Metosartan Ch 50 Tablet

Composition of Metosartan Ch 50 Tablet

Metosartan Ch 50 Tablet contains Chlorthalidone + Metoprolol + Telmisartan. It belongs to the Water tablet, Beta blocker and Angiotensin receptor blocker / ACE inhibitor class of medicines.

Uses of Metosartan Ch 50 Tablet

• This medicine is used in the treatment of high blood pressure
• heart failure
• fluid retention
• angina
• irregular heartbeat and diabetic kidney disease.

Key benefits

• Relieves swelling and breathlessness caused by fluid
• Long-established blood pressure treatment
• Inexpensive and once daily
• Reduces the risk of a further heart attack
• Controls rapid and irregular heart rhythms
• Improves survival in heart failure
• Protects the kidneys in diabetes
• Reduces the long-term risk of stroke and heart attack
• Usually taken once a day

How Metosartan Ch 50 Tablet works

This medicine combines 3 active ingredients: Chlorthalidone, Metoprolol and Telmisartan. Chlorthalidone helps your kidneys remove surplus salt and water, which reduces swelling and lowers blood pressure. Metoprolol slows the heart and reduces the force of each beat by blocking the effect of adrenaline, so the heart works less hard and uses less oxygen. Telmisartan relaxes and widens your blood vessels by blocking a hormone that narrows them, so your heart does not have to push as hard and your blood pressure falls.

How to take Metosartan Ch 50 Tablet

Swallow the tablet whole with a glass of water. Do not chew, crush or break it unless your doctor has told you to. Take it in the morning. Taking it at about the same time each day helps you remember. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause severe dehydration, a sharp fall in blood pressure and dangerous salt imbalances. It can cause a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. It can cause a severe fall in blood pressure, with dizziness, fainting and a fast or slow pulse. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Metosartan Ch 50 Tablet

Most side effects of Metosartan Ch are mild and settle as the body adjusts. Reported side effects include:

• Passing urine more often
• Dizziness on standing up
• Low potassium or sodium
• Muscle cramps
• Raised uric acid
• Thirst
• Tiredness
• Cold hands and feet
• Slow pulse
• Dizziness
• Disturbed sleep
• Breathlessness
• Headache
• Raised potassium
• Dry cough

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Metosartan Ch 50 Tablet

Warnings and precautions

Take it in the morning so that passing urine does not disturb your sleep. Your doctor will check your salts and kidney function with blood tests — do not skip them. Report muscle cramps, marked weakness, confusion or an irregular heartbeat; these can be signs your potassium or sodium has fallen. In hot weather or during an illness with vomiting or loose motions, tell your doctor — you may become dehydrated quickly. Never stop this medicine suddenly. Stopping abruptly can cause a sharp rise in blood pressure, worsening chest pain or a heart attack — your doctor will reduce it gradually. Tell your doctor if you have asthma or long-standing lung disease; this group can tighten the airways. If you have diabetes, be aware that this medicine can mask the early warning signs of low blood sugar, apart from sweating. Report a resting pulse that is persistently very slow, or fainting. Stand up slowly for the first few days — dizziness on rising is common when you start or your dose goes up. Stop and seek urgent care if your lips, tongue, face or throat swell, or you have difficulty breathing. A persistent dry, tickly cough can be caused by the ACE inhibitor group; tell your doctor rather than stopping on your own, as an alternative exists. Your doctor will check your kidney function and potassium after starting and after any dose change. Do not use salt substitutes containing potassium without asking your doctor.

Do not take Metosartan Ch if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people who are unable to pass urine, or who are severely dehydrated. Not for people with a very slow heart rate, certain heart block disorders, or uncontrolled heart failure. Generally avoided in severe asthma. Must not be used in pregnancy — it can seriously harm the developing baby. Not for people with narrowing of both kidney arteries, or a history of swelling of the face and throat caused by this group of medicines.

Interactions with other medicines

Anti-inflammatory painkillers blunt the effect and can strain the kidneys. Lithium and digoxin levels are affected; tell your doctor if you take either. Potassium-sparing types must not be combined with potassium supplements without supervision. Combining with verapamil or diltiazem can slow the heart dangerously. Tell your doctor about diabetes medicines and about any asthma inhaler. Anti-inflammatory painkillers reduce the effect and can harm the kidneys when combined. Potassium supplements, potassium-sparing water tablets and salt substitutes can push potassium too high. Lithium levels rise when taken with these medicines.

How to store Metosartan Ch 50 Tablet

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Metosartan Ch 50 Tablet

Weigh yourself at the same time each day if you have heart failure, and report a rapid gain. Do not add extra salt, and ask before using a potassium-based salt substitute. Take it at the same time each day and do not miss doses. Learn to check your own pulse, and report a persistently slow one. Blood pressure medicines work only while you take them — do not stop because you feel well. Tell your doctor at once if you become pregnant or are planning a pregnancy. Keep a home blood-pressure record if your doctor has asked for one.

Manufacturer and class

Manufacturer:

SUN PHARMA

Therapeutic class:

Diuretic and Anti-hypertensive

Drug class:

Water tablet, Beta blocker and Angiotensin receptor blocker / ACE inhibitor