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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy

Metoheal Xl R 25/2.5mg Tablet belongs to the class of antihypertensive medicines used in the treatment of high blood pressure. This medicine also helps reduce the chances of heart problems such as heart attack and stroke. It is a combination medicine which suppress the contraction of blood vessels and promote smooth blood flow. It also alters the response to nerve impulses in the heart thereby making the heart pump blood easier. Common side effects include headache, nausea, dizziness, stomach upset, and weakness.

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Synonym :

METOPROLOL SUCCINATE+RAMIPRIL

Manufacturer/Marketer :

Cognitive Life Sciences Pvt Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Metoheal Xl R 25/2.5mg Tablet

Metoheal Xl R 25/2.5mg Tablet belongs to the 'anti-hypertensive drugs' class, primarily used to treat hypertension (high blood pressure). Hypertension is a medical condition in which the blood exerts high pressure (force exerted by circulating blood) against blood vessel walls. This condition makes the heart work harder in pumping blood to the whole body. Hypertension can cause severe health complications, including stroke, heart failure, heart attack and kidney failure.

Metoheal Xl R 25/2.5mg Tablet is composed of Metoprolol and Ramipril. Metoprolol is a beta-blocker, which helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body. Ramipril is an angiotensin-converting enzyme inhibitor, which relaxes and widens the blood vessels making it easier for the heart to pump blood to all body parts. Hence, it reduces the chance of having a heart attack, stroke, heart-related chest pain (angina) or other cardiovascular diseases.

You can take Metoheal Xl R 25/2.5mg Tablet with food or without food. Swallow it as a whole with a glass of water. Do not chew, bite, or break it. Your doctor will advise you on how often you need to take Metoheal Xl R 25/2.5mg Tablet based on your medical condition. In some cases, you may experience certain common side-effects like tiredness, dizziness, shortness of breath, bradycardia, hypotension, diarrhoea, headache, and rash. Most of these side effects do not require medical attention and will resolve gradually over time. Talk to your doctor if you experience these side effects persistently.

Try not to stop taking this medicine on your own even if your blood pressure is normal as it may worsen your condition. Let your doctor know if you have any liver, kidney or heart problems, are pregnant or breastfeeding. Do not take Metoheal Xl R 25/2.5mg Tablet if you are hypersensitive to metoprolol, ramipril, any beta-blocker, any other ACE inhibitor, or any of the excipients of Metoheal Xl R 25/2.5mg Tablet . Metoheal Xl R 25/2.5mg Tablet may cause dizziness, so drive with caution. Avoid alcohol consumption along with Metoheal Xl R 25/2.5mg Tablet as it might lead to increased dizziness or unpleasant side effects.

Uses of Metoheal Xl R 25/2.5mg Tablet

Treatment of Hypertension (high blood pressure)

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it

Medicinal Benefits

Metoheal Xl R 25/2.5mg Tablet is a combination of two blood pressure-lowering medications, metoprolol and ramipril. Metoprolol is a beta-blocker that works by decreasing the heart rate and increasing the heart's efficiency in pumping blood throughout the body. Ramipril is an ACE inhibitor that relaxes blood vessels and decreases stress on the heart, allowing blood to flow more easily. Thereby, Metoheal Xl R 25/2.5mg Tablet helps treat hypertension and thus reduces the chance of having a heart attack, stroke, heart-related chest pain (angina) or other cardiovascular diseases.

How Metoheal Xl R 25/2.5mg Tablet Works

Metoheal Xl R 25/2.5mg Tablet is composed of Metoprolol and Ramipril. Metoprolol is a beta-blocker, which helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body. Ramipril is an angiotensin-converting enzyme inhibitor, which relaxes and widens the blood vessels making it easier for the heart to pump blood to all body parts. Hence, it reduces the chance of having a heart attack, stroke, heart-related chest pain (angina) or other cardiovascular diseases.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Metoheal Xl R 25/2.5mg Tablet

  • Headache
  • Dizziness or light-headedness
  • Cough
  • Digestive disturbances
  • Abdominal discomfort
  • Dyspepsia
  • Diarrhoea
  • Nausea
  • Vomiting

What if I have taken an overdose of Metoheal Xl R 25/2.5mg Tablet

Do not take more than the prescribed dose of Metoheal Xl R 25/2.5mg Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

Try not to stop taking this medicine on your own even if your blood pressure is normal as it may worsen your condition. Do not take Metoheal Xl R 25/2.5mg Tablet if you are hypersensitive to metoprolol, ramipril, any beta-blocker, any other ACE inhibitor, or any of the excipients of Metoheal Xl R 25/2.5mg Tablet . Inform your doctor if you have angioedema (swelling under the skin),  diabetes, moderate to severe renal impairment, diabetic nephropathy, severe bradycardia, second or third-degree heart block, cardiogenic shock, cardiac failure, sick sinus syndrome, or liver problems. Metoheal Xl R 25/2.5mg Tablet is not advised to be used during pregnancy or breastfeeding. Metoheal Xl R 25/2.5mg Tablet is not recommended for children because its safety and efficacy have not been proven. Metoheal Xl R 25/2.5mg Tablet may cause dizziness, so drive carefully. Inform your doctor if you take any other prescription or non-prescription medications or herbal supplements to rule out any potential side effects or drug interactions.

Drug-Drug Interactions

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RamiprilAliskiren
Critical
MetoprololDisopyramide
Severe

Drug-Drug Interactions

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RamiprilAliskiren
Critical
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Taking aliskiren together with Metoheal Xl R 25/2.5mg Tablet 10's may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in the blood. High levels of potassium can develop into a condition known as hyperkalemia, which in severe cases can lead to kidney problems, muscle paralysis and irregular heart rhythm.

How to manage the interaction:
Taking Metoheal Xl R 25/2.5mg Tablet 10's with Aliskiren is not recommended, but can be taken if prescribed by a doctor. However, consult your doctor if you feel nausea, vomiting, weakness, confusion, tingling in the hands and feet, a sensation of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. You must drink enough fluids while taking these medications. It is advised to reduce the intake of foods high in potassium, including tomatoes, raisins, figs, potatoes, lima beans, bananas, plantains, papayas, pears, cantaloupes, mangoes. Do not discontinue any medications without a doctor's advice.
MetoprololDisopyramide
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Combine use of Metoheal Xl R 25/2.5mg Tablet 10's with Disopyramide may increase the effectiveness of Disopyramide.

How to manage the interaction:
Although there may be an interaction, Metoheal Xl R 25/2.5mg Tablet 10's can be taken with Disopyramide if prescribed by the doctor. Consult the doctor if you experience any symptoms such as dizziness, palpitations, fainting, slow or fast pulse, or irregular heartbeats. Do not discontinue any medication without a doctor's advice.
MetoprololAminophylline
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Coadministration of Aminophylline with Metoheal Xl R 25/2.5mg Tablet 10's together can make Metoheal Xl R 25/2.5mg Tablet 10's less effective and increase the effects of aminophylline.

How to manage the interaction:
Taking Aminophylline with Metoheal Xl R 25/2.5mg Tablet 10's may lead to an interaction, it can be taken only if a doctor has advised it. If you experience nausea, vomiting, sleeplessness, restlessness, irregular heartbeats, or difficulty in breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololTizanidine
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Coadministration of Metoheal Xl R 25/2.5mg Tablet 10's and Tizanidine may reduce the efficiency of Metoheal Xl R 25/2.5mg Tablet 10's.

How to manage the interaction:
Taking Metoheal Xl R 25/2.5mg Tablet 10's and Tizanidine together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact your doctor immediately. do not discontinue any medications without talking to your doctor.
MetoprololAtazanavir
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Use of Metoheal Xl R 25/2.5mg Tablet 10's with Atazanavir may increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there may be an interaction between Metoheal Xl R 25/2.5mg Tablet 10's and Atazanavir, it can be taken if prescribed by the doctor. Consult the doctor if you experience dizziness, lightheadedness, fainting, or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololArtemether
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Both Metoheal Xl R 25/2.5mg Tablet 10's and Artemether may increase the blood levels and effects of Metoheal Xl R 25/2.5mg Tablet 10's activity.

How to manage the interaction:
Taking Metoheal Xl R 25/2.5mg Tablet 10's and Artemether together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololAcebutolol
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Coadministration of Acebutolol with Metoheal Xl R 25/2.5mg Tablet 10's can cause abnormal heart rhythm.

How to manage the interaction:
Taking Metoheal Xl R 25/2.5mg Tablet 10's and Acebutolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololCeritinib
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Taking ceritinib together with Metoheal Xl R 25/2.5mg Tablet 10's can slow your heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is a interaction between Metoheal Xl R 25/2.5mg Tablet 10's and Ceritinib, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any dizziness, lightheadedness, fainting, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
MetoprololElvitegravir
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Taking elvitegravir may increase the metabolism of Metoheal Xl R 25/2.5mg Tablet 10's.

How to manage the interaction:
Although there may be an interaction, Metoheal Xl R 25/2.5mg Tablet 10's can be taken with Elvitegravir if prescribed by the doctor. Consult the doctor if you experience dizziness, palpitations, fainting, slow or fast pulse, or irregular heartbeats. Do not discontinue any medications without talking to your doctor.
MetoprololVerapamil
Severe
How does the drug interact with Metoheal Xl R 25/2.5mg Tablet 10's:
Coadministration of Metoheal Xl R 25/2.5mg Tablet 10's with Verapamil may lead to increased side effects.

How to manage the interaction:
Although there may be an interaction, Metoheal Xl R 25/2.5mg Tablet 10's can be taken with Verapamil if prescribed by the doctor. Consult a prescriber if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not discontinue any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Eating a healthy and balanced diet can help if you have high blood pressure or a heart problem.

  • Do regular physical activity or exercise.

  • Opt for a diet rich in whole grains, fruits, vegetables, and low-fat dairy products.

  • Limit intake of sodium chloride (table salt) in your daily diet.

  • Quitting smoking is the best strategy to lower the risk of heart disease. 

  • Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.

  • Try to include heart-healthy omega 3 fatty acid containing food/drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Metoheal Xl R 25/2.5mg Tablet Substitute

Substitutes safety advice
  • Cardace Meto 2.5 Tablet 10's

    22.01per tablet
  • Prolomet R 25 Tablet 10's

    18.36per tablet
  • Starpress R XL 25 Tablet 10's

    22.10per tablet
  • Ace Revelol 25/2.5 Tablet 10's

    18.41per tablet
  • Ramistar-M XL 25 Tablet 10's

    20.07per tablet
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Alcohol

Caution

You are recommended not to consume alcohol along with Metoheal Xl R 25/2.5mg Tablet to avoid unpleasant side effects.

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Pregnancy

Unsafe

Metoheal Xl R 25/2.5mg Tablet is not recommended during pregnancy.

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Breast Feeding

Unsafe

Metoheal Xl R 25/2.5mg Tablet is not recommended while breastfeeding.

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Driving

Caution

Metoheal Xl R 25/2.5mg Tablet may cause dizziness or tiredness. If you feel dizzy or tired, do not drive or use any tools or machines.

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Liver

Caution

Metoheal Xl R 25/2.5mg Tablet to be taken with caution, especially if you have a history of Liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Metoheal Xl R 25/2.5mg Tablet to be taken with caution, especially if you have a history of Kidney diseases/conditions. The dose may have to be adjusted by your doctor.

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Children

Unsafe

Metoheal Xl R 25/2.5mg Tablet is not recommended in children. The safety and efficacy of Metoheal Xl R 25/2.5mg Tablet in children have not been established.

FAQs

Metoheal Xl R 25/2.5mg Tablet is indicated in the treatment of hypertension (high blood pressure).
Metoheal Xl R 25/2.5mg Tablet contains metoprolol and ramipril. Metoprolol is a beta-blocker that slows the heart rate and increases the heart's efficiency in pumping blood throughout the body. Ramipril is an ACE inhibitor that relaxes blood vessels and reduces stress on the heart, allowing blood to flow more freely. Thus, Metoheal Xl R 25/2.5mg Tablet effectively treats or manages hypertension.
Metoheal Xl R 25/2.5mg Tablet may cause dizziness or light-headedness. It does not require medical attention and will resolve gradually over time in most cases. Talk to your doctor if you experience this condition persistently. If you experience dizziness, do not drive until you are alert.
If you forget to take Metoheal Xl R 25/2.5mg Tablet , take it as soon as you remember. However, if it is almost time for the scheduled dose, skip the missed dose and revert to the original dosing schedule. Do not take a double dose to make up for a forgotten dose.
Inform your doctor that you are taking Metoheal Xl R 25/2.5mg Tablet if you are due to undergo any surgery. Metoprolol in Metoheal Xl R 25/2.5mg Tablet can lower your blood pressure too much when it is combined with some anaesthetics.
It is advised to continue your medicine even after your blood pressure is under control or becomes normal, as blood pressure can shoot up at any time. If you have any discomfort, please consult your doctor immediately.
It is recommended that serum potassium and sodium levels be checked regularly. In patients with impaired renal function, serum potassium levels must be checked more frequently.
Metoheal Xl R 25/2.5mg Tablet is not recommended in children. The safety and efficacy of Metoheal Xl R 25/2.5mg Tablet in children have not been established.
Metoheal Xl R 25/2.5mg Tablet is composed of Metoprolol (a beta-blocker) and Ramipril (angiotensin-converting enzyme inhibitor).
To effectively control your high blood pressure while on metoprolol and ramipril, adhere to your doctor's guidance, adopt a healthy lifestyle, regularly check your blood pressure, and be mindful of potential side effects.

Country of origin

INDIA

Manufacturer/Marketer address

GROUND FLOOR, # 812, AASARE, 7TH MAIN, 7TH CROSS, 4TH STAGE, BEML LAYOUT, RAJARAJESHWARI NAGARA BANGALORE Bangalore KA 560098 IN , - , .
Other Info - MET1722

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