Zitelmi-M 25Mg Tablet belongs to the class antihypertensive agents used to treat hypertension (high blood pressure). It may also be used to lower the risk of heart attack and stroke in future. High blood pressure is a condition in which the force of the blood against the artery walls is too high leading to hypertension. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath).

Zitelmi-M 25Mg Tablet is a combination of two high blood pressure-lowering medicines: Telmisartan and Metoprolol. 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. Metoprolol belongs to the class of drugs known as beta-blockers which reduces blood pressure by allowing the blood to flow more smoothly. Together, Zitelmi-M 25Mg Tablet helps in reducing the raised blood pressure. 

Take Zitelmi-M 25Mg Tablet as prescribed. You are advised to take Zitelmi-M 25Mg 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 headache, nausea, dizziness, weakness, stomach pain, 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.

To treat your condition effectually, continue taking Zitelmi-M 25Mg Tablet for as long as your doctor has prescribed it. Try not to stop taking it on your own as it may cause a sudden increase the blood pressure, chest pain or heart attack. Consult your doctor before starting Zitelmi-M 25Mg Tablet if you are pregnant or breastfeeding. Zitelmi-M 25Mg Tablet may cause dizziness, so drive only if you are alert. Avoid alcohol consumption with Zitelmi-M 25Mg Tablet as it may cause increased dizziness. Keep your doctor informed about your health condition and medications to rule out any interactions.

Zitelmi-M 25Mg Tablet is a combination of two blood pressure-lowering medicines: Telmisartan and Metoprolol. Telmisartan belongs to the class of drugs called Angiotensin II receptor antagonists. It works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol belongs to the class of drugs known as Beta-blockers. It helps to reduce blood pressure by allowing the blood to flow more smoothly. Together, Zitelmi-M 25Mg Tablet helps in lowering blood pressure to normal.

• Headcahe
• Tiredness
• Dizziness
• Slow heart rate
• Stomach pain
• Nausea
• Vomiting

Do not take Zitelmi-M 25Mg Tablet if you are allergic to telmisartan or metoprolol. Inform your doctor if you are taking monoamine oxidase inhibitors, aliskiren, quinidine, disopyramide, or other blood pressure-lowering medicines. Pregnant and breastfeeding women should consult their doctor before taking Zitelmi-M 25Mg Tablet. Zitelmi-M 25Mg Tablet is not recommended for children. Zitelmi-M 25Mg Tablet may cause dizziness and tiredness, so drive or operate heavy machinery only if you are alert. Keep your doctor informed if you have kidney or liver diseases, biliary obstruction, heart problems, low blood pressure, diabetes, elevated potassium levels, blood circulation problems, asthma, COPD, metabolic acidosis, phaeochromocytoma, slow heart rate, psoriasis, myasthenia gravis, or prinzmetal angina.

Drug-Drug Interactions: Zitelmi-M 25Mg Tablet may have interaction with medicines such as monoamine oxidase inhibitors, analgesics (aspirin, ibuprofen), anti-seizure (pregabalin), heart-related medicines (digoxin, flecainide), anti-depression drugs (lithium, fluvoxamine, sertraline, fluoxetine), and drugs used to treat erectile dysfunction (sildenafil).

Drug-Food Interactions: Maintain low salt and low-fat diet while taking Zitelmi-M 25Mg Tablet. Avoid smoking and alcohol consumption.

Drug-Disease Interactions: Inform your doctor if you have diabetes, renal dysfunction (kidney disease), pulmonary disease, alcoholism, congestive heart failure (heart disease), hypotension (low blood pressure) or liver disease.

• ASPIRIN
• IBUPROFEN
• PREGABALIN
• DIGOXIN
• LITHIUM
• FLUVOXAMINE
• SERTRALINE
• FLUOXETINE
• SILDENAFIL

• You are advised to consume low salt and low-fat diet while taking Zitelmi-M 25Mg Tablet. 
• Regular exercise is also recommended to complement treatment with Zitelmi-M 25Mg Tablet.
• Eat a diet rich in whole grains, vegetables, fruits.
• Avoid smoking and alcohol consumption.
• Maintain a healthy weight with proper diet and exercise.
• Managing stress with meditation, yoga, massage would also help in treating high blood pressure.

• Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
• Get up slowly while rising from lying or sitting position as Zitelmi-M 25Mg Tablet may cause dizziness.
• Prolonged intake of Zitelmi-M 25Mg Tablet can cause an altered potassium level. So, regular monitoring of potassium is advised.
• If you are due to undergo surgery, inform the doctor that you are taking Zitelmi-M 25Mg Tablet.

High blood pressure (hypertension): It is a condition in which 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.