Metoprolol Succinate 25 mg + Chlorthalidone 12.5 mg

Metoprolol Succinate 25 mg + Chlorthalidone 12.5 mg — Uses and Benefits

This medicine is mainly used to treat high blood pressure in adults, either alone or along with other blood pressure medicines.

WHAT THIS MEDICINE IS USED FOR

• Long-term control of high blood pressure (hypertension)
• Sometimes used to help manage certain heart conditions along with other medicines, as advised by a doctor

HOW IT WORKS

• Metoprolol blocks certain nerve signals (beta receptors) on the heart, slowing the heart rate and reducing the force of contraction, which lowers blood pressure
• Chlorthalidone acts on the kidneys to increase the removal of excess salt and water from the body, reducing blood volume and blood pressure
• Together, the two medicines give better blood pressure control than either alone

WHAT IT IS NOT USED FOR

• Not used for immediate relief of a sudden severe rise in blood pressure (hypertensive emergency)
• Not a painkiller and not used for general body ache or fever
• Not meant for occasional or as-needed use; it is meant for regular daily use to control blood pressure over time
• Not used to treat infections

This medicine works best when combined with lifestyle changes such as reduced salt intake, regular exercise, and weight control. It should be taken exactly as advised by your doctor, and blood pressure should be checked regularly to see how well it is working.

How to Use Metoprolol Succinate 25 mg + Chlorthalidone 12.5 mg

HOW TO TAKE IT

• Take this medicine exactly as prescribed by your doctor, usually once daily
• Swallow the tablet whole with a glass of water; do not crush or chew unless your doctor says it is fine to do so
• Try to take it at the same time every day to maintain steady levels in the body
• Take it in the morning if possible, since the diuretic effect may increase urination
• Do not stop taking this medicine suddenly without talking to your doctor, as this can cause a sudden rise in blood pressure or heart problems
• Continue taking it even if you feel well, since high blood pressure often has no symptoms

IF YOU MISS A DOSE

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

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children and pets
• Do not use the medicine after its expiry date

Metoprolol Succinate 25 mg + Chlorthalidone 12.5 mg — Side Effects

COMMON SIDE EFFECTS

• Tiredness or fatigue
• Dizziness, especially on standing up quickly
• Cold hands or feet
• Increased urination (due to the diuretic component)
• Mild headache

LESS COMMON SIDE EFFECTS

• Nausea or stomach upset
• Dry mouth
• Muscle cramps
• Low blood pressure symptoms like light-headedness
• Sleep disturbances

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Very slow or irregular heartbeat
• Severe dizziness or fainting
• Difficulty breathing or wheezing
• Swelling of face, lips, tongue, or throat (allergic reaction)
• Signs of very low potassium or sodium such as severe weakness, muscle cramps, confusion
• Chest pain or worsening shortness of breath
• Significant reduction in urine output

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

Metoprolol Succinate 25 mg + Chlorthalidone 12.5 mg — Safety Information and Precautions

This medicine is available only with a doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to metoprolol, chlorthalidone, sulfonamide-derived drugs, or any ingredient in this tablet
• Have a very slow heart rate or certain heart block conditions not being treated with a pacemaker
• Have severe uncontrolled heart failure
• Have severely low blood pressure
• Have severe kidney failure with no urine output (anuria)

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have asthma, COPD, or other breathing problems
• Have diabetes, as this medicine can mask signs of low blood sugar
• Have kidney or liver disease
• Have gout or a history of high uric acid levels
• Are pregnant, planning pregnancy, or breastfeeding
• Have any electrolyte imbalance, such as low potassium or sodium
• Are scheduled for surgery, as anaesthesia can interact with this medicine

MEDICINES THAT CAN INTERACT

• Other blood pressure or heart medicines, including other beta-blockers or calcium channel blockers
• Digoxin and other heart rhythm medicines
• NSAIDs (pain relievers like ibuprofen), which can reduce its effect
• Diabetes medicines, including insulin
• Lithium
• Other diuretics or medicines affecting potassium levels

FREQUENTLY ASKED QUESTIONS

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

No, stopping suddenly can cause a rebound rise in blood pressure or heart problems; talk to your doctor first.

Will this medicine make me urinate more?

Yes, the diuretic component increases urination, especially in the first few weeks of treatment.

Can I take this medicine with alcohol?

• Alcohol can increase dizziness and lower blood pressure further, so it is best to limit or avoid it while on this medicine.
• Doctor ya pharmacist se salah lein.