Hello, Telma does not cause weight gain. Commonly prescribed in the treatment of high blood pressure, telma s most common side effects include low blood pressure, raised blood potassium, dry cough and swelling of the eyes and lips. It is not known to cause weight gain. Weight gain in your case seems to be due to genetic factors, aging process, lifestyles, or hormonal changes of menopause. You need to have certain lifestyle modifications such as take a healthy diet, avoid high caloric fast foods and regular exercise which will help in controlling your weight. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician