Telmisartan+metoprolol Succinate
About Telmisartan+metoprolol Succinate
Metoprolol Succinate+telmisartan belongs to the class antihypertensive agents used to treat hypertension (high blood pressure). It may also be used to lower the risk of heart attack and stroke in future. High blood pressure is a condition in which the force of the blood against the artery walls is too high leading to hypertension. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath).
Metoprolol Succinate+telmisartan is a combination of two high blood pressure-lowering medicines: Telmisartan and Metoprolol succinate. Telmisartan belongs to the class of drugs called Angiotensin II receptor antagonists that works by blocking the angiotensin II receptor, relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate belongs to the class of drugs known as beta-blockers which reduces blood pressure by allowing the blood to flow more smoothly. Together, Metoprolol Succinate+telmisartan helps in reducing the raised blood pressure.
Take Metoprolol Succinate+telmisartan as prescribed. You are advised to take Metoprolol Succinate+telmisartan for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects such as headache, nausea, dizziness, weakness, stomach pain, and slow heart rate. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
To treat your condition effectually, continue taking Metoprolol Succinate+telmisartan for as long as your doctor has prescribed it. Try not to stop taking it on your own as it may cause a sudden increase the blood pressure, chest pain or heart attack. Consult your doctor before starting Metoprolol Succinate+telmisartan if you are pregnant or breastfeeding. Metoprolol Succinate+telmisartan may cause dizziness, so drive only if you are alert. Avoid alcohol consumption with Metoprolol Succinate+telmisartan as it may cause increased dizziness. Keep your doctor informed about your health condition and medications to rule out any interactions.
Uses of Telmisartan+metoprolol Succinate
Medicinal Benefits
Metoprolol Succinate+telmisartan is a combination of two blood pressure-lowering medicines: Telmisartan and Metoprolol succinate. Telmisartan belongs to the class of drugs called Angiotensin II receptor antagonists. It works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate belongs to the class of drugs known as beta-blockers. It helps to reduce blood pressure by allowing the blood to flow more smoothly. Together, Metoprolol Succinate+telmisartan helps in lowering blood pressure to normal.
Directions for Use
Storage
Side Effects of Telmisartan+metoprolol Succinate
- Headache
- Nausea
- Weakness
- Slow heart rate (bradycardia)
- Decreased blood pressure
- Cold extremities
- Increased potassium levels in the blood (hyperkalemia)
- Dizziness
Drug Warnings
Do not take Metoprolol Succinate+telmisartan if you are allergic to telmisartan or metoprolol succinate. Inform your doctor if you are taking monoamine oxidase inhibitors, aliskiren, quinidine, disopyramide, or other blood pressure-lowering medicines. Pregnant and breastfeeding women should consult their doctor before taking Metoprolol Succinate+telmisartan. Metoprolol Succinate+telmisartan is not recommended for children. Metoprolol Succinate+telmisartan may cause dizziness and tiredness, so drive or operate heavy machinery only if you are alert. Keep your doctor informed if you have kidney or liver diseases, biliary obstruction, heart problems, low blood pressure, diabetes, elevated potassium levels, blood circulation problems, asthma, COPD, metabolic acidosis, phaeochromocytoma, slow heart rate, psoriasis, myasthenia gravis, or prinzmetal angina.
Drug Interactions
Drug-Drug Interactions: Metoprolol Succinate+telmisartan may have interaction with medicines used to treat pain (aspirin, ibuprofen), anti-seizure (pregabalin), heart-related medicines (digoxin, flecainide), anti-depression drugs (lithium, fluvoxamine, sertraline, fluoxetine), and drugs used to treat erectile dysfunction (sildenafil).
Drug-Food Interactions: Maintain low salt and low-fat diet while taking Metoprolol Succinate+telmisartan. Avoid consuming food rich in potassium, such as potassium-containing salt substitutes or over-the-counter potassium supplements. Avoid smoking and alcohol consumption.
Drug-Disease Interactions: Metoprolol Succinate+telmisartan may have interactions with disease conditions such as diabetes, renal dysfunction (kidney disease), pulmonary disease, alcoholism, congestive heart failure (heart disease), hypotension (low blood pressure) and liver disease.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended to avoid alcohol consumption while taking Metoprolol Succinate+telmisartan as it might cause increased dizziness. Alcohol intake might interfere with the working of Metoprolol Succinate+telmisartan.
Pregnancy
unsafeIt is not recommended to take Metoprolol Succinate+telmisartan while you are pregnant. Please consult your doctor.
Breast Feeding
unsafeIt is not recommended to take Metoprolol Succinate+telmisartan while you are breastfeeding. Please consult your doctor. Your doctor will decide whether Metoprolol Succinate+telmisartan can be given to breastfeeding mothers or not.
Driving
cautionMetoprolol Succinate+telmisartan may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionDose adjustment may be needed. Metoprolol Succinate+telmisartan should be used with caution in patients with liver impairment/liver disease.
Kidney
cautionDose adjustment may be needed. Metoprolol Succinate+telmisartan should be used with caution in patients with kidney impairment/kidney disease.
Children
unsafeMetoprolol Succinate+telmisartan is not recommended for children below 18years as the safety and effectiveness have not been established.
Habit Forming
Diet & Lifestyle Advise
- You are advised to consume low salt and low-fat diet while taking Metoprolol Succinate+telmisartan.
- Regular exercise is also recommended to complement treatment with Metoprolol Succinate+telmisartan.
- Eat a diet rich in whole grains, vegetables, fruits.
- Avoid smoking and alcohol consumption.
- Maintain a healthy weight with proper diet and exercise.
- Managing stress with meditation, yoga, massage would also help in treating high blood pressure.
Special Advise
- Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
- Get up slowly while rising from a lying or sitting position as Metoprolol Succinate+telmisartan may cause dizziness.
- Keep your doctor informed about your health/disease conditions and the medicines you are taking.
Patients Concern
Disease/Condition Glossary
High blood pressure (hypertension): It is a condition in which the blood exerts increased pressure on the walls of blood vessels leading to hypertension. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.
FAQs
Metoprolol Succinate+telmisartan belongs to the class antihypertensive agents used to treat hypertension (high blood pressure). It may also be used to lower the risk of heart attack and stroke in future.
Metoprolol Succinate+telmisartan contains Telmisartan and Metoprolol Succinate. Telmisartan works by blocking the angiotensin II receptors. Angiotensin II constricts the blood vessels, so by blocking its effect, Telmisartan allows the blood vessels to relax and widen. Metoprolol Succinate helps to reduce blood pressure by allowing the blood to flow more smoothly. Together, Metoprolol Succinate+telmisartan helps in reducing the blood pressure to normal.
Metoprolol Succinate+telmisartan may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry; however, if a slow heart rate continues and you begin to feel unwell, speak with your doctor.
Metoprolol Succinate+telmisartan may alter potassium levels. Therefore, inform your doctor if you are taking food rich in potassium, such as potassium-containing salt substitutes or over-the-counter potassium supplements.
Please do not stop taking Metoprolol Succinate+telmisartan without consulting your doctor as it may lead to a rise in blood pressure. Continue taking Metoprolol Succinate+telmisartan for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Metoprolol Succinate+telmisartan.
Orthostatic hypotension could be a side-effect of Metoprolol Succinate+telmisartan. Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead lie down and get up slowly only when you feel better. People taking Metoprolol Succinate+telmisartan are advised to monitor their blood pressure levels regularly to avoid unpleasant events.
Use Metoprolol Succinate+telmisartan cautiously in patients with kidney impairment, liver disease, or heart conditions. Caution is advised while driving as it can cause dizziness. Metoprolol Succinate+telmisartan must not be used after the expiry date and take it as advised by the doctor.
Metoprolol Succinate+telmisartan can cause dizziness. So, avoid driving or operating heavy machinery if you feel dizzy.
While using Metoprolol Succinate+telmisartan, it is advised to follow a low-salt, low-fat diet. Regular exercise is recommended to support its effectiveness. A balanced diet with whole grains, vegetables, and fruits is beneficial. Avoid smoking and alcohol, and aim to maintain a healthy weight with proper diet and exercise. Managing stress through meditation, yoga, or massage can also help control high blood pressure.
You are not recommended to stop taking Metoprolol Succinate+telmisartan even if you feel better as it can raise the risk of heart attack and stroke. Take Metoprolol Succinate+telmisartan for as long as it is advised by your doctor. If you experience any difficulty while taking Metoprolol Succinate+telmisartan, please consult your doctor.
Store Metoprolol Succinate+telmisartan at room temperature, below 30°C. Protect from heat and light. Keep it out of reach of children.
The side effects of Metoprolol Succinate+telmisartan include headache, nausea, weakness, dizziness, decreased blood pressure, and slow heart rate. However, please consult the doctor if the condition worsens.
