You can take **Telma CT 40/6.25mg Tablet** with or without food, as advised by your doctor. The precise dosage will be determined by your medical condition and how your body responds to the treatment. For best results, aim to take it at the same time each day. It is crucial to continue taking this medicine as prescribed by your doctor, even if you start feeling well, as high blood pressure often has no noticeable symptoms. Stopping treatment prematurely can increase your risk of a heart attack or stroke. Since this medicine contains Chlorthalidone, a diuretic (or 'water pill'), it will increase urination; therefore, it is generally best to avoid taking it within four hours of bedtime.

Common side effects may include dizziness, nausea, diarrhea, headache, and changes in blood lipid levels. Increased urination is an expected effect of Chlorthalidone and not typically considered a bothersome side effect, as it contributes to blood pressure control. Always read the patient leaflet provided with your medicine. If any side effects persist or cause concern, discuss them with your doctor, who may adjust your dosage or suggest an alternative treatment.

**Telma CT 40/6.25mg Tablet** is generally not recommended during pregnancy. Consult your doctor before using this medication if you have existing kidney or liver disease, heart conditions, or diabetes. Consuming alcohol while on this medication can further lower your blood pressure and potentially increase the likelihood of side effects. Always follow your doctor's instructions for safe and effective use.