Metosartan Ch 25 Mg Tablet (10 Tab)

METOSARTAN CH 25 MG TABLET

METOSARTAN CH 25 MG TABLET is a combination medication manufactured by SUN PHARMA LABORATORIES LTD. It is primarily used for the management of hypertension, commonly known as high blood pressure. This medicine helps to lower blood pressure, thereby reducing the risk of severe cardiovascular events such as heart attack and stroke.

Composition

Each tablet contains a combination of three active ingredients:

• Chlorthalidone (12.5 mg): A diuretic that works by removing excess fluid and electrolytes from the body through increased urine output.
• Metoprolol Succinate (25 mg): A beta-blocker that slows down the heart rate and makes it easier for the heart to pump blood efficiently throughout the body.
• Telmisartan (40 mg): An angiotensin receptor blocker (ARB) that relaxes blood vessels, leading to lowered blood pressure.

Uses

METOSARTAN CH 25 MG TABLET is prescribed for:

• Treatment of essential hypertension (high blood pressure not caused by another condition).
• Management of hypertension in individuals with stable coronary artery disease.

Dosage and Administration

Take METOSARTAN CH 25 MG TABLET exactly as advised by your physician. Swallow the tablet whole with a glass of water; do not crush or chew it. It can be taken with or without food, but it is recommended to take it at the same time each day to achieve the most benefit. To prevent frequent nighttime urination, it is advisable to take this medicine during the day or at least 4 hours before bedtime. The dosage and duration of treatment will be determined by your doctor based on your age, body weight, and medical condition. Do not stop taking this medicine abruptly without consulting your doctor.

Side Effects

Common side effects may include:

• Dizziness, headache, fatigue, weakness.
• Nausea, diarrhea, constipation, stomach upset.
• Low blood pressure (especially when standing up from a sitting position), slow heartbeat.
• Cold hands and feet.
• Symptoms of upper respiratory tract infection (e.g., coughing, runny nose, sore throat), back pain, sinusitis.
• Changes in blood lipid levels, increased uric acid, decreased magnesium and sodium levels.

Serious side effects are rare but require immediate medical attention. These include signs of a severe allergic reaction (weakness, feeling light-headed or dizzy, difficulty breathing), muscle pain, insomnia, anxiety, and severe breathing difficulties.

Precautions

• Allergy: Do not use if you are allergic to Chlorthalidone, Telmisartan, or Metoprolol.
• Pregnancy: METOSARTAN CH 25 MG TABLET is considered unsafe during pregnancy and should be discontinued as soon as pregnancy is detected, as it may pose risks to the developing baby.
• Breastfeeding: Use with caution during breastfeeding; consult your doctor for advice.
• Liver/Kidney/Heart Conditions: Use with caution in patients with liver, kidney, or heart disease. Regular monitoring of kidney function and electrolytes is important. It is not recommended for severe liver or kidney impairment.
• Diabetes: Metoprolol may mask the symptoms of low blood sugar, so diabetic patients should monitor their glucose levels closely.
• Alcohol: Avoid or limit alcohol consumption, as it may intensify side effects like dizziness and enhance the blood pressure-lowering effect.
• Driving/Operating Machinery: This medicine may cause dizziness; avoid driving or operating heavy machinery if you experience this side effect.
• Children and Adolescents: Not recommended for use in children and adolescents up to 18 years of age due to limited safety data.
• Elderly Patients: Use with caution in elderly patients (65 years and above); a lower dose and regular monitoring may be recommended.
• Dietary Interactions: Avoid excessive consumption of potassium-rich foods or supplements as it may lead to high potassium levels in the blood.

Storage

Store METOSARTAN CH 25 MG TABLET in a cool, dry place, ideally at room temperature between 15°C to 30°C (or 20-25°C). Protect it from light and moisture, and keep it out of the reach of children. Always use the medication before its expiry date.

Here are frequently asked questions about METOSARTAN CH 25 MG TABLET:

What is Metosartan CH 25 MG Tablet used for?

Metosartan CH 25 MG Tablet is primarily used to treat hypertension (high blood pressure) in adults. It is also effective in managing essential hypertension, particularly in individuals with stable coronary artery disease. By controlling blood pressure, it helps reduce the risk of complications such as heart attacks and strokes.

How does Metosartan CH 25 MG Tablet work?

This medication is a combination of three active ingredients: Chlorthalidone, Telmisartan, and Metoprolol. Chlorthalidone acts as a diuretic, helping the body remove excess water and electrolytes through urine. Telmisartan is an angiotensin receptor blocker that relaxes blood vessels by blocking the action of Angiotensin II. Metoprolol is a beta-blocker that slows down the heart rate and relaxes blood vessels, making it easier for the heart to pump blood efficiently throughout the body.

What is the usual dosage for Metosartan CH 25 MG Tablet?

Metosartan CH 25 MG Tablet should be taken as directed by your doctor. It is usually consumed once daily, with or without food, preferably at the same time each day for optimal benefits. The tablet should be swallowed whole with water and not chewed or crushed. The specific dosage strength is typically Telmisartan 40mg, Metoprolol succinate 25mg, and Chlorthalidone 12.5mg.

What are the possible side effects of Metosartan CH 25 MG Tablet?

Common side effects may include nausea, taste alteration, diarrhea, stomach upset, headache, dizziness, weakness, fatigue, cold extremities, numbness, and a slow heart rate. Some individuals may also experience low blood pressure. While most side effects are temporary, consult your doctor if they persist or worsen. Rarely, serious allergic reactions can occur, requiring immediate medical attention.

Is Metosartan CH 25 MG Tablet safe during pregnancy or breastfeeding?

Metosartan CH 25 MG Tablet is generally not recommended during pregnancy as it may cause harmful effects to the developing fetus, particularly in the second and third trimesters. It is also not advised during breastfeeding, as the components may pass into breast milk. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

Can Metosartan CH 25 MG Tablet be taken with other medications?

This medicine can interact with other medications. It is important to inform your doctor about all medicines, supplements, or herbal products you are currently taking. Interactions can occur with other anti-hypertensive agents (e.g., amlodipine, lisinopril, ramipril), NSAIDs (e.g., ibuprofen, naproxen), CYP2C9 inhibitors (e.g., fluconazole), lithium, insulin, and certain medications used to maintain blood pressure like prazosin. These interactions can affect the effectiveness of Metosartan CH 25 MG Tablet or increase the risk of side effects.

What precautions should be taken while taking Metosartan CH 25 MG Tablet?

Regular monitoring of kidney function and electrolyte levels is crucial while on this medication. Use with caution if you have liver, kidney, or heart disease, or diabetes. Avoid or limit alcohol consumption as it may increase dizziness and lower blood pressure further. Do not drive or operate heavy machinery if you experience dizziness. It is important not to stop taking this medicine abruptly without consulting your doctor, as sudden discontinuation can lead to a rapid increase in blood pressure. Lifestyle changes such as a healthy diet, regular exercise, and avoiding smoking are also recommended.

What happens if a dose of Metosartan CH 25 MG Tablet is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

How should Metosartan CH 25 MG Tablet be stored?

Metosartan CH 25 MG Tablet should be stored in a cool, dry place, ideally at room temperature (between 15 to 30 degrees Celsius). Protect it from exposure to light and moisture. Always keep the medicine securely out of reach of children.