{"product_id":"gemidipine-tch-6-25-tab-15s","title":"Gemidipine TCH 6.25 Tablet","description":"\u003cb\u003eAbout\u003c\/b\u003e\u003ci\u003eGemidipine TCH 6.25 Tablet is a triple combination of Cilnidipine 10mg, Telmisartan 40mg, and Chlorthalidone 6.25mg used to treat hypertension and provide comprehensive cardiovascular and renal protection with lower diuretic dose.\u003c\/i\u003e\u003cb\u003eUsage Instructions:\u003c\/b\u003e Take once daily at the same time, with or without food. Swallow whole with water; do not crush or chew. Continue even if feeling well. Do not stop suddenly without medical advice. Take consistently at the same time daily.\u003cb\u003eBenefits:\u003c\/b\u003e Provides effective blood pressure control with triple mechanism, suitable for patients requiring additional BP lowering beyond dual therapy, reduces risk of stroke, heart attack, and cardiovascular events, provides renal protection and reduces proteinuria (cilnidipine + telmisartan), reduces fluid retention with lower diuretic dose (chlorthalidone 6.25mg), provides 24-hour BP control, suitable for patients with diabetes, CKD, or moderate cardiovascular risk, fewer electrolyte disturbances than higher diuretic dose.\u003cb\u003eHow it Works:\u003c\/b\u003e Cilnidipine blocks L-type and N-type calcium channels, causing vasodilation and reducing sympathetic tone. Telmisartan blocks angiotensin II receptors (ARB), causing vasodilation, reducing aldosterone, and providing organ protection. Chlorthalidone is a thiazide-like diuretic that increases renal sodium and water excretion, reducing plasma volume and peripheral vascular resistance. Triple complementary mechanisms address vasoconstriction, volume overload, and neurohormonal activation for comprehensive BP control.\u003cb\u003eSide Effects:\u003c\/b\u003e Common: dizziness, headache, fatigue, hypotension (especially initially), electrolyte imbalances (hypokalemia, hyponatremia - less common with 6.25mg), increased urination, peripheral edema, constipation, nausea, hyperuricemia. Serious: severe hypotension, acute kidney injury, severe electrolyte disturbances, angioedema (rare with ARB), severe allergic reactions, gout flare, glucose intolerance, photosensitivity.\u003cb\u003eSafety Advice:\u003c\/b\u003e Contraindicated in pregnancy (ARBs cause fetal toxicity), severe renal impairment (eGFR \u0026lt;30), anuria, or hypersensitivity to sulfonamides (chlorthalidone). Use caution in diabetes (may worsen glycemic control), gout or hyperuricemia, hepatic impairment, or pre-existing electrolyte imbalances. Monitor blood pressure, renal function (serum creatinine, eGFR), and electrolytes (potassium, sodium, magnesium) at baseline and periodically. May increase blood glucose and uric acid levels. Inform doctor of dizziness, syncope, muscle weakness\/cramps, irregular heartbeat, decreased urination, or signs of dehydration. Maintain adequate fluid intake. Avoid potassium supplements or salt substitutes containing potassium unless specifically prescribed. Use sunscreen due to photosensitivity risk.\u003cb\u003eStorage:\u003c\/b\u003e Store below 25°C in a dry place. Protect from light and moisture. Keep in original packaging. Keep out of reach of children. Do not remove from blister until ready to use.","brand":"ETABX","offers":[{"title":"Default Title","offer_id":48303115600009,"sku":"184866","price":356.25,"currency_code":"INR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0709\/5576\/1801\/files\/EtabxDefaultimage_40ac5e2d-3e7b-4d8f-a9c7-16b6d028668a.jpg?v=1776753136","url":"https:\/\/etabx.com\/products\/gemidipine-tch-6-25-tab-15s","provider":"ETABX","version":"1.0","type":"link"}