Eutelmi M 40mg/25mg Tablet ER: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Fainting or severe dizziness
- Chest pain or difficulty breathing
- Swelling of face, lips, tongue, or throat
- Irregular or very slow heartbeat
- Decreased urine output or swelling in legs
- Yellowing of skin or eyes
- Severe abdominal pain or vomiting blood
If experiencing severe symptoms, call emergency services immediately.
What is eutelmi m 40mg/25mg tablet er used for?
This medicine is a combination of Telmisartan 40 mg and Metoprolol Succinate 23.75 mg used to treat high blood pressure and certain heart conditions. It works by relaxing blood vessels and slowing the heart rate. Take it exactly as prescribed, usually once daily.
- Generic Name: Telmisartan (40mg) + Metoprolol Succinate (23.75mg)
- Manufacturer: Europa Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 eutelmi m 40mg/25mg tablet er के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) और कुछ हृदय रोगों के इलाज के लिए इस्तेमाल की जाती है। यह टेल्मिसार्टन और मेटोप्रोलोल सक्सिनेट का संयोजन है, जो रक्त वाहिकाओं को आराम देकर और हृदय की गति को धीमा करके रक्तचाप को कम करती है। इसे डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: आम दुष्प्रभावों में चक्कर आना, थकान, सिरदर्द, धीमी हृदय गति और निम्न रक्तचाप शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको बेहोशी, सीने में दर्द, सांस लेने में कठिनाई या चेहरे पर सूजन हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अचानक बंद न करें, क्योंकि इससे हृदय की समस्या बिगड़ सकती है। शराब से बचें। यदि आप गर्भवती हैं या गर्भधारण की योजना बना रही हैं, तो डॉक्टर को बताएं। नियमित रूप से रक्तचाप, हृदय गति और गुर्दे की जांच कराते रहें।
💊 eutelmi m 40mg/25mg tablet er Uses & Benefits
[{"condition":"Hypertension","description":"Used to lower high blood pressure when monotherapy is insufficient, reducing the risk of stroke and heart attack.","evidence":"Well-established"},{"condition":"Stable angina","description":"Helps reduce the frequency of angina attacks by lowering heart rate and blood pressure, decreasing cardiac workload.","evidence":"Well-established"},{"condition":"Post-myocardial infarction","description":"Prescribed after a heart attack to reduce the risk of reinfarction and improve survival.","evidence":"Well-established"},{"condition":"Heart failure (with reduced ejection fraction)","description":"Metoprolol Succinate is used in stable heart failure to improve symptoms and reduce mortality, but only under specialist supervision.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Beta-blockers like Metoprolol are sometimes used off-label to prevent migraines, but combination with Telmisartan is not standard.","evidence":"Limited"},{"condition":"Performance anxiety","description":"Beta-blockers may be used off-label for situational anxiety, but this combination is not typically recommended.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Stable angina, Post-myocardial infarction, Heart failure (with reduced ejection fraction)
📋 Drug Information
| Generic Name(s) | Telmisartan (40mg) + Metoprolol Succinate (23.75mg) |
| Brand Name | eutelmi m 40mg/25mg tablet er |
| Manufacturer | Europa Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and 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 active ingredients with complementary mechanisms. Telmisartan selectively blocks angiotensin II type 1 (AT1) receptors, preventing angiotensin II from causing vasoconstriction and aldosterone release, which lowers blood pressure and reduces fluid retention. Metoprolol Succinate is a cardioselective beta-1 adrenergic blocker that reduces heart rate, myocardial contractility, and cardiac output, thereby lowering blood pressure and myocardial oxygen demand. Together, they provide effective blood pressure control and reduce cardiovascular events.
Mechanism Steps
💡 How to Take eutelmi m 40mg/25mg tablet er
Strength: Tablet containing Telmisartan 40 mg and Metoprolol Succinate 23.75 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet of Telmisartan 40 mg and Metoprolol Succinate 23.75 mg taken orally 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 prescribed 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, especially dizziness and low blood pressure. Start with a low dose and monitor closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with kidney disease. Dose adjustment may be needed based on creatinine clearance. Not recommended if creatinine clearance is less than 30 mL/min. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with liver disease. Telmisartan and Metoprolol are metabolized in the liver. Dose reduction may be necessary. Contraindicated in severe hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet of Telmisartan 40 mg and Metoprolol Succinate 23.75 mg. Do not exceed without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of eutelmi m 40mg/25mg 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 |
|---|---|---|
| Potassium supplements | Major | |
| NSAIDs | Major | |
| Lithium | Major | |
| CYP2D6 inhibitors | Major | |
| Verapamil/Diltiazem | Major | |
| Alpha-blockers | Moderate | |
| Clonidine | Moderate | |
| Insulin/oral antidiabetics | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Potassium supplements or potassium-sparing diuretics
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Lithium
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)
- Verapamil or diltiazem
⚡ Moderate Interactions
- Alpha-blockers (e.g., prazosin)
- Clonidine
- Insulin or oral antidiabetics
- Digoxin
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. It can enhance the blood pressure-lowering effect, leading to dizziness, fainting, and falls. It may also increase the risk of slow heart rate and worsen heart failure.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy","Breastfeeding","Severe liver disease","Severe kidney disease (creatinine clearance
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly, especially Metoprolol, as it can worsen angina or precipitate a heart attack.","Use with caution in patients with asthma or COPD; Metoprolol may cause bronchospasm.","May mask symptoms of hypoglycemia in diabetic patients.","Avoid potassium supplements and salt substitutes containing potassium without medical advice.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you have a history of heart failure, kidney disease, or liver disease.","Regular monitoring of blood pressure, heart rate, and kidney function is essential."]
🤱 Lactation Safety
Telmisartan and Metoprolol are excreted in breast milk. Breastfeeding is not recommended while taking this medicine due to potential risk to the infant. Consult your doctor for alternative options.
💊 Overdose Management
Overdose can cause severe hypotension, bradycardia, heart failure, and bronchospasm. Seek emergency medical attention immediately. Treatment is supportive and may include intravenous fluids, atropine for bradycardia, and vasopressors for hypotension. Metoprolol overdose may require glucagon or pacing. Telmisartan overdose may require activated charcoal if taken recently.
⏰ 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 stop or change the dose without consulting your doctor, as sudden withdrawal of Metoprolol can worsen heart conditions. Avoid alcohol, as it can increase dizziness and low blood pressure. Inform your doctor if you have asthma, diabetes, kidney or liver disease, or if you are pregnant or planning pregnancy. Regular monitoring of blood pressure, heart rate, and kidney function is important. Do not use potassium supplements or salt substitutes without medical advice.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the blood pressure-lowering and heart rate-slowing effects of this medicine. Start with a low dose and monitor closely for dizziness, falls, and bradycardia. Regular monitoring of kidney function and electrolytes is important.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated during pregnancy and should not be used if you are planning to become pregnant. Consult your doctor to switch to a safer alternative before conception. If you become pregnant while taking this medicine, stop it immediately and contact your doctor.
🏥 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 during surgery. Your doctor may advise temporary discontinuation or dose adjustment before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it may cause dry mouth or affect blood pressure during dental procedures. Local anesthetics containing epinephrine should be used with caution due to potential interaction with Metoprolol.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is beneficial, but avoid sudden strenuous activities, especially in hot weather, as this medicine can cause dizziness and low blood pressure. Stay hydrated and rise slowly from sitting or lying positions. If you experience chest pain, severe shortness of breath, or dizziness during exercise, stop and seek medical attention.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work activities with dose adjustment. 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 serious side effects such as severe bradycardia, heart block, or angioedema, seek immediate medical attention and follow your doctor's advice on stopping. Your doctor may gradually reduce the dose to prevent withdrawal effects.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored appropriately. Regular check-ups should include blood pressure, heart rate, kidney function, and electrolyte levels. Telmisartan may cause slight increases in potassium and creatinine. Metoprolol may cause fatigue and reduced exercise tolerance. Do not stop the medicine without medical advice, as abrupt withdrawal can worsen heart conditions.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, weight loss, and stress reduction can help control blood pressure and may reduce the need for medication.
Evidence: Well-establishedAlternative combinations such as Telmisartan with Amlodipine or Metoprolol with Amlodipine may be considered based on your condition.
Evidence: Well-establishedRenal denervation is an investigational approach for resistant hypertension, not widely available.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, maintain routine vaccinations, especially influenza and pneumococcal vaccines, as cardiovascular disease increases the risk of complications from infections. Consult your doctor before any vaccination.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling, carry your medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, consult your doctor about adjusting the timing of your dose. Carry enough supply for your entire trip and a few extra days. 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 a few hours, but the full effect may take 1 to 2 weeks of regular use.
A: No, you should not stop without consulting your doctor. High blood pressure often has no symptoms, and stopping can cause a dangerous rise.
A: If you remember within 12 hours, take it as soon as possible. If more than 12 hours have passed, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: Only if prescribed by your doctor. Combining with other blood pressure medicines can increase the risk of low blood pressure and other side effects.
A: This medicine can affect kidney function, especially if you have existing kidney disease. Regular monitoring is important. Your doctor will adjust the dose if needed.
🤔 Common Patient Concerns
🔄 Substitutes for eutelmi m 40mg/25mg tablet er
View AllAlternative brands with exact same active ingredient:
-
Tektel-M 25 Tablet ERTricorn Healthcare ₹90.00 16.5% CHEAPER
-
Telihep-Beta 25 Tablet ERDaylon Healthcare ₹103.13 4.3% CHEAPER
-
Telsmarc Beta 40mg/25mg Tablet ERRanmarc Labs ₹103.13 4.3% CHEAPER
-
Telispa MT 25 TabletSpansa Pharmaceuticals Pvt. Ltd. ₹117.19 8.7% COSTLIER
-
Telmineb MT 40mg/25mg Tablet ERPride Healthcare ₹118.50 9.9% 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 has no symptoms, and stopping the medicine can cause a dangerous rise in blood pressure. Always consult your doctor before stopping. - Myth: This medicine causes kidney damage in everyone.
Fact: Kidney problems are rare and usually occur in people with existing kidney disease or those taking other kidney-damaging drugs. Regular monitoring helps prevent complications. - Myth: Taking this medicine means you can eat whatever you want.
Fact: A healthy diet low in salt and fat is essential for controlling blood pressure and reducing cardiovascular risk.
🔄 Alternative Options
Generic Alternatives
- Telmisartan 40 mg + Metoprolol Succinate 23.75 mg tablet (generic)
Brand Alternatives
- Eutelmi M 40mg/25mg Tablet ER