Arbitel-MT 50 Tablet ER: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Difficulty breathing or wheezing
- Chest pain or irregular heartbeat
- Swelling of face, lips, tongue, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Sudden weight gain or swelling in legs
If experiencing severe symptoms, call emergency services immediately.
What is davaindia telmisartan+metoprolol succinate 40mg/50mg tablet er used for?
This medicine is a combination of Telmisartan and Metoprolol Succinate used to treat high blood pressure. It works by relaxing blood vessels and slowing the heart rate. It is taken once daily orally, usually in the morning. Do not stop suddenly without medical advice.
- Generic Name: Telmisartan + Metoprolol Succinate
- Manufacturer: Davaindia Generic Pharmacy
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 davaindia telmisartan+metoprolol succinate 40mg/50mg tablet er के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) के इलाज के लिए इस्तेमाल की जाती है। इसमें टेल्मिसार्टन और मेटोप्रोलोल सक्सिनेट दो सक्रिय तत्व हैं। यह रक्त वाहिकाओं को आराम देकर और हृदय की गति को धीमा करके रक्तचाप को कम करती है। यह उन रोगियों के लिए है जिनका रक्तचाप एक दवा से नियंत्रित नहीं होता। यह दिल के दौरे के बाद और एंजाइना में भी फायदेमंद हो सकती है। इसे डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: आम दुष्प्रभावों में चक्कर आना, थकान, सिरदर्द, और हृदय गति का धीमा होना शामिल हैं। कुछ रोगियों को ठंडे हाथ-पैर, मतली या दस्त हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर निम्न रक्तचाप, सांस लेने में कठिनाई, या गुर्दे की समस्या शामिल हो सकती है। यदि आपको बेहोशी, गंभीर चक्कर, या सूजन हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अचानक बंद न करें। नियमित रूप से रक्तचाप और हृदय गति की जांच करें। शराब से बचें क्योंकि इससे चक्कर आ सकते हैं। यदि आप गर्भवती हैं या गर्भधारण की योजना बना रही हैं तो डॉक्टर को बताएं। मधुमेह रोगियों में यह दवा निम्न रक्त शर्करा के लक्षणों को छिपा सकती है। वाहन चलाते समय सावधानी बरतें।
💊 davaindia telmisartan+metoprolol succinate 40mg/50mg tablet er Uses & Benefits
- [{"condition":"Essential Hypertension","description":"This medicine is used to lower high blood pressure when monotherapy is insufficient.
- It reduces cardiovascular risk.","evidence":"Well-established"},{"condition":"Stable Angina Pectoris","description":"Metoprolol component helps reduce angina frequency by decreasing myocardial oxygen demand.","evidence":"Well-established"},{"condition":"Post-Myocardial Infarction","description":"Beta-blocker component reduces risk of reinfarction and mortality after a heart attack.","evidence":"Well-established"},{"condition":"Heart Failure (select cases)","description":"Metoprolol succinate is used in stable heart failure to improve survival, but combination with telmisartan may be used cautiously.","evidence":"Well-established for metoprolol; combination evidence limited"}]
Off-label uses: [{"condition":"Migraine Prophylaxis","description":"Beta-blockers like metoprolol are sometimes used off-label to prevent migraines.","evidence":"Limited"},{"condition":"Performance Anxiety","description":"Beta-blockers may be used off-label for situational anxiety, but combination product is not typical.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Angina, Post-myocardial infarction, Heart failure (stable)
📋 Drug Information
| Generic Name(s) | Telmisartan + Metoprolol Succinate |
| Brand Name | Arbitel-MT 50 Tablet ER |
| Manufacturer | Davaindia Generic Pharmacy |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Angiotensin II Receptor Blocker (ARB) + Beta-Blocker |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two antihypertensive agents with complementary mechanisms. Telmisartan selectively blocks angiotensin II type 1 (AT1) receptors, preventing angiotensin II from causing vasoconstriction and aldosterone release, thereby lowering blood pressure and reducing sodium retention. Metoprolol succinate is a cardioselective beta-1 blocker that reduces heart rate, myocardial contractility, and cardiac output, and also suppresses renin release. Together, they provide effective blood pressure control and reduce cardiac workload.
Mechanism Steps
💡 How to Take davaindia telmisartan+metoprolol succinate 40mg/50mg tablet er
Strength: Tablet containing Telmisartan 40 mg and Metoprolol Succinate 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet once daily, preferably in the morning. The dose may be adjusted by your doctor based on your blood pressure response and tolerance. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and monitor blood pressure and heart rate closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be needed based on creatinine clearance. Monitor renal function regularly. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be needed. Avoid in severe hepatic impairment. |
| Maximum Daily Dose | One tablet once daily. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of davaindia telmisartan+metoprolol succinate 40mg/50mg tablet er
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Spironolactone | Major | |
| Ibuprofen | Major | |
| Fluoxetine | Major | |
| Verapamil | Major | |
| Lithium | Major | |
| Prazosin | Moderate | |
| Clonidine | Moderate | |
| Insulin | Moderate | |
| Rifampin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Potassium-sparing diuretics (e.g., spironolactone)
- NSAIDs (e.g., ibuprofen)
- Lithium
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
- Verapamil or diltiazem
⚡ Moderate Interactions
- Alpha-blockers (e.g., prazosin)
- Clonidine
- Insulin and oral hypoglycemics
- Rifampin
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effects of this medicine, leading to dizziness, fainting, or falls. It can also increase the risk of liver problems. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy","Severe hepatic impairment","Severe renal impairment (creatinine clearance
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly, as it may worsen angina or cause heart attack.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Can mask symptoms of hypoglycemia in diabetics.","May worsen asthma or COPD; use with caution.","Can cause hyperkalemia; monitor potassium levels.","May cause fetal harm; avoid in pregnancy.","Use with caution in elderly patients; monitor renal function.","May cause skin reactions; report any rash.","Avoid alcohol while taking this medicine.","Inform your doctor if you have a history of heart failure, kidney disease, or liver disease."]
🤱 Lactation Safety
Telmisartan is not recommended during breastfeeding due to lack of data. Metoprolol is excreted in breast milk in small amounts and may cause bradycardia in the infant. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe hypotension, bradycardia, heart failure, and bronchospasm. Seek immediate medical attention. Treatment is supportive and symptomatic, including activated charcoal if recent ingestion, IV fluids, atropine for bradycardia, and vasopressors for hypotension. Hemodialysis is not effective for telmisartan; metoprolol is not dialyzable.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop suddenly. Monitor your blood pressure and heart rate regularly. Avoid alcohol as it can enhance the blood pressure-lowering effect and cause dizziness. Inform your doctor if you have asthma, diabetes, kidney or liver disease, or are pregnant or planning pregnancy. This medicine can mask symptoms of low blood sugar in diabetics. Use caution while driving or operating machinery until you know how it affects you. Keep all follow-up appointments and lab tests as advised.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering and heart rate-slowing effects. Start with a lower dose and monitor closely. Risk of falls due to dizziness is higher. Regular monitoring of kidney function and electrolytes is advised.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated in pregnancy. If you are planning pregnancy, consult your doctor to switch to a safer alternative before conception. Use effective contraception while taking this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect blood pressure and heart rate. Your doctor may advise temporary discontinuation before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may cause dry mouth or affect blood pressure during dental procedures. Local anesthetics with epinephrine should be used with caution due to interaction with metoprolol.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise initially as it may cause dizziness or low blood pressure. Start with light activities and gradually increase. Stay hydrated. If you experience chest pain, shortness of breath, or severe dizziness during exercise, stop and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you start treatment. Avoid driving or operating heavy machinery until you know how it affects you. Take breaks if you feel dizzy. Inform your employer if your job involves safety-sensitive tasks.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects or your blood pressure is well-controlled for a long time, your doctor may adjust or stop the medicine. Abrupt withdrawal can cause serious heart problems.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored. Regular check-ups for blood pressure, heart rate, kidney function, and electrolytes are necessary. It may reduce cardiovascular risk. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and weight loss can help control blood pressure and may reduce medication needs.
Evidence: Well-establishedYour doctor may switch to other combinations like ARB + CCB or ARB + diuretic if this medicine is not suitable.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, inform your healthcare provider about this medicine before any vaccination. Continue routine vaccinations as recommended.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage. If traveling across time zones, consult your doctor about adjusting the timing. Store at room temperature and avoid extreme heat. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within 1-2 hours, but full effect may take 1-2 weeks of regular use.
A: It is usually taken in the morning. However, your doctor may advise night dosing based on your blood pressure pattern. Follow your doctor's instructions.
A: If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose. Do not double dose.
A: No, this medicine is contraindicated in pregnancy as it can harm the fetus. Consult your doctor for alternative treatment.
A: No, stopping suddenly can cause rebound hypertension or heart problems. Always consult your doctor before stopping.
🤔 Common Patient Concerns
🔄 Substitutes for davaindia telmisartan+metoprolol succinate 40mg/50mg tablet er
View AllAlternative brands with exact same active ingredient:
-
acmetel mt 40mg/50mg tabletAcmedix Pharma LLP ₹34.69 28.5% COSTLIER
-
danavish telmisartan+metoprolol tablet erDanavish Healthcare ₹41.25 52.8% COSTLIER
-
telmiride mt 40mg/50mg tabletUnison Pharmaceuticals Pvt Ltd ₹48.00 77.8% COSTLIER
-
ezisartan mt 40mg/50mg tabletDR Best pharmaceuticals Pvt Ltd ₹50.00 85.2% COSTLIER
-
stayhappi telmisartan+metoprolol succinate 40mg/50mg tabletSarvagunaushdhi Pvt Ltd ₹51.56 91% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure is normal.
Fact: High blood pressure often requires lifelong treatment. Stopping suddenly can cause rebound hypertension or heart problems. - Myth: It causes kidney damage in everyone.
Fact: Kidney problems are rare and usually occur in patients with pre-existing kidney disease or volume depletion. Regular monitoring is important. - Myth: It is safe to take during pregnancy.
Fact: This medicine is contraindicated in pregnancy as it can harm the fetus.
🔄 Alternative Options
Generic Alternatives
- Telmisartan 40 mg + Metoprolol Succinate 50 mg tablet
Brand Alternatives
- Arbitel-MT 50 Tablet ER