Metolar I 25 Tablet is a combination medicine used in the treatment of angina (heart-related chest pain). It works by reducing the heart rate and making the heart more efficient at pumping blood throughout the body.

It is advisable to take Metolar I 25 Tablet at a fixed time each day to maintain consistent levels of medicine in the blood. In case you have missed any doses, take it as soon as you remember it. Never skip any doses and finish a full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to the doctor as it may worsen your symptoms. It may cause side effects like slow heart rate, tiredness, abnormal dreams, cold extremities, and blurred vision.

Uses of Metolar I Tablet

Angina (heart-related chest pain)

Benefits of Metolar I Tablet

In Angina (heart-related chest pain)

Metolar I 25 Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively.

Side effects of Metolar I Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Metolar I

Slow heart rate
Tiredness
Abnormal dreams
Cold extremities
Luminous phenomena (Enhanced brightness)
Blurred vision

How to use Metolar I Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Metolar I 25 Tablet should be taken with or after food.

How Metolar I Tablet works

Metolar I 25 Tablet is a combination of two medicines: Ivabradine and Metoprolol Succinate. They work by reducing the heart rate and making the heart more efficient at pumping blood throughout the body.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Metolar I 25 Tablet

Pregnancy

CONSULT YOUR DOCTOR

Metolar I 25 Tablet is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks.

Breast feeding

SAFE IF PRESCRIBED

Metolar I 25 Tablet may be safe to use during breastfeeding. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Driving

UNSAFE

Metolar I 25 Tablet may cause side effects that could affect your ability to drive.
Metolar I 25 Tablet may cause transient luminous phenomena. This should be taken into account especially when driving at night.

Kidney

CAUTION

Metolar I 25 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Limited information is available for use of Metolar I 25 Tablet in patients with severe kidney disease.

Liver

CAUTION

Metolar I 25 Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

What if you forget to take Metolar I Tablet?

If you miss a dose of Metolar I 25 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

No substitutes found for this medicine

Quick tips

You have been prescribed Metolar I 25 Tablet for the treatment of angina (chest pain).
It must be taken with food.
Metolar I 25 Tablet may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
You may experience temporary changes in your vision such as enhanced visual brightness. These may occur within the initial 2 months of treatment and should gradually go away.
Inform your doctor if you experience symptoms of low heart rate such as dizziness, tiredness, and low energy.

Fact Box

Habit Forming

Therapeutic Class

CARDIAC

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Rivinius R, Helmschrott M, Rahm AK, et al. Five-year results of heart rate control with ivabradine or metoprolol succinate in patients after heart transplantation. Clin Res Cardiol. 2022;111(2):141-153. [Accessed 29 Dec. 2025]. Available from: