Bitatel M 3d 50mg Strip Of 10 Tablets

• If you have any allergic reaction to metoprolol, chlorthalidone, Telmisartan or any other ingredient of Bitatel M 3D tablet.
• If you are suffering from heart problems such as heart block, heart failure, or sick sinus syndrome (abnormal heart rhythms).
• If you have a specific type of angina known as 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, such as 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 a blockage of any duct that carries bile from the liver to the gallbladder (obstructive biliary disorders) or severe liver disease.
• If you have diabetes and are taking Aliskiren.
• If you are allergic to antibiotics such as sulfasalazine, sulfisoxazole, etc.
• If you experience difficulty in passing urine or are unable to pass urine at all (anuria).

• Tiredness
• Slow heart rate
• Dizziness
• Headache
• Nausea or vomiting
• Stomach pain
• Shortness of breath
• Flu-like symptoms
• Diarrhea

Other General Warnings

• You have asthma.
• You have diabetes; caution is required. Bitatel M 3D tablet may cause low blood sugar levels and alter the body’s response to low blood sugar. You may experience warning signs, such as an increased heart rate, sweating, hunger pangs, and headaches.
• You have a tumour of adrenal gland tissue (Pheochromocytoma).
• You have an overactive thyroid (a condition where the thyroid gland produces too much thyroxine hormone).
• You are suffering from psoriasis.
• You have a circulation-related problem in your toes, arms, legs, or fingers.
• You are experiencing a type of chest pain (Prinzmetal’s angina).
• You recently had a heart attack, chest pain, or heart surgery.
• You have kidney disease, or you have had a kidney transplant or liver disease.
• You are known to have narrowing or blockage of the blood vessels in one or both kidneys.
• You may experience dehydration, which can lead to low blood pressure if you develop diarrhoea or vomiting. Ensure that you consume an adequate amount of water and fluids.
• You are suffering from low blood pressure (hypotension).
• You have a high level of potassium in your blood.
• You are taking medications like Ramipril and Lisinopril.

• Take Bitatel M 3D tablet as directed by your doctor
• Always take it at the same time everyday
• Never change the dose or stop this medicine on your own

• Store Bitatel M 3D tablet below 25°C.
• Keep it in the original packaging to shield it from light.
• Ensure it is kept out of the reach of children.

• In addition to taking Bitatel M 3D tablet on time, it is recommended that you make certain lifestyle changes. These changes include eating a low-fat, low-salt diet, maintaining a healthy weight, exercising for 30 minutes daily, not smoking, and limiting alcohol consumption.
• In case of diarrhea or vomiting, stay hydrated, as these conditions can lead to low blood pressure.

Overdose

Missed a Dose

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Interactions with other medicines

• Inform your doctor about all the medications, supplements, or herbal products you are taking to avoid any potential interactions.
• Especially if you are taking medicines to treat high blood pressure, heart failure, high cholesterol levels, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, painkillers, immunomodulatory medicines, or medicines for brain-related disorders.
• Do not take it with medicines like Amiodarone, Disopyramide or painkillers like Indomethacin, Sulindac, Diclofenac and Foctafenine as these can decrease the effect of Bitatel M 3D tablet.
• 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
• General anaesthetics or local anaesthetics (Lidocaine)
• Medications that may increase blood potassium levels, like salt containing potassium and potassium-sparing diuretics
• Medicines used to treat infections like Trimethoprim, Rifampicin or Terbinafine
• Medicines known as Diuretics (water pills) are used to treat high blood pressur,e like Furosemide and Hydrochlorothiazide

Interactions with food items

• It is advisable to avoid foods high in potassium, such as spinach, broccoli, and potatoes, as Telmisartan is known to increase blood potassium levels.
• Bitatel M 3D tablet is better absorbed on an empty stomach, without food.