INTRODUCTION ABOUT METOLAR 25MG TABLET

METOLAR 25MG TABLET is used in the management of high blood pressure, angina pectoris (chest pain), heart failure, arrhythmias or palpitations, heart attacks and migraine headaches. It contains Metoprolol which is a beta-blocker that works by controlling heart functions and reduces strain on the heart.

Take METOLAR 25MG TABLET only under medical supervision. It is usually taken with or immediately after meals. Do not stop taking this medicine without consulting your doctor as a precaution.

Avoid alcohol consumption while taking this medicine as it lowers blood pressure. It is not recommended for use in patients with asthma, COPD, severe bradycardia, second or third-degree heart block, cardiogenic shock, cardiac failure, sick sinus syndrome (unless a permanent pacemaker is present) and unmanaged pheochromocytoma.

Before taking this medicine, inform your doctor if you have diabetes, stroke, liver or kidney disease or if you are pregnant or breastfeeding as a precaution.

Low blood pressure, tiredness, dizziness, headache, cold hands and feet are some of the common side effects associated with the use metoprolol. These side effects are usually manageable. However, consult your doctor if they trouble you.

USES OF METOLAR 25MG TABLET

• High blood pressure
• Angina pectoris (chest pain)
• Arrhythmias or palpitations
• Heart attack and heart failure
• Migraine

HOW METOLAR 25MG TABLET WORKS

In hypertension, METOLAR 25MG TABLET works by blocking the effect of adrenaline on the heart and decreasing cardiac output, also reducing the outflow of sympathetic neurons, and suppressing renin activity (normally responsible for the increase in blood pressure). Together, these actions lower blood pressure effectively.

In angina pectoris, METOLAR 25MG TABLET works by blocking adrenaline effects on the heart and decreases the heart rate, blood pressure, and extent of heart contraction. It also reduces the oxygen requirements of the heart, providing relief from angina.

In heart failure, METOLAR 25MG TABLET slows down the heart rate and makes it easier for the heart to pump blood around the body.

DIRECTIONS FOR USE

• Take this medicine exactly as prescribed by your doctor. The dose depends on your condition (like high blood pressure or heart-related issues) and response to the treatment
• It is usually recommended to take metoprolol with or immediately after a meal to enhance absorption and reduce side effects like dizziness
• Swallow the medicine with a glass of water. Do not crush or chew the medicine
• Take the tablet at the same time each day, as this helps maintain consistent levels of the medication in your body
• If you miss a dose, take it as soon as you remember, but if it's almost time for your next dose, skip the missed one. Do not double the dose
• Do not stop taking metoprolol abruptly, as it can worsen your condition. Always follow your doctor’s advice when discontinuing
• Always consult your healthcare provider for personalized instructions

SIDE EFFECTS OF METOLAR 25MG TABLET

Common side effects of METOLAR 25MG TABLET:

• feeling faint on standing because of low blood pressure
• tiredness, drowsiness
• cold hands and feet
• palpitations
• dizziness, headache
• diarrhoea, constipation, abdominal pain
• fluid retention (swelling)
• pins and needles
• muscle cramps
• weight gain, increased sweating
• depression, reduced concentration
• difficulty in sleeping
• shortness of breath
• skin rash

Stop taking METOLAR 25MG TABLET and contact your physician immediately if you experience any of the following side effects:

• symptoms of an allergic reaction such as skin rash, itching, flushing, swelling of the face, lips, tongue or throat, difficulty in breathing or swallowing

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug interactions:

Before taking this medicine inform your doctor if you are taking any of the following medicine:

• other antihypertensive agents (such as reserpine, clonidine, hydralazine, alpha methyldopa, guanfacine, diltiazem, and verapamil)
• Anti-arrhythmic agents (such as quinidine, amiodarone, propafenone, disopyramide)
• Antidepressants
• digitalis (a medicine used to manage heart failure)
• cimetidine (a medicine used to manage ulcers)
• terbinafine (a medicine used to manage fungal infection)
• hydroxychloroquine (a medicine used to manage malaria)
• Antipsychotics (Ex. chlorpromazine, triflupromazine, chlorprothixene)
• diphenhydramine (medicines used to manage allergies)
• celecoxib, indomethacin (medicines used to manage pain)
• rifampicin (medicines used to manage tuberculosis)
• other beta-blockers, Ex.  timolol eye drops
• adrenaline, noradrenaline (medicines used to manage shock)
• Antidiabetic agents (such as glimepiride)
• lidocaine (a medicine used to induce numbness)

Overdosage:

If you or anyone else has accidentally taken too much of this medicine, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage are nausea, vomiting, bluish discolouration of the skin, severe bradycardia, low blood pressure (fatigue, dizziness), atrioventricular block, heart failure, bronchospasm or shortness of breath.

SYNOPSIS