Met XL R 25mg/2.5mg Tablet 
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NOTICE: unsafe with : Alcohol
USED FOR:
High blood pressure
COMPOSITION:
Metoprolol (25mg) + Ramipril (2.5mg)
Therapeutic Uses:
cardiac
CAUTION
Taking Metoprolol with alcohol may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
WEIGH RISKS VS BENEFITS
Met XL R 25mg/2.5mg Tablet is unsafe to use during pregnancy.There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Met XL R 25mg/2.5mg Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Met XL R 25mg/2.5mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
CAUTION
Met XL R 25mg/2.5mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Met XL R 25mg/2.5mg Tablet may be needed. Please consult your doctor.Regular monitoring of blood pressure is recommended for dose adjustment.
CAUTION
Met XL R 25mg/2.5mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Met XL R 25mg/2.5mg Tablet may be needed. Please consult your doctor.Inform your doctor if you develop any signs and symptoms of jaundice while taking this medicine.
Uses of Met XL R Tablet ER
Met XL R 25mg/2.5mg Tablet is used in the treatment of high blood pressure.
How to use Met XL R 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. Met XL R 25mg/2.5mg Tablet is to be taken with food.
How Met XL R 25mg/2.5mg Tablet works
Met XL R 25mg/2.5mg Tablet is a combination of two medicines: Metoprolol and ramipril which lower blood pressure effectively. Metoprolol is a beta blocker which works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body. Ramipril is an ACE inhibitor which reduces stress on the heart and relaxes blood vessel so that blood flows more smoothly.
Common Nausea, Altered taste, Vomiting, Diarrhoea, Constipation, Cough, Dizziness, Weakness, Headache, Cold extremities, Slow heart rate, Numbness of extremity, Increased potassium level in blood, Decreased blood pressure.
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