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
