Drug | Tablet

Treatment of hypertension (high blood pressure); may also be used in patients with angina (chest pain) where BP control is needed as advised by the doctor.

Metoprolol is a selective beta-1 blocker that reduces heart rate and cardiac output, thereby lowering blood pressure and reducing cardiac workload. Amlodipine is a calcium channel blocker that relaxes and widens blood vessels, improving blood flow and lowering blood pressure. The combination provides additive BP control.

Take as prescribed by your doctor. Swallow the tablet whole with water; do not crush/chew (metoprolol is extended-release). Can be taken with or without food, preferably at the same time each day. Do not stop suddenly without medical advice.

Dizziness, headache, ankle swelling (edema), flushing, fatigue, slow heart rate (bradycardia), low blood pressure, nausea, sleep disturbances

Prescription medicine (Schedule H). May cause dizziness—avoid driving/operating machinery until you know its effect. Use with caution in asthma/COPD, diabetes (may mask low sugar symptoms), thyroid disorders, peripheral vascular disease, and in patients with slow heart rate, heart block, or heart failure unless supervised by a doctor. Do not discontinue abruptly (risk of rebound angina/hypertension). Monitor blood pressure and pulse regularly.

Other antihypertensives (additive low BP), verapamil/diltiazem (risk of severe bradycardia/heart block), digoxin (bradycardia), antiarrhythmics like amiodarone, clonidine (rebound hypertension if stopped improperly), NSAIDs (may reduce BP-lowering effect), CYP3A4 inhibitors/inducers affecting amlodipine (e.g., ketoconazole, clarithromycin, rifampicin), alcohol (adds to dizziness/low BP).

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

Met XL AM 25/5 Tablet, Metolar AM 25/5 Tablet, Prolomet AM 25/5 Tablet, Betaloc AM 25/5 Tablet, Starpress AM 25/5 Tablet