Bitatel M 25mg Strip Of 10 Tablets

• If you have any allergic reaction to this medicine or any of the ingredient 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 adrenal gland tumor (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 pregnancy
• If you have blockage of any duct that carries 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 eye also known as pink eye)
• Palpitations (irregular heartbeats)
• Constipation
• Chest pain
• Dry Mouth
• Flatulence
• Joint pain
• Muscle spasm or pain
• Anxiety
• Skin disorders like rash

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 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

• Take Bitatel M 25mg Strip Of 10 Tablets 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

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
• 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, 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 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 anesthetic (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

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

Overdose

Missed a Dose