Mymeto Xl 50 Tablet: 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
- Severe dizziness or fainting
- Difficulty breathing or wheezing
- Chest pain or palpitations
- Swelling in legs or sudden weight gain
- Extremely slow heart rate (below 50 beats per minute)
- Confusion or extreme fatigue
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is starcad-beta 50 tablet er used for?
This medicine is a beta-1 selective blocker used to treat high blood pressure, angina, and heart failure. It works by slowing the heart rate and reducing the heart's workload. It is taken orally once daily and should not be stopped suddenly.
- Generic Name: S-Metoprolol Succinate (47.5mg)
- Manufacturer: Lupin Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 starcad-beta 50 tablet er के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से उच्च रक्तचाप (हाइपरटेंशन), एंजाइना (सीने में दर्द), और हृदय विफलता के इलाज के लिए इस्तेमाल की जाती है। यह हृदय की गति को धीमा करके और हृदय पर दबाव कम करके काम करती है। यह दवा दिल के दौरे के बाद भी दी जा सकती है। इसे डॉक्टर के निर्देशानुसार नियमित रूप से लेना चाहिए। इसे अचानक बंद नहीं करना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में थकान, चक्कर आना, सिरदर्द, हाथ-पैर ठंडे होना, और हृदय गति धीमी होना शामिल हैं। कुछ लोगों को नींद में गड़बड़ी, अवसाद, या बुरे सपने आ सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर ब्रैडीकार्डिया, हृदय ब्लॉक, हृदय विफलता का बिगड़ना, और सांस लेने में कठिनाई शामिल हो सकते हैं। यदि आपको सांस लेने में कठिनाई, सीने में दर्द, या बेहोशी महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे गंभीर हृदय समस्याएं हो सकती हैं। यदि आपको अस्थमा, मधुमेह, या थायरॉइड विकार है, तो अपने डॉक्टर को बताएं। यह दवा रक्त शर्करा के निम्न स्तर के लक्षणों को छिपा सकती है, इसलिए मधुमेह रोगियों को अपने ग्लूकोज स्तर की निगरानी करनी चाहिए। इस दवा को लेते समय शराब से बचें। गाड़ी चलाते या मशीन चलाते समय सावधानी बरतें जब तक कि आपको पता न चल जाए कि यह दवा आपको कैसे प्रभावित करती है।
💊 starcad-beta 50 tablet er Uses & Benefits
[{"condition":"Hypertension","description":"Lowers blood pressure by reducing heart rate and cardiac output, decreasing the workload on the heart.","evidence":"Well-established"},{"condition":"Chronic stable angina","description":"Reduces the frequency and severity of angina attacks by decreasing myocardial oxygen demand.","evidence":"Well-established"},{"condition":"Heart failure with reduced ejection fraction","description":"Improves survival and reduces hospitalizations when used as part of guideline-directed medical therapy.","evidence":"Well-established"},{"condition":"Post-myocardial infarction","description":"Reduces the risk of reinfarction and mortality after a heart attack.","evidence":"Well-established"},{"condition":"Migraine prophylaxis","description":"May reduce the frequency of migraine attacks, though not all beta-blockers are equally effective.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Performance anxiety","description":"Sometimes used off-label to reduce symptoms of anxiety such as tremors and rapid heart rate.","evidence":"Limited"},{"condition":"Thyrotoxicosis","description":"Used off-label to control symptoms like rapid heart rate and tremor in hyperthyroidism.","evidence":"Moderate"},{"condition":"Essential tremor","description":"May be used off-label to reduce tremor, though propranolol is more commonly used.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Angina, Heart failure, Post-myocardial infarction, Migraine prophylaxis
📋 Drug Information
| Generic Name(s) | S-Metoprolol Succinate (47.5mg) |
| Brand Name | starcad-beta 50 tablet er |
| Manufacturer | Lupin Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Beta blocker- Cardioselective |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization includes beta-blockers like metoprolol as one of the first-line classes for treating hypertension in adults, especially when there are specific indications such as heart failure or post-myocardial infarction. |
| ICMR Guideline | The Indian Council of Medical Research recommends beta-blockers as first-line therapy for hypertension in patients with compelling indications like heart failure, coronary artery disease, or post-myocardial infarction. |
👨⚕️ 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 selectively blocks beta-1 adrenergic receptors located primarily in the heart. By blocking these receptors, it reduces the effects of catecholamines like adrenaline and noradrenaline, leading to decreased heart rate, reduced myocardial contractility, and lowered cardiac output. This results in reduced blood pressure and decreased myocardial oxygen demand. It also suppresses renin release from the kidneys, contributing to its antihypertensive effect.
Mechanism Steps
💡 How to Take starcad-beta 50 tablet er
Strength: S-Metoprolol Succinate 47.5 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for hypertension is 47.5 mg once daily, which may be increased to 95 mg or 190 mg once daily based on response. For angina, the dose is typically 47.5 mg to 190 mg once daily. For heart failure, the starting dose is 11.875 mg to 23.75 mg once daily, gradually increased over weeks to a target of 190 mg once daily as tolerated. 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 low dose and titrate slowly. Monitor heart rate and blood pressure closely. |
| Renal Impairment | No dose adjustment is typically required for mild to moderate renal impairment. In severe renal impairment, use with caution and monitor closely. |
| Hepatic Impairment | In patients with hepatic impairment, the dose may need to be reduced. Start with a low dose and titrate slowly. |
| Maximum Daily Dose | The maximum recommended daily dose is 190 mg once daily for hypertension and angina. For heart failure, the target dose is 190 mg once daily, but doses up to 190 mg have been used. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of starcad-beta 50 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 |
|---|---|---|
| Verapamil | Major | |
| Diltiazem | Major | |
| Clonidine | Major | |
| MAOIs | Major | |
| Digoxin | Moderate | |
| NSAIDs | Moderate | |
| Fluoxetine | Moderate | |
| Paroxetine | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Verapamil
- Diltiazem
- Clonidine
- Monoamine oxidase inhibitors (MAOIs)
⚡ Moderate Interactions
- Non-dihydropyridine calcium channel blockers
- Digoxin
- NSAIDs
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering and sedative effects of this medicine. It is advisable to avoid or limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe bradycardia","Second or third degree heart block","Cardiogenic shock","Decompensated heart failure","Severe peripheral arterial disease","Raynaud's phenomenon","Untreated pheochromocytoma","Hypersensitivity to metoprolol"]
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly, as it can worsen angina or cause a heart attack.","Use with caution in patients with asthma or COPD, as it may cause bronchospasm.","May mask symptoms of hypoglycemia in diabetic patients.","May mask symptoms of hyperthyroidism.","Use with caution in patients with hepatic impairment.","Use with caution in patients with renal impairment.","May cause dizziness or fatigue; avoid driving or operating machinery until you know how it affects you."]
🤱 Lactation Safety
This medicine is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but monitor the infant for signs of beta-blockade such as bradycardia, lethargy, or poor feeding. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose of this medicine can cause severe bradycardia, hypotension, heart failure, and bronchospasm. Treatment is supportive and symptomatic. Atropine may be used for bradycardia. Glucagon may be used for severe beta-blocker toxicity. Contact a poison control center or emergency department immediately if overdose is suspected.
⏰ 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 taking it suddenly, as this can cause serious heart problems. Inform your doctor if you have asthma, diabetes, or thyroid disorders. This medicine can mask symptoms of low blood sugar, so monitor your glucose levels carefully if you are diabetic. Avoid alcohol while taking this medicine, as it can increase drowsiness and lower blood pressure further. Use caution when driving or operating machinery until you know how this medicine affects you. Keep all appointments for monitoring your heart rate, blood pressure, and kidney function. Store this medicine at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine, especially bradycardia and hypotension. Start with a low dose and titrate slowly. Monitor renal function regularly.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor. This medicine may be continued if needed, but your doctor will weigh the benefits and risks. Regular monitoring during pregnancy is important.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthesia and affect heart rate and blood pressure during surgery. Do not stop the medicine without your doctor's advice.
🦷 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.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can reduce your heart rate and cause fatigue or dizziness. Avoid strenuous exercise until you know how the medicine affects you. Consult your doctor before starting any new exercise program.
🥗 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. It should not affect your ability to work in most cases, but discuss any concerns with your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects or your doctor decides to discontinue it, the dose will be gradually reduced to avoid rebound effects.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored appropriately. Regular check-ups for heart rate, blood pressure, and kidney function are recommended. It may increase the risk of developing diabetes in some patients, so blood sugar monitoring is advised. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can help manage blood pressure and heart health.
Evidence: Well-establishedACE inhibitors, ARBs, calcium channel blockers, and diuretics are alternatives.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you have heart failure or are immunocompromised, consult your doctor about appropriate vaccinations.
📦 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
When traveling, carry this 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, adjust your dosing schedule gradually in consultation with your doctor. Carry enough supply for the entire trip plus extra in case of delays. 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 heart rate and blood pressure within 1-2 hours, but full effects may take several weeks.
A: No, you should not stop this medicine without consulting your doctor. Stopping suddenly can worsen your condition.
A: Take it as soon as you remember, but skip it if it's almost time for your next dose. Do not double dose.
A: It is generally considered safe but should be used only if clearly needed. Consult your doctor.
A: It is best to avoid alcohol as it can increase drowsiness and lower blood pressure further.
🤔 Common Patient Concerns
🔄 Substitutes for starcad-beta 50 tablet er
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a cure for high blood pressure.
Fact: This medicine controls high blood pressure but does not cure it. Lifestyle changes and continued medication are usually needed. - Myth: You can stop this medicine once your blood pressure is normal.
Fact: Stopping suddenly can cause dangerous rebound hypertension or angina. Always consult your doctor before stopping. - Myth: This medicine causes weight gain.
Fact: Weight gain is not a common side effect of this medicine. Some beta-blockers may cause slight weight gain, but this is not typical for metoprolol.
🔄 Alternative Options
Generic Alternatives
- Metoprolol succinate
- Metoprolol tartrate
Brand Alternatives
- Metolar XR
- Betaloc
- Seloken