Twintel CH 40 mg/10 mg/12.5 mg Tablet

Twintel CH 40 mg/10 mg/12.5 mg Tablet is a combination of medicines used to treat hypertension (high blood pressure) when a single medication is not effective. It helps to lower high blood pressure thus reduces chances of future heart attack and stroke.

Twintel CH 40 mg/10 mg/12.5 mg Tablet should be taken with 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 is 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 to get the most benefit from it even if you feel well. 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 effects of this medicine include ankle swelling, headache, dizziness, tiredness, and taste change. Consult your doctor If any of these bother you, or get worse, or won't go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, level of electrolytes, and blood sugar level checked regularly to make sure that this medicine is working properly.

• Hypertension (high blood pressure)

Hypertension (high blood pressure)
Twintel CH 40 mg/10 mg/12.5 mg Tablet relaxes the blood vessels so that blood can flow more easily around your body. It also eliminates excess water from the body and increases urine output. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.

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 Dilnip Trio

• Ankle swelling
• Headache
• Dizziness
• Tiredness
• Palpitations
• Sleepiness
• Increased blood uric acid
• Glucose intolerance
• Taste change
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Upset stomach
• Altered blood lipid level

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. Twintel CH 40 mg/10 mg/12.5 mg Tablet is to be taken with food.

Twintel CH 40 mg/10 mg/12.5 mg Tablet is a combination of three medicines: Telmisartan, Cilnidipine and Chlorthalidone. Telmisartan is an angiotensin receptor blocker (ARB) and Cilnidipine is a calcium channel blocker (CCB). They work by widening and relaxing the blood vessels, thereby lowering blood pressure. Chlorthalidone is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time it also works by relaxing blood vessels and improving blood flow.

• You have been prescribed Twintel CH 40 mg/10 mg/12.5 mg Tablet for the treatment of high blood pressure.

• Lowering high blood pressure helps prevent strokes and heart attacks.

• It may cause dizziness. Get up slowly when rising from a sitting or lying position.

• Twintel CH 40 mg/10 mg/12.5 mg Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.

• Use of Twintel CH 40 mg/10 mg/12.5 mg Tablet during pregnancy or breastfeeding is unsafe.

Telmisartan. Bracknell, Berkshire: Boehringer Ingelheim Limited; 1998 [revised Nov. 2017]. [Accessed 11 Apr. 2019] (online) Available from:

PubChem. Cilnidipine. [Accessed 11 Apr. 2019] (online) Available from:

Chlortalidone. Chippenham, Wiltshire: Alliance Pharmaceuticals; 1998 [revised 23 Sep. 2014]. [Accessed 11 Apr. 2019] (online) Available from:

Telmisartan. Ingelheim, Germany: Boehringer Ingelheim Pharma KG; 1998. [Accessed 11 Apr. 2019] (online) Available from: