Telfast Tablets


Telfast 120mg tablet packaging
Telfast 120mg film-coated tablets

Telfast 120mg tablets contain fexofenadine hydrochloride, a non-drowsy antihistamine that provides 24-hour relief from hay fever symptoms. Unlike traditional antihistamines that often cause sedation, Telfast is designed to relieve allergy symptoms without significant drowsiness. Available through Chemist Doctor's regulated service, this effective hay fever treatment starts working within 1 hour and maintains symptom control throughout the day.

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What is Telfast?

Telfast is a non-drowsy antihistamine medication containing the active substance fexofenadine hydrochloride, presented as peach-colored, film-coated tablets. It belongs to a class of medicines called peripheral H1-receptor antagonists that work by blocking histamine receptors without significantly crossing the blood-brain barrier.

Mechanism of Action

Telfast works through a targeted antihistamine mechanism:

  • Histamine blockade: Competitively inhibits H1-receptors on blood vessels and respiratory tract cells
  • Peripheral action: Minimal penetration of the blood-brain barrier reduces central nervous system effects
  • Anti-inflammatory effects: Reduces histamine-mediated inflammatory responses in nasal and ocular tissues

Imagine your allergy response as a false alarm system - Telfast acts like a smart security guard that stops the alarm (histamine) from triggering unwanted symptoms without affecting your alertness.

Pharmacological Profile

  • Onset of action: Within 1 hour
  • Peak concentration: 1-3 hours post-dose
  • Duration: 24 hours of symptom relief
  • Metabolism: Minimal hepatic metabolism (less than 5%)
  • Excretion: Primarily renal (80%) and faecal (11%)

What is Telfast Used For?

Telfast 120mg is indicated for the relief of symptoms associated with seasonal allergic rhinitis (hay fever) in:

  • Adults
  • Adolescents aged 12 years and over

Symptom Relief Coverage

Symptom CategorySpecific Symptoms Relieved
Nasal Symptoms Sneezing, rhinorrhoea (runny nose), nasal itching, nasal congestion
Ocular Symptoms Itchy/red/watery eyes, ocular pruritus
Pharyngeal Symptoms Itchy palate, itchy throat, post-nasal drip

Important Safety Notice:

Discontinue immediately and seek urgent medical attention if you experience:

  • Swelling of face, lips, tongue or throat
  • Difficulty breathing or swallowing
  • Severe skin reactions or hives
  • Chest tightness or wheezing

These may indicate a serious allergic reaction requiring immediate intervention.

Before Using Telfast

Essential considerations before initiating treatment:

Medical History Assessment

  • Renal impairment or kidney disease
  • Hepatic impairment or liver disease
  • Cardiac conditions (arrhythmias, heart disease)
  • Previous hypersensitivity to antihistamines
  • Elderly status (increased monitoring may be required)

Pre-Treatment Evaluation

  1. Confirm hay fever diagnosis and symptom pattern
  2. Assess for alternative causes of rhinitis (infectious, vasomotor)
  3. Evaluate renal function in patients with risk factors
  4. Review current medication regimen for interactions
  5. Consider allergy testing if diagnosis is uncertain

Telfast Contraindications

Absolute contraindications where Telfast must not be used:

Absolute Contraindications

  • Hypersensitivity to fexofenadine or any excipients
  • Severe renal impairment requiring dialysis

Special Precautions

ConditionPrecaution Required
Moderate renal impairmentDose reduction may be necessary
Cardiac conditionsMonitor for tachycardia or arrhythmias
Hepatic impairmentUse with caution; limited data available
Elderly patients (≥65 years)Increased monitoring for side effects

Special Population Considerations

Elderly Patients (≥65 years)

  • Increased risk of side effects due to age-related physiological changes
  • Higher likelihood of concurrent medications and comorbidities
  • Renal function assessment recommended before prescribing

Renal Impairment

  • Mild impairment (CrCl 60-89 mL/min): No dose adjustment needed
  • Moderate impairment (CrCl 30-59 mL/min): Consider dose reduction
  • Severe impairment (CrCl 15-29 mL/min): Maximum 60mg daily
  • End-stage renal disease: Contraindicated

Hepatic Impairment

  • Limited clinical data available
  • Use with caution in severe hepatic impairment
  • Monitor for increased side effects

Paediatric Population

  • 12-17 years: Standard adult dose (120mg once daily)
  • 6-11 years: Lower strength available (30mg tablets)
  • Under 6 years: Not recommended

Telfast and Other Medicines

Significant interactions requiring attention:

High-Risk Combinations

  • Antacids containing aluminium/magnesium: Reduce fexofenadine absorption by up to 41%
  • Erythromycin/Ketoconazole: May increase fexofenadine plasma concentrations
  • Fruit juices (apple, orange, grapefruit): Can decrease bioavailability

Timing Recommendations

For optimal absorption and efficacy:

  • Take Telfast 2 hours before or 4 hours after antacids
  • Administer with water only (avoid fruit juices)
  • Take before a meal for consistent absorption
  • Avoid concurrent administration with P-glycoprotein inhibitors

Compatible Medications

No clinically significant interactions with:

  • Oral contraceptives
  • Paracetamol
  • Ibuprofen
  • Most antibiotics (except erythromycin)
  • Pregnancy & Breastfeeding

    Pregnancy

    • Category B2 (Australian categorisation)
    • Limited human data available
    • Not recommended during pregnancy unless clearly necessary
    • Animal studies show no direct harmful effects
    • Consult obstetrician before use in pregnancy

    Breastfeeding

    • Excreted in breast milk in small amounts
    • Not recommended during breastfeeding
    • Consider alternative feeding methods if treatment is essential
    • Consult healthcare provider for risk-benefit assessment

    Driving & Machine Operation

    • Classified as non-drowsy antihistamine
    • Unlikely to affect driving ability in most individuals
    • Individual responses may vary
    • Precaution: Test your reaction before driving or operating machinery
    • If drowsiness or dizziness occurs, avoid hazardous activities
    • Report any impairment to your healthcare provider

    Telfast Ingredients

    Active Substance

    • Fexofenadine hydrochloride - 120mg per tablet

    Excipients (Tablet Core)

    IngredientFunction
    Microcrystalline celluloseBinder/Diluent
    Pregelatinised maize starchDisintegrant
    Croscarmellose sodiumSuperdisintegrant
    Magnesium stearateLubricant

    Film Coating Components

    IngredientFunction
    HypromelloseCoating polymer
    Povidone K30Binder
    Titanium dioxide (E171)Opacifier/Colour
    Colloidal anhydrous silicaGlidant
    Macrogol 400Plasticizer
    Red iron oxide (E172)Colourant
    Yellow iron oxide (E172)Colourant

    Allergen Information

    • Contains no lactose, gluten, or tartrazine
    • Suitable for most common dietary restrictions

    How to Use Telfast Tablets

    Preparation Steps

    1. Wash hands thoroughly before handling medication
    2. Remove tablet from blister pack by pushing through foil
    3. Inspect tablet: should be intact peach-colored capsule-shaped tablet
    4. Have a glass of water ready (approximately 200ml)

    Administration Technique

    • Timing: Take before a meal for optimal absorption
    • Method: Swallow whole with water
    • Do not crush, chew, or break tablets
    • Liquid intake: Ensure adequate water to facilitate swallowing

    Optimal Administration Protocol

    1. Take tablet at the same time each day
    2. Administer before breakfast for consistent daily timing
    3. Record administration to prevent missed doses
    4. Continue throughout hay fever season as needed

    Telfast Dosage Guidelines

    Standard Dosage Schedule

    Patient GroupRecommended DoseFrequency
    Adults (≥18 years)120mgOnce daily
    Adolescents (12-17 years)120mgOnce daily
    Children (6-11 years)*30mgTwice daily
    Renal impairment (moderate)60mgOnce daily

    *Lower strength formulation required for children 6-11 years

    Duration of Treatment

    • Short-term: As needed during high pollen counts
    • Seasonal: Throughout hay fever season (typically March-September in UK)
    • Long-term: Can be used continuously for chronic allergic rhinitis
    • No tolerance development reported with extended use

    Dose Adjustment Criteria

    • No titration required - start with full therapeutic dose
    • Adjust based on renal function only
    • Do not exceed recommended daily dose
    • Efficacy should be apparent within 1-3 days

    Administration Instructions

    Step-by-step administration guide:

    Optimal Timing

    1. Take tablet in the morning before breakfast
    2. If switching from evening dose, take next dose in morning
    3. Maintain consistent daily timing
    4. Avoid taking with fruit juices or antacids

    Administration Process

    1. Place tablet on tongue
    2. Take with full glass of water (200ml minimum)
    3. Swallow whole without chewing
    4. Remain upright for 10 minutes post-administration

    Special Administration Circumstances

    • Swallowing difficulties: Consult pharmacist for alternatives
    • Nasogastric tube: Not recommended for tube administration
    • With food: Can be taken with or immediately after food if gastrointestinal upset occurs

    Missed Dose Management

    General Principles

    • Do NOT take double dose to compensate for missed tablet
    • If remembered within 12 hours, take as soon as possible
    • If remembered after 12 hours, skip missed dose

    Time-Based Guidance

    Time Since Missed DoseRecommended Action
    Less than 12 hoursTake tablet immediately, then resume normal schedule
    More than 12 hoursSkip missed dose, take next dose at usual time
    Uncertain timingTake single dose, then resume schedule next day

    Practical Examples

    • Usual dose 8am, remembered at 2pm: Take immediately
    • Usual dose 8am, remembered at 10pm: Skip, take next day at 8am
    • Multiple missed doses: Resume regular schedule, do not catch up

    Overdose Information

    Symptoms

    • Dizziness
    • Drowsiness
    • Dry mouth
    • Fatigue
    • Nausea
    • Potential cardiac effects at very high doses

    Management Protocol

    1. Seek immediate medical attention or contact Poison Control
    2. Bring medication packaging to emergency department
    3. Do not induce vomiting unless directed by medical professional
    4. Symptomatic and supportive treatment:
      • Activated charcoal if presented within 1 hour
      • Cardiac monitoring if symptomatic
      • IV fluids if dehydrated
    5. No specific antidote available

    Prevention Strategies

    • Use weekly pill organizer for daily doses
    • Set daily medication reminder on phone
    • Store medication out of reach of children
    • Never share prescription with others

    Possible Side Effects

    Like all medicines, Telfast can cause side effects, although not everybody gets them. According to the official product information, side effects are categorized as follows:

    Common (may affect up to 1 in 10 people)

    • Headache
    • Drowsiness
    • Nausea (feeling sick)
    • Dizziness

    Uncommon (may affect up to 1 in 100 people)

    • Tiredness/sleepiness

    Additional Side Effects (frequency not known)

    SystemPossible Effects
    Nervous SystemInsomnia, sleeping disorders, bad dreams, nervousness
    CardiacFast or irregular heart beat (tachycardia, palpitations)
    GastrointestinalDiarrhoea, dyspepsia
    SkinRash, itching, hives (urticaria)
    AllergicSerious reactions: facial swelling, difficulty breathing, chest tightness

    Serious Side Effects Requiring Immediate Action

    Stop taking Telfast and seek urgent medical attention if you experience:

    • Swelling of face, lips, tongue or throat
    • Difficulty breathing or swallowing
    • Severe skin rash or hives
    • Chest pain or rapid irregular heartbeat

    These may indicate a serious allergic reaction requiring immediate treatment.

    How to Store Telfast

    Storage Conditions

    • Temperature: Room temperature (below 25°C)
    • Environment: Dry place, protected from moisture
    • Light: Store in original packaging to protect from light
    • Access: Keep out of sight and reach of children

    Special Storage Notes

    • No refrigeration required
    • Do not remove tablets from blister until needed
    • Keep blister cards in outer carton
    • Check expiry date before use (marked on carton after EXP)

    Disposal Protocol

    1. Do not dispose of medication via wastewater
    2. Return unused or expired medication to pharmacy
    3. Follow local medication disposal guidelines
    4. Never dispose in household waste accessible to children or pets

    Telfast Pack Information

    Pack Sizes Available

    • 7 tablets (1-week supply)
    • 10 tablets
    • 15 tablets
    • 20 tablets
    • 30 tablets (1-month supply)
    • 50 tablets
    • 100 tablets (as 10x10 blister strips)
    • 200 tablets (as 10x20 blister strips)

    Note: Not all pack sizes are routinely marketed

    Physical Characteristics

    • Colour: Peach
    • Shape: Capsule-shaped
    • Dimensions: 6.1 x 15.8 mm
    • Markings: "012" on one side, scripted "e" on reverse
    • Coating: Film-coated for easier swallowing

    Packaging Components

    • PVC/PVDC/Aluminium blister strips
    • Outer cardboard carton
    • Package leaflet (this information)
    • No measuring device included (not required for tablets)

    Where Can I Buy Telfast Online in the UK

    Secure Telfast Prescription & Fast Delivery Service

    Obtain Telfast 120mg tablets conveniently through Chemist Doctor's regulated online service. Our UK-registered pharmacists review all requests to ensure appropriate use for hay fever symptom relief. We offer competitive pricing with free next-day delivery for orders placed before 3pm on weekdays.

    Our Telfast service combines accessibility with professional oversight, ensuring your medication is supplied through GPhC-registered pharmacies. Every purchase includes discreet packaging and a confidential consultation process that complies with UK pharmacy regulations.

    Our pharmacy team ensures:

    • Comprehensive suitability assessment for hay fever symptoms
    • Drug interaction screening with current medications
    • Appropriate duration of treatment recommendation
    • Personalised advice on optimal administration timing

    Always consult your GP if symptoms persist beyond 2 weeks or if you experience worsening respiratory symptoms. Not a substitute for emergency treatment of severe allergic reactions.

    Telfast (Fexofenadine) FAQs

    Telfast begins to relieve hay fever symptoms within 1 hour of taking the tablet. According to the NHS guidelines on fexofenadine, maximum effect is typically reached within 2-3 hours, with full 24-hour coverage from a single dose.

    Yes, Telfast is classified as a second-generation non-sedating antihistamine. Unlike first-generation antihistamines like chlorphenamine, fexofenadine has minimal penetration of the blood-brain barrier, reducing central nervous system effects. However, individual responses vary, and some people may still experience drowsiness.

    Yes, Telfast can be safely combined with intranasal corticosteroids like Beconase (beclometasone). This combination approach is often recommended in allergy management guidelines: Telfast for systemic symptoms and nasal spray for local nasal inflammation. Always inform your healthcare provider of all medications you're taking.

    Fruit juices (especially apple, orange, and grapefruit) contain organic anion transporters that can reduce fexofenadine absorption by up to 60%. For optimal effectiveness, take Telfast with plain water and avoid fruit juices for 4 hours before and after dosing.

    Telfast can be taken throughout the entire hay fever season (typically March-September in the UK). Unlike some medications, tolerance does not develop with prolonged use. For year-round allergic rhinitis, continuous use is generally safe under medical supervision.

    If symptoms persist after 3 days of proper use:

    1. Consult your pharmacist or GP for assessment
    2. Consider adding a nasal spray like Beconase for nasal symptoms
    3. Evaluate environmental control measures
    4. Discuss alternative antihistamines or combination therapies

    Telfast 120mg is approved for adolescents aged 12 years and over. For children aged 6-11 years, a lower strength (30mg) formulation is available and should be used instead. Children under 6 years should not take Telfast without paediatric specialist advice.

    No significant pharmacokinetic interaction occurs between Telfast and alcohol. However, since both can cause drowsiness in some individuals, caution is advised when combining them, especially when driving or operating machinery.

    Both are second-generation antihistamines, but key differences include:

    AspectTelfast (Fexofenadine)Cetirizine
    Sedation riskLowerHigher (more sedating)
    DosingOnce dailyOnce daily
    Food interactionsAffected by fruit juiceUnaffected by food
    Renal excretion80% unchanged70% unchanged

    Generally yes, but with monitoring. Fexofenadine has minimal effects on blood pressure. However, if you're taking medications for hypertension, consult your doctor as individual responses may vary. Monitor for dizziness, especially when standing quickly.

    Telfast is unlikely to affect driving ability, but the UK Driver and Vehicle Licensing Agency (DVLA) advises to test your individual response first. If you experience any drowsiness or dizziness, do not drive until these effects subside.

    If you accidentally take two tablets:

    1. Do not take your next dose at the usual time
    2. Skip the following day's dose
    3. Resume your normal schedule the day after
    4. Contact a healthcare professional if you experience significant drowsiness or dizziness

    Single accidental overdoses are generally well-tolerated but should be avoided.

    While Telfast is specifically licensed for hay fever, fexofenadine is effective for urticaria (hives) and allergic skin reactions. For insect bites or acute urticaria, it can provide symptom relief. For chronic urticaria, medical supervision is recommended for appropriate dosing.

    Telfast tablets typically have a shelf life of 2-3 years from manufacture when stored properly. Always check the expiry date on the packaging (marked after EXP). Do not use after this date as effectiveness cannot be guaranteed.

    Yes, Telfast can be taken on an empty stomach, but taking it before a meal is recommended for most consistent absorption. If you experience stomach upset, taking it with food may help, though this may slightly delay onset of action.

    Medical Content Manager
    Authored by Nabeel

    Medical Content Manager

    Nabeel is a co-founder, and medical content manager of Chemist Doctor. He works closely with our medical team to ensure the information is accurate and up-to-date.

    Medical Doctor

    Dr. Talal is a GMC registered doctor and medical reviewer at Chemist Doctor. He ensures clinical accuracy and reliability across health content.

    Medical Director
    Approved by Usman

    Medical Director

    Usman is a co-founder, and medical director of Chemist Doctor. He leads the organisation's strategic vision, bridging clinical and operational priorities.

    Review Date: 09 December 2024

    Next Review: 09 June 2025

    Published on: 09 December 2024

    Last Updated: 09 December 2024

    Getting your allergy medication is quick and easy with our simple 4-step process:

    1

    Start Consultation

    Complete our brief health questionnaire about your allergy symptoms and medical history.

    2

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    What does the online consultation involve?

    You'll answer questions about your allergy symptoms, medical history, and current medications to ensure safe supply. Honest responses are vital for your safety.

    How do I reorder medication?

    Use the login details emailed after your first order to access your account and reorder. For seasonal allergies, consider ordering before peak pollen seasons.

    Can I speak to a pharmacist directly?

    Yes, our pharmacy team is available via secure messaging in your account to answer any questions about your medication.

    At Chemist Doctor, we respect your privacy and ensure complete discretion at every step of your allergy treatment journey.

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    Only with your explicit consent. We recommend maintaining open communication with your GP about all medications you're taking for comprehensive care.

    How long is my medical information retained?

    We retain consultation records for 8 years in accordance with UK pharmacy regulations, ensuring continuity of care while protecting your privacy.

    We offer reliable delivery options to ensure you receive your allergy medication when you need it:

    Service Type Delivery Speed Order Cut-off Carrier
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    Premium Next-Day Delivery Next business day 3 PM weekdays Royal Mail 24

    Next-day delivery applies to orders approved before 3 PM to these UK regions:

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    Service Restrictions: We currently cannot deliver to: Republic of Ireland, Channel Islands, Isle of Man, or international destinations

    Is packaging discreet?

    Yes. All orders are shipped in plain, unmarked packaging via tracked courier services to protect your privacy.

    Do I need to be home for delivery?

    No signature is required for most medication deliveries. You'll receive a tracking number to monitor your parcel's progress.

    Do you deliver on weekends or bank holidays?

    Deliveries occur Monday–Friday only. Orders placed on weekends or UK bank holidays are processed the next working day.

    What should I do if my order hasn't arrived?

    Use your tracking number to locate the parcel or contact our support team for assistance. Most delivery issues can be resolved within 24 hours.

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    No. UK law prohibits returns of dispensed prescription treatments for safety reasons.

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    4.7 ★★★★★

    Based on 28 verified customer reviews

    Sarah J.
    15 November 2024
    ★★★★★

    "Telfast has been a game-changer for my hay fever. No drowsiness and effective all day. The service was quick and discreet."

    Michael T.
    2 November 2024
    ★★★★★

    "Easy consultation process and fast delivery. Telfast works better for me than other antihistamines I've tried."

    Emma R.
    25 October 2024
    ★★★★☆

    "Good service and the medication works well. Would appreciate more package size options for longer-term use."

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