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  3. Starpress-3D 25/6.25 Tablet 10's

Prescription drug
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Starpress-3D 25/6.25 Tablet 10's, Pack of 10 TabletS
Starpress-3D 25/6.25 Tablet 10's, Pack of 10 TabletS
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Extra 15% Off with Bank Offers

Composition :

CHLORTHALIDONE-6.25MG + METOPROLOL-25MG + TELMISARTAN-40MG

Manufacturer/Marketer :

Lupin Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Starpress-3D 25/6.25 Tablet

Starpress-3D 25/6.25 Tablet is used to treat high blood pressure (hypertension). High blood pressure is a condition in which the blood exerts increased pressure on the walls of blood vessels. Symptoms include headache, dizziness, nosebleeds, changes in vision, chest pain, weakness and dyspnea (shortness of breath).

Starpress-3D 25/6.25 Tablet is a combination of three drugs, namely: Cilnidipine, Chlorthalidone, and Metoprolol succinate. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping blood flow smoothly. Chlorthalidone lowers blood pressure and swelling by removing excess fluid and electrolytes via urine. Metoprolol succinate slows down the heart rate and makes it easier to pump blood throughout the body.

In some cases, you may experience certain common side effects, such as headache, nausea, dizziness, abdominal pain, and weakness. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if the side effects persist or worsen.

Consult your doctor if you are pregnant or breastfeeding. Limited information is available regarding the usage of Starpress-3D 25/6.25 Tablet in children; please consult a doctor if you have any concerns. Inform your doctor about all the medicines you are taking and your health condition to rule out any unpleasant side effects/interactions.

Uses of Starpress-3D 25/6.25 Tablet

Starpress-3D 25/6.25 Tablet is used in the treatment of Hypertension (high blood pressure). The detailed uses of Starpress-3D 25/6.25 Tablet are as follows:

  • Managing high blood pressure (hypertension): Starpress-3D 25/6.25 Tablet combines three antihypertensive agents that work together to lower blood pressure and reduce the risk of stroke, heart attack, and kidney damage.
  • Preventing fluid retention and swelling: Starpress-3D 25/6.25 Tablet promotes urination, which helps reduce edema and fluid overload in patients with cardiovascular conditions.
  • Protecting organs from long-term damage: By controlling blood pressure, Starpress-3D 25/6.25 Tablet helps prevent complications in the heart, kidneys, and brain caused by chronic hypertension.

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Directions for Use

  • Starpress-3D 25/6.25 Tablet can be taken with or without food, as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication. It is best to take this medication at the same time each day for optimal effectiveness.
  • Swallow the whole Starpress-3D 25/6.25 Tablet with a glass of water.
  • Do not crush, chew, or break it.

Medicinal Benefits

  • Starpress-3D 25/6.25 Tablet is a combination of three drugs, namely: Cilnidipine, Chlorthalidone, and Metoprolol succinate.
  • Starpress-3D 25/6.25 Tablet is used to treat hypertension.
  • Cilnidipine is a calcium channel blocker which acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping blood flow smoothly.
  • Chlorthalidone is a thiazide diuretic that lowers blood pressure and swelling by removing excess fluid and electrolytes via urine.
  • It also helps relax blood vessels and improve blood flow.
  • Metoprolol succinate is a beta-blocker that slows down the heart rate and makes it easier for the heart to pump blood throughout the body.
  • Thus, Starpress-3D 25/6.25 Tablet helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.

How Starpress-3D 25/6.25 Tablet Works

Starpress-3D 25/6.25 Tablet is a combination of three drugs, namely: Chlorthalidone, Telmisartan, and Metoprolol. Chlorthalidone lowers blood pressure and swelling by removing excess fluid and electrolytes via urine. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Starpress-3D 25/6.25 Tablet helps treat hypertension.

Storage

• Store in a cool and dry place away from sunlight.• Keep Starpress-3D 25/6.25 Tablet out of reach and sight of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Starpress-3D 25/6.25 Tablet
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
Here are the steps to manage the medication-triggered Sinusitis (Sinus infection or Inflammation Of Sinuses):
  • Consult your doctor if you experience symptoms of sinusitis, such as nasal congestion, facial pain, or headaches, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your sinusitis symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • If your doctor advises, you can use nasal decongestants or saline nasal sprays to help relieve nasal congestion and sinus pressure.
  • To help your body recover, get plenty of rest, stay hydrated, and engage in stress-reducing activities. If your symptoms persist or worsen, consult your doctor for further guidance.
  • Chest pain may last for a while and needs immediate medical attention as it is a significant health issue to be attended to.
  • Take rest and refrain from doing physical activity for a while, and restart after a few days.
  • Try applying an ice pack to the strained area for at least 20 minutes thrice a day. Ice pack thus helps reduce inflammation.
  • Sit upright and maintain proper posture if there is persistent chest pain. • Use extra pillows to elevate your position and prop your chest up while sleeping.

What if I have taken an overdose of Starpress-3D 25/6.25 Tablet

Take Starpress-3D 25/6.25 Tablet only as prescribed by the physician. Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

  • Do not take Starpress-3D 25/6.25 Tablet if you are allergic to any of its contents.
  • Inform your doctor if you have diabetes, circulation problems, asthma, thyroid disorder, adrenal gland tumour, gout, high cholesterol, hypotension/low blood pressure, heart/kidney/liver problems, if you are on a low-salt diet or if you are unable to urinate.
  • Consult your doctor if you are pregnant or breastfeeding.
  • Starpress-3D 25/6.25 Tablet may cause dizziness, so drive with caution.
  • Avoid consuming alcohol, as it might cause increased dizziness. Rise slowly from lying/sitting position as Starpress-3D 25/6.25 Tablet may cause dizziness (orthostatic hypotension).

Drug-Drug Interactions

verifiedApollotooltip
TelmisartanAliskiren
Critical
chlorthalidoneCisapride
Critical

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Co-administration of Aliskiren with Starpress-3D 25/6.25 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Starpress-3D 25/6.25 Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
chlorthalidoneCisapride
Critical
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Co-administration of Starpress-3D 25/6.25 Tablet and cisapride may increase the risk or severity of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Starpress-3D 25/6.25 Tablet with Cisapride is not recommended, please consult your doctor before taking it. Do not discontinue the medication without consulting a doctor.
TelmisartanEnalapril
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Coadministration of enalapril with Starpress-3D 25/6.25 Tablet may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Enalapril together with Starpress-3D 25/6.25 Tablet may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, papayas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
TelmisartanPotassium citrate
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Taking Potassium citrate with Starpress-3D 25/6.25 Tablet together may increase potassium levels in the blood, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm.

How to manage the interaction:
Although taking Potassium citrate with Starpress-3D 25/6.25 Tablet together can possibly result in an interaction, it can be taken if a doctor has advised it. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is essential to maintain proper fluid intake while taking these medications. It is advised to reduce the intake of potassium-rich foods. Do not discontinue any medications without a doctor's advice.
TelmisartanLisinopril
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Taking lisinopril with Starpress-3D 25/6.25 Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Starpress-3D 25/6.25 Tablet can be taken with lisinopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications.
TelmisartanRamipril
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Taking ramipril with Starpress-3D 25/6.25 Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Starpress-3D 25/6.25 Tablet can be taken with ramipril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanLithium
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Co-administration of Starpress-3D 25/6.25 Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Starpress-3D 25/6.25 Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.
TelmisartanBenazepril
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Taking Starpress-3D 25/6.25 Tablet with benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Starpress-3D 25/6.25 Tablet can be taken with benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medication without consulting a doctor.
TelmisartanTizanidine
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Taking tizanidine with Starpress-3D 25/6.25 Tablet may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Starpress-3D 25/6.25 Tablet can be taken with tizanidine if prescribed by your doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Be cautious when getting up from a sitting or lying position. Do not discontinue the medications without consulting a doctor.
TelmisartanPotassium acetate
Severe
How does the drug interact with Starpress-3D 25/6.25 Tablet:
Co-administration of Potassium acetate can make Starpress-3D 25/6.25 Tablet more likely to cause high levels of potassium in the blood.

How to manage the interaction:
Although taking Potassium acetate and Starpress-3D 25/6.25 Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without a doctor's advice.

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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Diet & Lifestyle Advise

  • You are advised to consume low salt and low-fat diet while taking Starpress-3D 25/6.25 Tablet . 
  • Regular exercise is also recommended to complement treatment with Starpress-3D 25/6.25 Tablet .
  • Eat a diet rich in whole grains, vegetables, and fruits.
  • Avoid smoking and alcohol consumption.
  • Maintain a healthy weight with a proper diet and exercise.
  • Practice meditation or yoga, as it helps in managing stress.
  • Avoid consuming food rich in potassium, such as bananas, broccoli, almonds, avocado, and potassium supplements.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Starpress-3D 25/6.25 Tablet Substitute

Substitutes safety advice
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Alcohol

Unsafe

Avoid or limit consumption of alcohol while taking Starpress-3D 25/6.25 Tablet as it might cause increased dizziness.

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Pregnancy

Caution

Please consult your doctor if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks. Starpress-3D 25/6.25 Tablet should be discontinued during the second and third trimester of pregnancy as it might affect the developing foetus.

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Breast Feeding

Consult your doctor

Please consult your doctor; your doctor will decide whether Starpress-3D 25/6.25 Tablet can be taken by breastfeeding mothers or not.

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Driving

Unsafe

Starpress-3D 25/6.25 Tablet may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

A dose adjustment may be needed. Please consult your doctor if you have liver problems or any concerns about this.

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Kidney

Caution

A dose adjustment may be needed. Please consult your doctor if you have kidney problems or any concerns about this.

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Children

Unsafe

Starpress-3D 25/6.25 Tablet is not recommended for children as safety and effectiveness have not been established.

FAQs

Starpress-3D 25/6.25 Tablet is used to treat high blood pressure (hypertension). It helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.

Starpress-3D 25/6.25 Tablet contains chlorthalidone, Telmisartan, and Metoprolol. Chlorthalidone lowers blood pressure and swelling by removing excess fluid and electrolytes via urine. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering blood pressure. Metoprolol slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Starpress-3D 25/6.25 Tablet helps treat hypertension.

Starpress-3D 25/6.25 Tablet may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry; however, if a slow heart rate continues or you begin to feel unwell, speak with 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, kidney and might result in stroke, heart failure or kidney failure. Hypertension increases the risk of heart attacks. Therefore, anti-hypertensives such as Starpress-3D 25/6.25 Tablet are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.

Please do not stop taking Starpress-3D 25/6.25 Tablet without consulting your doctor, as it may raise your blood pressure. To treat your condition effectively, continue taking Starpress-3D 25/6.25 Tablet for as long as your doctor has prescribed it. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Starpress-3D 25/6.25 Tablet .

Orthostatic hypotension, a sudden lowering of blood pressure that causes dizziness when standing, could be a side effect of Starpress-3D 25/6.25 Tablet . If you experience this, do not try to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better. People taking Starpress-3D 25/6.25 Tablet are advised to regularly monitor their blood pressure levels to avoid unpleasant events.

Starpress-3D 25/6.25 Tablet may cause dehydration. Consult your doctor if you are sweating more than usual, have muscle weakness, very dry mouth, or have extreme thirst. Avoid becoming dehydrated or overheated during exercise or in hot weather.

The side effects of Starpress-3D 25/6.25 Tablet include nausea, dizziness, headache, stomach upset, and weakness. Most of these side effects resolve gradually over time on their own. However, consult the doctor if any of these symptoms persist or worsen.

Please consult your doctor if you are pregnant or breastfeeding; your doctor will prescribe only if the benefits outweigh the risks. Starpress-3D 25/6.25 Tablet should be discontinued during the second and third trimesters of pregnancy as it might affect the development of a foetus.

Starpress-3D 25/6.25 Tablet is generally safe and effective for elderly patients. However, it should be used with caution for high-risk individuals, and dose adjustments or monitoring may be needed based on renal function and overall health.

It's recommended to limit or avoid alcohol while taking Starpress-3D 25/6.25 Tablet . Alcohol can increase the risk of dehydration, dizziness, and low blood pressure.

Starpress-3D 25/6.25 Tablet may cause a skin rash in very rare cases. If you experience any unusual skin changes, consult your doctor promptly.

Country of origin

India

Manufacturer/Marketer address

Lupin Ltd, 3Rd Floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India Country Of Origin: India
Other Info - STA0824

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Oct 21, 2025 | 12:52 PM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Reference

  1. https://www.biocon.com/docs/prescribing_information/cardiology/telmisatct_pi.PDF
  2. https://www.medicines.org.uk/emc/files/pil.5344.pdf
  3. https://www.drugs.com/mtm/chlorthalidone.html
  4. https://www.drugs.com/drug-interactions/metoprolol.html
  5. https://www.drugs.com/drug-interactions/telmisartan.html

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