Metosartan 50 Tablet

• If you have an allergic reaction to this medicine or any other ingredients of this medicine.
• If you are suffering from heart problems like heart block, heart failure or sick sinus syndrome (abnormal heart rhythms).
• If you have a specific type of angina called Prinzmetal's angina.
• If you have reduced blood supply to your limbs (peripheral arterial disease).
• If you have asthma or chronic obstructive pulmonary disease (COPD).
• If you are suffering from an adrenal gland tumour (phaeochromocytoma).
• If you have a condition called metabolic acidosis (increased acidity in your body or are on medicines to treat irregular heart rhythm like disopyramide).
• If you have diabetes associated with frequent low blood sugar levels.
• If you are suffering from low blood pressure (hypotension).
• If you are in the second or third trimester of your pregnancy.
• If you have blockage of any duct that carries the bile from the liver to gallbladder (obstructive biliary disorders) or severe liver disease.
• If you have diabetes and you are on Aliskiren, do not take this medicine.

• Low blood pressure or giddiness when you stand
• Tiredness
• Slow heart rate
• Dizziness
• Headache
• Nausea or vomiting
• Stomach pain
• Shortness of breath
• Flu-like symptoms
• Diarrhoea
• Conjunctivitis (inflammation of the eye also known as pink eye)
• Palpitations (irregular heartbeats)
• Constipation
• Chest pain
• A dry Mouth
• Flatulence
• Joint pain
• Muscle spasm or pain
• Anxiety
• Skin disorders like rash

Other General Warnings

• If you have asthma.
• If you have diabetes, caution is required. Metoprolol may cause low blood sugar levels and also change the body’s response to low blood sugar. You may experience warning signs of low blood sugar such as an increase in heart rate, sweating, hunger pangs, headache, etc.
• If you have a tumour of the adrenal gland tissue (Pheochromocytoma).
• If you have an overactive thyroid (a condition when the thyroid gland produces too much of the thyroxine hormone).
• If you are suffering from psoriasis.
• If you have a circulation-related problem in toes, arm, legs or fingers.
• If you are suffering from a type of chest pain (Prinzmetal’s angina).
• If you recently had any heart attack, chest pain or heart surgery.
• If you have kidney diseases or have/had a kidney transplant or liver disease.
• If you are known to have narrowed or blockage of the blood vessels of one or both kidneys.
• If you develop diarrhoea or vomiting, this dehydration can result in low blood pressure, have an adequate amount of water and fluids.
• If you are suffering from low blood pressure (hypotension).
• If you have a high level of potassium in your blood.
• If you are taking medicines like Ramipril and Lisinopril.

• Take Metosartan 50mg Tablet as directed by your doctor.
• Always take it at the same time every day.
• Never change the dose or stop this medicine on your own.

• Store it below 25°C.
• Store it in the original packing to protect it from light.
• Try to keep it out of the reach of children and pets.

• Avoid consuming potassium-rich foods like potatoes, bananas, etc.
• Regularly monitor your blood pressure levels as directed by your doctor and report any changes.
• Metosartan 50mg tablet is not recommended if you are pregnant, planning on becoming pregnant, or breastfeeding. If you become pregnant while taking this medication, stop taking it immediately and consult your doctor.
• Also, inform your doctor about all other medicines that you take and your complete medical history.
• Tiredness, headache, slow heartbeats, diarrhoea, and dry mouth may occur in some individuals with the use of this medicine. Inform your doctor if these effects bother you or do not go away.
• If you experience dizziness or sleepiness after taking a Metosartan 50mg tablet, avoid driving, operating heavy machinery, or performing any tasks that require mental alertness.
• Missing a dose of your blood pressure medication can lead to serious health problems. If you forget to take a dose, take it as soon as you remember. Take your next dose at the regular time if it is almost time for your next dose.

Overdose

Missed a Dose

How Does It Work?

• Metoprolol works by slowing the heart rate and relaxing blood vessels and reduces high blood pressure.
• Angiotensin II is a substance produced in the body which causes the narrowing of the blood vessels. It leads to an increase in blood pressure.
• Telmisartan prevents the binding of Angiotensin II to its receptors and causes the blood vessels to relax and lowers the blood pressure.

Interactions with other medicines

• This medicine contains Metoprolol and Telmisartan, any interactions seen with these two components when taken alone may occur with this combination too.
• Do not take it with medicines like Amiodarone, Disopyramide or painkillers like Indomethacin, Sulindac, Diclofenac and Foctafenine as these can decrease the effect of this medicine.
• If you have diabetes, a dose adjustment may be needed as this medicine can cause a drop in blood glucose levels and close glucose monitoring is advised.
• Medicines used to treat high blood pressure and benign prostatic hyperplasia (Prazosine, Tamsulosin, Terazosin and Doxazosin).
• If you have diabetes and you are on Aliskiren, do not take this medicine.
• Caution is needed if you are taking Fluoxetine, Lithium, Paroxetine, Bupropion, Thioridazine (medicines for a psychiatric illness), Diphenhydramine, Hydroxychloroquine and Mefloquine.
• Medicines used to treat acidity or ulcers (antacids) like Cimetidine.
• Medicines used to treat heart problems (Digoxin).
• Medicines used to treat depression and Parkinson’s disease (Monoamine Oxidase inhibitors).
• Medicines used to lower down the blood pressure (Clonidine, Guanfacine, Moxonidine, Methyldopa and Rilmenidine).
• Medicines used to treat migraine (Ergotamine) or Nitroglycerine.
• General anaesthetics or local anaesthetics (Lidocaine).
• Medicines that may increase blood potassium levels like salt-containing potassium and potassium-sparing diuretics.
• Blood thinners like Warfarin and Heparin.
• Immunosuppressives (Cyclosporin or Tacrolimus).
• Medicines used to treat infections like Trimethoprim, Rifampicin or Terbinafine.
• Medicines known as Diuretics (water pills) used to treat high blood pressure like Furosemide and Hydrochlorothiazide.

Interactions with food items