Safety of Patanjali Divya Mukta Vati with Telma 40 - #41366
Can Patanjali divya mukta vati be taken along with telma 40? Is there any data about the safety profile after say 10 years of use?
What specific health condition are you using Telma 40 for?:
- HypertensionHow long have you been taking Telma 40?:
- More than 1 yearHave you experienced any side effects from either medication?:
- No side effectsDoctor-recommended remedies for this condition


Doctors' responses
Hello I can totally relate to your worries about the safety of Mukta Vati when taken together with Telma 40, but don’t be worried, we are here to support you out 😊
✅ UNDERSTANDING THE INTERACTION
Mukta Vati is known for antihypertensive actions, therefore, the use of telmisartan along with it will result in additive blood pressure-lowering effects, thus the possibility of hypotension (very low blood pressure), dizziness, and a feeling of faintness especially when changing position from lying to standing may be increased.
✅ Data about long-term (10-year) safety
Evidence for a long-term (10 years) safety of the combination of Mukta Vati + telmisartan is not available as per my knowledge
✅ My Assessment & Recommendation
Given that:
You are on the good telmisartan medication, which is a strong BP-lowering drug, Mukta Vati is also capable of lowering blood pressure,
Long-term (10-years) safety data of such a combination is lacking,
There is a possibility that the patient experiences hypotension, bradycardia, and sedative-like effects, especially if the dosages combine in effect -
Lower dose of Mukta Vati should be used when starting treatment For instance, one tablet once daily and then gradually increasing to 1-0-1 twice a day while monitoring BP closely.
Do BP readings more regularly, as when starting the combined therapy - for example, morning and evening, and maybe sitting vs. standing.
✅ Watch for symptoms of over-lowering BP:
Dizziness, lightheadedness, fainting, extreme fatigue, and slow heart rate. If these occur, dose adjustment or stopping Mukta Vati will be advised.
✅ Periodic follow-up needed:
Keep checking BP and heart rate at regular intervals. After a few months, decide if both drugs are still necessary — perhaps the dose of telmisartan can be lowered and/or Mukta Vati continued.
✅ Lifestyle is still very important:
Reducing salt in the diet, controlling weight, relieving stress (yoga/pranayama), and making diet changes will help reduce your need for both drugs. Good sleep, no smoking/alcohol (if applicable), and exercise.
Yes, Mukta Vati is a potential drug that can be used along with Telma 40, but there are still some risks involved.
There is no solid 10-year safety data for this specific combination as per my knowledge
If accompanied by proper surveillance, dose modification, and regular visits, it may be safe and efficient
Warm Regards Dr Snehal Vidhate
Yes it is safe to take it together
Try taking Telma 40 at day time and Mukta Vati at bed tiem
Yes you can take Divya mukta vati2-2 tab before meal twice daily with telma 40 tab…
it’s all safe …reserch paper submitted in patanjali offical website…
DR ATUL PAINULI
PATANJALI YOGPEETH
Do not take at a time give a gap of atleast 1 hour and if you are taking telma at night then take Mukta at morning otherwise there is sudden drop of blood pressure meanwhile start if bp is more then 140/90 if less then do not take It’s safe to continue for long
HELLO,
Generally, it can be taken together, but with caution, because -Both reduce blood pressure, so the combination may cause BP to drop too low (hypotension), especially in the first 1-2 weeks -Mukta vati contains Sarpagandha in many formulation- a potent natural antihypertensive -some individuals may experience bradycardia, nasal congestion, fatigue, or too low BP
Since you’re already stable on Telma 40 mg for > 1 year with no side effects, any additional BP-Lowering herb must be added carefully
IS THERE 10-YEAR SAFETY DATA FOR MUKTA VATI> No, there is no long term (10+ years) published safety data for - patanjali divya Mukta vati -Any multi-herb Ayurvedic proprietary antihypertensive formula
However WHAT WE DO KNOW -Individual Ayurvedic herbs- sarpagandha, ashwagandha, shankhapushpi, brahmi etc.have traditional Long term use history -Formal studies are short term 8-24 weeks; they show bp lowering effect and mild side effects -Sarpagandha containing formulation are not recommended indefinitely without monitoring due to –possible depression in sensitive individual –slow heart heart –nasal congestion –sedation –rare gastric issues
Mukta vati is not meant as a lifetime medicine, it’s a supportive herbal formulation meant to be tapered if BP improves with lifestyle correction
YOU CAN COMBINE IF -you monitor bp daily for 2-3 weeks -you start with 1/2 tab twice daily instead of full dose -your monitoring Bp is not already < 120/80 -no dizziness, fatigue, or unusual slow heart rate appears
AVOID COMBINING IF -you resting pulse is <60 -your bp often drops below 110/70 -you have a history of depression -you have peptic ulcers rare irritation possible
HOW TO SAFELY INTRODUCE MUKTA VATI WITH TELMA 40
STEP -BY- STEP PROTOCOL
WEEK 1-2 -telma 40 as usual -Mukta vati 1/2 tab at bedtime
Monitor BP twice daily
If Bp stays stable (>110/70)
WEEK 3-4 -Mukta vati 1/2 tab twice daily If your bp improves and stays lower than usual, your physician may consider reducing Telma to 20 mg, but only after review
AYURVEDIC VIEW
YOUR PROFILE -no side effects -chronic hypertension -interested in Ayurvedic support
MEDICATIONS
1) ASHWAGANDHA= 250mg at night= calms vata, reduces stress driven Bp
2) BRAHMI VATI= 1 tab at night for overthinking, anxiety, agitation
3) PUNARNAVADI GUGGULU= 2 tabs twice daily after meals- mild diuretic, reduces water retention
4) ARJUNARISHTA= 15 ml twice daily after meals with warm water =strengthens heart muscle
THESE ARE SAFER THAN SARPAGANDHA-BASED FORMULAS
FOODS THAT LOWERS BP -warm, cooked, unctous foods-> reduce vata -garlic, coriander, cumin, cardamom, fennel -cow ghee 2 tsp/day -drumstick leaves, bottle gourd, ridge gourd -pomegranate -soaked almonds 5-7/day
AVOID -excess tea/coffee -cold, raw foods -salt rich snacks papad, pickles, processed foods
YOGA + PRANAYAM
DAILY -anulom vilom= 10 min -bhramari= 12 rounds -shavsana= 5-10 min -mild evening walk= 20-30 min
Avoid -kapalbhati can rise bp in some -intense pranayam or hot yoga
ROUTINE -wake up before sunrise -warm water sip-by-sip -gentle warm oil massage for calming vata -early dinner before 8pm
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Yes you can take both medicines together.keep gap of 30-45 minutes between 2 system of medicine Keep a check on blood pressure weekly, if blood pressure reduces need to reduce the dosage under doctor’s advice. Lessen intake of salt Do pranamyam lom -vilom bhastrika bhamri 5-10mins daily twice Do Brisk walking atleast 30 mins daily. Remain relaxed and remain stress free.
Yes, Patanjali Divya Mukta Vati can generally be taken alongside Telma 40 for hypertension. Long-term safety data (10+ years) for Mukta Vati is limited, so regular monitoring is essential.
🕰️ Monitoring Tips - Track BP twice daily for first 2 weeks after starting Mukta Vati - Watch for dizziness, fatigue, or lightheadedness
No known interactions between Mukta Vati & Telma 40 (telmisartan). Mukta Vati supports BP via herbs like Sarpagandha (mild sedative) & Arjuna (cardio-protective); monitor BP to avoid additive lowering. Cab be taken along with Telma.
Diet Give only: Moong dal khichdi + 1 tsp ghee + lauki sabzi. Pomegranate, amla juice (20 ml diluted morning). Warm water sip every 30 min (2 L total).
Avoid completely: Salt >3 gm/day, caffeine, alcohol. Fried, processed food.
Lifestyle Brisk walk 30 min daily. Sheetali Pranayama 10 min morning. Sleep 10 PM – 6 AM.
Monitoring BP: Twice daily (aim <140/90). After 30 days: ECG + lipid profile.
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO,
-Divya mukta vati is an herbal BP lowering formulation -taking it together with Telma 40 may further reduce BP, which can lead to excessive lowering, dizziness or weakness -there is no long term 10 year scientific safety data for mukta vati -If used , It must be done under BP monitoring and preferably with a physician’s supervision
AYURVEDICALLY -Mukta vati is mainly for pitta/vata related hypertension= stress, irritability, heat and overthinking
Support it naturally with -warm water sip by sip -Brahmi vati= 1 tab at night -early dinner, low salt diet -5-10 min of nadi sodhana- alternate nostril breathing -avoid excess coffee, spicy foods, and late nights
PRACTICAL TIPS -If your bp is well controlled on Telma 40, adding Mukta vati is usually not necessary
THANK YOU
DR. HEMANSHU MEHTA
Combining Patanjali Divya Mukta Vati with Telma 40 warrants caution. Mukta Vati, an Ayurvedic formulation, is traditionally used to manage hypertension and may modify blood pressure levels. Telma 40, on the other hand, is an antihypertensive medication known for its capacity to lower blood pressure. Taking both products together might enhance the antihypertensive effect excessively, potentially causing blood pressure to fall too low, which can be unsafe. It’s crucial, therefore, to first consult with your healthcare provider before combining these interventions.
In terms of long-term safety data for Mukta Vati, comprehensive and extensive studies akin to those conducted for pharmaceuticals over ten-year spans are rather limited. Ayurveda relies on ancient texts and contextualized modern uses, but systematic, long-duration studies in settings adhering to contemporary scientific methodology are less common. While Mukta Vati has been reported to be generally well-tolerated in the short term for many users, precise long-term effects, particularly in combination with modern medications, still require more research data to draw definitive conclusions.
When considering the integration of such Ayurvedic supplements into your regimen, also reflect on your specific dosha balance, lifestyle factors, and any potential interactions. For your peace of mind and safety, monitor your blood pressure closely if you decide to integrate these two and make adjustments as necessary, guided by a healthcare professional. Moreover, maintain a healthy diet, proper sleep, and stress-reducing practices as a holistic approach to managing hypertension according to Ayurvedic principles. Ensure any change is viable for your particular lifestyle and health status, prioritizing ongoing medical evaluations where needed.
yes 100 safe but gap between medicine and also take bramhi tab 2 bd

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