SELOTOL XL 25 TAB

Distributor inventory | Tablet

Treatment of hypertension (high blood pressure), chronic stable angina (chest pain), adjunct in chronic heart failure (as prescribed), rate control in certain tachyarrhythmias (as advised by doctor).

Metoprolol is a selective beta-1 adrenergic blocker. It reduces heart rate and the force of contraction, lowering blood pressure and myocardial oxygen demand, thereby helping prevent angina and controlling heart rate.

Tablet (extended-release): take exactly as prescribed, usually once daily at the same time, preferably with or immediately after food. Swallow whole; do not crush, chew or split unless advised. Do not stop suddenly without medical advice.

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

Do not stop abruptly (may worsen angina/trigger rebound hypertension). Use with caution in asthma/COPD, diabetes (may mask hypoglycemia symptoms), peripheral vascular disease, thyroid disorders, depression, liver impairment. Contraindicated in severe bradycardia, 2nd/3rd degree heart block, cardiogenic shock, decompensated heart failure unless stabilized. Monitor BP and pulse regularly.

Other antihypertensives (additive hypotension), calcium channel blockers like verapamil/diltiazem (bradycardia/heart block), digoxin (bradycardia), antiarrhythmics like amiodarone (conduction issues), clonidine (rebound hypertension if stopped improperly), NSAIDs (may reduce BP-lowering effect), CYP2D6 inhibitors like fluoxetine/paroxetine/quinidine (increase metoprolol levels), insulin/oral antidiabetics (mask hypoglycemia).