Metosux XL 25

Composition of Metosux XL 25

Metosux XL 25 contains Metoprolol succinate extended-release 25 mg. It belongs to the Beta-blocker (cardioselective beta-1 blocker) class of medicines.

Uses of Metosux XL 25

• Hypertension (high blood pressure)
• angina (chest pain)
• chronic heart failure (as adjunct therapy)
• rate control in supraventricular tachyarrhythmias (as advised by physician)
• secondary prevention after myocardial infarction (as prescribed)

Key benefits

• Lowers high blood pressure
• Reduces chest pain (angina) frequency
• Helps control fast heart rate
• Supports heart function in chronic heart failure
• Reduces risk of cardiac events post heart attack (as prescribed)

How Metosux XL 25 works

Metoprolol is a cardioselective beta-1 blocker that reduces the effects of adrenaline on the heart. It slows heart rate and decreases the force of contraction, lowering blood pressure and reducing the heart’s oxygen demand. The XL (extended-release) form provides prolonged effect over the day.

How to take Metosux XL 25

Oral extended-release tablet. Take once daily at the same time each day, preferably with or immediately after food. Swallow whole; do not crush or chew. Dose is as prescribed by the doctor; do not stop suddenly without medical advice.

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 a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Metosux XL 25

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

• Tiredness
• dizziness
• slow heart rate (bradycardia)
• low blood pressure
• cold hands/feet
• headache
• nausea
• sleep disturbances

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 Metosux XL 25

Warnings and precautions

Do not stop abruptly (risk of rebound hypertension/angina). Use with caution in asthma/COPD (may worsen bronchospasm), diabetes (may mask hypoglycaemia symptoms), thyroid disorders (may mask thyrotoxicosis), peripheral vascular disease, and in patients with low heart rate, heart block, or severe hypotension. In heart failure, initiate and titrate under medical supervision. Seek help if severe dizziness, fainting, wheeze, swelling, or very slow pulse occurs.

Do not take Metosux XL if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a very slow heart rate, certain heart block disorders, or uncontrolled heart failure. Generally avoided in severe asthma.

Interactions with other medicines

Other antihypertensives (additive BP lowering), calcium channel blockers like verapamil/diltiazem (risk of bradycardia/heart block), digoxin (bradycardia), antiarrhythmics like amiodarone (conduction disturbances), clonidine (rebound hypertension if stopped improperly), insulin/oral antidiabetics (masked hypoglycaemia), NSAIDs (may reduce antihypertensive effect), CYP2D6 inhibitors like fluoxetine/paroxetine/quinidine (increase metoprolol levels)

How to store Metosux XL 25

Store below 25°C in a dry place. Protect from moisture and light. Keep out of reach of children.

Expert advice for Metosux XL 25

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.

Manufacturer and class

Manufacturer:

AZCAD PHARMACEUTICALS PVT LTD

Therapeutic class:

Antihypertensive / Antianginal

Drug class:

Beta-blocker (cardioselective beta-1 blocker)