Telmisartan+metoprolol
About
Telmisartan+metoprolol 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).
Telmisartan+metoprolol 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, Telmisartan+metoprolol helps in reducing the raised blood pressure.
Take Telmisartan+metoprolol as prescribed. You are advised to take Telmisartan+metoprolol 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 Telmisartan+metoprolol 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 Telmisartan+metoprolol if you are pregnant or breastfeeding. Telmisartan+metoprolol may cause dizziness, so drive only if you are alert. Avoid alcohol consumption with Telmisartan+metoprolol as it may cause increased dizziness. Keep your doctor informed about your health condition and medications to rule out any interactions.
Uses of Telmisartan+metoprolol
Medicinal Benefits
Telmisartan+metoprolol 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, Telmisartan+metoprolol helps in lowering blood pressure to normal.
Directions for Use
Storage
Side Effects of Telmisartan+metoprolol
- Headcahe
- Tiredness
- Dizziness
- Slow heart rate
- Stomach pain
- Nausea
- Vomiting
In-Depth Precautions and Warning
Drug Warnings
Do not take Telmisartan+metoprolol 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 Telmisartan+metoprolol. Telmisartan+metoprolol is not recommended for children. Telmisartan+metoprolol 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 Interactions
Drug-Drug Interactions: Telmisartan+metoprolol 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 Telmisartan+metoprolol. 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.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended to avoid alcohol consumption while taking Telmisartan+metoprolol to avoid unpleasant side effects. Alcohol intake might interfere with the working of Telmisartan+metoprolol and may cause increased dizziness.
Pregnancy
unsafeIt is not recommended to take Telmisartan+metoprolol while you are pregnant. Please consult your doctor. Your doctor will decide whether Telmisartan+metoprolol can be given to pregnant women or not.
Breast Feeding
unsafeIt is not recommended to take Telmisartan+metoprolol while you are breastfeeding. Please consult your doctor. Your doctor will decide whether Telmisartan+metoprolol can be taken by breastfeeding mothers or not.
Driving
cautionTelmisartan+metoprolol may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionDose adjustment may be needed. Telmisartan+metoprolol should be used with caution in patients with liver impairment/liver disease.
Kidney
cautionDose adjustment may be needed. Telmisartan+metoprolol should be used with caution in patients with kidney impairment/kidney disease.
Children
unsafeTelmisartan+metoprolol is not recommended for children below 18years as the safety and effectiveness have not been established.
Habit Forming
Diet & Lifestyle Advise
- You are advised to consume low salt and low-fat diet while taking Telmisartan+metoprolol.
- Regular exercise is also recommended to complement treatment with Telmisartan+metoprolol.
- 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.
Special Advise
- Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
- Get up slowly while rising from lying or sitting position as Telmisartan+metoprolol may cause dizziness.
- Prolonged intake of Telmisartan+metoprolol 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 Telmisartan+metoprolol.
Patients Concern
Disease/Condition Glossary
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.
FAQs
Telmisartan+metoprolol contains telmisartan and metoprolol. 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. Metoprolol helps to reduce blood pressure by allowing the blood to flow more smoothly. Together, Telmisartan+metoprolol helps in reducing the blood pressure to normal.
Telmisartan+metoprolol may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry, however, if slow heart rate continues and you begin to feel unwell, speak with your doctor.
Telmisartan+metoprolol may alter potassium levels. Therefore, inform your doctor if you are taking food rich in potassium such as potassium-containing salt substitutes or over-the-counter potassium supplements.
Please do not stop taking Telmisartan+metoprolol without consulting your doctor on your own as it may lead to rise in blood pressure. Continue taking Telmisartan+metoprolol 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 Telmisartan+metoprolol.
Orthostatic hypotension could be a side-effect of Telmisartan+metoprolol. 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 Telmisartan+metoprolol are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
