SUSTAMETO-R TABLET ER

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Zydus Cadila

Composition for SUSTAMETO-R TABLET ER

iconPrescription Required
Potentiallyunsafewith
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Alcohol
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Pregnancy
144
₹14.4/tablet er
10 tablet er in 1 strip
SOLD OUT

Substitutes for SUSTAMETO-R TABLET ER

EMBETA-R 5 TABLET ER
Intas Pharmaceuticals Ltd
₹17.9/tablet er
24% costlier
CARDACE METO 5 TABLET ER
Sanofi India Ltd
₹18.91/tablet er
31% costlier
PROLOMET R 50 TABLET ER
Sun Pharmaceutical Industries Ltd
₹19.1/tablet er
33% costlier
ACE REVELOL 50/5 TABLET ER
Ipca Laboratories Ltd
₹20.1/tablet er
40% costlier

Medicine Overview of SUSTAMETO-R TABLET ER

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Uses of Metoprolol

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Side effects of Metoprolol

Common

Nausea, Headache, Fatigue, Dizziness, Palpitations, Abdominal pain, Constipation, Diarrhoea, Breathlessness, Slow heart rate.

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How to use Metoprolol

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. It can be taken with or without food, but it is better to take Sustameto-r tablet er at a fixed time.
Avoid Sustameto-r tablet er with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How SUSTAMETO-R TABLET ER works

Metoprolol blocks the action of certain chemical messengers on the heart and blood vessels. This effect reduces heartbeat, blood pressure, and strain on the heart following a heart attack.
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Uses of Ramipril

Ramipril is used in the treatment of hypertension, heart failure, heart attack and diabetic kidney disease.
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Side effects of Ramipril

Common

Decreased blood pressure, Cough, Increased potassium level in blood, Fatigue, Weakness, Dizziness, Renal impairment.

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How to use Ramipril

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. It can be taken with or without food, but it is better to take Sustameto-r tablet er at a fixed time.
Avoid Sustameto-r tablet er with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How SUSTAMETO-R TABLET ER works

Ramipril relaxes the blood vessels which lowers the blood pressure and also reduces the workload of the heart. As a result, the heart works more efficiently.

In Depth Information on SUSTAMETO-R TABLET ER

Expert advice for Metoprolol

  • Metoprolol may cause dizziness and lightheadedness. To avoid this, get up slowly after sitting or lying down.
  • The Metoprolol may affect your blood sugar and cover up the symptoms of low blood sugar if you have diabetes.
  • Metoprolol may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid the use of tobacco.
  • Consult your doctor whether to continue Metoprolol before any scheduled surgery.
  • It is not the first-choice treatment for high blood pressure according to the latest guidelines, except if you have a heart failure or heart disease.
  • Adults over the age of 65 may be at greater risk for the side-effects.

Expert advice for Ramipril

  • Notify your doctor immediately if you are or planning to become pregnant during the administration of this medicine.
  • Notify the doctor if you have signs of recurrent infections (sore throat, chills, fever), these may be signs of neutropenia (unusually low number of cells called neutrophils, a type of white blood cells).   
  • Ramipril should be discontinued a day prior to any surgery.
  • Notify your doctor if you have rapid swelling of the lips, tongue, and throat that may affect breathing. This may occur in 1 out of 100 patients taking the Ramipril.
  • Your doctor may recommend a change in the lifestyle to lower your blood pressure. It may include
    • Consume fruits, vegetables, low-fat dairy products, and reduce saturated-total fat.
    • Reduce daily dietary sodium intake as much as possible, ideally to 65 mmol/day (1.5 g/day sodium or 3.8 g/day sodium chloride).
    • Regular aerobic physical activity (at least 30 minutes/day, most days of the week).
     
  • A persistent dry cough is common with Ramipril. Notify the doctor if the cough becomes bothersome. Do not take any cough medicines.
  • Ramipril may cause dizziness in the first few days of starting the treatment, especially after the first dose. To avoid this, take the Ramipril at bedtime, drink plenty of water and get up slowly after sitting or lying down.
  •   Avoid driving if you feel dizzy after consuming Ramipril.
  • Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
Warnings
Special precautions for SUSTAMETO-R TABLET ER
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Alcohol
CAUTION
Taking Metoprolol with alcohol may have additive effects in
lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
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Pregnancy
WEIGH RISKS VS BENEFITS
Sustameto-r tablet er is unsafe to use during pregnancy.

There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
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Lactation
Unknown. Human and animal studies are not available. Please consult your doctor.
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Driving
CAUTION
Caution is advised when driving or operating machinery.

It is not advisable to drive or operate machinery for several hours.
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Kidney
CAUTION
Caution to be advised in patients with impaired renal function.
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Liver
There is no data available. Please consult doctor before consuming the drug.

Patient Concerns

Frequently asked questions for SUSTAMETO-R TABLET ER

Frequently asked questions for Metoprolol

Q. Is metoprolol safe?
Metoprolol (also available as metolar XR 50/ met Xl/ metolar/ embeta XR) is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is metoprolol a diuretic/ beta blocker/statin/ MAOI/ ACE inhibitor or ARB/ calcium channel blocker?
Metoprolol belongs to the class of beta-blocker drug. It is not a diuretic, statin, MAOI, ACE inhibitor or calcium channel blocker
Q. Is metoprolol tartrate the same as toprol XL?
Metoprolol tartrate and toprol XL are same and Toprol xl is the brand name of the generic drug metoprolol
Q. Can I take metoprolol with amlodipine/ Nyquil /Xanax/ Aspirin/ Ibuprofen/ Benadryl/ Zoloft/ Lisinopril?
Metoprolol can be taken with amlodipine, Lisinopril, Xanax and Aspirin. It is advised to take Nyquil and Metoprolol with doctor’s advice, because Nyquil contains antihistamines which might elevate blood pressure. Ibuprofen is NSAID, which interacts with metoprolol and should be avoided. Metoprolol may slow down the heart rate, and diphenhydramine can cause drowsiness, so Benadryl should be taken only if needed and under doctor’s advice. Metoprolol tartrate oral will increase the level or effect of Zoloft (sertraline) by altering drug metabolism
Q. Does metoprolol cause hair loss/ headache/ lower heart rate/ lower blood pressure/ weight gain/ memory loss/ itching/ cough/ itching/ gas?
Metoprolol may cause some of these effects. Always consult your doctor if you experience such side effects.
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Frequently asked questions for Ramipril

Q. Is ramipril a diuretic?
No, ramipril is not a diuretic It belongs to a class of drugs called ACE inhibitors (angiotensin converting enzyme inhibitors), mainly used to reduce high blood pressure
Q. Is ramipril safe?
Ramipril is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is ramipril or cardace a calcium channel blocker/alpha blocker/ beta blocker?
No, ramipril or cardace is an ACE inhibitor and shows no known effects on calcium channels or alpha receptors or beta receptors
Q. Is ramipril a nitrate or a statin?
Ramipril is neither a nitrate nor a statin. It is an ACE inhibitor used to treat high blood pressure
Q. What are Cardace / Ramistar/Hopace used for?
Cardace, Ramistar, Hopace are all trade names for the active drug ramipril. Ramipril is an ACE inhibitor used to treat high blood pressure
Q. Can I take ramipril with simvastatin/amlodipine/ Viagra/naproxen/prednisolone/ metformin/ Sudafed (pseudoephedrine-decongestant preparation)?
There are no known serious drug interactions between ramipril when taken with simvastatin/ amlodipine/ Viagra/naproxen/prednisolone/ metformin/Sudafed. However, consult your doctor about all medications currently taken before starting and while on ramipril
Q. Can I take ramipril with ibuprofen?
Ibuprofen can be taken with ramipril, however, it is known that ibuprofen and other NSAIDs may reduce the antihypertensive effects of ramipril. Consult your doctor about any medications currently taken before starting and while on ramipril
Q. Does ramipril cause coughing?
Yes, non-productive tickling cough, is one of the common side effects or ramipril
Q. Does ramipril cause frequent urination?
No, ramipril has no known effect on increasing the frequency of urination. It may rarely increase the urine output but not affect the frequency of urination
Q. Does ramipril cause itching?
Yes, ramipril may cause itching of skin. It is not very commonly observed
Q. Does ramipril cause an increase in potassium levels in the blood?
Yes, increased potassium levels is one a common side effects of ramipril
Q. Does ramipril cause depression?
Yes, ramipril may cause depression; however, it is not very commonly observed
Q. Does ramipril thin the blood?
No. ramipril has no known effect on blood thinning
Q. Is ramipril available in India?
Yes, ramipril is available in India with more than 100 brand names.
Q. Can I take Ramipril with sildenafil ?
Yes,Ramipril can be taken with Sildenafil . However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
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