinery or doing anything that needs concentration unless you know how this medicine affects you. If you feel dizzy, lie down so you do not faint. Then sit for a few moments before standing to prevent feeling dizzy again.

Q. What happens if I take too much of Xstan-H 40mg/12.5mg Tablet?

If you accidentally take too much of Xstan-H 40mg/12.5mg Tablet, you may experience symptoms such as low blood pressure, dizziness, lightheadedness, weakness, vomiting and rapid heartbeat. However, in some cases slow heartbeat, reduced kidney function including kidney failure (e.g., reduced urine output) have also been reported. If you experience any such symptoms, contact your doctor immediately and seek medical help.

Q. Can I come off Xstan-H 40mg/12.5mg Tablet when my blood pressure is under control or normal?

Remember, Xstan-H 40mg/12.5mg Tablet does not cure your hypertension (high blood pressure) but helps normalize it. You should continue taking this medicine even if your blood pressure is controlled. If you stop taking Xstan-H 40mg/12.5mg Tablet, your blood pressure could rise back up again. Generally, blood pressure-lowering medicines are to be taken for the rest of your life. It is important to know that by keeping your blood pressure controlled you are reducing your risk of having a heart attack or a stroke.

Q. What happens if I forget to take Xstan-H 40mg/12.5mg Tablet?

If you forget to take a dose, take it as soon as you remember. However, if it is close to the time of your next dose, skip the missed one and take the next scheduled dose. Do not take a double dose to make up for the one you missed. If you often forget doses, it may help to set an alarm to remind you. If not sure, consult your doctor for other ways to help you remember.

Q. What will happen if I stop taking Xstan-H 40mg/12.5mg Tablet?

You should not stop taking Xstan-H 40mg/12.5mg Tablet without talking to your doctor first. If you do stop taking it, your blood pressure may rise and you may put yourself at greater risk of having a heart attack or a stroke. If you experience side effects, such as dizziness, nausea, diarrhea etc., talk to your doctor.

Q. Is it safe to take Xstan-H 40mg/12.5mg Tablet for a long time?

Xstan-H 40mg/12.5mg Tablet is generally safe to take for a long time. Remember to follow your doctor's advice/instructions.

Q. How long will I be taking Xstan-H 40mg/12.5mg Tablet for?

You may have to take Xstan-H 40mg/12.5mg Tablet for a long-term or even lifelong. The medicine only keeps your blood pressure under control for as long as you are taking it. Therefore, it is advised to continue your medication and follow your doctor's advice.

Q. What if Xstan-H 40mg/12.5mg Tablet doesn’t make me feel any better?

High blood pressure does not usually have any symptoms, so you may not feel ill if there is any change in the blood pressure. Therefore, this medicine may not make you feel “better”. This does not mean that you can stop the medicine as they are working in the background to reduce your risk of serious illness.

Q. Can Xstan-H 40mg/12.5mg Tablet affect my fertility or sex life?

Xstan-H 40mg/12.5mg Tablet may very rarely lead to erectile dysfunction (inability to gain or maintain an erection). Consult your doctor if you are worried or notice some changes. However, untreated hypertension (high blood pressure) itself can lead to erectile dysfunction, therefore it is important that you take your medicine regularly and keep a track of your blood pressure.

Q. What other lifestyle changes should I make while taking Xstan-H 40mg/12.5mg Tablet?

Lifestyle changes play a major role in keeping you healthy if you are taking Xstan-H 40mg/12.5mg Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Xstan-H 40mg/12.5mg Tablet and to keep yourself healthy.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Dailymed. Telmisartan+Hydrochlorothiazide. [Accessed 11 Apr. 2019] (online) Available from:
Telmisartan+hydrochlorothiazide. Ingelheim, Germany: Boehringer Ingelheim International GmbH; 2011.[Accessed 11 Apr. 2019] (online) Available from:
Telmisartan and Hydrochlorothiazide Tablets I.P. [Package Insert]. Gangtok, Sikkim: Torrent Pharmaceuticals Ltd.; 2019. [Accessed 28th Sept. 2023] (online) Available from:

Marketer details

Name: Blue Cross Laboratories Ltd

Address: Peninsula Chambers, Peninsula Corporate Park, G.K Marg, Lower Parel (West), Mumbai - 400013, Maharashtra, INDIA.

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.