Sustameto-R Tablet ER 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 Sustameto-R Tablet ER 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.
Sustameto-R Tablet ER 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 Sustameto-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 Sustameto-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 Sustameto-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. Sustameto-R Tablet ER is to be taken with food.
How Sustameto-R Tablet ER works
Sustameto-R Tablet ER 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 Sustameto-R Tablet ER.
Pregnancy
CONSULT YOUR DOCTOR
Sustameto-R Tablet ER 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
Sustameto-R Tablet ER 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
Sustameto-R Tablet ER may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Sustameto-R Tablet ER should be used with caution in patients with kidney disease. Dose adjustment of Sustameto-R Tablet ER may be needed. Please consult your doctor. Regular monitoring of blood pressure is recommended for dose adjustment.
Liver
CAUTION
Sustameto-R Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Sustameto-R Tablet ER 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 Sustameto-R Tablet ER?
If you miss a dose of Sustameto-R Tablet ER, 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.
Sustameto-R Tablet ER is used to treat high blood pressure (hypertension) in adults. It helps lower blood pressure and reduce the risk of heart-related problems such as stroke and heart attack.
Who should not take Sustameto-R Tablet ER?
Sustameto-R Tablet ER should not be taken by people allergic to metoprolol, ramipril, or any other ingredients present in it, or to beta-blocker or ACE inhibitor medicines. It must not be used in patients with a history of angioedema, severe asthma, very low blood pressure, certain heart rhythm problems, cardiogenic shock, or untreated pheochromocytoma.
Can Sustameto-R Tablet ER cause serious allergic reactions?
Yes. Sustameto-R Tablet ER can sometimes cause angioedema, which is swelling of the face, lips, tongue, or throat. This can be life-threatening and requires immediate medical help.
Can Sustameto-R Tablet ER affect breathing?
Sustameto-R Tablet ER may cause breathing problems in people with asthma or chronic obstructive lung disease. It should not be used in patients with severe lung conditions.
What are the serious side effects of Sustameto-R Tablet ER?
Serious side effects of Sustameto-R Tablet ER may include severe dizziness or fainting from low blood pressure, swelling of the face or throat, chest pain, irregular heartbeat, severe diarrhea, signs of kidney problems, or yellowing of the skin and eyes. If you notice these, seek urgent medical attention.
Can Sustameto-R Tablet ER affect my kidneys or liver?
Yes. Sustameto-R Tablet ER can affect kidney function, especially in patients with narrowed kidney blood vessels or pre-existing kidney disease. It can also worsen symptoms in patients with severe liver disease. Your doctor will monitor your kidney and liver function during treatment.
Can Sustameto-R Tablet ER cause blood sugar or electrolyte problems?
Yes. Sustameto-R Tablet ER can mask signs of low blood sugar in diabetic patients. Sustameto-R Tablet ER may also increase potassium levels, which can be dangerous if not monitored. Your doctor will check your blood sugar, potassium, and sodium levels regularly.
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Ramipril. New York, New York: Pfizer, Inc.; 1991 [revised Sep. 2013]. [Accessed 11 Apr. 2019] (online) Available from:
Marketer details
Name: Zydus Cadila
Address: Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
Country of origin: India Expires on or after: February, 2026
A licensed vendor partner from your nearest location will deliver Sustameto-R Tablet ER. 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.
In case of any issues, contact us
Email ID:[email protected] Phone Number: 0124-4166666 Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India