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S AMLODIPINE+S METOPROLOL

About

S AMLODIPINE+S METOPROLOL belongs to a class of medication called anti-hypertensive agents primarily used to treat hypertension (high blood pressure). Also, S AMLODIPINE+S METOPROLOL is used to treat chest pain, irregular heart rhythm. Hypertension is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease.

S AMLODIPINE+S METOPROLOL is a combination of two drugs, namely:  S-amlodipine (calcium channel blocker) and S-metoprolol (beta-blocker). S-amlodipine is a calcium channel blocker that works by acting on muscle cells in the artery walls and relaxes the muscle. Thereby, it relaxes and widens arteries (blood vessels) and improves the blood flow and oxygen supply to the heart. S-metoprolol belongs to the beta-blockers class that works by blocking beta receptors in the heart and makes the heartbeat slow and with less force. Thereby, it decreases the pressure at which blood is pumped out of the heart and throughout the body. Thus, together they lower high blood pressure.

Take S AMLODIPINE+S METOPROLOL as prescribed by your doctor. You are advised to take S AMLODIPINE+S METOPROLOL for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience tiredness, dizziness, slow heart rate, nausea, headache, orthostatic hypotension (low blood pressure when standing up from sitting or lying position), depression, stomach pain, or fluid retention. Most of these side effects of S AMLODIPINE+S METOPROLOL do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are allergic to S AMLODIPINE+S METOPROLOL or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to consult a doctor before taking S AMLODIPINE+S METOPROLOL. Avoid drinking alcohol with S AMLODIPINE+S METOPROLOL as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache. Drive only if you are alert as S AMLODIPINE+S METOPROLOL may cause dizziness or tiredness. Avoid grapefruit or grapefruit juice with S AMLODIPINE+S METOPROLOL as it may increase the risk of severe low blood pressure. S AMLODIPINE+S METOPROLOL is used with caution in heart failure, during surgeries, pheochromocytoma, lung diseases, diabetes, peripheral vascular disease, hyperthyroidism, aortic stenosis. S AMLODIPINE+S METOPROLOL is not recommended in cardiogenic shock, hyperlipidemia, glaucoma, liver diseases.

Uses of S AMLODIPINE+S METOPROLOL

Hypertension (high blood pressure), angina (chest pain)

Medicinal Benefits

S AMLODIPINE+S METOPROLOL contains S-amlodipine and S-metoprolol primarily used to treat high blood pressure. S-amlodipine is a calcium channel blocker that acts on muscle cells in the artery walls and relaxes muscle cells. Thereby, it relaxes and widens arteries (blood vessels) and improves the blood flow and oxygen supply to the heart. S-metoprolol belongs to beta-blockers that block beta receptors in the heart and make the heartbeat slow and with less force. Thereby, it decreases the pressure at which blood is pumped out of the heart and throughout the body. Thus, together they lower high blood pressure.

Directions for Use

Take S AMLODIPINE+S METOPROLOL with or without food as advised by your doctor. Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of S AMLODIPINE+S METOPROLOL

  • Tiredness
  •  Dizziness
  •  Slow heart rate
  •  Nausea
  •  Headache
  •  Orthostatic hypotension (low blood pressure when standing up from sitting or lying position)
  •  Depression
  •  Stomach pain
  •  Fluid retention

In-Depth Precautions and Warning

Drug Warnings

If you are known to be allergic to S AMLODIPINE+S METOPROLOL or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to consult a doctor before taking S AMLODIPINE+S METOPROLOL. Complete the full course of medication and do not stop taking S AMLODIPINE+S METOPROLOL suddenly as it may cause recurring symptoms or worsen the condition. Avoid grapefruit or grapefruit juice with S AMLODIPINE+S METOPROLOL as it may increase the risk of severe low blood pressure. Avoid taking S AMLODIPINE+S METOPROLOL if you have blood circulation or heart problems, Prinzmetal’s angina (painful feeling in the chest in periods of rest), asthma, chronic obstructive pulmonary disease (COPD), breathing problems, phaeochromocytoma (tumor in the adrenal gland), low blood pressure, diabetes or metabolic acidosis (increased acidity of the blood), hyperthyroidism. Avoid drinking alcohol with S AMLODIPINE+S METOPROLOL as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache. Drive only if you are alert as S AMLODIPINE+S METOPROLOL may cause dizziness or tiredness. If you are about to under any surgery or receive anesthetics, please inform your doctor or dentist that you are taking S AMLODIPINE+S METOPROLOL as it may cause a very slow heartbeat.

Drug Interactions

Drug-Drug Interaction: S AMLODIPINE+S METOPROLOL may have interaction with pain killers (aspirin), antidepressants (duloxetine, nefazodone), water tablets (furosemide), anticonvulsants (phenytoin, phenobarbital, carbamazepine), medicines used to lower high blood pressure (verapamil,  diltiazem, nifedipine, disopyramide), drugs to treat irregular heartbeat (quinidine, amiodarone, propafenone), antidiabetic drug (insulin glargine), thyroid medicines (levothyroxine), benzodiazepine (alprazolam), blood thinner (apixaban), lower high cholesterol-lowering medicines (atorvastatin).

Drug- Food Interaction: S AMLODIPINE+S METOPROLOL may interact with grapefruit or grapefruit juice as it may increase the risk of severe low blood pressure. S AMLODIPINE+S METOPROLOL may interact with St. John’s wort (herbal supplement used to treat depression). Also, avoid alcohol consumption as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache.

Drug-Disease Interaction: Avoid taking S AMLODIPINE+S METOPROLOL if you have blood circulation or heart problems, Prinzmetal’s angina (painful feeling in the chest during periods of rest), asthma, chronic obstructive pulmonary disease (COPD), breathing problems, phaeochromocytoma (tumor in the adrenal gland), low blood pressure, diabetes or metabolic acidosis (increased acidity of the blood). If you have a slow heart rate, psoriasis (severe skin rashes), myasthenia gravis (muscle weakness), dry eyes, hyperthyroidism, diabetes, kidney, liver, or heart problems, inform your doctor before taking S AMLODIPINE+S METOPROLOL.

Drug-Drug Interactions Checker List:

  • ASPIRIN
  • DULOXETINE
  • NEFAZODONE
  • FUROSEMIDE
  • PHENYTOIN
  • PHENOBARBITAL
  • CARBAMAZEPINE
  • VERAMAPIL
  • DILTIAZEM
  • NIFEDIPINE
  • DISOPYRAMIDE
  • QUINIDINE
  • AMIODARONE
  • PROPAFENONE
  • INSULIN GLARGINE
  • LEVOTHYROXINE
  • ALPRAZOLAM
  • APIXABAN
  • ATORVASTATIN
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid alcohol consumption with S AMLODIPINE+S METOPROLOL as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache.

    • Safety Warning

      Pregnancy

      caution

      S AMLODIPINE+S METOPROLOL is a category C pregnancy drug. S AMLODIPINE+S METOPROLOL is given to pregnant women only if the doctor thinks benefits are greater than risks. Please consult a doctor if you are pregnant.

    • Safety Warning

      Breast Feeding

      caution

      S AMLODIPINE+S METOPROLOL may be excreted in human milk in small amounts. Therefore, S AMLODIPINE+S METOPROLOL is given to breastfeeding mothers if the doctor thinks benefits are greater than risks. Please consult a doctor if you are breastfeeding.

    • Safety Warning

      Driving

      caution

      S AMLODIPINE+S METOPROLOL may cause dizziness or tiredness in some people. Therefore, avoid driving if you feel dizzy or tired after taking S AMLODIPINE+S METOPROLOL.

    • Safety Warning

      Liver

      caution

      S AMLODIPINE+S METOPROLOL should be given with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Kidney

      caution

      S AMLODIPINE+S METOPROLOL should be given with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Children

      unsafe

      It is not recommended for children as the safety and effectiveness were not established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Maintain a low salt diet and minimize eating processed foods as they contain more sodium. Try to replace salt with spices or herbs to add flavor to the food.
    • Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day.
    • Chronic stress may also cause high blood pressure. Therefore, avoid stress triggers and make time for yourself to relax and do activities that you enjoy.
    • Maintain a diet that is rich in vegetables, fruits, whole grains, and low-fat dairy products.
    • Try to include heart-healthy omega 3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil, which may lower high blood pressure.
    • Quit smoking and avoid the consumption of alcohol.

    Special Advise

    • Regular monitoring of blood pressure is recommended while taking S AMLODIPINE+S METOPROLOL.
    • S AMLODIPINE+S METOPROLOL may rarely cause changes in blood tests and liver function tests.
    • A low salt diet and regular exercise are recommended along with S AMLODIPINE+S METOPROLOL for effective results.
    • Your doctor may advise regular blood tests for monitoring of electrolytes.

    Patients Concern

    Disease/Condition Glossary

    Blood pressure/Hypertension: Blood pressure is the measurement of the force that the heart uses to pump blood to all parts of the body. Hypertension is a chronic condition in which blood pressure is too high. 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. 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. Normal blood pressure lies in between 90/60 mm of Hg and 120/80 mm of Hg. If the blood pressure is 140/90 mmHg or greater, it is considered high blood pressure.

    FAQs

    S AMLODIPINE+S METOPROLOL is a combination of two drugs, namely:  S-amlodipine (calcium channel blocker) and S-metoprolol (beta-blocker). S-amlodipine is a calcium channel blocker that works by acting on muscle cells in the artery walls and relaxes muscle cells. Thereby, it relaxes and widens arteries (blood vessels) and improves the blood flow and oxygen supply to the heart. S-metoprolol belongs to the beta-blockers class that works by blocking beta receptors in the heart and makes the heartbeat slow and with less force. Thereby, it decreases the pressure at which blood is pumped out of the heart and throughout the body. Thus, together they lower high blood pressure.

    S AMLODIPINE+S METOPROLOL cause common side effects like tiredness, dizziness, slow heart rate, nausea, headache, orthostatic hypotension (low blood pressure when standing up from sitting or lying position), depression, stomach pain, or fluid retention.

    S AMLODIPINE+S METOPROLOL should be used with caution in diabetic patients as it may increase the risk of severe low blood sugar levels. Therefore, if you have diabetes, inform your doctor before taking S AMLODIPINE+S METOPROLOL. Also, regular monitoring of blood sugar levels is recommended while taking S AMLODIPINE+S METOPROLOL.

    S AMLODIPINE+S METOPROLOL may cause dizziness when standing up from sitting or lying position suddenly. Therefore, to avoid such effects, it is advised to stand up slowly from sitting or lying position.

    S AMLODIPINE+S METOPROLOL may cause high potassium levels in the blood and cause adverse effects on overdose. Therefore, take S AMLODIPINE+S METOPROLOL only in doses as prescribed by your doctor.

    S AMLODIPINE+S METOPROLOL is may be safe to use in the elderly. However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving this medicine.

    Available Medicines for

    S AMLODIPINE+S METOPROLOL

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