Rpmel 2.5mg Tablet is a type of diuretic (water pill) medicine. This medicine reduces excess fluid levels in the body and is used to treat edema (fluid overload) associated with heart, liver, kidney, or lung disease. It is also used in treatment of hypertension (high blood pressure).
Rpmel 2.5mg Tablet makes you lose excess water through urine. It may be used alone or in combination with other medicines. This medicine should be taken only during day time to avoid frequent urination at night. You must take this medicine in the dose and duration as advised by the doctor and never stop it abruptly without consulting the doctor.
Common side effects of this medicine include headache, nausea, blurred vision, and dizziness. Consult your doctor if these side effects bother you. Before taking this medicine, it is better to let your doctor know if you are suffering from any kidney or liver disease. Also, pregnant women and breastfeeding mothers should consult a doctor before taking it. You must inform the doctor about all the other medicines that you are taking apart from this medicine. Regular monitoring of kidney function and electrolytes is important while using this medicine.
Edema is caused by your body retaining too much water. Rpmel 2.5mg Tablet helps get rid of the extra water and electrolytes from your body by increasing the amount of urine produced. This enables your body to get rid of extra water thereby relieving symptoms such as shortness of breath and swelling in your arms, legs or abdomen. Therefore, you can carry out your daily activities more comfortably. Take it regularly and make appropriate lifestyle changes to get maximum benefits.
Side effects of Rpmel 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 Rpmel
Headache
Nausea
Dizziness
Blurred vision
Lightheadedness
How to use Rpmel 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. Rpmel 2.5mg Tablet should be taken with or after food.
How Rpmel Tablet works
Rpmel 2.5mg Tablet is a thiazide diuretic. It lowers blood pressure and fluid retention in edema by removing the extra water and certain electrolytes from the body. Over time it also works by relaxing blood vessels and improving blood flow.
Safety advice
Alcohol
CAUTION
Alcohol should be used with caution while taking Rpmel 2.5mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Rpmel 2.5mg 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
CONSULT YOUR DOCTOR
Rpmel 2.5mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.
Driving
UNSAFE
Rpmel 2.5mg Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CONSULT YOUR DOCTOR
There is limited data available on the use of Rpmel 2.5mg Tablet in patients with kidney disease. Please consult your doctor.
Liver
UNSAFE
Rpmel 2.5mg Tablet is unsafe to use in patients with liver disease and should be avoided.
What if you forget to take Rpmel Tablet?
If you miss a dose of Rpmel 2.5mg 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.
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Please strictly control Diabetes and hypertension, maintain good hydration, avoid coconut water, banana, fruit juices. consult a nephrologist. Preserve your veins
Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly.
Rpmel 2.5mg Tablet is used to help the body remove excess salt and water. It is prescribed for swelling (edema) caused by heart failure or kidney problems, including nephrotic syndrome, and can also be used to help control high blood pressure, either alone or with other blood pressure medicines.
Who should not take Rpmel 2.5mg Tablet?
Individuals should not take Rpmel 2.5mg Tablet if they cannot pass urine, have liver coma or pre-coma, or have had an allergic reaction to metolazone.
Can Rpmel 2.5mg Tablet cause serious electrolyte problems?
Yes, Rpmel 2.5mg Tablet can cause dangerously low sodium or potassium levels, sometimes very quickly after starting treatment. This can lead to weakness, muscle cramps, irregular heartbeat, confusion, or even life-threatening complications.
Does Rpmel 2.5mg Tablet affect potassium levels in the body?
Rpmel 2.5mg Tablet can lower potassium levels, especially in people on high doses, those with rapid fluid loss, liver disease, or those taking corticosteroids. Low potassium can cause muscle weakness and dangerous heart rhythm problems.
Does Rpmel 2.5mg Tablet affect blood sugar levels?
Rpmel 2.5mg Tablet may raise blood sugar levels and cause sugar to appear in the urine. People with diabetes, or those at risk, should have their blood glucose monitored regularly while taking this medicine.
Can Rpmel 2.5mg Tablet trigger gout?
Yes, Rpmel 2.5mg Tablet can increase uric acid levels in the blood, which may lead to gout attacks, even in people who have never had gout before.
Is Rpmel 2.5mg Tablet safe for people with kidney problems?
Rpmel 2.5mg Tablet should be used with caution in people with severely reduced kidney function, as the medicine is mainly removed from the body by the kidneys and may build up to unsafe levels.
Can Rpmel 2.5mg Tablet cause dizziness or low blood pressure?
Yes, Rpmel 2.5mg Tablet can lower blood pressure and sometimes cause dizziness, especially when standing up suddenly. This effect can be stronger if you drink alcohol or take other blood pressure medicines.
Does Rpmel 2.5mg Tablet affect calcium levels in the body?
Rpmel 2.5mg Tablet can sometimes cause high calcium levels, especially in people taking high doses of vitamin D or with certain bone conditions. It should be stopped before tests for parathyroid gland function.
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References
Opie LH, Victor RG, Kaplan NM. Diuretics. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 103-104.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 903.
Metolazone tablets. Rochester, New York: Celltech Pharmaceuticals, Inc.; 2001. [Accessed 19 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Metolazone. [Updated 2019 Feb 7]. [Accessed 19 Feb. 2020] (online) Available from:
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