Starpress D Xl 50mg Tablets

• If you are allergic to metoprolol, chlorthalidone or any other ingredients of Starpress D Xl tablet.
• If you have a heart condition such as heart block or uncontrolled heart failure.
• If you have asthma, chronic obstructive pulmonary disease (COPD) or a lung condition.
• If you have low blood pressure, diabetes, renal or liver disease, a decreased heart rate.
• If you have an electrolyte imbalance or an acid-base imbalance.
• If you take medication like verapamil, diltiazem, or disopyramide (heart medicine).
• If your urine output in 24 hours is very low (less than 100ml).

• Dizziness
• Headache
• Nausea
• Vomiting
• Stomach pain
• Weakness
• Low blood pressure
• A sudden drop in blood pressure when you stand from a seated or lying down position (orthostatic hypotension)

Other General Warnings

• You experience an allergic reaction after taking Starpress D Xl tablet.
• You have medical conditions such as diabetes, heart conditions, liver or kidney disease.
• You have respiratory conditions, such as asthma and obstructive lung disease (COPD).
• You are pregnant, planning to become pregnant, or breastfeeding.
• You have a tumour of the adrenal gland tissue (Pheochromocytoma).
• You have an overactive thyroid (when the thyroid gland produces too much of the thyroxine hormone).
• You are suffering from a type of skin disease, psoriasis.
• You have circulation-related problems in the toes, arms, legs or fingers.
• You are suffering from a type of chest pain (Prinzmetal’s angina).
• You recently had a heart attack, chest pain or heart surgery.
• Starpress D Xl tablet should not be used in children below 18 years of age.
• Your blood pressure is low, or you are dehydrated.
• You are on a salt-restricted diet.
• The use of Starpress D Xl tablet may cause low levels of electrolytes in the body. It is advisable to monitor electrolytes periodically.

• Store Starpress D Xl tablet below 25°C. Protect it from light and moisture.
• Keep it out of the reach and sight of children and pets.

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• Inform the doctor about all the medications, supplements, or herbal supplements you are currently taking or may take to avoid potential interactions.
• Especially if you are taking medicines to treat high blood pressure, heart failure, high or abnormal cholesterol levels, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, painkillers, immunomodulatory medicines, or medicines for a brain-related disorder.
• Taking Starpress D Xl tablet, along with other medications used to treat high blood pressure, can increase the action of other medicines.
• Taking Starpress D Xl tablet with lithium decreases the excretion of lithium through urine, leading to the accumulation of lithium in the body.