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  3. Metpil XR 25 Tablet 15's

Metpil XR 25 Tablet 15's, Pack of 15 TabletS
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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

METPIL XR 25 TABLETS is used to treat high blood pressure (hypertension), heart-related chest pain (angina), irregular heart rhythm (arrhythmia), and to protect the heart after a heart attack (myocardial infarction). Besides this, it may also help in relieving symptoms of migraine-related headache and tremors (fits). It contains Metoprolol, which helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body. This lowers the blood pressure and helps in reducing the risk of having a stroke, heart attack, or other heart or kidney problems in the future. In some cases, it may cause certain common side effects like dizziness, tiredness, diarrhoea, stomach pain, nausea, and headache. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Composition :

METOPROLOL-25MG

Manufacturer/Marketer :

Alteus Biogenics Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

NPPA :

Regulated

About METPIL XR 25 TABLETS

METPIL XR 25 TABLETS is used in the treatment of high blood pressure (hypertension), heart-related chest pain (angina), and irregular heart rhythm (arrhythmia). Hypertension is a lifelong or chronic condition in which the force exerted by the blood against the artery walls becomes so high that it leads to heart disease.

METPIL XR 25 TABLETS contains 'Metoprolol', which helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body. 

Not everyone who is taking METPIL XR 25 TABLETS will get these side effects. In some cases, METPIL XR 25 TABLETS may cause certain common side effects like dizziness, tiredness, diarrhoea, stomach pain, nausea, and headache. Most of these side effects do not require medical attention and resolve gradually over time. However, if the side effects are persistent, reach out to your doctor.

You can take METPIL XR 25 TABLETS with food or without food. It should be swallowed as a whole with a glass of water. Do not chew, bite, crush, or break it. Your doctor will advise you on how often you should take your tablets based on your medical condition. It is always important to complete your treatment course for better results.

Inform your doctor if you are allergic to METPIL XR 25 TABLETS . Also, let your doctor know if you have low blood pressure, asthma, overactive thyroid, metabolic acidosis, or severe blood circulation problems. Consult your doctor before taking METPIL XR 25 TABLETS if you are pregnant or breastfeeding. METPIL XR 25 TABLETS is not recommended for use in children. METPIL XR 25 TABLETS may cause dizziness, so drive with caution.

Uses of METPIL XR 25 TABLETS

METPIL XR 25 TABLETS is used in the treatment of High blood pressure (hypertension), prevention of heart-related chest pain (angina), heart rhythm disorder (arrhythmia), and heart attack (myocardial infarction). The detailed uses of METPIL XR 25 TABLETS are as follows:

  • Treatment of Hypertension: METPIL XR 25 TABLETS controls high blood pressure by reducing the heart rate and the force of contraction, thereby lowering blood pressure.
  • Prevention of Heart-related Chest Pain: METPIL XR 25 TABLETS prevents chest pain (angina) by reducing the workload on the heart and improving blood flow to the heart muscle.
  • Control of Abnormal Heart Rhythms: METPIL XR 25 TABLETS helps manage irregular heartbeats (arrhythmias) by slowing the heart rate and stabilising the heart's rhythm, reducing symptoms and improving heart function.
  • Management of Heart Attack: METPIL XR 25 TABLETS is used to manage heart attack (myocardial infarction) by reducing the workload on the heart and preventing further damage.

Directions for Use

  • METPIL XR 25 TABLETS should be taken with or immediately after a meal for better absorption.
  • It is usually taken 2-3 times daily at the same time each day or as prescribed by your doctor.
  • Swallow METPIL XR 25 TABLETS as a whole with a glass of water.
  • Do not crush, chew, open, or break it.

Medicinal Benefits

  • METPIL XR 25 TABLETS  helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body.
  • This medicine lowers the blood pressure and helps in reducing the risk of having a stroke, heart attack, or other heart or kidney problems in the future.
  • METPIL XR 25 TABLETS may also help in relieving symptoms of migraine-related headache and tremors (fits).

How METPIL XR 25 TABLETS Works

METPIL XR 25 TABLETS contains 'Metoprolol', which helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body. This lowers the blood pressure and helps in reducing the risk of having a stroke, heart attack, or other heart or kidney problems in the future.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Metpil XR 25 Tablet
Managing Low Blood Pressure Triggered by Medication: Expert Advice:
  • If you experience low blood pressure symptoms like dizziness, lightheadedness, or fainting while taking medication, seek immediate medical attention.
  • Make lifestyle modifications and adjust your medication regimen under medical guidance to manage low blood pressure.
  • As your doctor advises, regularly check your blood pressure at home. Record your readings to detect any changes and share them with your doctor.
  • Fluid intake plays a vital role in managing blood pressure by maintaining blood volume, regulating blood pressure, and supporting blood vessel function. Drinking enough fluids helps prevent dehydration, maintain electrolyte balance, and regulate fluid balance.
  • Take regular breaks to sit or lie down if you need to stand for long periods.
  • When lying down, elevate your head with extra pillows to help improve blood flow.
  • Avoid heavy exercise or strenuous activities that can worsen low blood pressure.
  • Wear compression socks as your doctor advises to enhance blood flow, reduce oedema, and control blood pressure.
  • If symptoms persist or worsen, or if you have concerns about your condition, seek medical attention for personalized guidance and care.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
  • Eat potassium-rich foods like avocados, bananas, spinach, and potatoes.
  • Stay hydrated by drinking plenty of water.
  • Exercise regularly and maintain healthy weight.
  • Manage stress.
  • Prioritize 7-9 hours of sleep each night to help your body and mind recharge.
  • Avoid smoking and limit intake of caffeine.
  • Practice stress-reducing activities like meditation, yoga, or deep breathing to help calm your mind and body.
  • Avoid stimulants and illegal drugs.
  • Call your doctor if it worsens.
  • Always wear loose-fitting clothes which are suitable for your activity.
  • Include the diet containing fruits like watermelon, grapes, bananas and green leafy vegetables.
  • Drink plenty of water stay hydrated.
  • Avoid moving more and staying in hot sun.
  • Reducing the amount of time you spend outside and indoors in the cold.
  • keeping your hands warm by donning mittens, gloves, or other protective clothing.
  • Observing a skincare regimen that safeguards your fingers and hands.
  • To improve circulation, give your hands and feet a little massage.

What if I have taken an overdose of METPIL XR 25 TABLETS

Do not take more than the prescribed dose of METPIL XR 25 TABLETS as it may cause overdose. The symptoms of overdose include slow heart rate, difficulty breathing, trembling or dizziness. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

  • Do not take METPIL XR 25 TABLETS if you are allergic to METPIL XR 25 TABLETS or any other beta-blockers.
  • Avoid taking METPIL XR 25 TABLETS if you have/had heart conduction, rhythm problems, uncontrolled/severe heart failure, blocked blood vessels, blood circulation problems, untreated pheochromocytoma, metabolic acidosis, low blood pressure, or prinzmetal angina.
  • Inform your doctor if you have asthma, COPD, diabetes, blood vessel disorder, slow heart rate, pheochromocytoma, myasthenia gravis, dry eye problems, kidney or liver impairment; if you are taking anti-depressants, other blood pressure-lowering medicines, or anti-arrhythmic agents.
  • Consult your doctor before taking METPIL XR 25 TABLETS if you are pregnant or breastfeeding.
  • METPIL XR 25 TABLETS is not recommended for children as safety and efficacy have not been established.
  • METPIL XR 25 TABLETS may cause dizziness, so drive with caution.
  • Don't stop taking METPIL XR 25 TABLETS without consulting your doctor. Suddenly stopping the use of METPIL XR 25 TABLETS may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will gradually lower your dose to help prevent these symptoms.

Drug-Drug Interactions

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MetoprololAcebutolol
Severe
MetoprololCeritinib
Severe

Drug-Drug Interactions

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MetoprololAcebutolol
Severe
How does the drug interact with Metpil XR 25 Tablet:
Coadministration of Acebutolol with Metpil XR 25 Tablet can cause abnormal heart rhythm.

How to manage the interaction:
Taking Metpil XR 25 Tablet and Acebutolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololCeritinib
Severe
How does the drug interact with Metpil XR 25 Tablet:
Taking ceritinib together with Metpil XR 25 Tablet can slow your heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is a interaction between Metpil XR 25 Tablet and Ceritinib, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any dizziness, lightheadedness, fainting, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
MetoprololTizanidine
Severe
How does the drug interact with Metpil XR 25 Tablet:
Coadministration of Metpil XR 25 Tablet and Tizanidine may reduce the efficiency of Metpil XR 25 Tablet.

How to manage the interaction:
Taking Metpil XR 25 Tablet and Tizanidine together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact your doctor immediately. do not discontinue any medications without talking to your doctor.
MetoprololAtazanavir
Severe
How does the drug interact with Metpil XR 25 Tablet:
Use of Metpil XR 25 Tablet with Atazanavir may increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there may be an interaction between Metpil XR 25 Tablet and Atazanavir, it can be taken if prescribed by the doctor. Consult the doctor if you experience dizziness, lightheadedness, fainting, or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololClonidine
Severe
How does the drug interact with Metpil XR 25 Tablet:
Co-administration of Clonidine and Metpil XR 25 Tablet may lower blood pressure and slow the heart rate.

How to manage the interaction:
Although there is a possible interaction between Clonidine and Metpil XR 25 Tablet, you can take these medicines together if prescribed by your doctor. However, if you experience headaches, slow heartbeat, dizziness, or feeling like you might pass out, contact your doctor. Do not stop using any medications without first talking to your doctor.
MetoprololAminophylline
Severe
How does the drug interact with Metpil XR 25 Tablet:
Coadministration of Aminophylline with Metpil XR 25 Tablet together can make Metpil XR 25 Tablet less effective and increase the effects of aminophylline.

How to manage the interaction:
Taking Aminophylline with Metpil XR 25 Tablet may lead to an interaction, it can be taken only if a doctor has advised it. If you experience nausea, vomiting, sleeplessness, restlessness, irregular heartbeats, or difficulty in breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MetoprololDiltiazem
Severe
How does the drug interact with Metpil XR 25 Tablet:
Coadministration of Metpil XR 25 Tablet with Diltiazem can increase the side effects.

How to manage the interaction:
Although there is a possible interaction between Metpil XR 25 Tablet and Diltiazem, you can take these medicines together if prescribed by your doctor. Consult your doctor immediately 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 consulting a doctor.
MetoprololVerapamil
Severe
How does the drug interact with Metpil XR 25 Tablet:
Coadministration of Metpil XR 25 Tablet with Verapamil may lead to increased side effects.

How to manage the interaction:
Although there may be an interaction, Metpil XR 25 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.
MetoprololElvitegravir
Severe
How does the drug interact with Metpil XR 25 Tablet:
Taking elvitegravir may increase the metabolism of Metpil XR 25 Tablet.

How to manage the interaction:
Although there may be an interaction, Metpil XR 25 Tablet can be taken with Elvitegravir if prescribed by the doctor. Consult the doctor if you experience dizziness, palpitations, fainting, slow or fast pulse, or irregular heartbeats. Do not discontinue any medications without talking to your doctor.
MetoprololDisopyramide
Severe
How does the drug interact with Metpil XR 25 Tablet:
Combine use of Metpil XR 25 Tablet with Disopyramide may increase the effectiveness of Disopyramide.

How to manage the interaction:
Although there may be an interaction, Metpil XR 25 Tablet can be taken with Disopyramide if prescribed by the doctor. Consult the doctor if you experience any symptoms such as dizziness, palpitations, fainting, slow or fast pulse, or irregular heartbeats. Do not discontinue any medication without a doctor's advice.

Drug-Food Interactions

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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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Diet & Lifestyle Advise

  • Do regular physical activity or exercise.
  • Opt for a diet rich in whole grains, fruits, vegetables, and low-fat dairy products.
  • Limit intake of sodium chloride (table salt) in your daily diet.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress as it can raise your blood pressure. 
  • Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Try to include heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

METPIL XR 25 TABLETS Substitute

Substitutes safety advice

Product Substitutes

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Alcohol

Unsafe

Alcohol might increase the blood pressure-lowering effect of METPIL XR 25 TABLETS . It might also cause increased dizziness. Therefore, avoid alcohol consumption while taking METPIL XR 25 TABLETS .

bannner image

Pregnancy

Unsafe

METPIL XR 25 TABLETS is not recommended for use during pregnancy. If you are pregnant or planning for pregnancy, consult your doctor.

bannner image

Breast Feeding

Consult your doctor

METPIL XR 25 TABLETS may pass into breastmilk. Consult a doctor before taking METPIL XR 25 TABLETS if you are breastfeeding.

bannner image

Driving

Caution

METPIL XR 25 TABLETS may cause dizziness and tiredness. Therefore, drive or operate machinery only if you are alert.

bannner image

Liver

Consult your doctor

Dose adjustment may be needed. Consult your doctor before taking METPIL XR 25 TABLETS if you have a liver impairment or any concerns regarding this.

bannner image

Kidney

Consult your doctor

Dose adjustment may be needed. Consult your doctor before taking METPIL XR 25 TABLETS if you have kidney impairment or any concerns regarding this.

bannner image

Children

Unsafe

METPIL XR 25 TABLETS is not recommended in children as the safety and efficacy have not been established.

Have a query?

FAQs

METPIL XR 25 TABLETS is indicated in the treatment of high blood pressure (hypertension), prevention of heart-related chest pain (angina), heart rhythm disorder (arrhythmia), and heart attack (myocardial infarction).

METPIL XR 25 TABLETS helps in slowing down the heart rate, making it easier for the heart to pump blood throughout the body. Thereby, lowers blood pressure.

Do not stop taking METPIL XR 25 TABLETS without consulting your doctor as it may lead to a rise in blood pressure. To treat your condition effectually, continue taking METPIL XR 25 TABLETS for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking METPIL XR 25 TABLETS .

Consult your doctor before taking METPIL XR 25 TABLETS if you have hyperthyroidism (overactive thyroid) as it might mask the symptoms or make it difficult to recognise the signs of thyrotoxicosis (excess thyroid hormone in the body).

Consult your doctor before taking METPIL XR 25 TABLETS with anti-diabetic medicines as it might mask the signs of low blood sugar. Regular monitoring of blood glucose levels while taking METPIL XR 25 TABLETS is advised.

Your doctor may probably ask you to stop taking METPIL XR 25 TABLETS 24hours prior to the surgery, as it might lower blood pressure when combined with general anaesthesia. If you are due to have any surgery or are receiving an anaesthetic, inform the doctor that you are taking METPIL XR 25 TABLETS .

Taking METPIL XR 25 TABLETS along with multivitamin/multimineral supplements may decrease the effect of METPIL XR 25 TABLETS . Therefore, maintain a gap of at least 2 hours between both. However, you are advised to take METPIL XR 25 TABLETS with other medicines only after consulting your doctor.

High blood pressure increases the workload on the arteries and heart. If untreated, it could damage the blood vessels of the heart, brain, and kidney and might result in stroke, heart failure or kidney failure. Hypertension increases the risk of heart attacks. Therefore, anti-hypertensives such as METPIL XR 25 TABLETS are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.

Yes, METPIL XR 25 TABLETS contains metoprolol which belongs to a group of medicines called beta-blockers.

No, METPIL XR 25 TABLETS is not a blood thinner. It is an antihypertensive medicine.

METPIL XR 25 TABLETS starts working within 2 hours. However, it can take up to a week to show its full effect.

No, it is not dangerous to take METPIL XR 25 TABLETS . It is safe to take METPIL XR 25 TABLETS if prescribed by the doctor.

METPIL XR 25 TABLETS may cause sleepiness. Drive or operate machinery only if you are alert. Consult the doctor if you have sleep problems.

Alcohol might increase the blood pressure-lowering effect of METPIL XR 25 TABLETS . It might also cause increased dizziness. Therefore, avoid alcohol consumption while taking METPIL XR 25 TABLETS .

METPIL XR 25 TABLETS may cause side effects like dizziness, tiredness, diarrhoea, stomach pain, nausea, and headache. If the side effects are persistent, reach out to your doctor.

Country of origin

India

Manufacturer/Marketer address

Alteus Biogenics Pvt. Ltd., 14-B Dover Lane, Kolkata - 700029, WB, India.
Other Info - MET1971

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Author Details

Bayyarapu Mahesh KumarDoctor badge

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Aug 8, 2025 | 12:19 PM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Reference

  1. https://www.drugs.com/metoprolol.html
  2. https://www.nhs.uk/medicines/metoprolol/
  3. https://www.medicines.org.uk/emc/files/pil.5816.pdf
  4. https://www.accessdata.fda.gov/drugsatfda_docs/label/2006/019962s032lbl.pdf

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