Q. Is it safe to take Telma 40 and Dilzem tablets together?

Answered by
Dr. Vivek Pillai
and medically reviewed by iCliniq medical review team.
Published on Oct 28, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

My father recently underwent an operation on his right leg, that is, PFN. After the operation was performed, an echo was done on the 16th of last month. The echo pressure is 75 mmHg and RA-RV were dilated. So, the doctor suggested the following medicines:

  • Dilzem SR twice a day.
  • Lexilactone half tablet in the morning.
  • Eliquis 5 mg twice a day.

On the 5th of this month, an echo was done again. The pressure was 40 mmHg and normal RA-RV. We consulted the doctor on the 17th, and he suggested the following medicines: 

  • Dilzem SR 90 twice a day.
  • Equilis 5 mg twice a day.
  • Telma 40 at night.

Is it safe to take Telma 40 and Dilzem SR both tablets together as both lower the blood pressure? His BP is 126/80. Before the operation, my father took Telpress am 40 regularly.

Dr. Vivek Pillai



Welcome to icliniq.com.

  • From the description of your father's echo findings over the last two months, it appears that he suffered a clot in the pulmonary arteries after his leg operation. The good news is that the treatment was ideal and he has responded well given his RA-RV are normal and pressures have dropped to 40 mmHg.
  • I would prefer to give Dilzem SR (Diltiazem) only once daily given that he is also on Telma (Telmisartan). You should just ask your doctor and tell him your concern.
  • Be ambulant. Do moderate exercise.


For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist

Thank you doctor,

If he takes Dilzem SR twice a day without taking Telma 40 at night, is it fine?

Dr. Vivek Pillai



Welcome back to icliniq.com.

  • You can give Dilzem and observe him. If the BP is still above 140 mmHg, then I suggest you add Telma.

For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist

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