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Prescription requiredLupin LabAnti-hypertensive
Ramistar M XL 50
Ramipril (5mg) + Metoprolol (50mg)
₹408MRP ₹4305% offIn stock
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Ramistar M XL 50 is used for ramistar-M XL 50 Tablet is used in the treatment of high blood pressure.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Licensed pharmacyPharmacist-verified orderDelivered across India
Key details
Salt: Ramipril (5mg) + Metoprolol (50mg)
Available variants: NA 10`S
Best price: ₹408
MRP: ₹430
Prescription: Required
Manufacturer: LUPIN LAB
Ordering notes
Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy
Composition of Ramistar M XL 50
Ramistar M XL 50 contains Ramipril (5mg) + Metoprolol (50mg). It belongs to the Angiotensin receptor blocker / ACE inhibitor and Beta blocker class of medicines.
Uses of Ramistar M XL 50
Ramistar-M XL 50 Tablet is used in the treatment of high blood pressure.
Key benefits
- Protects the kidneys in diabetes
- Reduces the long-term risk of stroke and heart attack
- Usually taken once a day
- Reduces the risk of a further heart attack
- Controls rapid and irregular heart rhythms
- Improves survival in heart failure
How Ramistar M XL 50 works
Ramistar-M XL 50 Tablet is a combination of two medicines: Metoprolol and ramipril which lower blood pressure effectively. Metoprolol is a beta blocker which works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body. Ramipril is an ACE inhibitor which reduces stress on the heart and relaxes blood vessel so that blood flows more smoothly.
How to take Ramistar M XL 50
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Ramistar-M XL 50 Tablet is to be taken with food.
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 severe fall in blood pressure, with dizziness, fainting and a fast or slow pulse. It 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 Ramistar M XL 50
Most side effects of Ramistar M XL are mild and settle as the body adjusts. Reported side effects include:
- Nausea Taste change Vomiting Diarrhea Constipation Cough Dizziness Weakness Headache Cold extremities Slow heart rate Numbness of extremity Increased potassium level in blood Decreased blood pressure
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 Ramistar M XL 50
| Pregnancy | Ramistar-M XL 50 Tablet is unsafe to use during pregnancy.<br>There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor. |
|---|---|
| Breastfeeding | Ramistar-M XL 50 Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby. |
| Alcohol | Taking Metoprolol with alcohol may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. |
| Driving | May cause drowsiness or affect your concentration. Do not drive until you know how it affects you. |
| Kidney | Ramistar-M XL 50 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Ramistar-M XL 50 Tablet may be needed. Please consult your doctor.<br>Regular monitoring of blood pressure is recommended for dose adjustment. |
| Liver | Ramistar-M XL 50 Tablet should be used with caution in patients with liver disease. Dose adjustment of Ramistar-M XL 50 Tablet may be needed. Please consult your doctor.<br>Inform your doctor if you develop any signs and symptoms of jaundice while taking this medicine. |
| Habit forming | No |
Warnings and precautions
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. 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.
Do not take Ramistar M XL if
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. 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. 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
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. Combining with verapamil or diltiazem can slow the heart dangerously. Tell your doctor about diabetes medicines and about any asthma inhaler.
How to store Ramistar M XL 50
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
Expert advice for Ramistar M XL 50
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. 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:
- LUPIN LAB
- Therapeutic class:
- Anti-hypertensive
- Drug class:
- Angiotensin receptor blocker / ACE inhibitor and Beta blocker
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Ramistar M XL 50 FAQs
What is Ramistar M XL 50 used for?
Ramistar M XL 50 is commonly used for Ramistar-M XL 50 Tablet is used in the treatment of high blood pressure. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Ramistar M XL 50?
Ramistar M XL 50 contains Ramipril (5mg) + Metoprolol (50mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Ramistar M XL 50?
Take this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Ramistar M XL 50 work?
Ramistar-M XL 50 Tablet is a combination of two medicines: Metoprolol and ramipril which lower blood pressure effectively.
Is Ramistar M XL 50 a prescription medicine?
Yes. Ramistar M XL 50 is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Ramistar M XL 50?
The side effects reported most often with Ramistar M XL are Nausea
Taste change
Vomiting
Diarrhea
Constipation
Cough
Dizziness
Weakness
Headache
Cold extremities
Slow heart rate
Numbness of extremity
Increased potassium level in blood
Decreased blood pressure. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Ramistar M XL 50 be taken during pregnancy?
Ramistar-M XL 50 Tablet is unsafe to use during pregnancy.<br>There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in... Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Ramistar M XL.
Can I drink alcohol while taking Ramistar M XL 50?
Taking Metoprolol with alcohol may have additive effects in lowering your blood pressure.
What if I miss a dose of Ramistar M XL 50?
Take it as soon as you remember.
Is Ramistar M XL 50 habit forming?
No. Ramistar M XL 50 is not known to be habit forming when taken as prescribed.
How much does Ramistar M XL 50 cost on PingMeDoc Pharmacy?
Ramistar M XL 50 starts at ₹408 (MRP ₹430) on PingMeDoc Pharmacy. Available in NA 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Ramistar M XL 50?
Ramistar M XL 50 is manufactured by LUPIN LAB. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Ramistar M XL 50 delivered?
Ramistar M XL 50 is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.
Ramistar M XL 50, Quick facts
- Salt
- Ramipril (5mg) + Metoprolol (50mg)
- Best price
- ₹408
- MRP
- ₹430
- Prescription
- Required (Rx)
- Schedule
- Schedule H
- Brand
- LUPIN LAB
- Manufacturer
- LUPIN LAB
- Therapeutic class
- Anti-hypertensive
- Drug class
- Angiotensin receptor blocker / ACE inhibitor and Beta blocker
- Habit forming
- No
- Variants
- NA 10`S
- Delivery
- Standard across India
References
Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.
- PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
- CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
- Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
- National List of Essential Medicines (NLEM) 2022, Government of India.
- Manufacturer's package insert / prescribing information for Ramistar M XL 50.
- World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.
Next steps
Safety disclaimer
Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.