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Ramistar M XL 50

Ramipril (5mg) + Metoprolol (50mg)

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 August 2026

₹391
100% genuine medicinesPharmacist-verified orderDelivered across India

Key details

Salt: Ramipril (5mg) + Metoprolol (50mg)
Available variants: NA 10`S
Best price: ₹391
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).

Uses of Ramistar M XL 50

Ramistar-M XL 50 Tablet is used in the treatment of high blood pressure.

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 the missed dose of Ramistar M XL as soon as you remember. If it is almost time for the next dose, skip the missed one and carry on with the usual schedule. Do not take two doses together to make up for a missed dose.

If you take too much

Taking more Ramistar M XL than prescribed can be harmful. If you suspect an overdose, contact a doctor or go to the nearest emergency department at once, and carry the pack or strip with you. In India the emergency number is 112.

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

PregnancyRamistar-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.
BreastfeedingRamistar-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.
AlcoholTaking 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.
KidneyRamistar-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.
LiverRamistar-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.

Interactions with other medicines

Tell your doctor or pharmacist about every medicine you take, including over-the-counter products, vitamins and herbal or ayurvedic preparations, before starting Ramistar M XL. Some combinations can change how Ramistar M XL works or raise the chance of side effects.

How to store Ramistar M XL 50

Store Ramistar M XL below 30°C in a cool, dry place away from direct sunlight and moisture. Keep the pack tightly closed and out of the reach of children. Do not use it after the expiry date printed on the pack.

Manufacturer and class

Manufacturer:
LUPIN LAB

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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 the missed dose of Ramistar M XL as soon as you remember. If it is almost time for the next dose, skip the missed one and carry on with the usual schedule. Do not take two doses together to make up for a missed dose.
How much does Ramistar M XL 50 cost on PingMeDoc Pharmacy?
Ramistar M XL 50 starts at ₹391 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
₹391
Prescription
Required (Rx)
Schedule
Schedule H
Brand
LUPIN LAB
Manufacturer
LUPIN LAB
Variants
NA 10`S
Delivery
Standard across India

References

The information on Ramistar M XL 50 is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  2. National List of Essential Medicines (NLEM) 2022, Government of India.
  3. Manufacturer's package insert / prescribing information for Ramistar M XL 50.
  4. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

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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.