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Reviewed By Hari Kumar , MBBS
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Manufacturer/Marketer :

Cipla Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Cresar M 25 Tablet

Cresar M 25 Tablet belongs to the class of antihypertensive agents used to treat hypertension (high blood pressure). Hypertension is a condition in which the blood exerts increased pressure on the walls of blood vessels leading to high blood pressure. Symptoms include headache, dizziness, nosebleeds, changes in vision, chest pain, weakness and dyspnea (shortness of breath).

Cresar M 25 Tablet contains Metoprolol tartrate (beta-blocker) and telmisartan (angiotensin receptor blocker). Metoprolol tartrate reduces blood pressure by allowing the blood to flow more smoothly. Telmisartan works by blocking the angiotensin II receptor, relaxing the blood vessels and lowering the blood pressure. Together, Cresar M 25 Tablet helps in reducing the raised blood pressure.

You are advised to take Cresar M 25 Tablet for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as increased potassium level in the blood (hyperkalemia), headache, nausea, dizziness, weakness, and slow heart rate. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Cresar M 25 Tablet if you are pregnant as it may cause fetal harm. Consult your doctor before taking Cresar M 25 Tablet if you are breastfeeding. Cresar M 25 Tablet is not recommended for children as efficacy and safety have not been established. Cresar M 25 Tablet may cause dizziness, so drive with caution. Avoid consuming alcohol with Cresar M 25 Tablet as it might cause increased dizziness. Inform your doctor about all the medicines you are taking and your health condition to rule out any interactions.

Uses of Cresar M 25 Tablet

Hypertension/High blood pressure

Directions for Use

Swallow Cresar M 25 Tablet as a whole with a glass of water. Do not crush, break or chew it.

Medicinal Benefits

Cresar M 25 Tablet is a combination of two blood pressure-lowering medicines: Metoprolol tartrate and Telmisartan. Metoprolol tartrate belongs to the class of drugs known as beta-blockers which reduces blood pressure by allowing the blood to flow more smoothly. Telmisartan belongs to the class of drugs called Angiotensin II receptor antagonists that works by blocking the angiotensin II receptor, relaxing the blood vessels and lowering the blood pressure. Together, Cresar M 25 Tablet helps in reducing the raised blood pressure.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Inform your doctor if you are allergic to any of the contents. Keep your doctor informed if you have kidney or liver diseases. Discuss with your doctor if you are taking any other medicines along with Cresar M 25 Tablet . Consult your doctor if you are pregnant or breastfeeding. Cresar M 25 Tablet is not recommended for children as safety and effectiveness have not been established. Cresar M 25 Tablet may cause dizziness and drowsiness, so drive and operate heavy machinery only if you are alert.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Cresar M 25 Tablet:
Co-administration of Aliskiren with Cresar M 25 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Cresar M 25 Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking trimethoprim with Cresar M 25 Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Cresar M 25 Tablet and trimethoprim, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, and a weak pulse. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Coadministration of enalapril with Cresar M 25 Tablet may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Enalapril together with Cresar M 25 Tablet may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, papayas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking lisinopril with Cresar M 25 Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Cresar M 25 Tablet can be taken with lisinopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications.
How does the drug interact with Cresar M 25 Tablet:
Taking tizanidine with Cresar M 25 Tablet may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Cresar M 25 Tablet can be taken with tizanidine if prescribed by your doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Be cautious when getting up from a sitting or lying position. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Co-administration of Cresar M 25 Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Cresar M 25 Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking Cresar M 25 Tablet with benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Cresar M 25 Tablet can be taken with benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking perindopril with Cresar M 25 Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Cresar M 25 Tablet can be taken with perindopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cresar M 25 Tablet:
Taking spironolactone with Cresar M 25 Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Cresar M 25 Tablet can be taken with spironolactone if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanEluxadoline
Severe
How does the drug interact with Cresar M 25 Tablet:
Co-administration of Cresar M 25 Tablet increases levels of eluxadoline by increasing metabolism.

How to manage the interaction:
Taking Cresar M 25 Tablet with Eluxadoline together can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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METOPROLOL TARTRATE-25MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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METOPROLOL TARTRATE-25MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
When Cresar M 25 Tablet is taken along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid taking potassium-containing salt substitutes or over-the-counter potassium supplements as this can lead to high potassium levels in blood. However, consult a doctor if you experience weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs.

Diet & Lifestyle Advise

  • Limit the intake of salt in your diet.
  • Cut back on foods that are high in fat and cholesterol. Eat more fruits, vegetables and whole-grain foods.
  • Avoid tobacco use. Inform your doctor in case of marijuana use.
  • Dress warmly, as Cresar M 25 Tablet may cause cold extremities.
  • Maintain low salt and low-fat diet while taking Cresar M 25 Tablet .

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Cresar M 25 Tablet contains Metoprolol tartrate and Telmisartan. Metoprolol tartrate helps to reduce blood pressure by allowing the blood to flow more smoothly. Telmisartan works by blocking the angiotensin II receptor. Angiotensin II constricts the blood vessels, so by blocking its effect, telmisartan allows the blood vessels to relax and widen. Together, Cresar M 25 Tablet helps in reducing the blood pressure to normal.

Yes, Cresar M 25 Tablet may cause slow heart rate (bradycardia). A minor fluctuation should not be a worry, however if slow heart rate continue and you begin to feel unwell, speak with your doctor.

Cresar M 25 Tablet might alter potassium levels. Therefore inform your doctor if you are taking food rich in potassium, potassium-containing salt substitutes or over-the-counter potassium supplements.

Please do not stop taking Cresar M 25 Tablet without consulting your doctor on your own as it may lead to rise in blood pressure. Continue taking Cresar M 25 Tablet for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Cresar M 25 Tablet .

Yes, orthostatic hypotension could be a side-effect of Cresar M 25 Tablet . Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead lie down and get up slowly only when you feel better. People taking Cresar M 25 Tablet are advised to regularly monitor their blood pressure levels to avoid unpleasant events.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • IBUPROFEN
  • PREGABALIN
  • DIGITOXIN
  • FLECAINIDE
  • LITHIUM
  • FLUVOXAMINE
  • SERTRALINE
  • FLUOXETINE
  • SILDENAFIL

Special Advise

  • Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
  • Get up slowly while rising from lying or sitting position as Cresar M 25 Tablet may cause dizziness.
  • Prolonged intake of Cresar M 25 Tablet can cause the altered potassium level so, regular monitoring of potassium is required.

Disease/Condition Glossary

Hypertension: The blood exerts increased pressure on the walls of blood vessels leading to hypertension. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.

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