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compositionComposition:CILNIDIPINE-10MG+METOPROLOL-25MG+TELMISARTAN-40MG
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Prescription Medicine
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Tsart MCL-25 Tablet is used to treat hypertension (high blood pressure). It works by relaxing and widening the blood vessels. Besides this, it also slows down the heart rate and makes it easier for the heart to pump blood throughout the body. This medicine helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.

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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-25MG+TELMISARTAN-40MG

Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Tsart MCL-25 Tablet

Tsart MCL-25 Tablet is a prescription oral tablet used to manage high blood pressure (hypertension). By lowering elevated blood pressure, this medication helps protect your heart and reduces the risk of serious cardivascular events like heart attacks and strokes. It is typically prescribed when your blood pressure requires multiple active mechanisms to be effectively controlled.

To achieve the best results, you must take Tsart MCL-25 Tablet consistently every day, preferably at the exact same time. You can take this tablet with or without food, but keeping your routine identical each day helps maintain stable medicine levels in your system. Making key diet and lifestyle changes, such as reducing your salt intake and staying physically active, will also significantly support your treatment goals.

While taking Tsart MCL-25 Tablet , you may experience mild and temporary side effects such as lightheadedness, headaches, or mild ankle swelling. These symptoms usually improve as your body adjusts to the medication, but you must contact your doctor immediately if you experience severe dizziness, an unusually slow heart rate, or difficulty breathing.

Talk to your doctor before starting Tsart MCL-25 Tablet if you have a history of liver damage, kidney issues, severe asthma, or heart valve problems. Do not take this medicine if you are pregnant, as it can cause serious harm or be fatal to an unborn baby.

This medication can interact with other substances, including certain pain relief medications, potassium supplements, and alcohol, which may cause your blood pressure to drop too low or place extra strain on your kidneys. If you are pregnant, breastfeeding, or an elderly individual, consult your doctor to ensure this treatment is safe for your specific situation.

Uses of Tsart MCL-25 Tablet

Your doctor may prescribe Tsart MCL-25 Tablet to help manage the following conditions:

  • High Blood Pressure (Hypertension): Tsart MCL-25 Tablet is used to lower high blood pressure to normal ranges, reducing the overall workload on your heart and blood vessels.
  • Prevention of Heart Attacks and Strokes: By maintaining consistent control over your blood pressure, this medicine helps prevent long-term damage to your blood vessels, lowering your risk of heart attacks and strokes.

Key Benefits

When taken as prescribed, Tsart MCL-25 Tablet may provide the following benefits:

  • Lowers High Blood Pressure: Helps lower and control high blood pressure, reducing the strain on your heart and blood vessels.
  • Reduces the Risk of Serious Cardiovascular Problems: Keeping your blood pressure under control helps lower the risk of complications such as heart attack, stroke, and kidney damage.
  • Supports Long-term Heart Health: Long-term blood pressure control helps protect important organs, including your heart, brain, kidneys, and eyes, from damage caused by uncontrolled high blood pressure.
  • Convenient Combination Treatment: Combining three blood pressure medicines in a single tablet may simplify your treatment routine and help you take your medicine regularly.
Side effects of Tsart MCL-25 Tablet
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Directions for Use

  • Tsart MCL-25 Tablet can be taken with or without food, as advised by your doctor
  • It is usually taken once daily, preferably at the same time each day, or as advised by your doctor.
  • Swallow Tsart MCL-25 Tablet as a whole with a glass of water.
  • Do not break, chew, or crush it.

How Tsart MCL-25 Tablet Works

Tsart MCL-25 Tablet contains three active ingredients that work together to lower high blood pressure through different mechanisms. Cilnidipine is a calcium channel blocker that relaxes and widens blood vessels, allowing blood to flow more easily. Metoprolol is a beta-blocker that slows your heart rate and reduces the force with which your heart pumps blood, helping to lower blood pressure and reduce the workload on the heart. Telmisartan is an angiotensin II receptor blocker (ARB) that prevents the action of a natural substance that narrows blood vessels. This helps blood vessels remain relaxed, allowing blood to flow more easily. Together, these actions help lower blood pressure, improve blood flow, and reduce the workload on the heart.
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Alcohol

Unsafe

Avoid consuming alcohol as it might cause increased dizziness.

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Pregnancy

Consult your doctor

Please consult your doctor if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

Please consult your doctor if you are breastfeeding; your doctor will decide whether Tsart MCL-25 Tablet can be given to breastfeeding mothers or not.

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Driving

Unsafe

Tsart MCL-25 Tablet may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Dose adjustment may be needed. Tsart MCL-25 Tablet should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have liver problems or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Tsart MCL-25 Tablet should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney problems or any concerns regarding this.

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Children

Unsafe

Tsart MCL-25 Tablet is not recommended for children as safety and effectiveness have not been established.

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Heart

Caution

Tsart MCL-25 Tablet should be taken with caution in patients with heart problems. Please inform your doctor if you have any pre-existing heart problems before using Tsart MCL-25 Tablet .

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Geriatrics

Caution

Tsart MCL-25 Tablet should be given with caution to elderly patients due to an increased risk of side effects. Seek medical advice if you have any concerns.

What if I have taken an overdose of Tsart MCL-25 Tablet

If you accidentally take more than your prescribed dose, you may experience severe dizziness, an extremely slow heart rate, or fainting. Seek immediate emergency medical attention.

Diet & Lifestyle Advise

  • Reduce your sodium intake: Limit the amount of salt you add to your food and avoid highly processed foods, as excess sodium raises blood pressure.
  • Eat a heart-healthy diet: Focus on whole grains, lean proteins, fruits, vegetables, and low-fat dairy. Talk to your doctor before using potassium-containing salt substitutes, as they can interact with your medication.
  • Engage in regular physical activity: Aim for at least 30 minutes of moderate-intensity exercise, like brisk walking, on most days of the week.
  • Limit alcohol and quit smoking: Both alcohol and tobacco can interfere with your blood pressure control and increase your risk of heart-related complications.
  • Track your blood pressure: Keep a regular log of your blood pressure readings at home to share with your doctor during your check-ups.
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How Soon It Starts Working

The time required for Tsart MCL-25 Tablet to start to work: Tsart MCL-25 Tablet ideally starts to show its action within 2 to 3 hours of administration. The time for which the effects of Tsart MCL-25 Tablet last: The duration of action for Tsart MCL-25 Tablet is clinically unknown.

What if you forget to take Tsart MCL-25 Tablet

If you miss a dose of Tsart MCL-25 Tablet , take it as soon as you remember. However, if your next scheduled dose is only a few hours away, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a forgotten one.

Storage

• Store the tablets at room temperature, ideally between 15°C and 30°C (59°F to 86°F).

Drug Warnings

  • Do not stop taking this medicine suddenly: Stopping abruptly can cause a dangerous rebound spike in your blood pressure or worsen heart-related chest pain. Always consult your doctor before making any changes.
  • Rise slowly to prevent falls: This medicine can cause sudden dizziness when you stand up from a sitting or lying position. Get up gradually to maintain your balance.
  • Check your pulse regularly: Because this medicine can slow your heart rate, monitor your pulse often. If your heart rate falls below 50 to 60 beats per minute, contact your doctor.
  • Protect your skin from the sun: Some people become more sensitive to sunlight while taking this medication. Wear sunscreen and protective clothing when spending time outdoors.
  • Avoid heavy machinery initially: Do not drive, operate machinery, or perform tasks requiring intense focus until you know how this medicine affects your alertness.

Drug-Drug Interactions

verifiedApollotooltip
  • Painkillers (NSAIDs): Taking medications like ibuprofen or naproxen can reduce the blood pressure-lowering effect of Tsart MCL-25 Tablet and increase your risk of kidney damage.
  • Potassium supplements: Combining this medicine with potassium supplements or certain water pills can lead to dangerously high potassium levels in your blood.
  • Other heart or blood pressure medications: Taking this medicine alongside other heart-rate or blood pressure-lowering drugs can cause your blood pressure or heart rate to drop too low.
Telmisartan + Cilnidipine + chlorthalidoneAliskiren
Critical
Telmisartan + Cilnidipine + chlorthalidoneCisapride
Critical

Drug-Drug Interactions

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Telmisartan + Cilnidipine + chlorthalidoneAliskiren
Critical
How does the drug interact with Tsart MCL-25 Tablet:
Co-administration of Tsart MCL-25 Tablet with aliskiren may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Tsart MCL-25 Tablet together with aliskiren is not recommended as it results in an interaction, but can be taken if prescribed by a doctor. However, consult a 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. Maintaining an appropriate fluid intake is crucial while taking these medications. Do not stop using any medications without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidoneCisapride
Critical
How does the drug interact with Tsart MCL-25 Tablet:
Co-administration of Tsart MCL-25 Tablet and cisapride may increase the risk or severity of an irregular heart rhythm.

How to manage the interaction:
Taking Tsart MCL-25 Tablet with Cisapride is not recommended as it results in an interaction, but can be taken if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult a doctor. Do not discontinue the medication without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidoneAmiloride
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Co-administration of Tsart MCL-25 Tablet with amiloride may increase potassium levels in the blood, leading to kidney failure, muscular paralysis, abnormal heart rhythm).

How to manage the interaction:
Although there is a possible interaction, Tsart MCL-25 Tablet with amiloride may lead to an interaction but can be taken if prescribed by a doctor. However, consult a 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 important to maintain proper fluid intake while taking these medications. Do not stop using any medications without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidoneLithium
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Co-administration of Tsart MCL-25 Tablet with lithium may significantly increase the blood levels of lithium leading to side effects.

How to manage the interaction:
Although there is a possible interaction, Tsart MCL-25 Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience 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.
Telmisartan + Cilnidipine + chlorthalidoneDroperidol
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Coadministration of Tsart MCL-25 Tablet with droperidol may increase the risk of abnormal heart rhythms.

How to manage the interaction:
Taking Tsart MCL-25 Tablet together with Droperidol can possibly result in an interaction, but it can be taken if your doctor has advised it.However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations,weakness, tiredness, confusion, muscle pain, cramps, dizziness, nausea or vomiting Do not stop using any medications without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidoneRamipril
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Taking Tsart MCL-25 Tablet with ramipril 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, Tsart MCL-25 Tablet can be taken with ramipril if prescribed by the doctor. Consult a prescriber if you experience 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.
Telmisartan + Cilnidipine + chlorthalidoneZiprasidone
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Co-administration of Tsart MCL-25 Tablet with ziprasidone can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Tsart MCL-25 Tablet can be taken with ziprasidone if prescribed by the doctor. but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting. Do not discontinue any medications without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidonePotassium acetate
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Coadministration of Tsart MCL-25 Tablet with potassium acetate may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Tsart MCL-25 Tablet together with Potassium acetate may lead to an interaction but can be taken if prescribed by a doctor. However, consult a 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. Maintaining an appropriate fluid intake is crucial while taking these medications. Do not stop using any medications without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidoneTizanidine
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Co-administration of Tsart MCL-25 Tablet with Tizanidine may show additive effects and increase the risk of low blood pressure.

How to manage the interaction:
Although there is an interaction, Tsart MCL-25 Tablet can be taken with tizanidine if prescribed by a doctor. If you experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate, contact a doctor immediately. Do not operate dangerous machinery or drive, and take extra care when rising from a sitting or lying down position. Do not discontinue any medications without consulting a doctor.
Telmisartan + Cilnidipine + chlorthalidonePotassium citrate
Severe
How does the drug interact with Tsart MCL-25 Tablet:
Coadministration of Tsart MCL-25 Tablet with potassium citrate may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Tsart MCL-25 Tablet together with Potassium citrate may lead to an interaction but can be taken if prescribed by a doctor. However, consult a 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. Maintaining an appropriate fluid intake is crucial while taking these medications. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Grapefruit and grapefruit juice: Grapefruit can change how your body processes this medicine, which may increase the risk of side effects.
  • Alcohol: Drinking alcohol can worsen the dizziness caused by Tsart MCL-25 Tablet and lead to an unsafe, sudden drop in blood pressure.
     
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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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Tsart MCL-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.
Tsart MCL-25 Tablet contains Cilnidipine, Telmisartan, and Metoprolol. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping blood flow smoothly. 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, Tsart MCL-25 Tablet helps treat hypertension.
Tsart MCL-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, and kidneys and might result in stroke, heart failure or kidney failure. Hypertension increases the risk of heart attacks. Therefore, anti-hypertensives such as Tsart MCL-25 Tablet are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.
Orthostatic hypotension could be a side-effect of Tsart MCL-25 Tablet . Orthostatic hypotension is a sudden lowering of blood pressure leading to dizziness on standing. 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 Tsart MCL-25 Tablet are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
Tsart MCL-25 Tablet may cause swelling in the ankles or feet. If you experience oedema, raise your legs while sitting down. Talk to your doctor if the swelling persists or if you have any concerns.
No, you should not take Tsart MCL-25 Tablet if you are pregnant or planning to become pregnant. It can cause serious harm or even be fatal to an unborn baby. If you suspect you are pregnant, stop taking the medicine and consult your doctor immediately.
Dizziness is a common side effect, especially when you first start taking the medicine. If you feel dizzy, sit or lie down immediately until the feeling passes. Rise slowly when standing up, and talk to your doctor if the dizziness persists or worsens.
No, you must not stop taking Tsart MCL-25 Tablet without consulting your doctor. High blood pressure is a chronic condition that often has no symptoms. Stopping the medicine suddenly can cause your blood pressure to surge dangerously. Talk to your doctor before making any changes.
It is highly recommended to avoid or strictly limit alcohol while taking this medicine. Alcohol can increase the blood pressure-lowering effect of Tsart MCL-25 Tablet , causing severe dizziness, lightheadedness, or fainting. Talk to your doctor for personalised advice.
No, Tsart MCL-25 Tablet does not typically cause frequent urination as it does not contain a diuretic (water pill). If you experience frequent urination, it may be due to other factors or medications. Talk to your doctor to determine the cause.
You should avoid taking painkillers like ibuprofen or naproxen without consulting your healthcare provider. These medicines can reduce the effectiveness of Tsart MCL-25 Tablet and increase your risk of kidney damage. Talk to your doctor or pharmacist for safer pain relief alternatives.
You can take Tsart MCL-25 Tablet at either time, but it is best to take it at the exact same time every day to keep your blood pressure stable. Many doctors recommend taking it in the morning. Talk to your doctor to find the schedule that works best for you.
You should focus on a low-salt (low-sodium) diet and avoid potassium supplements or salt substitutes containing potassium unless specifically approved by your physician. Keeping a food diary and eating a balanced diet rich in vegetables and whole grains will support your heart. Talk to your doctor for specific dietary advice.

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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.

Reference

  1. Electronic Medicines Compendium (EMC). Pil.5345 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. Electronic Medicines Compendium (EMC). Pil.5197 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  3. Drugs.com Clinical Review Team. Metoprolol Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  4. Drugs.com Clinical Review Team. Telmisartan Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [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

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - TSA0022
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