Metosartan 25 mg Tablet ER

Metosartan 25 Tablet ER – Metoprolol Succinate 25 mg ER + Telmisartan 40 mg by Sun Pharma

Metosartan 25 from Sun Pharma combines Metoprolol Succinate IP 23.75 mg (equivalent to metoprolol succinate 25 mg, as extended release) with Telmisartan IP 40 mg in a film-coated bilayer tablet – an orange layer and a white layer, each carrying one drug. A beta blocker plus an ARB is a deliberate combination for patients whose blood pressure comes with a racing heart, angina, or a heart that needs protecting after a heart attack: metoprolol slows and steadies the heart while telmisartan relaxes the vessels it pumps into. The extended-release metoprolol matters, since plain metoprolol peaks and troughs across the day. The pack gives a useful check: if one of the two layers is missing, discard that tablet and tell your doctor. Strip of 10 tablets. Schedule H prescription medicine.

Key Features

• Metoprolol Succinate 25 mg (extended release) + Telmisartan IP 40 mg
• Film-coated bilayer tablet – an orange layer and a white layer
• Beta blocker plus ARB – slows the heart and relaxes the vessels
• Discard the tablet if one layer is missing, as the pack directs

Composition

• Metoprolol Succinate IP 23.75 mg, equivalent to Metoprolol Succinate 25 mg (as extended release)
• Telmisartan IP – 40 mg
• Colour – Sunset Yellow. Per film-coated bilayer tablet

Uses & Benefits

• Lowers blood pressure while slowing and steadying the heart rate
• Useful where high blood pressure comes with palpitations or angina
• Protects the heart after a heart attack
• Extended-release metoprolol gives steadier levels than plain metoprolol
• Two medicines in one daily tablet
• No dry cough, unlike ACE inhibitor combinations

Directions for Use

• Take one tablet once daily, exactly as prescribed, at the same time each day
• Swallow the tablet whole. Do not chew or crush it – that destroys the extended release
• Check that the tablet has both layers, orange and white. If one is missing, discard it and tell your doctor, as the pack directs
• Never stop suddenly. Abruptly stopping a beta blocker can cause chest pain, a surge in blood pressure, or a heart attack – it must be tapered
• Keep taking it even when you feel well; high blood pressure usually has no symptoms

Precautions

• Stop immediately and contact your doctor if you become pregnant. The pack warns that telmisartan can cause injury and even death to the developing baby when used in the second and third trimesters
• Do not stop this medicine abruptly – the beta-blocker component must be tapered by your doctor
• Beta blockers mask the warning signs of low blood sugar – diabetics should monitor more closely, as the usual trembling and pounding heart may not appear
• Not for use in asthma or severe COPD without specialist advice; it can trigger wheezing
• Tell your doctor about a slow heart rate, heart block, severe liver disease or circulation problems in the hands and feet
• Blood tests for kidney function and potassium are done before and during treatment – potassium can rise

Storage

• Store at a temperature not exceeding 30°C, protected from light and moisture, as printed on the pack
• Keep tablets in the original blister until use
• Keep out of reach of children

Disclaimer

Schedule H prescription drug – not to be sold by retail without the prescription of a Registered Medical Practitioner. This information is for general awareness and is not a substitute for professional medical advice, diagnosis or treatment. Telmisartan must be stopped as soon as pregnancy is detected; blood pressure treatment must be reviewed regularly by your doctor.