Hypertel M 25MG Tab

Tablet

Treatment of high blood pressure (hypertension), angina (chest pain), and as add-on therapy in stable chronic heart failure; may be used for heart rate control in certain tachyarrhythmias as prescribed

Metoprolol is a cardioselective beta-1 adrenergic blocker. It reduces heart rate and the force of contraction, lowering cardiac workload and blood pressure. This improves symptoms of angina and helps protect the heart over time.

Take by mouth exactly as prescribed, usually once daily for extended-release tablets. Swallow whole with water; do not crush or chew. Can be taken with or without food, but take at the same time each day; do not stop abruptly without medical advice.

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

Do not stop suddenly (risk of rebound hypertension/angina/arrhythmia). Use with caution in asthma/COPD (may worsen bronchospasm), diabetes (may mask low blood sugar symptoms), peripheral vascular disease, thyroid disorders, liver impairment, and in patients with low heart rate or heart block. Contraindicated in severe bradycardia, second/third-degree AV block, cardiogenic shock, and decompensated heart failure unless directed by a cardiologist. Monitor BP and pulse regularly.

Other antihypertensives (additive hypotension), verapamil/diltiazem (risk of bradycardia/heart block), digoxin (bradycardia), amiodarone/antiarrhythmics, clonidine (withdrawal interaction), insulin/oral antidiabetics (mask hypoglycemia), NSAIDs (may reduce BP control), CYP2D6 inhibitors like fluoxetine/paroxetine/quinidine (increase metoprolol levels), alcohol (may increase dizziness)

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

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