Metoprolol Succinate+telmisartan
About Metoprolol Succinate+telmisartan
Metoprolol Succinate+telmisartan is a prescription medication used to manage high blood pressure (hypertension). By lowering elevated blood pressure, this medication helps protect your heart and reduces the risk of serious cardiovascular events like heart attacks or strokes.
To get the best results, you must take Metoprolol Succinate+telmisartan regularly and consistently, exactly as prescribed by your doctor. You can take this tablet with or without food, but taking it at the same time every day helps maintain stable levels in your body. Making positive lifestyle changes, such as eating a low-salt diet, managing stress, and staying active, will further support the action of this medicine.
While taking Metoprolol Succinate+telmisartan, you may experience mild side effects like lightheadedness, fatigue, or cold hands as your body adjusts. Most of these effects are temporary, but you should contact your doctor immediately if you experience severe dizziness, shortness of breath, or an unusually slow heart rate.
Do not take this if you are pregnant, have severe liver damage, or suffer from certain heart conditions like a very slow heart rate or severe heart block. Always inform your healthcare provider about your complete medical history, especially if you have asthma, kidney disease, or diabetes, before starting treatment.
This medicine can interact with alcohol, causing your blood pressure to drop too low, and smoking can decrease its overall effectiveness. Certain other medications, such as pain relievers or potassium supplements, can also interfere with how it works, so special caution and medical advice are needed for elderly patients or those who are breastfeeding.
Uses of Metoprolol Succinate+telmisartan
Medicinal Benefits
Metoprolol Succinate+telmisartan helps control high blood pressure through two complementary mechanisms in a single tablet. With regular use, it provides consistent blood pressure control, protects your heart and blood vessels, and supports long-term cardiovascular health.
- Provides Effective Blood Pressure Control: By lowering and maintaining healthy blood pressure levels, this medicine helps reduce the strain on your heart and blood vessels throughout the day.
- Protects Heart and Blood Vessels: Consistent blood pressure control helps lower the risk of serious complications such as heart attack, stroke, kidney damage, and other hypertension-related problems.
- Convenient Combination Therapy: By combining two blood pressure-lowering medicines in one tablet, this treatment simplifies your medication routine, improves treatment adherence, and provides reliable 24-hour blood pressure control.
Directions for Use
- Take Metoprolol Succinate+telmisartan with or without food as advised by your doctor.
- Usually it is taken once daily, or as prescribed by your doctor.
- Swallow Metoprolol Succinate+telmisartan as a whole with a glass of water.
- Do not crush, chew, or break it.
Storage
Side Effects of Metoprolol Succinate+telmisartan
Common Side Effects (Usually mild):
- Dizziness or lightheadedness, especially when standing up quickly
- Feeling unusually tired, weak, or sleepy
- Slowing of the heart rate
- Coldness in your hands or feet
- Mild stomach discomfort or nausea
Serious Side Effects (Consult a doctor right away):
- Signs of a severe allergic reaction, such as swelling of your face, lips, tongue, or throat, severe skin rash, or difficulty breathing
- A very slow, irregular, or pounding heartbeat
- Severe dizziness, fainting, or feeling like you might pass out
- Sudden, unexplained weight gain or swelling in your ankles or feet
- Shortness of breath, wheezing, or tightness in the chest
Medicines Containing this Salt
View AllDrug Warnings
- Never stop taking Metoprolol Succinate+telmisartan suddenly. Stopping beta-blocker therapy abruptly can cause a dangerous spike in blood pressure, chest pain, or even a heart attack. If you need to stop, your doctor will help you by gradually lowering your dose.
- Be cautious when standing up from a sitting or lying position, as Metoprolol Succinate+telmisartan can cause your blood pressure to drop temporarily, making you feel dizzy. Rise slowly to prevent falls.
- Check your pulse rate regularly. If it drops below 50 to 55 beats per minute, or if you feel unusually sluggish and tired, contact your doctor.
- Avoid driving or operating heavy machinery until you know how this medication affects you, as it can cause dizziness and fatigue.
- Tell any healthcare provider you visit, including your dentist, that you are taking Metoprolol Succinate+telmisartan, especially if you are scheduled to have surgery.
Drug Interactions
- Potassium supplements or potassium-sparing diuretics: May increase potassium levels in your blood to unsafe levels, which can affect your heart rhythm.
- Other blood pressure-lowering medications: Can cause your blood pressure to drop too low, leading to severe dizziness.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen: May reduce the blood-pressure-lowering effect of this medicine and increase the risk of kidney damage.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended to avoid alcohol consumption while taking Metoprolol Succinate+telmisartan as it might cause increased dizziness. Alcohol intake might interfere with the working of Metoprolol Succinate+telmisartan.
Pregnancy
unsafeIt is not recommended to take Metoprolol Succinate+telmisartan while you are pregnant. Please consult your doctor.
Breast Feeding
unsafeIt is not recommended to take Metoprolol Succinate+telmisartan while you are breastfeeding. Please consult your doctor. Your doctor will decide whether Metoprolol Succinate+telmisartan can be given to breastfeeding mothers or not.
Driving
cautionMetoprolol Succinate+telmisartan may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionDose adjustment may be needed. Metoprolol Succinate+telmisartan should be used with caution in patients with liver impairment/liver disease.
Kidney
cautionDose adjustment may be needed. Metoprolol Succinate+telmisartan should be used with caution in patients with kidney impairment/kidney disease.
Children
unsafeMetoprolol Succinate+telmisartan is not recommended for children below 18years as the safety and effectiveness have not been established.
Habit Forming
Diet & Lifestyle Advise
- Reduce your sodium (salt) intake by avoiding processed foods, canned soups, and adding extra salt to your meals.
- Eat a heart-healthy diet rich in whole grains, fresh fruits, vegetables, and low-fat dairy products.
- Engage in moderate physical activity, such as brisk walking, for at least 30 minutes most days of the week, as approved by your doctor.
- Limit your intake of alcoholic beverages, as alcohol can interact with your medication and cause your blood pressure to drop dangerously low.
- Keep a daily log of your blood pressure readings at home and share them with your healthcare team during your check-ups.
Special Advise
Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
Get up slowly while rising from a lying or sitting position as Metoprolol Succinate+telmisartan may cause dizziness.
Keep your doctor informed about your health/disease conditions and the medicines you are taking.
Patients Concern
Disease/Condition Glossary
High blood pressure (hypertension): It is a condition in which the blood exerts increased pressure on the walls of blood vessels leading to hypertension. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.
FAQs
Metoprolol Succinate+telmisartan belongs to the class antihypertensive agents used to treat hypertension (high blood pressure). It may also be used to lower the risk of heart attack and stroke in future.
Metoprolol Succinate+telmisartan contains Telmisartan and Metoprolol Succinate. Telmisartan works by blocking the angiotensin II receptors. Angiotensin II constricts the blood vessels, so by blocking its effect, Telmisartan allows the blood vessels to relax and widen. Metoprolol Succinate helps to reduce blood pressure by allowing the blood to flow more smoothly. Together, Metoprolol Succinate+telmisartan helps in reducing the blood pressure to normal.
Metoprolol Succinate+telmisartan may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry; however, if a slow heart rate continues and you begin to feel unwell, speak with your doctor.
Metoprolol Succinate+telmisartan may alter potassium levels. Therefore, inform your doctor if you are taking food rich in potassium, such as potassium-containing salt substitutes or over-the-counter potassium supplements.
Please do not stop taking Metoprolol Succinate+telmisartan without consulting your doctor as it may lead to a rise in blood pressure. Continue taking Metoprolol Succinate+telmisartan 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 Metoprolol Succinate+telmisartan.
Orthostatic hypotension could be a side-effect of Metoprolol Succinate+telmisartan. Orthostatic hypotension is a sudden lowering in 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 Metoprolol Succinate+telmisartan are advised to monitor their blood pressure levels regularly to avoid unpleasant events.
Use Metoprolol Succinate+telmisartan cautiously in patients with kidney impairment, liver disease, or heart conditions. Caution is advised while driving as it can cause dizziness. Metoprolol Succinate+telmisartan must not be used after the expiry date and take it as advised by the doctor.
Metoprolol Succinate+telmisartan can cause dizziness. So, avoid driving or operating heavy machinery if you feel dizzy.
While using Metoprolol Succinate+telmisartan, it is advised to follow a low-salt, low-fat diet. Regular exercise is recommended to support its effectiveness. A balanced diet with whole grains, vegetables, and fruits is beneficial. Avoid smoking and alcohol, and aim to maintain a healthy weight with proper diet and exercise. Managing stress through meditation, yoga, or massage can also help control high blood pressure.
Store Metoprolol Succinate+telmisartan at room temperature, below 30°C. Protect from heat and light. Keep it out of reach of children.
The side effects of Metoprolol Succinate+telmisartan include headache, nausea, weakness, dizziness, decreased blood pressure, and slow heart rate. However, please consult the doctor if the condition worsens.
No, Metoprolol Succinate+telmisartan is not safe during pregnancy. Active ingredients like telmisartan can cause severe harm or death to an unborn baby, especially if taken during the second and third trimesters. If you suspect you are pregnant, stop taking the medicine and talk to your doctor immediately.
If you miss a dose of Metoprolol Succinate+telmisartan, take it as soon as you remember. However, if your next scheduled dose is less than 12 hours away, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a missed one.
The metoprolol succinate in Metoprolol Succinate+telmisartan is designed as an extended-release formulation to release the medication slowly into your body over 24 hours. Crushing, chewing, or breaking the tablet destroys this mechanism, causing too much medicine to enter your system at once, which can dangerously lower your blood pressure. Talk to your doctor or pharmacist if you have trouble swallowing tablets.
You should avoid or severely limit alcohol while taking Metoprolol Succinate+telmisartan. Alcohol can compound the blood-pressure-lowering effects of the medication, making you highly prone to severe dizziness, drowsiness, and fainting. Talk to your doctor about safe limits.
Yes, some patients taking telmisartan may experience increased sensitivity to sunlight. It is wise to wear protective clothing and apply sunscreen when spending extended time outdoors. Talk to your doctor if you experience unusual sunburn or skin rashes.

