Description
This combination medicine is used to effectively control high blood pressure by working through two complementary mechanisms. Telmisartan relaxes and widens blood vessels by blocking the action of angiotensin-II, reducing vascular resistance. Metoprolol Succinate ER slows the heart rate and decreases the force of heart contraction, reducing cardiac workload and oxygen demand. Together, they provide sustained 24-hour blood pressure control and help protect the heart, brain, and kidneys from long-term damage caused by uncontrolled hypertension.
Indications :
Hypertension (high blood pressure)
Patients requiring dual therapy for better BP control
Hypertension with increased heart rate
Prevention of cardiovascular complications such as heart attack and stroke
Patients not adequately controlled on single-drug therapy
Side Effects :
Common Side Effects
Dizziness or light-headedness
Fatigue or weakness
Headache
Slow heart rate (bradycardia)
Less Common / Rare :
Low blood pressure (hypotension)
Cold hands and feet
Nausea or stomach discomfort
Shortness of breath
Increased potassium levels
Sleep disturbances
Dosage : (as prescribed by the physician)
One tablet once daily, or as prescribed by the physician
Preferably taken at the same time each day
Can be taken with or without food
Tablet should be swallowed whole (do not crush or chew due to ER formulation)
Dosage adjustment depends on blood pressure response and patient condition.
Precautions :
Not recommended in patients with severe bradycardia, heart block, or cardiogenic shock
Use cautiously in patients with kidney or liver impairment
Monitor blood pressure, heart rate, kidney function, and potassium levels regularly
Avoid sudden discontinuation, especially due to metoprolol (risk of rebound hypertension)
Use with caution in diabetes, asthma, or COPD
Alcohol may increase dizziness—avoid or limit consumption
Storage Instructions :
Store at room temperature (below 25°C)
Keep away from heat, moisture, and direct sunlight
Keep out of reach of children
Do not use after the expiry date
