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compositionComposition:CILNIDIPINE-10MG+METOPROLOL-50MG
prescription
Prescription Medicine
info
Cilacar-M 10/50 Tablet 15's
Cilacar-M 10/50 Tablet 15's
Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CILNIDIPINE-10MG+METOPROLOL-50MG

Manufacturer/Marketer :

JB CHEMICALS & PHARMA LTD

Consume Type :

Oral

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Cilacar-M 10/50 Tablet 15's

Cilacar-M 10/50 Tablet 15's is an oral prescription medicine used to treat high blood pressure (hypertension). By keeping your blood pressure within a healthy range, it helps lower the risk of serious cardiovascular events such as strokes and heart attacks. This combination treatment is highly effective for patients whose blood pressure is not fully controlled by a single medication alone.

To get the best results, you must take Cilacar-M 10/50 Tablet 15's consistently at the same time every day as directed by your doctor. You can take this tablet with or without food, though it is best to establish a consistent daily routine. Making healthy lifestyle choices, such as eating a low-salt diet and staying physically active, will significantly support the performance of this medication.

While taking Cilacar-M 10/50 Tablet 15's, some people may experience mild side effects, including dizziness, ankle swelling, or a slower heart rate. However, you should contact your doctor immediately if you experience serious side effects like extreme lightheadedness, fainting, shortness of breath, or sudden chest pain.

Before you begin taking this medicine, talk to your doctor if you have a history of asthma, severe heart failure, liver damage, or kidney problems. Do not take this if you have a very slow heart rate, severe heart block, or extremely low blood pressure.

Avoid drinking alcohol while taking this medicine, as it can excessively lower your blood pressure and increase drowsiness. Smoking should also be avoided because it can make this medication less effective at protecting your heart. If you are pregnant, planning to become pregnant, breastfeeding, or an older adult, talk to your doctor or pharmacist to ensure this medicine is safe for your specific situation.

Uses of Cilacar-M 10/50 Tablet 15's

Cilacar-M 10/50 Tablet 15's is used to treat high blood pressure (hypertension). The detailed uses of Cilacar-M 10/50 Tablet 15's are as follows:

  • High blood pressure (Hypertension): Cilacar-M 10/50 Tablet 15's relaxes the blood vessels and slows down your heart rate, which safely lowers elevated blood pressure.
  • Prevention of heart attacks and strokes: By keeping your blood pressure under control over the long term, this medicine reduces the workload on your heart and lowers the risk of life-threatening cardiovascular complications.
  • Angina (heart-related chest pain): In some patients, and where clinically appropriate, the active components may help improve blood flow and reduce the heart's oxygen demand, which can help prevent chest discomfort during physical activity. This is generally a physician-directed use and may not be a primary approved indication in all markets.

 

Key Benefits

Cilacar-M 10/50 Tablet 15's helps manage high blood pressure by combining two complementary medicines that work together to improve blood flow and reduce the strain on your heart. This dual-action approach provides effective blood pressure control while simplifying treatment with a single daily tablet.

  • Helps Maintain Healthy Blood Pressure: By lowering and stabilising blood pressure levels, Cilacar-M 10/50 Tablet 15's reduces the workload on the heart and helps protect blood vessels from damage caused by uncontrolled hypertension.
  • Supports Long-Term Heart and Blood Vessel Health: Consistent blood pressure control can help lower the risk of serious cardiovascular complications such as heart attack, stroke, and kidney damage, supporting better long-term health outcomes.
  • Simplifies Daily Treatment: Combining two medicines into one tablet makes treatment more convenient, helping improve adherence to therapy and making it easier to manage your condition every day.
     
Side effects of Cilacar-M 10/50 Tablet
  • Consume more fruits, vegetables, and cruciferous foods like cabbage, kale, and broccoli.
  • Reduced alcohol intake can enhance liver enzyme function.
  • Oxidative stress can be managed by eating foods rich in antioxidants, such as vitamins C and E.
  • Liver function tests regularly can help manage increased levels of AST.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.

Directions for Use

To ensure safe and effective treatment, follow these guidelines when taking this medication:

  • Swallow the tablet whole with a glass of water. Do not chew, crush, or break it, as this can release the medicine too quickly and increase your risk of side effects.
  • Take your dose at the same time every day to maintain a steady level of the medicine in your body.
  • You can take this medicine with or without food, but be consistent with your choice from day to day.
  • Always follow your doctor's exact instructions regarding your dose and how often to take it. Do not change your dose or stop taking this medicine suddenly without consulting your healthcare provider.
     

How Cilacar-M 10/50 Tablet 15's Works

Cilacar-M 10/50 Tablet 15's works through the combined action of two distinct active ingredients: a calcium channel blocker called cilnidipine and a beta-blocker called metoprolol. Cilnidipine works by blocking both L-type and N-type calcium channels. The L-type calcium channel blockade relaxes and widens blood vessels, allowing blood to flow more smoothly with less resistance. The additional N-type calcium channel blockade helps reduce excessive sympathetic nerve activity, which is one reason cilnidipine is less likely to cause reflex tachycardia (a sudden increase in heart rate) compared with some other calcium channel blockers. Metoprolol targets the heart muscle directly. It blocks the action of certain chemical messengers, such as adrenaline, which naturally slows down your heart rate and reduces how hard your heart has to pump. Together, these two mechanisms lower your blood pressure, decrease your heart's oxygen demand, and protect your cardiovascular system from strain.
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Alcohol

Unsafe

Drinking alcohol may increase tiredness, lower blood pressure causing dizziness or drowsiness. So avoid its intake with Cilacar-M 10/50 Tablet 15's.

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Pregnancy

Consult your doctor

Cilacar-M 10/50 Tablet 15's is not recommended during pregnancy unless your doctor considers it essential. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Breast Feeding

Caution

Small amounts of Cilacar-M 10/50 Tablet 15's pass into the breast milk. However, which is not enough to cause any problems for your baby. But still, it is advisable to contact your doctor before breastfeeding your baby.

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Driving

Unsafe

Cilacar-M 10/50 Tablet 15's may cause side effects which could affect your ability to drive. Taking Cilacar-M 10/50 Tablet 15's may lower your blood pressure.

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Liver

Caution

Cilacar-M 10/50 Tablet 15's to be taken with caution, especially if you have a history of liver disease. Please consult the doctor, and your doctor may adjust the dose.

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Kidney

Caution

Cilacar-M 10/50 Tablet 15's to be taken with caution, especially if you have a history of kidney disease like increased creatinine level. Your doctor can adjust the dose.

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Children

Unsafe

The safety and effectiveness of Cilacar-M 10/50 Tablet 15's have not been established in children due to limited testing of this drug on children.

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Heart

Safe if prescribed

Cilacar-M 10/50 Tablet 15's is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Cilacar-M 10/50 Tablet 15's should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Cilacar-M 10/50 Tablet 15's

Do not take more than the prescribed dose of Cilacar-M 10/50 Tablet 15's as it may cause serious side effects. If you suspect you have taken overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Reduce sodium (salt) intake: High sodium levels cause your body to hold onto water, which raises your blood pressure. Limit processed foods and season your meals with herbs and spices instead of salt.
  • Avoid grapefruit products: Grapefruit and grapefruit juice can interact with cilnidipine, raising the drug levels in your blood and increasing the risk of side effects like severe dizziness and swelling.
  • Monitor your pulse: Since this medicine slows your heart rate, check your pulse regularly. If your resting heart rate drops below 50 beats per minute, talk to your doctor.
  • Rise slowly: To prevent sudden dizziness or lightheadedness when moving from a sitting or lying position, stand up slowly and hold onto a stable surface if needed.
  • Stay active safely: Engage in regular, moderate aerobic exercises like brisk walking or swimming, but always consult your doctor before starting any new exercise routine.
     

Have a query?

How Soon It Starts Working

  • The time required for Cilacar-M 10/50 Tablet 15's to start to work: Cilacar-M 10/50 Tablet 15's ideally shows its action within 1 hour after administration.
  • The time for which the effects of Cilacar-M 10/50 Tablet 15's last: The duration of action for Cilacar-M 10/50 Tablet 15's is unknown.

What if you forget to take Cilacar-M 10/50 Tablet 15's

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 and take the next dose at the scheduled time. Do not take a double dose.

Storage

•Store Cilacar-M 10/50 Tablet 15's tablets at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Keep the tablets in their original blister pack or container to protect them from moisture and direct light.

Drug Warnings

  • Do not stop taking this medicine suddenly: Stopping metoprolol abruptly can cause a dangerous rebound increase in blood pressure, severe chest pain, or even a heart attack. Your doctor will guide you through gradually decreasing dose if you need to stop.
  • Inform all healthcare providers: Let your dentist, surgeon, or anaesthesiologist know you are taking Cilacar-M 10/50 Tablet 15's before undergoing any medical or dental procedure, as it can interact with certain anaesthetics.
  • Check your blood pressure at home: Keep a regular written log of your blood pressure readings to share with your doctor during your routine check-ups.
  • Avoid hazardous activities initially: This medicine can cause dizziness or drowsiness, especially during the first few days. Avoid driving or operating machinery until you know exactly how it affects you.
  • Watch for signs of fluid buildup: If you experience sudden weight gain, increased ankle swelling, or find it difficult to breathe when lying flat, contact your doctor right away, as these can be signs of worsening heart failure.

 

Drug-Drug Interactions

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Drug-Drug Interactions

  • Other blood pressure medications: Combining this medicine with other drugs that lower blood pressure can cause your blood pressure to drop too low.
  • Heart rhythm medications (such as amiodarone or digoxin): Can lead to a dangerously slow heart rate when taken with metoprolol.
  • Pain relievers (NSAIDs like ibuprofen): May reduce the blood pressure-lowering effectiveness of this medicine.

Drug-Food Interactions

  • Grapefruit juice: Can increase the concentration of cilnidipine in your blood, raising the risk of severe side effects.
  • Alcohol: May excessively lower your blood pressure, leading to extreme dizziness, fainting, or drowsiness.

Drug-Disease Interactions

  • Asthma or COPD: The metoprolol component can narrow your airways, making breathing difficult for patients with chronic lung diseases.
  • Diabetes: This medication may mask the physical warning signs of low blood sugar, such as a fast heart rate or shaking.
  • Severe liver damage: Your body may process this medication much more slowly, which can increase the drug's effects and risk of toxicity.
     
Cilnidipine + MetoprololAtazanavir
Severe
Cilnidipine + MetoprololSaquinavir
Severe

Drug-Drug Interactions

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Cilnidipine + MetoprololAtazanavir
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with Atazanavir may increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there may be an interaction between Cilacar-M 10/50 Tablet and Atazanavir, it can be taken if prescribed by the doctor. Consult a doctor if you experience dizziness, lightheadedness, fainting, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
Cilnidipine + MetoprololSaquinavir
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Using Cilacar-M 10/50 Tablet with Saquinavir can increase the risk of an irregular heart rhythm.

How to manage the interaction:
There may be a possible interaction between Cilacar-M 10/50 Tablet and Saquinavir, but they can be taken together if a doctor has prescribed them. However, consult a doctor immediately if you experience dizziness, lightheadedness, fainting, slow pulse, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
Cilnidipine + MetoprololDiltiazem
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with Diltiazem can increase the toxicity of either of the medications.

How to manage the interaction:
Although there is a possible interaction between Cilacar-M 10/50 Tablet and Diltiazem, you can take these medicines together if prescribed by a doctor. However, if you experience chest pain, confusion or memory problems, dizziness or lightheadedness, easily tiring during physical activity, fatigue, fainting, contact a doctor immediately. Do not stop using any medications without consulting a doctor.
Cilnidipine + MetoprololVerapamil
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with Verapamil may lead to increased side effects.

How to manage the interaction:
Although there may be an interaction, Cilacar-M 10/50 Tablet can be taken with Verapamil if prescribed by the doctor. Consult a prescriber if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not discontinue any medications without a doctor's advice.
Cilnidipine + MetoprololTizanidine
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with Tizanidine may increase the blood levels and effects of tizanidine.

How to manage the interaction:
Taking Cilacar-M 10/50 Tablet together with Tizanidine can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience drowsiness, dizziness, lightheadedness, fainting, and irregular heart rhythm, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Cilnidipine + MetoprololClonidine
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with clonidine can increase the toxicity of either of the medications.

How to manage the interaction:
Although there is a possible interaction between Cilacar-M 10/50 Tablet and clonidine, you can take these medicines together if prescribed by a doctor. However, if you experience chest pain, confusion or memory problems, dizziness or lightheadedness, easily tiring during physical activity, fatigue, fainting, contact a doctor immediately. Do not stop using any medications without consulting a doctor.
Cilnidipine + MetoprololArtemether
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Coadministration of Cilacar-M 10/50 Tablet together with Artemether can increase the level or effect of metoprolol.

How to manage the interaction:
Taking Cilacar-M 10/50 Tablet with Artemether may lead to an interaction, it can be taken only if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
Cilnidipine + MetoprololDisopyramide
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with Disopyramide can lead to major heart-related complications like abnormally low blood pressure, fainting, irregular heart rhythm and abnormally slow heart rate.

How to manage the interaction:
Although there may be an interaction, Cilacar-M 10/50 Tablet can be taken with Disopyramide if prescribed by a doctor. Consult a doctor if you experience any symptoms such as dizziness, palpitations, fainting, shortness of breath, or heart palpitations . Do not discontinue any medication without a doctor's advice.
Cilnidipine + MetoprololAcebutolol
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Co-administration of Cilacar-M 10/50 Tablet with Acebutolol may lead to increased side effects.

How to manage the interaction:
Although there may be an interaction, Cilacar-M 10/50 Tablet can be taken with Acebutolol if prescribed by the doctor. Consult a prescriber if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not discontinue any medications without a doctor's advice.
Cilnidipine + MetoprololAminophylline
Severe
How does the drug interact with Cilacar-M 10/50 Tablet:
Coadministration of Cilacar-M 10/50 Tablet together with Aminophylline can increase the effects of aminophylline, leading to risk and severity of side effects.

How to manage the interaction:
Taking Cilacar-M 10/50 Tablet with Aminophylline may lead to an interaction, it can be taken only if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Cilacar-M 10/50 Tablet 15's is used to treat high blood pressure (hypertension). By lowering blood pressure, it also helps to prevent heart attack.

Cilacar-M 10/50 Tablet 15's contains Metoprolol and Cilnidipine. Metoprolol helps to relax our blood vessels by preventing the function of certain natural compounds in our bodies. It helps to slow down the heart rate, making it easier to pump more blood around your body and lower blood pressure. Cilnidipine is a calcium channel blocker that inhibits the activity of calcium channels in blood vessels in the heart. As a result, the blood arteries dilate, and the heart's supply rises, lowering the high blood pressure and the heart's workload. Both help to lower blood pressure and the likelihood of having a heart attack or stroke in the future.

Usually, Cilacar-M 10/50 Tablet 15's is prescribed for a long term treatment ranging from weeks to months for treating heart-related conditions and disorders. However, taking it on your own for years without a doctor's consent can be fatal. Hence, only take it as long as your doctor has prescribed it to you.

No, it is a prescribed drug given by a physician to prevent specific medical conditions. Taking it on your own can cause unwanted side effects.

Yes, Cilacar-M 10/50 Tablet 15's can cause a sudden drop in blood pressure, especially when you start taking Cilacar-M 10/50 Tablet 15's, to avoid a sudden drop, please get up gently when sitting down to avoid dizziness.

No, you must not stop taking Cilacar-M 10/50 Tablet 15's unless your doctor specifically instructs you to do so. Even if your blood pressure becomes normal, it may rise again if treatment is stopped. High blood pressure often has no symptoms, and suddenly discontinuing Cilacar-M 10/50 Tablet 15's may cause a dangerous increase in blood pressure or worsen heart-related problems. If you have any concerns or experience discomfort, consult your doctor before making any changes to your treatment

High blood pressure in the pregnancy stage may cause eclampsia that can be harmful to both babies and mothers. So, during the pregnancy, you should have regular blood pressure monitoring and doctor consultations.

Cilacar-M 10/50 Tablet 15's can be taken on an empty stomach or with food. Take it with food if you experience stomach upset.

Cilacar-M 10/50 Tablet 15's may cause side effects like dizziness, peripheral oedema (swelling of legs/hands), cold hands or feet, difficulty sleeping and nightmares. Consult the doctor if the side effects persist or worsen.

It is highly recommended to avoid alcohol while taking this medicine. Alcohol can interact with Cilacar-M 10/50 Tablet 15's, causing a sudden drop in blood pressure and increasing side effects like drowsiness, headache, and severe dizziness. Talk to your doctor for more advice.

Cilnidipine, one of the active ingredients, works by widening your blood vessels. This relaxation of the blood vessels can sometimes lead to mild fluid accumulation in your lower legs and ankles. If the swelling becomes painful or worsens, talk to your doctor.

Yes, feeling tired, sluggish, or sleepy is a common side effect, primarily because the metoprolol component slows down your heart rate and lowers your blood pressure. If this fatigue interferes with your daily activities, talk to your doctor.

Cilacar-M 10/50 Tablet 15's does not directly change your blood sugar, but it can mask the warning signs of low blood sugar (hypoglycaemia), such as a rapid heart rate or palpitations. If you have diabetes, monitor your blood sugar closely and talk to your doctor.

While a slower heart rate is expected with metoprolol, a pulse rate below 50 beats per minute requires medical attention. If you also feel weak, dizzy, or short of breath, contact your doctor right away.

This medicine is generally not recommended during pregnancy or breastfeeding, as it may cause harm to the developing baby. If you are pregnant, planning to conceive, or nursing, talk to your doctor to discuss safer alternatives.

You should avoid taking pain relievers like ibuprofen or naproxen regularly without medical advice. These medications can reduce the blood pressure-lowering effects of Cilacar-M 10/50 Tablet 15's and may affect your kidney function. Talk to your doctor or pharmacist for safe pain relief options.

Disclaimer

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Reference

  1. National Center for Biotechnology Information (NCBI). Pmc3905258 Scientific Research Publication. Bethesda, MD: NLM; 2025. [Accessed on 02 Jun. 2026] Check here
  2. Drugs.com Clinical Review Team. Metoprolol Clinical Drug Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026] Check here
  3. National Health Service (NHS). Metoprolol - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026] Check here
  4. U.S. Food and Drug Administration (FDA). 019962S032Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026] Check here
  5. Jason Morris; Alexis Dunham. Metoprolol. Stat Pearls. NIH. National Library of Medicine, National Center for Biotechnology Information. PMC. PubMed Central. October 2022. [Accessed on 13th September 2024]. Check here
  6. Zentiva k.s. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on 13th September 2024]Check here

Country of origin

India

Manufacturer/Marketer address

At Survey No 101/2 7 102/1,Daman Industrial Estate,Kadaiya,Daman 396210
Other Info - CIL0779

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