S METOPROLOL SUCCINATE

Do not take S METOPROLOL SUCCINATE if you are allergic (hypersensitive) to the S METOPROLOL SUCCINATE or any ingredients present. Please consult your doctor before taking S METOPROLOL SUCCINATE if you are pregnant or planning to conceive and breastfeed. It should not be given to children less than 12 years of age. Don't stop taking S METOPROLOL SUCCINATE without talking to your doctor first. Stopping S METOPROLOL SUCCINATE 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 some time to help prevent these symptoms. You should not use the S METOPROLOL SUCCINATE if you have a very slow heartbeat, a serious lung condition (like asthma), a serious heart condition (sick sinus syndrome), or a heart blockage. Before taking this medicine, you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problems (COPD, bronchitis, emphysema), low blood sugar level (hypoglycemia), 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).

Drug-Drug Interactions: S METOPROLOL SUCCINATE may interact with antihypertensive agents (e.g. clonidine, diltiazem), certain cancer medications (e.g. ceritinib, dolasetron), medicines used to treat irregular heartbeat (e.g. disopyramide, verapamil), medicines used to sleeping sickness (e.g. fexinidazole), certain medicines used to treat multiple sclerosis (e.g. fingolimod, siponimod, tizanidine), HIV medications (e.g. atazanavir, saquinavir), certain allergens (e.g. house dust mite allergen extract, mixed grass pollens allergen extract, peanut allergen powder, ragweed pollen allergen extract, timothy grass pollen allergen extract), certain medicines used to diagnose bronchial hyperreactivity (e.g. methacholine), certain bronchodilators (e.g. oxtriphylline), certain medicines used to stop premature labour (e.g. ritodrine) and medicines used to treat asthma (e.g. theophylline, aminophylline, dyphylline).

Drug-Food Interactions: Avoid consumption of alcoholic beverages and potassium-rich foods.

Drug-Disease Interactions: S METOPROLOL SUCCINATE may interact with disease conditions, including bradyarrhythmia/AV block, cardiogenic shock/hypotension, CHF (Congestive heart failure), diabetes, haemodialysis, hypersensitivity, ischemic heart disease, PVD (Peripheral vascular disease) and liver disease.

• Keep your weight under control with a BMI of 19.5-24.9.
• Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week.
• Doing this can help lower your raised blood pressure by about 5 mm Hg.
• Option for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Limit sodium chloride (table salt) intake in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
• If you are taking alcohol, only one serving for women and two servings for men is advisable.
• Quitting smoking is the best strategy to lower the risk of heart disease. 
• Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
• Monitor your blood pressure daily and if there is too much fluctuation, immediately contact your doctor.
• Try to include heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil can help lower your elevated blood pressure.

• S METOPROLOL SUCCINATE can hide symptoms of low blood sugar if you are diabetic. Monitor your blood sugar levels regularly.
• Do not stop taking S METOPROLOL SUCCINATE suddenly as it can cause your blood pressure to rise suddenly, thereby increasing the risk of heart attack and stroke.