Cetanil Tm 50mg Strip Of 10 Tablets

• If you have any allergic reaction to metoprolol, chlorthalidone, Telmisartan or any other ingredient of Cetanil Tm 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).

• 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
• Diarrhea
• 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

• Take Cetanil Tm 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 Cetanil Tm 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.

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Interactions with other medicines

• Tell your doctor about all the medicines, supplements, or herbals you are taking to avoid any possible interaction.
• Especially if you are taking medicines to treat high blood pressure, heart failure, high cholesterol levels, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, pain killers, immunomodul...

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• Do not take it with medicines like Amiodarone, Disopyramide or painkillers like Indomethacin, Sulindac, Diclofenac and Foctafenine as these can decrease the effect of Cetanil Tm 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 anesthetic (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 pressure 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.
• Cetanil Tm tablet is better absorbed on an empty stomach, without food.