Overview Introduction Metosartan 25 Tablet ER is a medicine used for treating high blood pressure. By lowering the blood pressure, it helps in preventing future heart attack and stroke. Early treatment with this medicine also improves chances of survival in patients of heart attack. It is advised to take Metosartan 25 Tablet ER with food at a fixed time each day to maintain consistent levels of medicine in the blood. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine. Some common side effects of this medicine include headache, weakness, dizziness, decreased blood pressure, and increased potassium level in blood. It is advised to avoid potassium rich food and supplements while taking this medicine. It may cause dizziness, avoid driving or rise slowly from the sitting position. You may be asked for regular monitoring of blood pressure, blood sugar level, kidney functioning, urea, or electrolytes level during the treatment. Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. Uses of Metosartan Tablet ER Hypertension (high blood pressure) Side effects of Metosartan Tablet ER Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Metosartan Headache Weakness Dizziness Cold extremities Slow heart rate Increased potassium level in blood Numbness of extremity Decreased blood pressure How to cope with side effects? The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist. Coping with Headache Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller. Coping with Weakness Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine. Coping with Dizziness This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better. Coping with Cold extremities Keep your hands and feet warm by wearing gloves and warm socks. Try massaging and putting your hands or feet under warm water. Do not smoke or have drinks with caffeine as these can restrict blood flow to your hands and feet. Coping with Slow heart rate Splash your face with cold water and breathe deeply. This will help you to relax. Exercise regularly, eat a healthy diet and maintain a healthy weight. Manage your blood pressure, cholesterol and blood sugar levels. Limit your alcohol intake or drink in moderation, do not smoke and manage your stress levels. If your condition does not improve, speak to your doctor as you may be offered a different type of medicine. Coping with Increased potassium level in blood You will need a blood test to find out if your blood platelet level is low. If this medicine is causing your platelet levels to drop, your doctor may suggest an alternative medicine. There are also medicines that can boost your blood platelet level. Consider asking your doctor about this. A low platelet count can put you at risk for bleeding. Try to be careful when doing activities that might cause an injury or a cut as it may take longer to stop bleeding. Coping with Decreased blood pressure Get up slowly from a sitting or lying position. Try to avoid changing positions suddenly even in general. Try crossing your legs when you are sitting and wearing compression stockings. Drink plenty of water and try eating smaller, more frequent meals. Although salt is not good for everyone (and bad for some people), if you have low blood pressure increasing your intake of salt (sodium) can raise your blood pressure. Cut down the amount of alcohol you drink. If your blood pressure becomes very low, you should talk to your doctor. show more show less How to use Metosartan Tablet ER Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Metosartan 25 Tablet ER is to be taken with food. How Metosartan Tablet ER works Metosartan 25 Tablet ER is a combination of two blood-pressure lowering medicines: Telmisartan and Metoprolol Succinate. Telmisartan is an angiotensin receptor blocker (ARB). It works by blocking the chemical angiotensin, thereby relaxing blood vessels. Metoprolol Succinate is a beta blocker which works specifically on the heart to reduce heart rate and lower blood pressure. Together they allow the blood to flow more smoothly and the heart to pump more efficiently. Safety Advice Alcohol UNSAFE It is unsafe to consume alcohol with Metosartan 25 Tablet ER. Pregnancy CONSULT YOUR DOCTOR Metosartan 25 Tablet ER is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor. Breastfeeding SAFE IF PRESCRIBED Metosartan 25 Tablet ER is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby. Driving UNSAFE Metosartan 25 Tablet ER may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Kidney SAFE IF PRESCRIBED Metosartan 25 Tablet ER is safe to use in patients with kidney disease. No dose adjustment of Metosartan 25 Tablet ER is recommended. Liver CAUTION Metosartan 25 Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Metosartan 25 Tablet ER may be needed. Please consult your doctor.
