


Written By Dr. Swati Mishra, BDS,
Reviewed By Dr. Mekhala Chandra, MD, MBBS,
Last updated on 11 Oct 2026 | 01:04 AM (IST)



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General Information



Product introduction
Met XL 3D 25/12.5 can be taken with or without food, but take it at the same time to get the most benefit. It makes you lose excess water through urine, hence try to take it at day time or 4 hours before bedtime to avoid frequent urination at night. It should be taken as your doctor's advice. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you.
Nausea, diarrhea, stomach upset, headache, and dizziness are some common side effects of this medicine. Regular monitoring of kidney function and electrolytes is important while using this medicine. This medicine should be used along with lifestyle changes like a healthy diet, regular exercise and smoking cessation for best results. You are advised to drink plenty of fluids to overcome mouth dryness and extreme thirst.
Before taking this medicine, tell your doctor if you are pregnant if you have ever had any problems with your blood circulation or have liver or kidney problems. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.
Uses of Met XL 3D Tablet ER
Benefits of Met XL 3D Tablet ER
Hypertension (high blood pressure) is a long-term condition where the force of blood against the artery walls is consistently too high, which can strain the heart and damage blood vessels over time. Met XL 3D 25/12.5 helps lower blood pressure by relaxing blood vessels, reducing the heart’s workload, and removing excess fluid from the body. It controls blood pressure, lowers the risk of serious complications such as heart attack, stroke, and kidney problems, supporting overall heart and vascular health.
Side effects of Met XL 3D Tablet ER
- Nausea
- Diarrhea
- Headache
- Dizziness
- Back pain
- Sinus inflammation
- Fatigue
- Constipation
- Upper respiratory tract infection
- Sore throat
- Abdominal pain
- Paresthesia (tingling or pricking sensation)
- Weight gain
How to use Met XL 3D Tablet ER
How Met XL 3D Tablet ER works
All substitutes for Met XL 3D 25/12.5
Metosartan CH 25 Tablet ER
Telma-MCT 25/12.5 Tablet ER
CTD-MT 12.5/25/40 Tablet ER
Metolar 3D 25 Tablet ER
Sartelbeta Plus 12.5mg/25mg/40mg Tablet ER
Quick tips
- You have been prescribed Met XL 3D 25/12.5 for the treatment of high blood pressure.
- Lowering high blood pressure helps prevent stroke and heart attack.
- It may cause more frequent urination. Take it at least 4 hrs before bedtime to avoid waking up to urinate.
- It may cause the level of potassium in blood to go up. Avoid taking potassium-rich foods such as banana and broccoli.
- It may cause dizziness. Get up slowly when rising from a sitting or lying position.
- Met XL 3D 25/12.5 may cause dehydration. Drink plenty of fluids and Inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.
- Do not stop taking Met XL 3D 25/12.5 suddenly without talking to your doctor.
- You have been prescribed Met XL 3D 25/12.5 for the treatment of high blood pressure.
- Lowering high blood pressure helps prevent stroke and heart attack.
- It may cause more frequent urination. Take it at least 4 hrs before bedtime to avoid waking up to urinate.
- It may cause the level of potassium in blood to go up. Avoid taking potassium-rich foods such as banana and broccoli.
- It may cause dizziness. Get up slowly when rising from a sitting or lying position.
- Met XL 3D 25/12.5 may cause dehydration. Drink plenty of fluids and Inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.
- Do not stop taking Met XL 3D 25/12.5 suddenly without talking to your doctor.
Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney
Use of Met XL 3D 25/12.5 is not recommended in these patients.

Liver
Use of Met XL 3D 25/12.5 is not recommended in patients with severe liver disease.
Frequently asked questions
Fact Box
Habit Forming
Therapeutic Class
Related lab tests
References
- Metoprolol succinate. Södertälje, Sweden: AstraZeneca AB; 1992 [revised 2010]. [Accessed 24 Apr. 2019] (online) Available from:
- Telmisartan. Bracknell, Berkshire: Boehringer Ingelheim Limited; 1998 [revised Nov. 2017]. [Accessed 24 Apr. 2019] (online) Available from:
- Telmisartan, Chlorthalidone and Metoprolol [Patient Information Leaflet]. Bari-Brahmana, Jammu: M/s Ravenbhel Healthcare Pvt Ltd.; 2021. [Accessed 14 Aug. 2024] (online) Available from:
- Chlorthalidone, metoprolol succinate, and telmisartan. Delhi, India: Zeelab Pharmacy;. [Accessed 03 Nov. 2025] (online). Available from:




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Lab tests offered by us
- CBC (Complete Blood Count)
- FBS (Fasting Blood Sugar)
- Thyroid Profile Total (T3, T4 & TSH)
- HbA1c (Glycosylated Hemoglobin)
- PPBS (Postprandial Blood Sugar)
- Lipid Profile
- Vitamin D (25-Hydroxy)
- Urine R/M (Urine Routine & Microscopy)
- Coronavirus Covid -19 test- RT PCR
- LFT (Liver Function Test)
- KFT (Kidney Function Test)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- ESR (Erythrocyte Sedimentation Rate)
- Uric Acid, Serum
- Vitamin B12
- CRP (C-Reactive Protein), Quantitative
- Urine C/S (Urine Culture and Sensitivity)
- Serum Electrolytes
- Serum Calcium
- Serum Creatinine
- Diabetes Screening (HbA1C & Fasting Sugar)
- KFT with Electrolytes (Kidney Function Test with Electrolytes)
- Cholesterol - Total
- Hb (Hemoglobin)
- Complete Hemogram (CBC & ESR)


















