Metoprolol Tartrate+telmisartan
About
Metoprolol Tartrate+telmisartan 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).
Metoprolol Tartrate+telmisartan 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, Metoprolol Tartrate+telmisartan helps in reducing the raised blood pressure.
You are advised to take Metoprolol Tartrate+telmisartan 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 Metoprolol Tartrate+telmisartan if you are pregnant as it may cause fetal harm. Consult your doctor before taking Metoprolol Tartrate+telmisartan if you are breastfeeding. Metoprolol Tartrate+telmisartan is not recommended for children as efficacy and safety have not been established. Metoprolol Tartrate+telmisartan may cause dizziness, so drive with caution. Avoid consuming alcohol with Metoprolol Tartrate+telmisartan 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 Metoprolol Tartrate+telmisartan
Medicinal Benefits
Metoprolol Tartrate+telmisartan 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, Metoprolol Tartrate+telmisartan helps in reducing the raised blood pressure.
Directions for Use
Storage
Side Effects of Metoprolol Tartrate+telmisartan
- Headache
- Nausea
- Weakness
- Slow pulse
- Dizziness
- Cramps
- Cold extremities
- Hypotension (lowered BP)
In-Depth Precautions and Warning
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 Metoprolol Tartrate+telmisartan. Consult your doctor if you are pregnant or breastfeeding. Metoprolol Tartrate+telmisartan is not recommended for children as safety and effectiveness have not been established. Metoprolol Tartrate+telmisartan may cause dizziness and drowsiness, so drive and operate heavy machinery only if you are alert.
Drug Interactions
Drug-Drug Interactions: Metoprolol Tartrate+telmisartan may have interaction with pain killers (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: 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) and liver disease.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended to avoid alcohol consumption while taking Metoprolol Tartrate+telmisartan to avoid unpleasant side-effects. Alcohol intake might interfere with the working of Metoprolol Tartrate+telmisartan. It might decrease the blood pressure than normal leading to low blood pressure.
Pregnancy
unsafeIt is not recommended to take Metoprolol Tartrate+telmisartan while you are pregnant as it may cause foetal harm. Please consult your doctor if you have any concerns.
Breast Feeding
cautionPlease consult your doctor. Your doctor will decide whether Metoprolol Tartrate+telmisartan can be taken by breastfeeding mothers or not.
Driving
cautionMetoprolol Tartrate+telmisartan may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionDose adjustment may be needed. Metoprolol Tartrate+telmisartan should be used with caution in patients with liver impairment/liver disease.
Kidney
cautionDose adjustment may be needed. Metoprolol Tartrate+telmisartan should be used with caution in patients with kidney impairment/kidney disease.
Children
unsafeMetoprolol Tartrate+telmisartan is not recommended for children below 18years as the safety and effectiveness have not been established.
Habit Forming
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 Metoprolol Tartrate+telmisartan may cause cold extremities.
- Maintain low salt and low-fat diet while taking Metoprolol Tartrate+telmisartan.
Special Advise
- Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
- Get up slowly while rising from lying or sitting position as Metoprolol Tartrate+telmisartan may cause dizziness.
- Prolonged intake of Metoprolol Tartrate+telmisartan can cause the altered potassium level so, regular monitoring of potassium is required.
Patients Concern
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.
FAQs
Metoprolol Tartrate+telmisartan 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, Metoprolol Tartrate+telmisartan helps in reducing the blood pressure to normal.
Yes, Metoprolol Tartrate+telmisartan 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.
Metoprolol Tartrate+telmisartan 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 Metoprolol Tartrate+telmisartan without consulting your doctor on your own as it may lead to rise in blood pressure. Continue taking Metoprolol Tartrate+telmisartan 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 Metoprolol Tartrate+telmisartan.
Yes, orthostatic hypotension could be a side-effect of Metoprolol Tartrate+telmisartan. 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 Metoprolol Tartrate+telmisartan are advised to regularly monitor their blood pressure levels to avoid unpleasant events.