Met Xl 3d 25/12.5 Mg Tablet (15 Tab)

MET XL 3D 25/12.5 MG TABLET

Name

• Brand Name: MET XL 3D 25/12.5 MG TABLET (by AJANTA PHARMA LIMITED)
• Common Name: Metoprolol Succinate, Telmisartan, and Chlorthalidone Tablet

Composition

MET XL 3D 25/12.5 MG TABLET contains three active ingredients:

• Metoprolol Succinate: 25 mg (a beta-blocker)
• Chlorthalidone: 12.5 mg (a diuretic)
• Telmisartan: 40 mg (an angiotensin II receptor blocker)

Uses

This medicine is prescribed for the management of:

• Essential Hypertension (High Blood Pressure): It effectively lowers blood pressure by combining the actions of three different antihypertensive agents.
• Stable Coronary Artery Disease: It helps reduce the workload on the heart and prevent complications such as stroke or heart attack in individuals with coronary artery disease. It can also help prevent chest pain during physical activity and manage blood pressure in adults with heart conditions.

Dosage and Administration

• MET XL 3D 25/12.5 MG TABLET should be taken orally as advised by your doctor.
• The dosage and frequency depend on factors such as your age, body weight, severity of your condition, and how your body responds to the medicine.
• It can be taken with or without food, but it is recommended to take it at the same time each day for maximum benefit.
• To avoid frequent urination at night due to the diuretic component (Chlorthalidone), it is advisable to take it during the daytime or at least 4 hours before bedtime.
• Swallow the tablet whole; do not crush, break, or chew it.
• Do not stop taking this medicine without consulting your doctor, even if your blood pressure is controlled, as sudden discontinuation may increase blood pressure and the risk of stroke.

Side Effects

Common side effects may include:

• Dizziness
• Headache
• Nausea
• Fatigue
• Low blood pressure (hypotension), which may cause lightheadedness
• Constipation
• Diarrhea
• Stomach upset/abdominal pain
• Increased blood lipid level
• Slow heart rate

If you experience any serious side effects or worsening of any symptoms, consult your doctor immediately.

Precautions

• Allergies: Inform your doctor about any known allergies to chlorthalidone, metoprolol, telmisartan, or any other medicines.
• Kidney and Liver Conditions: Caution is advised if you have a history of kidney or liver problems.
• Pregnancy and Breastfeeding: This medication should be taken under strict doctor's guidance during pregnancy. Inform your doctor if you are pregnant, planning for pregnancy, or breastfeeding.
• Alcohol Consumption: It is considered unsafe to consume alcohol while taking this medication as it might increase dizziness.
• Driving: This medicine may cause dizziness, so caution is advised when driving or operating machinery.
• Other Conditions: Exercise caution if you have asthma, diabetes (it may cause low blood sugar levels and alter the body's response to low blood sugar), a tumor of adrenal gland tissue (pheochromocytoma), an overactive thyroid, or psoriasis.
• Potassium Levels: It may cause the level of potassium in the blood to go up; avoid potassium-rich foods like banana and broccoli unless advised by your doctor.
• Dehydration: The medicine may cause dehydration; drink plenty of fluids and inform your doctor if you develop extreme thirst, muscle weakness, or very dry mouth.

Storage

• Store below 30°C.
• Store in a cool and dry place away from sunlight.
• Keep out of reach of children.

What is MET XL 3D 25/12.5 MG TABLET used for?

MET XL 3D 25/12.5 MG TABLET is primarily used to treat hypertension (high blood pressure). It is often prescribed when a single medication is not sufficient to effectively manage high blood pressure. This medicine also helps in reducing the risk of cardiovascular complications such as heart attack and stroke. Additionally, it may be used to treat stable coronary artery disease, prevent angina (heart-related chest pain), and support heart function in certain cardiac conditions.

How does MET XL 3D 25/12.5 MG TABLET work?

MET XL 3D 25/12.5 MG TABLET is a combination of three active ingredients: Metoprolol Succinate, Telmisartan, and Chlorthalidone.

• Metoprolol Succinate is a beta-blocker that works by slowing the heart rate and reducing the force of heart muscle contractions, which decreases the heart's workload and subsequently lowers blood pressure.
• Telmisartan is an angiotensin II receptor blocker (ARB). It relaxes and widens blood vessels by blocking the effects of angiotensin II, a hormone that narrows blood vessels, thereby reducing blood pressure.
• Chlorthalidone is a diuretic that helps the body eliminate excess salt and water through increased urine output, which reduces fluid retention and blood volume, thus lowering blood pressure.

What is the usual dosage for MET XL 3D 25/12.5 MG TABLET?

The recommended dosage typically involves taking one tablet once daily, usually in the morning. However, the exact dosage depends on individual patient factors such as the severity of hypertension, other medical conditions, and the patient's response to treatment. Your doctor may adjust the dose gradually to achieve optimal blood pressure control. It is crucial to follow your doctor's instructions and not change your dosage without consultation.

What are the possible side effects of MET XL 3D 25/12.5 MG TABLET?

Common side effects may include headache, dizziness, fatigue, nausea, vomiting, diarrhea, constipation, stomach pain, slow heart rate, and low blood pressure (especially upon standing). More serious but less common side effects can include difficulty breathing, chest pain, and swelling in the legs or ankles. If you experience persistent or severe side effects, or any signs of a serious allergic reaction, seek immediate medical attention.

Is MET XL 3D 25/12.5 MG TABLET safe during pregnancy or breastfeeding?

MET XL 3D 25/12.5 MG TABLET is generally considered unsafe during pregnancy as there is evidence of risk to the developing baby, particularly in the second and third trimesters. It should be used with caution, and only if the benefits outweigh the risks, under strict medical guidance. For breastfeeding mothers, it is probably unsafe to use as it may pass into breast milk and could harm the nursing infant. Consult your doctor for safer alternatives if you are pregnant, planning to become pregnant, or breastfeeding.

Can MET XL 3D 25/12.5 MG TABLET be taken with other medications?

It is important to inform your doctor about all medications, supplements, and herbal products you are taking to avoid potential drug interactions. This medicine can interact with certain medications, including other blood pressure-lowering drugs (e.g., amiodarone, aliskiren), NSAIDs (e.g., ibuprofen, diclofenac), anti-diabetic medicines (e.g., metformin, insulin), and antacids. Such interactions can affect the medicine's efficacy or increase the risk of side effects like low blood pressure or irregular heart rhythms.

What precautions should be taken when using MET XL 3D 25/12.5 MG TABLET?

Several precautions should be taken:

• Medical Conditions: Inform your doctor if you have kidney problems, liver disease, diabetes, asthma, circulation problems, an overactive thyroid, or a history of heart problems (like heart failure or a slow heartbeat).
• Alcohol: Avoid or limit alcohol consumption as it can lower blood pressure further and increase side effects like dizziness and drowsiness.
• Driving: This medicine may cause dizziness or fatigue, so exercise caution when driving or operating heavy machinery.
• Diet: Avoid foods high in potassium, such as spinach, broccoli, and potatoes, as Telmisartan can increase blood potassium levels. It is also advisable to follow a low-salt, low-fat diet.
• Sudden Discontinuation: Do not stop taking this medication abruptly without consulting your doctor, as it can lead to a rebound increase in blood pressure.

What happens if a dose is missed?

If you miss a dose of MET XL 3D 25/12.5 MG TABLET, 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 double the dose to make up for a missed one.

How should MET XL 3D 25/12.5 MG TABLET be stored?

Store MET XL 3D 25/12.5 MG TABLET in a cool and dry place, away from direct sunlight and moisture. The recommended storage temperature is usually between 20-25°C. Keep it out of reach of children and pets.