Ctd M 6.25/25 Tab

CTD M 6.25/25 Tablet ER

CTD M 6.25/25 Tablet ER is a combination medication manufactured by IPCA LABORATORIES LTD, primarily used for managing hypertension, also known as high blood pressure. The "ER" in its name indicates an extended-release formulation.

Composition Each extended-release tablet contains two active ingredients:

• Chlorthalidone (6.25 mg): A thiazide-like diuretic that helps to increase the excretion of sodium, chloride, and water, thereby lowering blood volume and reducing the heart's workload.
• Metoprolol Succinate (25 mg): A cardioselective beta-1 adrenergic receptor blocker that reduces heart rate, decreases the force of heart muscle contractions, and lessens the amount of blood the heart pumps out.

Uses This medicine is prescribed for:

• Managing hypertension (high blood pressure) in adult patients.
• Effectively controlling blood pressure when a single medication is insufficient.
• Reducing oedema (fluid retention) in hypertensive patients.
• As a preventive measure for conditions like angina pectoris (chest pain) and myocardial infarction (heart attack).

Dosage and Administration CTD M 6.25/25 Tablet ER should be swallowed whole with a glass of water, and not crushed or chewed, as it is an extended-release formulation. It can be taken with or without food, preferably in the morning to avoid frequent urination at night. It is crucial to maintain consistent timing daily and not discontinue the medicine without consulting a doctor, even if symptoms improve.

Side Effects Common side effects may include:

• Dizziness, fatigue, and drowsiness
• Bradycardia (slower-than-normal heart rate)
• Gastrointestinal disturbances such as nausea, diarrhoea, constipation, and stomach pain
• Cold extremities
• Electrolyte imbalances (disruptions in minerals like sodium, potassium, and magnesium)
• Hyperuricemia and gout (excess uric acid in the blood)
• Headache

Serious side effects, though rare, can include severe dizziness, very slow or irregular heartbeat, shortness of breath, confusion, or fainting.

Precautions

• Pregnancy and Breastfeeding: Caution is advised during pregnancy, and it is generally not recommended unless specifically prescribed by a doctor, as it may affect the fetus. Its safety during breastfeeding has not been established, and it may pass into breast milk.
• Alcohol: Avoid consuming alcohol, as it may enhance the blood pressure-lowering effect and increase the risk of dizziness or fainting.
• Medical Conditions: Inform your doctor if you have liver, kidney, heart (e.g., severe heart failure, heart block), lung conditions (e.g., asthma), diabetes, gout, or allergies to any components.
• Driving/Operating Machinery: May cause dizziness, so avoid activities requiring alertness.
• Interactions: Inform your doctor about all current medications, including other antihypertensives, pain relievers, and supplements, as interactions can occur.

Storage Store CTD M 6.25/25 Tablet ER at room temperature, ideally below 25°C or 30°C. Protect it from moisture and light, and keep it out of the sight and reach of children and pets.

What is CTD M 6.25/25 Tablet used for?

CTD M 6.25/25 Tablet is primarily used to treat hypertension (high blood pressure). It can also be prescribed for angina pectoris (chest pain), to prevent myocardial infarction (heart attack), and to manage conditions like atrial fibrillation, flutter, and symptomatic hypertrophic subaortic stenosis. Additionally, it helps reduce fluid retention (edema) in hypertensive patients.

How does CTD M 6.25/25 Tablet work?

This medicine is a combination of two active ingredients: Metoprolol (a beta-blocker) and Chlorthalidone (a diuretic or "water pill"). Metoprolol works by blocking the action of certain natural chemicals in the body, like epinephrine, which helps to slow down the heart rate and relax blood vessels, thereby lowering blood pressure. Chlorthalidone helps the body get rid of excess water and salt through urine, reducing fluid accumulation and swelling.

What is the usual dosage for CTD M 6.25/25 Tablet?

The typical dosage is determined by your doctor based on your condition and response to treatment. It should be taken exactly as prescribed, usually once daily. It can be taken with or without food, but it is often recommended to take it in the morning to avoid frequent urination at night. Do not stop taking this medicine suddenly without consulting your doctor.

What are the possible side effects of CTD M 6.25/25 Tablet?

Common side effects can include tiredness, headache, dizziness, stomach pain, nausea, vomiting, diarrhea, constipation, and loss of appetite. Other possible side effects include orthostatic hypotension (dizziness upon standing), weakness, restlessness, slow heart rate (bradycardia), visual abnormalities, and sensitivity to light (photosensitivity). It may also cause electrolyte imbalances, such as decreased potassium, sodium, chloride, or magnesium levels, and increased uric acid or calcium levels in the blood. Seek immediate medical attention if you experience severe dizziness, a very slow or irregular heartbeat, shortness of breath, confusion, fainting, allergic reactions (rash, trouble breathing, swelling of face or throat), muscle weakness, or seizures.

Is CTD M 6.25/25 Tablet safe during pregnancy or breastfeeding?

Pregnancy: CTD M 6.25/25 Tablet is generally not recommended during pregnancy unless absolutely necessary, and only if the potential benefits outweigh the risks. It is categorized as a Category C drug for pregnancy. If used, the dose should be as low as possible and discontinued 2-3 days before delivery. Breastfeeding: This medicine should be used with caution during breastfeeding. While a very small amount may pass into breast milk, it is generally considered probably safe if prescribed by a doctor, but some sources suggest avoiding it.

Can CTD M 6.25/25 Tablet be taken with other medications?

CTD M 6.25/25 Tablet can interact with various medications. It's crucial to inform your doctor about all prescription and over-the-counter medicines, herbal supplements, and vitamins you are taking. Interactions can occur with other blood pressure medications, heart medicines (e.g., amiodarone, verapamil, diltiazem), certain pain relievers (like NSAIDs such as ibuprofen), anti-diabetic medications (insulin, oral hypoglycemics), adrenaline, certain asthma medications, and lithium.

What precautions should be taken while using CTD M 6.25/25 Tablet?

Avoid consuming alcohol while taking this medicine, as it can intensify side effects like dizziness. Since it may cause dizziness or fatigue, refrain from driving or operating heavy machinery until you understand how the medication affects you. Use with caution if you have severe kidney or liver disease, diabetes (as it can mask symptoms of low blood sugar), asthma or other breathing problems, gout, glaucoma, or high cholesterol. Your doctor may monitor your blood pressure, kidney function, and electrolyte levels regularly. Avoid prolonged exposure to sunlight due to possible photosensitivity. Do not stop taking the medicine abruptly.

What happens if a dose of CTD M 6.25/25 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 make up for a forgotten one.

How should CTD M 6.25/25 Tablet be stored?

Store CTD M 6.25/25 Tablet below 25°C or at room temperature (20-25°C). Keep it protected from light and moisture, and ensure it is out of the reach and sight of children and pets.