Telma 40 vs Telma H: price, salt & differences
Telma 40 is telmisartan 40 mg alone. Telma H adds hydrochlorothiazide 12.5 mg, a mild water pill that removes extra salt and fluid, giving an extra drop in blood pressure for people whose BP stays high on telmisartan alone. The combination needs blood tests for sodium, potassium and uric acid, costs ₹356.72 for 15 tablets versus ₹108.36 for 15 tablets, and is a step-up decision for your doctor – ask your doctor or pharmacist before switching.
Telma 40
Telmisartan 40 mg · Glenmark Pharmaceuticals Ltd
MRP ₹108.36 for 15
₹7.22 / tablet
Telmisartan 40 mg detailsTelma H
Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg · Glenmark Pharmaceuticals Ltd
MRP ₹356.72 for 15
₹23.78 / tablet
Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg detailsKey differences
| Aspect | Telma 40 | Telma H |
|---|---|---|
| Salt / composition | Telmisartan | Telmisartan + Hydrochlorothiazide |
| Strength | 40 mg | 40 mg + 12.5 mg |
| Manufacturer | Glenmark Pharmaceuticals Ltd | Glenmark Pharmaceuticals Ltd |
| Pack size | 15 tablets | 15 tablets |
| MRP | ₹108.36 for 15 tablets | ₹356.72 for 15 tablets |
| ₹ per tablet | ₹7.22 per tablet | ₹23.78 per tablet |
| Prescription status | Schedule H – prescription required | Schedule H – prescription required |
| Main use | High blood pressure (hypertension). | High blood pressure that is not controlled with telmisartan alone. |
| Who it suits / key caution | High blood pressure; also protects kidneys in diabetics. Not for pregnancy. Check potassium and kidney function; can cause dizziness when standing. | High blood pressure not controlled on telmisartan alone; the water pill adds extra lowering. Can drop sodium and potassium, raise uric acid and sugar – needs blood tests. |
MRPs as printed/listed on the date shown; actual price may vary.
Frequently asked questions
Telma 40 और Telma H में क्या फर्क है?
Telma 40 में सिर्फ telmisartan 40 mg है। Telma H में telmisartan 40 mg के साथ hydrochlorothiazide 12.5 mg (पेशाब बढ़ाने वाली दवा) भी है, जो BP और नीचे लाती है। Telma H की MRP ₹356.72 (15 tablets) और Telma 40 की ₹108.36 (15 tablets) है।
When does a doctor move someone from Telma 40 to Telma H?
Usually when blood pressure is still above target on telmisartan 40 mg alone, or when there is fluid retention or ankle swelling that a diuretic helps with. It is a doctor's step-up, not a self-switch.
What does the 'H' in Telma H do?
H stands for hydrochlorothiazide, a thiazide diuretic. It makes the kidneys pass out more sodium and water, which lowers the fluid volume in blood vessels and brings BP down further.
Does Telma H have more side effects than Telma 40?
It can. The hydrochlorothiazide part may lower sodium and potassium, raise uric acid (gout) and blood sugar, and make you pass urine more in the first hours, so most people take it in the morning. Periodic blood tests are needed.
Can I take Telma H in pregnancy?
No. Neither telmisartan nor the combination should be taken in pregnancy; they can harm the baby. Tell your doctor straight away if you are pregnant or planning to be.
Which is cheaper per tablet?
Telma 40 at ₹7.22 per tablet versus Telma H at ₹23.78 per tablet. The Jan Aushadhi generic of telmisartan 40 is ₹11.25 for 10 tablets (₹1.12 per tablet); of telmisartan + HCTZ it is ₹15.94 for 10 tablets (₹1.59 per tablet).
Sources
- MedlinePlus – Telmisartan (19 October 2026)
- NPPA Pharma Sahi Daam (ceiling prices) (19 October 2026)
- PMBI Jan Aushadhi Product & MRP List (19 October 2026)
- MedlinePlus – Hydrochlorothiazide (19 October 2026)
Medyzen Editorial Team · Last updated
This page is general information, not medical advice. Do not start, stop or change a medicine without asking a doctor or pharmacist. Terms