Tolol Am 25

Composition of Tolol Am 25

Tolol Am 25 contains Amlodipine (2.5mg) + Metoprolol Succinate (25mg). It belongs to the Tricyclic antidepressant (TCA) class of medicines.

Uses of Tolol Am 25

• Treatment of depression; also used for neuropathic (nerve) pain
• chronic pain conditions
• and prevention of migraine/tension-type headache (as prescribed).

Key benefits

• Helps relieve symptoms of depression
• Reduces neuropathic (nerve) pain
• Helps in chronic pain management
• May prevent migraine/tension headaches
• Improves sleep in some patients

How Tolol Am 25 works

Amitriptyline is a tricyclic antidepressant that increases levels of serotonin and noradrenaline in the brain by inhibiting their reuptake. This helps improve mood and also modulates pain pathways, reducing nerve-related pain.

How to take Tolol Am 25

Tablet for oral use. Take exactly as prescribed, usually once daily (often at bedtime due to drowsiness) with or without food. Swallow whole with water; 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

If you miss a dose of Tolol AM 25mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

If you take too much

An overdose of this medicine can cause a severe fall in blood pressure and a dangerously slow or irregular heartbeat. 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 Tolol Am 25

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

• Drowsiness
• dizziness
• dry mouth
• constipation
• blurred vision
• weight gain
• nausea
• difficulty in urination
• increased appetite

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 Tolol Am 25

Warnings and precautions

May cause marked drowsiness—avoid driving or operating machinery. Use with caution in heart disease/arrhythmias, glaucoma, urinary retention/prostate enlargement, thyroid disorders, epilepsy, liver disease, and in the elderly (risk of falls/confusion). Do not use with MAO inhibitors or within 14 days of stopping them. May increase risk of suicidal thoughts in young adults—monitor mood changes. Do not stop abruptly; taper as advised.

Do not take Tolol Am if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with very low blood pressure or with severe narrowing of the aortic valve. 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

MAO inhibitors (contraindicated), alcohol and other CNS depressants (increased sedation), SSRIs/SNRIs (serotonin syndrome risk), tramadol/linezolid/methylene blue (serotonin syndrome risk), anticholinergics (additive side effects), antihypertensives (enhanced hypotension), QT-prolonging drugs/antiarrhythmics (arrhythmia risk), carbamazepine (reduced levels), cimetidine (increased levels)

How to store Tolol Am 25

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

Expert advice for Tolol Am 25

It may cause dizziness. Get up slowly when rising from a sitting or lying position. Do not stop taking the medication suddenly without talking to your doctor as it can cause sudden increase in your blood pressure. Let your doctor know if you are pregnant or planning for pregnancy.

Manufacturer and class

Manufacturer:

TORRENT PHARMACEUTICALS

Therapeutic class:

Antidepressant

Drug class:

Tricyclic antidepressant (TCA)