Metoprolol 23.75mg + Telmisartan 40mg + Chlorthalidone 12.5mg

Metoprolol 23.75mg + Telmisartan 40mg + Chlorthalidone 12.5mg — Uses and Benefits

This medicine is used mainly to treat high blood pressure that is not adequately controlled by a single blood pressure medicine.

WHAT THIS MEDICINE IS USED FOR

• Long-term control of high blood pressure (hypertension)
• Reducing risk of heart-related complications from uncontrolled blood pressure
• Used when a single blood pressure medicine is not enough

HOW IT WORKS

• Metoprolol is a beta-blocker that slows the heart rate and reduces the force of heart contractions
• Telmisartan is an angiotensin receptor blocker (ARB) that relaxes and widens blood vessels
• Chlorthalidone is a diuretic that helps the kidneys remove excess salt and water, reducing fluid volume
• Together they lower blood pressure through three different mechanisms

WHAT IT IS NOT USED FOR

• Not used for immediate emergency lowering of very high blood pressure
• Not a painkiller or fever medicine
• Not used for treating infections
• Not suitable for occasional or as-needed use; it is meant for regular daily use as prescribed

How to Use Metoprolol 23.75mg + Telmisartan 40mg + Chlorthalidone 12.5mg

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Try to take it at the same time every day to maintain steady blood pressure control
• Can be taken with or without food, unless your doctor advises otherwise
• Swallow the tablet with water; do not crush or chew unless instructed
• Do not stop taking this medicine suddenly without consulting your doctor, as this can cause a sudden rise in blood pressure or heart problems
• Continue taking it even if you feel well, as high blood pressure often has no symptoms

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember on the same day
• If it is almost time for your next dose, skip the missed dose and continue your normal schedule
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original packaging until use
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Metoprolol 23.75mg + Telmisartan 40mg + Chlorthalidone 12.5mg — Side Effects

COMMON SIDE EFFECTS

• Dizziness or lightheadedness
• Tiredness or fatigue
• Headache
• Increased urination
• Low blood pressure symptoms like feeling faint on standing

LESS COMMON SIDE EFFECTS

• Nausea or stomach upset
• Muscle cramps
• Cold hands or feet
• Sleep disturbances
• Mild skin rash

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Very slow heartbeat or fainting
• Severe dizziness or fainting on standing
• Signs of high potassium such as muscle weakness or irregular heartbeat
• Signs of dehydration or very low blood pressure such as extreme thirst, confusion
• Yellowing of eyes or skin (jaundice)
• Difficulty breathing, swelling of face/lips (allergic reaction)
• Significant decrease in urination

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Metoprolol 23.75mg + Telmisartan 40mg + Chlorthalidone 12.5mg — Safety Information and Precautions

This is a prescription-only medicine in India and should only be used under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to metoprolol, telmisartan, chlorthalidone, or sulfonamide drugs
• Have severe heart block or very slow heart rate without a pacemaker
• Have severe liver disease or bile duct blockage
• Are pregnant or planning pregnancy
• Have severe kidney impairment or are unable to pass urine

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have asthma or breathing problems
• Have diabetes, as it may mask signs of low blood sugar
• Have kidney or liver disease
• Have gout or high uric acid levels
• Are breastfeeding
• Have a history of low blood pressure or fainting spells
• Are scheduled for surgery

MEDICINES THAT CAN INTERACT

• Other blood pressure-lowering medicines
• Potassium supplements or potassium-sparing diuretics
• NSAIDs (pain relievers like ibuprofen)
• Lithium
• Other beta-blockers or calcium channel blockers
• Diabetes medicines, as dose adjustments may be needed

FREQUENTLY ASKED QUESTIONS

Can I stop this medicine once my blood pressure is normal?

No, stopping suddenly can cause your blood pressure to rise sharply or affect your heart; always consult your doctor before making changes.

Will this medicine make me feel drowsy?

Some people feel dizzy or tired initially, so avoid driving or operating machinery until you know how it affects you.

Can I take this with other blood pressure tablets?

• Only if your doctor specifically advises it, as combining certain medicines can lower blood pressure too much.
• Doctor ya pharmacist se salah lein.