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INTRODUCTION ACMETEL MT 25 TABLET is a combination of Metoprolol and Telmisartan which belongs to the group of medicines called Anti-hypertensives. It is used to treat hypertension. Hypertension is an abnormal condition in which blood pressure rises higher than normal limi...
ACMETEL MT 25 TABLET is a combination of Metoprolol and Telmisartan which belongs to the group of medicines called Anti-hypertensives. It is used to treat hypertension.
Hypertension is an abnormal condition in which blood pressure rises higher than normal limits in the blood vessels which is characterized by symptoms such as severe headache, nose bleeding, fatigue, disturbed vision, chest pain and shortness of breath.
Your doctor might advise you to take kidney function tests (to assess the function of your kidney), monitoring of blood pressure and regular blood tests to check the electrolytes such as potassium levels in the blood.
ACMETEL MT 25 TABLET is not recommended for use in patients with bronchospastic lung diseases such as asthma, emphysema or other lung infections, severe liver problems, impaired kidney function, heart disease such as severely low heart rate, heart block, cardiogenic shock and planned for non-cardiac surgery.
Before taking ACMETEL MT 25 TABLET, inform your doctor if you have pheochromocytoma (tumour of adrenal glands), diabetes, low blood pressure due to dehydration or have undergone kidney transplant surgery.
ACMETEL MT 25 TABLET is not recommended for use in pregnant and breastfeeding women. ACMETEL MT 25 TABLET is not recommended for use in children and adolescents (aged below 18 years).
The common side effects associated with the use of ACMETEL MT 25 TABLET are low blood pressure, tiredness, dizziness, depression, diarrhoea, shortness of breath, slow heartbeat or rash. Consult your doctor if any of the side effects worsens.
ACMETEL MT 25 TABLET helps in treating high blood pressure where metoprolol works by preventing certain chemical messengers to bind their respective receptors in the heart and vessels, causing heart to beat slowly with less force and telmisartan blocks the effect of angiotensin II receptor (a chemical messenger that narrow down your blood vessels) that causes relaxation and widening of blood vessels resulting in lowering of blood pressure.
Take ACMETEL MT 25 TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Try to have the medicine at the same time daily. Your doctor will decide the correct dose and duration of ACMETEL MT 25 TABLET for you depending upon your age, body weight and disease condition.
Stop taking ACMETEL MT 25 TABLET and contact your doctor if you experience any of the following side effects:
Dizziness
Lie down until the dizziness passes and get up slowly. Do not bend down suddenly. Get a lot of rest. Walk slowly and carefully. Take plenty of fluids. Avoid drinking coffee, alcohol or smoking. Consult your doctor if the condition persists for long or gets worsened.
Diarrhoea
Drink lot of fluids such as water to keep yourself hydrated. Try to avoid taking any medicine on your own to treat diarrhoea and consult your doctor if the symptom gets worse.
Nausea and vomiting
Try to take ACMETEL MT 25 TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if the symptom gets worse.
Stomach pain:
Rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heat pad on your stomach. Do not self-treat on your own and consult your doctor if the symptom did not improve on its own.
ACMETEL MT 25 TABLET is not recommended for use in pregnant women. Consult your doctor before taking ACMETEL MT 25 TABLET.
ACMETEL MT 25 TABLET is not recommended for use in breastfeeding women. Consult your doctor before taking ACMETEL MT 25 TABLET.
Do not drive or operate machines if you feel dizzy or tired after taking ACMETEL MT 25 TABLET. Consult your doctor before taking ACMETEL MT 25 TABLET.
Avoid consumption of alcohol while taking ACMETEL MT 25 TABLET since it may aggravate the low blood pressure.
ACMETEL MT 25 TABLET is not recommended for use if have impaired kidney function and treated with a blood pressure lowering medicine containing aliskiren. It should be used with caution if you have certain kidney disease such as renal artery stenosis (narrowing of the blood vessels to one or both kidneys) or have undergone kidney transplant. Consult your doctor for advice before taking ACMETEL MT 25 TABLET.
ACMETEL MT 25 TABLET is not recommended for use in patients with severe liver problems such as cholestasis or biliary obstruction (disease causing difficulty in drainage of the bile from the liver and gall bladder). It should be used with caution in patients with liver diseases such as hepatic impairment. Consult your doctor before taking ACMETEL MT 25 TABLET.
ACMETEL MT 25 TABLET is not recommended for use if you are allergic to metoprolol, telmisartan or any other ingredients of this medicine.
ACMETEL MT 25 TABLET should be used with caution in patients bronchospastic disease (disease causing tightening of airway muscles) such as asthma, emphysema, chronic obstructive pulmonary disease or lung infections. Consult your doctor before taking ACMETEL MT 25 TABLET.
ACMETEL MT 25 TABLET is not recommended for use in patients with heart disease such as severe bradycardia (low heart rate), heart block greater than first degree (condition in which heart beats very slowly or in abnormal rhythm), cardiogenic shock (sudden life-threatening condition in which heart fails to pump sufficient blood in the body), decompensated cardiac failure (inability of heart to accommodate and/or eject sufficient blood) or sick sinus syndrome (disorder of heart’s natural pacemaker). It should be used with caution in patients having heart trouble. Consult your doctor for advice before taking ACMETEL MT 25 TABLET.
ACMETEL MT 25 TABLET is not recommended for use if you:
Before taking ACMETEL MT 25 TABLET, inform your doctor if you:
Use in Paediatrics
ACMETEL MT 25 TABLET is not recommended for use in children and adolescents (aged below 18 years). Consult your doctor before taking ACMETEL MT 25 TABLET.
Use in Geriatrics:
ACMETEL MT 25 TABLET should be used with caution in elderly patients (aged 65 years and above). Consult your doctor before taking ACMETEL MT 25 TABLET.
A. Drug-Drug Interactions
Before taking ACMETEL MT 25 TABLET, inform your doctor, if you are taking any of the following medicines:
Overdosage:
If you or anyone else accidentally takes too much of ACMETEL MT 25 TABLET, consult your doctor immediately or visit the nearby hospital. Overdosage symptoms of ACMETEL MT 25 TABLET are low blood pressure, fast or slow heartbeat, dizziness, heart block, heart failure, bronchospasm (constriction of lung muscles), hypoxia (lack of oxygen supply to body cells), higher levels of creatinine in the blood, sudden kidney failure, impairment of consciousness, nausea, vomiting and coma.
| Drug | : | Metoprolol, Telmisartan |
| Pharmacological Category | : | Beta-blockers, Angiotensin II receptor antagonists |
| Therapeutic Indication | : | Hypertension (high blood pressure) |
| Dosage Forms | : | Tablet |
What is ACMETEL MT 25 TABLET used for?
ACMETEL MT 25 TABLET is used to treat hypertension. Hypertension is an abnormal condition in which blood pressure rises higher than normal limits in the blood vessels. It is characterized by severe headache, nose bleeding, weakness, disturbed vision, chest pain and shortness of breath.
What happens if you take more ACMETEL MT 25 TABLET than your required dose?
If you or anyone else accidentally takes too much of ACMETEL MT 25 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are low blood pressure, fast or slow heartbeat, dizziness, heart block, heart failure, bronchospasm (constriction of lung muscles), hypoxia (lack of oxygen supply to body cells), higher levels of creatinine in the blood, sudden kidney failure, impairment of consciousness or nausea, vomiting and coma.
What side effects are seen with ACMETEL MT 25 TABLET?
The common side effects associated with the use of ACMETEL MT 25 TABLET are low blood pressure, tiredness, dizziness, depression, diarrhoea, shortness of breath, slow heartbeat and rash. Consult your doctor if any of the side effect worsens.
Who should avoid taking ACMETEL MT 25 TABLET?
ACMETEL MT 25 TABLET is not recommended for use if you are having asthma, emphysema, chronic obstructive pulmonary disease, lung infections, cholestasis or biliary obstruction, impaired kidney function, severely low heart rate, heart block, cardiogenic shock, decompensated cardiac failure or sick sinus syndrome. It is also not recommended for use in pregnant and breastfeeding women, children and adolescents (aged below18 years). Consult your doctor before taking ACMETEL MT 25 TABLET.
Is ACMETEL MT 25 TABLET safe to use in children?
ACMETEL MT 25 TABLET is not recommended for use in children and adolescents (aged below 18 years). If ACMETEL MT 25 TABLET is accidentally ingested by a child or adolescent, go to the hospital immediately and consult the doctor for further management.
Can I drink alcohol while taking ACMETEL MT 25 TABLET?
Avoid consumption of alcohol while taking ACMETEL MT 25 TABLET since it may aggravate the low blood pressure. However, if you are habitual of drinking alcohol, you must consult your doctor before taking this medicine.
Is ACMETEL MT 25 TABLET safe to use in patients with kidney problems?
ACMETEL MT 25 TABLET is not recommended for use if have impaired kidney function and treated with a blood pressure lowering medicine containing aliskiren. It should be used with caution if you have certain kidney disease such as renal artery stenosis (narrowing of the blood vessels to one or both kidneys) or have undergone kidney transplant. Consult your doctor for advice before taking ACMETEL MT 25 TABLET.
1. KD. Tripathi. Antihypertensive Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 561, 563.
2. Jaekyu Shin, Marco Gonzales, and Mark J Pletcher. Risk of Emergent Bradycardia Associated with Initiation of Immediate- or Slow-Release Metoprolol. NIH National Library of Medicine. National Centre for Biotechnology Information. PubMed Central. June 2013. [Accessed on 1st July 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797244/
3. Accord Healthcare. Electronic Medicine Compendium (EMC). [Revised in July 2021] [Accessed on 1st July 2022] https://www.medicines.org.uk/emc/files/pil.12399.pdf
4. AstraZeneca AB. Food and Drug Administration (FDA). [Revised in March 2006] [Accessed on 1st July 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2006/019962s032lbl.pdf
5. Camber Pharmaceuticals, Inc. Metoprolol Succinate Extended-Release Tablets. [Revised in November 2020] [Accessed on 1st July 2022] https://www.camberpharma.com/wp-content/uploads/2021/06/Metoprolol-SER-Tablets-USP-Leaflet-2060738.pdf
Written By Dr. R. Dinesh John Rajkumar, Pharm.D
Last updated on 26 Oct 2022 | 03:44 PM(IST)