Starpress R XL 50 Tablet is a medicine used for treating high blood pressure. By lowering the blood pressure, it helps in preventing future heart attack and stroke. Early treatment with this medicine also improves chances of survival in patients of heart attack.

It is advised to take Starpress R XL 50 Tablet with food at a fixed time each day to maintain consistent levels of medicine in the blood. 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.

Some common side effects of this medicine include nausea, dry cough, headache, weakness, decreased blood pressure, and increased potassium level in blood. It is advised to avoid potassium rich food and supplements while taking this medicine. It may cause dizziness, avoid driving or rise slowly from the sitting position. You may be asked for regular monitoring of blood pressure, blood sugar level, kidney functioning, urea, or electrolytes level during the treatment.

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.

Uses of Starpress R Tablet ER

Hypertension (high blood pressure)

Benefits of Starpress R Tablet ER

In Hypertension (high blood pressure)

Starpress R XL 50 Tablet relaxes the blood vessels so that blood can flow more easily around your body. It also blocks the effects of some chemicals on your heart and blood vessels. This slows down your heart rate and helps the heart beat with less force. As a result, your blood pressure is lowered and this helps in reducing your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective, so keep taking it even if you feel well. Do not stop without talking to your doctor.

Side effects of Starpress R Tablet ER

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 R

Nausea
Taste change
Vomiting
Diarrhea
Constipation
Cough
Dizziness
Weakness
Headache
Cold extremities
Slow heart rate
Numbness of extremity
Increased potassium level in blood
Decreased blood pressure

How to use Starpress R Tablet ER

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 R XL 50 Tablet is to be taken with food.

How Starpress R Tablet ER works

Starpress R XL 50 Tablet is a combination of two medicines: Metoprolol and ramipril which lower blood pressure effectively. Metoprolol is a beta blocker which works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body. Ramipril is an ACE inhibitor which reduces stress on the heart and relaxes blood vessel so that blood flows more smoothly.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Starpress R XL 50 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Starpress R XL 50 Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Starpress R XL 50 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 R XL 50 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Starpress R XL 50 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Starpress R XL 50 Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure is recommended for dose adjustment.

Liver

CAUTION

Starpress R XL 50 Tablet should be used with caution in patients with liver disease. Dose adjustment of Starpress R XL 50 Tablet may be needed. Please consult your doctor.
Inform your doctor if you develop any signs and symptoms of jaundice while taking this medicine.

What if you forget to take Starpress R Tablet ER?

If you miss a dose of Starpress R XL 50 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.

Starpress R XL 50 Tablet

₹31.3/Tablet ER

Metwon-R 5 Tablet ER

Walron Healthcare Pvt Ltd

₹16.1/tablet er

49% cheaper

Hopace-MT 50 Tablet ER

Micro Labs Ltd

₹18.71/tablet er

40% cheaper

Sustameto-R Tablet ER

Zydus Cadila

₹23.16/tablet er

26% cheaper

Met XL R 50/5 Tablet

Ajanta Pharma Ltd

₹23.73/tablet er

24% cheaper

Embeta-R 5 Tablet ER

Intas Pharmaceuticals Ltd

₹25.4/tablet er

19% cheaper

Quick tips

You have been prescribed Starpress R XL 50 Tablet for the treatment of high blood pressure.
Starpress R XL 50 Tablet may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
It may cause the level of potassium in blood to go up. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
Do not take it during pregnancy or breastfeeding. Tell your doctor if you become pregnant while taking this medication.
Do not stop taking the medication suddenly without talking to your doctor as it can cause a sudden increase in your blood pressure.

Fact Box

Habit Forming

Therapeutic Class

CARDIAC

Patient concerns

I have BP problem for that I am taking starpress xl 50 mg and izit tl .and in facing frequent urination

Dr. Priyanka Shekhar

General Practitioner

Frequent urination - probably you have urinary tract infectionContinue tablet of BPGet regularly checking you BPKindly consult doctor for the antibiotics

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

i am suffering with B.P but now and then swelling my face , foot at joint, early morning,now i use followin medicine telcadh40 & starpress xl am . creatine 0.9, no sugar. what is better option, please see my 2d eco report this is my consultation report

Dr. Pushkar Mani

Physician

no way u taking this much anti hypertensivethere is 4 group f medicine prescribed to ujust take STARPRESS AM XL 50 TABLET once daily for 1 week and let me know ur BP status , monitor from 4rth day in evening and in morning make a note with date and time and share with usCBC, ESR, Urine RE & CS, Hba1c, Blood sugar (fasting & PP), Lipid profile, KFT, LFT, Thyroid profile, eGFR

I have undergone CABG on Then my BP n blood sugar was OK. Subsequently BP had risen to 150/100. Cardiologist had prescribed Win BP CT 40/6.25, Starpress xl 50 n cildip10, startor10, Ceruvin75. Starpress has been discontinued n BP has become very normal. But getting stomach disorder like constipation, indigestion, improper urination. Pl advice whether to discontinue any of the above mentioned medicines n take enzymes

Dr. Nabajit Talukdar

Cardiology

continue same can add isabgol at bedtime

Dear Doctor, I had a by surgery in 2013. In April I got the checkup done. All test are normal except I have slightly high BP. I have been taking these medicine on the advice of my cardiologist. CILACAR 10 MG TABLET - M/E CTD 6.25 MG TABLET - M HOPACE 5 MG Tablets - M/E ROSUVAS 10 MG TABLET - E STARPRESS-XL 50 MG TABLET - M Could you pl. suggest some cheaper alternative medicines? Thank you

Dr. Nabajit Talukdar

Cardiology

U can go for generics

User feedback

Patients taking Starpress R XL 50 Tablet

Twice A Day

75%

Once A Day

25%

What are you using Starpress R Tablet ER for?

Hypertension *

57%

Others

29%

Heart attack

14%

*Hypertension (high blood pressure)

How much was the improvement?

Excellent

89%

Average

11%

What were the side-effects while using Starpress R XL 50 Tablet?

No Side Effec*

67%

Esophageal ob*

33%

*No Side Effect, Esophageal obstruction

How do you take Starpress R Tablet ER?

With food

100%

Please rate Starpress R XL 50 Tablet on price

Expensive

67%

Average

33%

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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

Metoprolol Succinate+Ramipril. Verna, Goa: Sanofi India Limited. [Accessed 11 Apr. 2019] (online) Available from:
Metoprolol succinate. Södertälje, Sweden: AstraZeneca AB; 1992 [revised 2010]. [Accessed 11 Apr. 2019] (online) Available from:
Ramipril. New York, New York: Pfizer, Inc.; 1991 [revised Sep. 2013]. [Accessed 11 Apr. 2019] (online) Available from:

Manufacturer/Marketer address

Lupin Ltd, 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India

Country of origin: India
Expires on or after: October, 2023

A licensed vendor partner from your nearest location will deliver Starpress R XL 50 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.