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Written By Urvashi Bharti , MBBS
Reviewed By Sunny S , MBBS

About Starpress H 50 XL Tablet 10's

Starpress H 50 XL Tablet 10's belongs to the class of anti-hypertensives, primarily taken to treat hypertension (high blood pressure) and reduce stroke risk in patients with high blood pressure. Starpress H 50 XL Tablet 10's is a combination medication generally used when a single medicine is unable to control high blood pressure. Hypertension or high blood pressure is a life-long or chronic condition in which the force exerted against the artery wall becomes too high. It can lead to the risk of heart diseases like heart attack and stroke.

Starpress H 50 XL Tablet 10's is a combination of two medicines: Metoprolol and Hydrochlorothiazide. Metoprolol belongs to the class of drugs known as β-blockers that works by relaxing the blood vessels by blocking the action of certain natural substances in your body. It helps slow down the heart rate, making it easier to pump more blood around your body and lower blood pressure. On the other hand, Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolyte overload from the body. Together, Starpress H 50 XL Tablet 10's lowers fluid overload, raises blood pressure, improves blood flow, and reduces the future risk of a heart attack and stroke. This medicine needs to be taken regularly to be effective.

Take Starpress H 50 XL Tablet 10's as prescribed by your doctor. Depending on your medical conditions, you are advised to take Starpress H 50 XL Tablet 10's for as long as your doctor has prescribed it for you. You may experience nausea, fatigue, constipation, diarrhoea, headache, dizziness, increased blood uric acid, slow heart rate, decreased potassium level in the blood, altered blood lipid level, glucose intolerance, increased calcium level in the blood, and decreased magnesium level in blood. Most of these side effects of Starpress H 50 XL Tablet 10's do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Inform your doctor if you have had an allergic reaction to Starpress H 50 XL Tablet 10's, have liver disease, kidney disease, asthma, heart failure, a heart valve problem, or have a history of a heart attack. Pregnant and breastfeeding women should consult their doctor before taking Starpress H 50 XL Tablet 10's. Orthostatic hypotension (sudden lowering of blood pressure) might occur, so patients taking Starpress H 50 XL Tablet 10's should get up with caution. A prolonged intake of Starpress H 50 XL Tablet 10's may decrease your blood potassium levels. So, it is better to ask your doctor about foods high in potassium, like bananas or orange juice. Regular monitoring of blood pressure, kidney function, and electrolyte (sodium, potassium, calcium, etc.) are recommended while taking Starpress H 50 XL Tablet 10's. And also, a healthy diet and regular exercise are necessary to keep blood pressure under control.

rxMedicinePrescription drug

Whats That

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Non returnable*
COD available

Online payment accepted

Synonym

S METOPROLOL+HYDROCHLOROTHIAZIDE

Manufacturer/Marketer

Lupin Ltd

Consume Type

ORAL

Return Policy

3 Days Returnable

Expires on or after

Apr-24

for this medicine

Uses of Starpress H 50 XL Tablet 10's

Hypertension (high blood pressure)

Medicinal Benefits

Starpress H 50 XL Tablet 10's contains a combination of medicines: Metoprolol (beta-blockers) and Hydrochlorothiazide (thiazide diuretic or water pill). Metoprolol plays a vital role in relaxing our blood vessels by blocking the action of certain natural substances in our bodies. It helps slow down the heart rate, making it easier to pump more blood around your body and lower blood pressure. Hydrochlorothiazide is a diuretic that prevents excess salt absorption in the body, preventing fluid retention. Collectively, both help reduces blood pressure and the chance of a stroke, heart attack, and oedema (fluid overload).

Side Effects of Starpress H 50 XL Tablet 10's

  • Nausea
  • Fatigue
  • Headache
  • Dizziness
  • Diarrhoea
  • Stuffy nose, sore throat
  • Slow heart rate
  • Increased blood uric acid
  • Decreased potassium/ magnesium level in the blood
  • Increased calcium level in the blood
  • Altered blood lipid level
  • Glucose intolerance

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Don't stop taking Starpress H 50 XL Tablet 10's without talking to your doctor first. Stopping Starpress H 50 XL Tablet 10's gradually may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. You should not use Starpress H 50 XL Tablet 10's if you have allergic to Starpress H 50 XL Tablet 10's, have low blood pressure (less than 90 mm of Hg), very slow heartbeat, serious lung condition (like asthma), serious heart condition (sick sinus syndrome), or any heart blockage. Do not use Starpress H 50 XL Tablet 10's if you are pregnant, planning for pregnancy, breastfeeding, or unable to urinate (anuria). It should not be given to the children as safety and effectiveness have not been established. Before taking Starpress H 50 XL Tablet 10's you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problem (COPD, bronchitis, emphysema), low blood sugar level (hypoglycemia), eye problem (glaucoma), low blood pressure (hypotension), depression, previous heart failure, liver/kidney disease, thyroid hormone disorder like overactive thyroid (hyperthyroidism), adrenal gland cancer, or severe blood circulation problem (Raynaud’s syndrome). You should monitor your blood pressure regularly to make sure the Starpress H 50 XL Tablet 10's is working efficiently. Besides this, prolonged intake of Starpress H 50 XL Tablet 10's can lead to lowering of blood pressure (hypotension). So, daily monitoring of blood pressure is advisable.

Therapeutic Class

ANTI- HYPERTENSIVES

Drug-Drug Interactions

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HydrochlorothiazideDofetilide
Critical
HydrochlorothiazideCisapride
Critical

Drug-Drug Interactions

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HydrochlorothiazideDofetilide
Critical
How does the drug interact with Starpress H 50 XL Tablet 10's:
Taking Dofetilide and Starpress H 50 XL Tablet 10's can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Starpress H 50 XL Tablet 10's together is not recommended as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
HydrochlorothiazideCisapride
Critical
How does the drug interact with Starpress H 50 XL Tablet 10's:
Taking Cisapride and Starpress H 50 XL Tablet 10's can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Starpress H 50 XL Tablet 10's together is generally avoided as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
MetoprololAcebutolol
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Coadministration of Acebutolol with Starpress H 50 XL Tablet 10's can cause abnormal heart rhythm.

How to manage the interaction:
Taking Starpress H 50 XL Tablet 10's and Acebutolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololAtazanavir
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Use of Starpress H 50 XL Tablet 10's with Atazanavir may increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there may be an interaction between Starpress H 50 XL Tablet 10's and Atazanavir, it can be taken if prescribed by the doctor. Consult the doctor if you experience dizziness, lightheadedness, fainting, or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololDisopyramide
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Combine use of Starpress H 50 XL Tablet 10's with Disopyramide may increase the effectiveness of Disopyramide.

How to manage the interaction:
Although there may be an interaction, Starpress H 50 XL Tablet 10's can be taken with Disopyramide if prescribed by the doctor. Consult the doctor if you experience any symptoms such as dizziness, palpitations, fainting, slow or fast pulse, or irregular heartbeats. Do not discontinue any medication without a doctor's advice.
MetoprololArtemether
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Both Starpress H 50 XL Tablet 10's and Artemether may increase the blood levels and effects of Starpress H 50 XL Tablet 10's activity.

How to manage the interaction:
Taking Starpress H 50 XL Tablet 10's and Artemether together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololElvitegravir
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Taking elvitegravir may increase the metabolism of Starpress H 50 XL Tablet 10's.

How to manage the interaction:
Although there may be an interaction, Starpress H 50 XL Tablet 10's can be taken with Elvitegravir if prescribed by the doctor. Consult the doctor if you experience dizziness, palpitations, fainting, slow or fast pulse, or irregular heartbeats. Do not discontinue any medications without talking to your doctor.
MetoprololAminophylline
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Coadministration of Aminophylline with Starpress H 50 XL Tablet 10's together can make Starpress H 50 XL Tablet 10's less effective and increase the effects of aminophylline.

How to manage the interaction:
Taking Aminophylline with Starpress H 50 XL Tablet 10's may lead to an interaction, it can be taken only if a doctor has advised it. If you experience nausea, vomiting, sleeplessness, restlessness, irregular heartbeats, or difficulty in breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololCeritinib
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Taking ceritinib together with Starpress H 50 XL Tablet 10's can slow your heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is a interaction between Starpress H 50 XL Tablet 10's and Ceritinib, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any dizziness, lightheadedness, fainting, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
MetoprololDiltiazem
Severe
How does the drug interact with Starpress H 50 XL Tablet 10's:
Coadministration of Starpress H 50 XL Tablet 10's with Diltiazem can increase the side effects.

How to manage the interaction:
Although there is a possible interaction between Starpress H 50 XL Tablet 10's and Diltiazem, you can take these medicines together if prescribed by your doctor. Consult your doctor immediately if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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

Drug-Food Interactions

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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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Drug-Drug Interactions Checker List

  • ACEBUTOLOL
  • ATENOLOL
  • BISOPROLOL
  • CARTEOLOL
  • ESMOLOL
  • NADOLOL
  • LISINOPRIL
  • ENALAPRIL
  • DILTIAZEM
  • PRAZOSIN
  • TERAZOSIN
  • RAMIPRIL
  • ATORVASTATIN
  • FUROSEMIDE
  • CHLOROTHIAZIDE
  • CHLORTHALIDONE
  • INDAPAMIDE
  • METOLAZONE
  • THEOPHYLLINE
  • AMINOPHYLLINE
  • IBUPROFEN
  • ASPIRIN
  • TERBINAFINE
  • ALDESLEUKIN
  • DIPYRIDAMOLE
  • RIFAMPICIN
  • RITONAVIR
  • DIPHENHYDRAMINE
  • AMIODARONE
  • PROPAFENONE
  • QUINIDINE
  • DISOPYRAMIDE
  • PROCAINAMIDE
  • FLECAINIDE
  • DIGOXIN
  • LIDOCAINE
  • CARBAMAZEPINE
  • PHENOBARBITAL
  • CYCLOSPORINE

Diet & Lifestyle Advise

  • Consume antioxidant-rich food. Blueberries, cherries, tomatoes, squash, and bell peppers are high in antioxidants.
  • Eat natural diuretic foods. Asparagus, beets, green beans, grapes, onion, leafy greens, pineapple, leeks, pumpkin, and garlic are all-natural diuretic foods.
  • Use healthy cooking oils like soybean, olive, canola, and coconut oil.
  • You should avoid refined foods such as white bread, spaghetti, sugar, and red meat.
  • Reduce or eliminate Trans fatty acids, which are found in commercially baked items such as cookies, cakes, crackers, French fries, onion rings, doughnuts, and processed foods.
  • Avoid the consumption of too much salt or salty food.
  • Keep your weight under control with a BMI of 19.5-24.9.
  • Regular physical activity or exercise like walking improves your blood flow.
  • When possible, elevate your legs or the swollen area on a chair or pillows.
  • Avoid standing or sitting for extended periods of time.
  • Avoid chronic stress as it can raise your blood pressure.
  • Spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Quitting smoking and alcohol consumption is the best strategy to lower the risk of many health complications.

Habit Forming

No

Author Details

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Disease/Condition Glossary

Hypertension: It is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Blood pressure is the measurement of the force our heart uses to pump blood to all body parts. Raised blood pressure can cause chest pain (angina) and heart attack (when the blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.

Starpress H 50 XL Tablet 10's Substitute

Substitutes safety advice
  • Met XL H 50 Tablet 20's

    12.94per tablet
  • Revelol H 50 Tablet 10's

    11.39per tablet
  • SUPERMET H TABLET

    12.87per tablet
  • METOCARD H 50MG TABLET

    by AYUR

    12.83per tablet
  • Embeta HT 50 Tablet 10's

    12.24per tablet
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