Telma H is not recommended during pregnancy, especially in the second and third trimesters, as it contains telmisartan 40 mg and hydrochlorothiazide 12.5 mg, which may harm the developing fetus. Use during pregnancy can increase the risk of kidney problems, low blood pressure, or other complications in newborns. If you are pregnant or planning to become pregnant, consult your doctor immediately before starting or continuing Telma H. Alternative medications may be prescribed to manage blood pressure safely. You can buy Telma H online, but it should only be taken under strict medical supervision when appropriate.