Metolar Xr 12.5 Capsule

METOLAR XR 12.5 CAPSULE

METOLAR XR 12.5 CAPSULE, manufactured by Cipla Health Ltd, is an extended-release medication used to manage various cardiovascular conditions.

Composition Each extended-release capsule contains Metoprolol succinate equivalent to Metoprolol tartrate 12.5 mg.

Uses METOLAR XR 12.5 CAPSULE is prescribed for:

• High blood pressure (hypertension).
• Heart-related chest pain (angina pectoris).
• Irregular heart rhythms (arrhythmia).
• Prevention of heart attacks.
• Treatment of heart failure.
• Relief of symptoms associated with migraine headaches and tremors.

Dosage and Administration This medicine is typically taken once daily, with or immediately after food, or as directed by a doctor. It is important to swallow the capsule whole without crushing, chewing, or breaking it. The dosage is individualized based on the patient's condition. Do not abruptly discontinue the medication without consulting a physician.

Side Effects Common side effects include dizziness, tiredness, headache, slow heart rate (bradycardia), diarrhea, stomach pain, nausea, and low blood pressure. Serious side effects, though rare, may include symptoms of an allergic reaction such as skin rash, itching, swelling of the face, lips, tongue or throat, and difficulty in breathing.

Precautions Avoid abrupt discontinuation of METOLAR XR 12.5 CAPSULE as it can worsen the condition or increase the risk of heart attack or stroke. It is contraindicated in patients with severe bradycardia, uncontrolled heart failure, heart block, or certain lung conditions like asthma or COPD. Caution is advised for patients with diabetes (as it can mask low blood sugar symptoms), liver or kidney impairment, and thyroid disorders. Alcohol consumption should be avoided due to increased risk of dizziness and hypotension. This medication may cause dizziness and tiredness, so caution is advised when driving or operating machinery. Consult a doctor if pregnant or breastfeeding.

Storage Store METOLAR XR 12.5 CAPSULE in a cool and dry place, ideally between 15-30°C or below 30°C, away from direct sunlight, moisture, and out of reach of children.

What is Metolar XR 12.5 Capsule used for?

Metolar XR 12.5 Capsule is primarily used to treat high blood pressure (hypertension), heart-related chest pain (angina pectoris), and irregular heart rhythms (arrhythmias). It can also be used to prevent heart attacks and strokes, and may help relieve symptoms of migraine headaches and tremors. For patients who have survived a heart attack, it can reduce the risk of cardiovascular mortality.

How does Metolar XR 12.5 Capsule work?

Metolar XR 12.5 Capsule contains metoprolol succinate, which is a beta-blocker. It works by slowing down the heart rate and making the heart more efficient at pumping blood throughout the body. This action reduces the workload on the heart, lowers blood pressure, and decreases the heart's oxygen demand, thereby helping to manage symptoms of conditions like angina.

What is the usual dosage for Metolar XR 12.5 Capsule?

Metolar XR 12.5 Capsule is typically taken once daily, usually with or immediately after meals, to enhance absorption and minimize side effects. The dosage must be individualized and closely monitored by your doctor. For patients with more severe heart failure, the recommended starting dose is 12.5 mg once daily. For patients with NYHA class II heart failure, it may start at 25 mg once daily for two weeks, with doses potentially doubled every two weeks up to a maximum of 200 mg, based on tolerance. It is crucial to swallow the capsule whole without crushing, chewing, or breaking it.

What are the possible side effects of Metolar XR 12.5 Capsule?

Common side effects can include dizziness, tiredness, headache, nausea, stomach pain, diarrhea, and a slow heartbeat (bradycardia). Other reported side effects may include cold hands and feet, depression, difficulty sleeping or nightmares, shortness of breath, skin rash, fluid retention (swelling), pins and needles sensation, and increased sweating. Most of these side effects are usually mild and temporary. If side effects are persistent or severe, you should consult your doctor.

Is Metolar XR 12.5 Capsule safe during pregnancy or breastfeeding?

Metolar XR 12.5 Capsule is generally not recommended for use during pregnancy unless clearly needed and prescribed by a doctor, as there are no adequate and well-controlled studies in pregnant women. If you are pregnant or planning pregnancy, you should consult your doctor. Metoprolol is excreted in breast milk in small quantities, so it is important to consider possible infant exposure and consult your doctor before breastfeeding.

Can Metolar XR 12.5 Capsule be taken with other medications?

Metolar XR 12.5 Capsule can interact with several other medications, which may affect its action or increase the risk of side effects. These include other antihypertensive agents (such as reserpine, clonidine, amlodipine, lisinopril), anti-arrhythmic agents (e.g., quinidine, amiodarone, digoxin, diltiazem, verapamil), certain antidepressants (e.g., fluoxetine, paroxetine), and NSAIDs (e.g., ibuprofen, naproxen). It is important to inform your doctor about all medications, supplements, and herbal products you are currently taking.

What precautions should be taken while taking Metolar XR 12.5 Capsule?

Do not stop taking Metolar XR 12.5 Capsule abruptly without consulting your doctor, as this can worsen your condition or increase the risk of side effects such as chest pain and heart attack. Alcohol consumption should be avoided as it may increase the blood pressure-lowering effect and cause increased dizziness. Exercise caution when driving or operating machinery, as the medicine may cause dizziness or tiredness. Inform your doctor if you have underlying conditions such as asthma, COPD, diabetes, liver or kidney impairment, a slow heart rate, or pheochromocytoma.

What happens if a dose of Metolar XR 12.5 Capsule 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 make up for the missed one, as this can lead to unwanted side effects.

How should Metolar XR 12.5 Capsule be stored?

Metolar XR 12.5 Capsule should be stored in a cool and dry place, ideally between 15-30°C or below 30°C, away from direct sunlight and moisture. Keep it out of the reach and sight of children and pets. Ensure the medicine is used before its expiry date.