Starpress R XL 25mg Tablet 
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NOTICE: unsafe with : Alcohol
USED FOR:
Hypertension
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
Starpress R XL 25mg 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.
Starpress R XL 25mg Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Starpress R XL 25mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
CAUTION
Starpress R XL 25mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Starpress R XL 25mg Tablet may be needed. Please consult your doctor.Regular monitoring of blood pressure is recommended for dose adjustment.
CAUTION
Starpress R XL 25mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Starpress R XL 25mg 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 Starpress R Tablet XL
Starpress R XL 25mg Tablet is used in the treatment of hypertension.
How to use Starpress R Tablet XL
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. Starpress R XL 25mg Tablet is to be taken with food.
How Starpress R XL 25mg Tablet works
Starpress R XL 25mg 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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