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Starpress-H 25 XL Tablet

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Overview

Introduction

Starpress-H 25 XL Tablet is used to treat hypertension (high blood pressure). It helps to control blood pressure when a single medication is not effective. It also helps to reduce chances of any future heart attack and stroke. Early treatment with this medicine improves chances of survival in patients of heart attack.

Starpress-H 25 XL Tablet is taken with or without food preferably in the morning to avoid frequent urination at night. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.

Nausea, constipation, diarrhea, and fatigue are some common side effects of this medicine. Consult your doctor If any of these bother you, or get worse, or do not go away.  Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst. Dizziness or headache may occur due to low blood pressure, hence rise slowly from sitting position or avoid driving.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, blood sugar level and the levels of salts such as potassium or magnesium checked regularly to make sure that this medicine is working properly.

Uses of Starpress-H Tablet IR

Side effects of Starpress-H Tablet IR

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 Starpress-H

  • Nausea
  • Diarrhea
  • Constipation
  • Fatigue
  • Headache
  • Dizziness
  • Nasopharyngitis (inflammation of the throat and nasal passages)
  • Increased blood uric acid
  • Decreased potassium level in blood
  • Glucose intolerance
  • Altered blood lipid level
  • Cold extremities
  • Slow heart rate
  • Decreased magnesium level in blood
  • Increased calcium level in blood

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
  • Coping with Constipation
    Try to eat foods which are high in fiber such as fresh fruits, vegetables and cereals to increase the bulk and consistency of bowel movements. Drink plenty of water or non-alcoholic drinks and stay hydrated to promote healthy digestion. Increasing physical activities such as walking, yoga and regular exercise can also be helpful. If your condition does not improve, you can ask your doctor to prescribe you laxative medicine.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Decreased potassium level in blood
    You will need a blood test to find out if your potassium levels are low. Your doctor might suggest using a salt substitute which contains potassium. Some foods which are good sources of potassium include fruit (especially bananas), vegetables, pulses, nuts and seeds, milk, fish, chicken and bread.
  • Coping with Cold extremities
    Keep your hands and feet warm by wearing gloves and warm socks. Try massaging and putting your hands or feet under warm water. Do not smoke or have drinks with caffeine as these can restrict blood flow to your hands and feet.
  • Coping with Slow heart rate
    Splash your face with cold water and breathe deeply. This will help you to relax. Exercise regularly, eat a healthy diet and maintain a healthy weight. Manage your blood pressure, cholesterol and blood sugar levels. Limit your alcohol intake or drink in moderation, do not smoke and manage your stress levels. If your condition does not improve, speak to your doctor as you may be offered a different type of medicine.
  • Coping with Decreased magnesium level in blood
    You will need a blood test to find out if the magnesium level in your blood is low. If your medicine is causing this, you may need to stop taking it. To help manage low levels, ask your doctor about taking a suitable magnesium supplement. Drink plenty of water and fluids to stay hydrated. Avoid alcohol and smoking as they can decrease the absorption of magnesium. Some foods contain higher levels of magnesium. These include almonds, pumpkin seeds, dark chocolate and peanuts. In general, seeds, nuts, cocoa, beans, oily fish and whole grains are good sources. Talk to your doctor if the condition persists.

How to use Starpress-H Tablet IR

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. Starpress-H 25 XL Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Starpress-H Tablet IR works

Starpress-H 25 XL Tablet is a combination of two blood-pressure lowering medicines: Metoprolol Succinate and Hydrochlorothiazide. Metoprolol Succinate is a beta blocker which works specifically on the heart to reduce heart rate and make the heart more efficient at pumping blood throughout the body. Hydrochlorothiazide is a diuretic which lowers blood pressure by removing extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Starpress-H 25 XL Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Starpress-H 25 XL Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Starpress-H 25 XL Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Starpress-H 25 XL Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Starpress-H 25 XL Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Starpress-H 25 XL Tablet may be needed. Please consult your doctor.
Use of Starpress-H 25 XL Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Starpress-H 25 XL Tablet should be used with caution in patients with liver disease. Dose adjustment of Starpress-H 25 XL Tablet may be needed. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Quick Tips

  • It is a combination of two blood pressure lowering medications used for the treatment of high blood pressure.
  • It can be taken with or without food.
  • Do not stop taking Starpress-H 25 XL Tablet suddenly as it can cause your blood pressure to rise suddenly thereby increasing the risk of heart attack and stroke.
  • It may cause dizziness. If this happens to you, get up slowly when rising from a sitting or lying position.
  • It can hide symptoms of low blood sugar if you're diabetic. Monitor your blood sugar levels regularly.
  • Starpress-H 25 XL Tablet may cause dehydration. Drink plenty of fluids and Inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.

Fact Box

Habit Forming
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Patient Concerns

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Sir,ipast 5 years I take,olmax H,starpress XL 25 mg,and autocare 5 mg continue,if I want consultant doctor or continue same tablets,its effect bad thing in my health
Dr. Pushkar Mani
Physician
U should consult a good cardiologist in town also do visit opthalmologist for regular eye checkup
I have blood pressure since three years. I use to take starpress xl 25 tab (metaprolol) I feel bit increase in BP.(150)should I change medicine.what lifestyle should I prefer .?
Dr. Nabajit Talukdar
Cardiology
Add losartan 25 mg daily
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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 all possible side effects, drug interactions or warnings or alerts. 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

  1. Medscape. Metoprolol/hydrochlorothiazide. [Accessed 11 Apr. 2019] (online) Available from:External Link
  2. Metoprolol succinate extended release/hydrochlorothiazide. Wilmington, Delaware: AstraZeneca Pharmaceuticals LP; 2011. [Accessed 11 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Lupin Ltd, 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
A licensed vendor partner from your nearest location will deliver Starpress-H 25 XL Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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