Starpress-3d 25/12.5 Tablet

STARPRESS-3D 25/12.5 TABLET by LUPIN LTD.

Name

• Brand Name: STARPRESS-3D 25/12.5 TABLET
• Common Name: Chlorthalidone, Metoprolol Succinate, Telmisartan

Composition

STARPRESS-3D 25/12.5 TABLET is a combination medication containing three active ingredients:

• Chlorthalidone (12.5 mg)
• Metoprolol Succinate (25 mg)
• Telmisartan (40 mg)

Uses

This medicine is prescribed for the management of:

• Essential hypertension (high blood pressure) in adults.
• Stable coronary artery disease. It works by relaxing blood vessels, making the heart more efficient at pumping blood, and removing excess fluid and electrolytes from the body. This helps to reduce the workload on the heart and lower the risk of cardiovascular complications such as heart attack and stroke.

Dosage and Administration

STARPRESS-3D 25/12.5 TABLET should be taken as advised by your physician.

• Swallow the tablet whole with a glass of water; do not crush, chew, or break it.
• It can be taken with or without food, but it is recommended to take it at the same time each day for best results.
• To avoid frequent nighttime urination, it may be advisable to take this medicine during the day or at least 4 hours before bedtime.
• The dosage and duration depend on the patient's age, body weight, and the severity of the condition. Do not stop taking this medicine suddenly without consulting your doctor.

Side Effects

Common Side Effects:

• Dizziness
• Headache
• Nausea, abdominal pain, diarrhea, constipation, or upset stomach
• Fatigue or tiredness
• Low blood pressure, especially when standing up (orthostatic hypotension)
• Slow heartbeat
• Cold hands and feet, or numbness of extremity
• Signs of upper respiratory tract infection (coughing, runny nose, sneezing, throat pain)
• Back pain, signs of sinusitis, pharyngitis

Serious Side Effects (Contact your doctor immediately if you experience):

• Signs of a serious allergic reaction (weakness, feeling light-headed or dizzy, difficulty breathing)
• Very slow heartbeat, severe dizziness, fainting
• New or worsening symptoms of heart failure (shortness of breath, swelling ankles/feet, unusual tiredness, unusual/sudden weight gain)
• Mental/mood changes (confusion, mood swings, depression)

Precautions

• Allergy: Do not take if allergic to Chlorthalidone, Telmisartan, Metoprolol, or any other ingredients in the tablet.
• Pregnancy: Use with caution in pregnant women or if you think you might become pregnant. It is generally considered unsafe during the second and third trimesters due to potential risks to the developing baby. Consult your doctor.
• Breastfeeding: Use with caution in breastfeeding women. Consult your doctor.
• Alcohol: Avoid alcohol consumption as it may aggravate side effects like dizziness and drowsiness.
• Driving and Operating Machinery: This medicine may cause dizziness or fatigue; exercise caution when driving or operating heavy machinery.
• Kidney Problems: Use with caution in patients with kidney problems; dose adjustment and regular monitoring may be required. Not recommended in severe kidney disease.
• Liver Problems: Use with caution in patients with liver problems. Not recommended for use in severe liver disease.
• Heart Conditions: Use with caution in patients with low blood pressure or other heart problems. It is contraindicated in conditions like pulmonary edema, severe sinus bradycardia, cardiogenic shock, uncompensated congestive heart failure, anuria, and sick sinus syndrome.
• Children: Not recommended for use in children and adolescents up to 18 years of age.
• Elderly: Use with caution in elderly patients (65 years and above); a lower dose and regular monitoring may be recommended.
• Drug Interactions: Inform your doctor about all medicines you are taking, especially NSAIDs (e.g., ibuprofen), anti-diabetic medicines (e.g., metformin, insulin), digoxin, and lithium, as interactions may occur.
• Diet: Avoid potassium-rich foods (like bananas and broccoli) and potassium supplements, as this medicine may increase blood potassium levels.

Storage

Store STARPRESS-3D 25/12.5 TABLET at room temperature (below 30°C).

• Keep it away from direct sunlight, heat, and moisture.
• Store in the original packaging until ready to use.
• Keep out of reach of children and pets.
• Do not use the medicine after the expiry date printed on the package.

Here are frequently asked questions about STARPRESS-3D 25/12.5 TABLET:

What is STARPRESS-3D 25/12.5 TABLET used for?

STARPRESS-3D 25/12.5 TABLET is primarily used to manage essential hypertension (high blood pressure) and stable coronary artery disease in adults. It helps control high blood pressure, treat stable coronary artery disease, prevent chest pain during physical activity, and reduce the risk of cardiovascular complications like heart attack and stroke.

How does STARPRESS-3D 25/12.5 TABLET work?

This medicine is a combination of three active ingredients: Telmisartan (40 mg), Chlorthalidone (12.5 mg), and Metoprolol Succinate (25 mg).

• Telmisartan is an angiotensin II receptor blocker that relaxes and widens blood vessels, which lowers blood pressure.
• Chlorthalidone is a diuretic that increases the excretion of sodium and water from the body, thereby reducing blood volume and blood pressure.
• Metoprolol Succinate is a beta-blocker that reduces the effects of stress hormones on the heart, leading to a slower heart rate and decreased workload on the heart, which helps to lower blood pressure. Together, these components relax blood vessels, make the heart more efficient at pumping blood, and help remove excess fluid from the body.

What is the usual dosage for STARPRESS-3D 25/12.5 TABLET?

The dosage is prescribed by your doctor and may vary based on your condition, age, weight, and how your body responds to the medicine. It is typically taken once a day. Swallow the tablet whole with a glass of water; do not crush, chew, or break it. For best results, take it at the same time each day, preferably during the daytime or at least 4 hours before bedtime to avoid frequent urination at night due to its diuretic properties.

What are the possible side effects of STARPRESS-3D 25/12.5 TABLET?

Common side effects include dizziness, headache, nausea, fatigue, low blood pressure (especially when standing up quickly), constipation, stomach upset, cold extremities, numbness of extremities, increased blood lipid levels, slow heart rate, and diarrhea. If any side effects persist or worsen, you should consult your doctor.

Is STARPRESS-3D 25/12.5 TABLET safe during pregnancy or breastfeeding?

Pregnancy: It should be used with caution during pregnancy and is generally not recommended during the second and third trimesters as it may harm the developing fetus. Your doctor will weigh the benefits against the risks before prescribing. Breastfeeding: Use with caution. The components of this medicine can pass into breast milk and may cause serious effects, such as low blood pressure, in nursing infants. Your doctor will determine if it can be taken while breastfeeding.

Can STARPRESS-3D 25/12.5 TABLET be taken with other medications?

STARPRESS-3D 25/12.5 TABLET can interact with certain medications. For instance, it may reduce the effectiveness of anti-diabetic medicines (like metformin or insulin) and its blood pressure-lowering effects can be diminished by NSAIDs (such as ibuprofen or diclofenac). It may also increase the levels of Digoxin and Lithium in the blood, potentially leading to increased side effects. Taking it with other antihypertensive drugs could lead to an excessive drop in blood pressure. It is crucial to inform your doctor about all other medicines you are taking to avoid potential interactions.

What precautions should be taken while on STARPRESS-3D 25/12.5 TABLET?

Avoid consuming grapefruit or grapefruit juice, as it may intensify the medicine's effects. Alcohol consumption should also be avoided as it can increase dizziness and other side effects. Exercise caution if you have liver, kidney, or heart problems, diabetes, thyroid disorder, adrenal gland tumors, or circulation problems. This medicine may cause dizziness or fatigue, so avoid driving or operating heavy machinery if you experience these symptoms. Rise slowly from a sitting or lying position to prevent lightheadedness. Follow a low-salt and low-fat diet, exercise regularly, and avoid smoking. Also, avoid potassium-rich foods like bananas and broccoli, as this medicine may increase blood potassium levels. Do not stop taking the medicine suddenly without consulting your doctor.

What happens if a dose of STARPRESS-3D 25/12.5 TABLET is missed?

If you forget to take a dose, take it as soon as you remember. However, if it's 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 a missed one.

How should STARPRESS-3D 25/12.5 TABLET be stored?

Store STARPRESS-3D 25/12.5 TABLET at room temperature (below 30°C). Keep it in its original packaging, away from direct sunlight, heat, and moisture. Ensure it is kept out of reach of children and pets. Do not use the medicine after its expiry date.