Cortel M 25mg Strip Of 10 Tablets

• If you have any allergic reaction to Metoprolol, Telmisartan or any of the ingredient of Cortel M Tablet
• 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 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

• Dizziness
• Headache
• Nausea
• Vomiting
• Stomach pain
• Tiredness
• Slow heart rate
• Low blood pressure

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 Cortel M 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

Interactions with other medicines

• Avoid heart rhythm medications like Amiodarone, Disopyramide, and Digoxin.
• Use caution with blood pressure medications such as Prazosin, Tamsulosin, Terazosin, Doxazosin, Clonidine, Guanfacine, Moxonidine, Methyldopa, Rilmenidine, and Nitroglycerine.
• Be careful with Lidocaine and general anesthetics.
• Interacts with diabetes medications, including Aliskiren.
• Do not combine with potassium supplements or potassium-sparing diuretics.
• Use caution with blood thinners like Warfarin, Heparin, and NSAIDs.
• Be cautious with psychiatric medications like Fluoxetine, Lithium, Paroxetine, Bupropion, Thioridazine, Diphenhydramine, Hydroxychloroquine, and Mefloquine.
• Avoid with MAOIs.
• May reduce the effectiveness of Ergotamine.
• Cimetidine can increase Metoprolol levels.
• Trimethoprim, Rifampicin, and Terbinafine can affect how Metoprolol works.
• Telmisartan can increase the levels of Cyclosporin and Tacrolimus.
• Diuretics can increase the risk of low blood pressure.

Interactions with food items

• Store Cortel M Tablets at or 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