At whatever point you take more than one prescription, or blend it with specific nourishments or refreshments, you're in danger of a medication communication. 

Collaboration with Disease 

Asthma Major 

Met XL R 25mg/2.5mg Tablet ought not be utilized in patients experiencing bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the rate of Asthma to your specialist so that Met XL R 25mg/2.5mg Tablet can be substituted with another medicine. 

Heart Block Major 

Met XL R 25mg/2.5mg Tablet ought not be utilized in patients showing at least a bit of kindness square more prominent than first degree. Be that as it may, it very well may be utilized for this situation if a pacemaker is available to address the confusion. 

Diabetes Major 

Met XL R 25mg/2.5mg Tablet ought to be regulated with alert in patients experiencing diabetes or a condition where glucose level is probably going to get low. You ought to counsel a specialist if any side effect demonstrating a brought down glucose level is suspected while utilizing this medication. 

Liver infection Major 

Met XL R 25mg/2.5mg Tablet ought to be directed with alert in patients having a liver infection. Reasonable portion alteration and wellbeing observing are prompted in such cases. 

Glaucoma Moderate 

Met XL R 25mg/2.5mg Tablet ought to be controlled with alert in a patient experiencing Glaucoma. An adjustment in the portion of current Glaucoma prescription might be required. Sometimes, your specialist may inform the utilization regarding another prescription instead of a beta blocker. 

Elevated cholesterol and fat Moderate 

Met XL R 25mg/2.5mg Tablet ought to be regulated with alert in a patient having large amounts of cholesterol and fats in their body. Appropriate portion modification and wellbeing observing might be required in such cases. 

Cooperation with Alcohol 

Ethanol Moderate 

Utilization of liquor ought to be maintained a strategic distance from while taking Met XL R 25mg/2.5mg Tablet particularly when you begin taking the drug or a change its dose. Manifestations like migraine, discombobulation, change in heartbeat or pulse ought to be accounted for to the specialist. 

Connection with Lab Test 

Lab 

Data not accessible. 

Connection with Food 

Multivitamin with Minerals Moderate 

Met XL R 25mg/2.5mg Tablet ought to be utilized with alert on the off chance that you are taking nutrient and mineral enhancement. Report the use of enhancements to the specialist with the goal that portion modifications and wellbeing checking should be possible. There ought to be a hole of somewhere around 2 hours between the utilization of these two meds. 

Communication with Medicine 

Amlodipine Moderate 

Report the use of both of these prescriptions to the specialist. A portion modification and security observing might be required in such cases. Indications like migraine, swooning, decline in heartbeat or pulse ought to be accounted for to the specialist. 

Diltiazem Major 

Report the utilization of both of these prescriptions to the specialist. Portion modification and security observing might be required in such cases. Side effects like weakness, migraine, blacking out, an expansion in weight, chest agony ought to be accounted for to the specialist. 

Aminophylline Major 

Report the use of both of these prescriptions to the specialist. Portion alterations and wellbeing checking might be required in such cases. Contact your specialist on the off chance that you experience queasiness, retching, absence of rest, and uneven heartbeat. Try not to cease the use of any medication without counseling your specialist. 

Ergotamine Moderate 

Report the utilization of both of these meds to the specialist. A portion alteration and wellbeing checking might be required in such cases. Side effects like cold and numb hands and feet, muscle agony and shortcoming, serious migraine and so on ought to be accounted for to the specialist.

India

United States

Japan

Missed Dose instructions

Take the missed dose as soon as you remember. However, the missed dose can be skipped if it is almost time for the next scheduled dose.

Overdose instructions

An overdose of this medication can cause some serious effects on the heart, blood vessels, and nerve conduction. Report the incidence as soon as possible so that medical intervention can begin. Supportive measures like Gastric lavage and symptomatic treatment might be required based on severity.

Below is the list of medicines, which have the same composition, strength and form as Met XL R 25mg/2.5mg Tablet, and hence can be used as its substitute.

Prolomet R 25 Tablet Er

Sun Pharmaceutical Industries Ltd

Cardace Meto 2.5 Tablet ER

Sanofi India Ltd

How long is the duration of effect?

The effect lasts for 3 to 6 hours upon oral administration. This increases to 5 to 6 hours upon intravenous infusion.

What is the onset of action?

The effect of Metoprolol (primary constituent of Met XL R 25mg/2.5mg Tablet) can be observed within an hour of oral administration. When given in the form of an intravenous infusion, the action starts in 20 minutes.

Are there any pregnancy warnings?

This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.

Is it habit forming?

No habit forming tendencies were reported.

Are there any breast-feeding warnings?

This medicine has not known to cause any alarming side effects on the infant as the amount passed through milk is very less. However, caution should be exercised and the medicine be used only when the potential benefits outweigh the risks associated. Consult your doctor before taking this medicine.

In addition to its intended effect, Met XL R 25mg/2.5mg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.

Chest pain and discomfort Major Common

Decreased blood pressure Major Common

Blurred vision Major Common

Dizziness Major Common

Slow heart beat Major Common

Shortness of breath Major Less Common

Nausea or vomiting Moderate Less Common

Skin rash Moderate Less Common

Allergy

Met XL R 25mg/2.5mg Tablet is not recommended for people who have a known history of allergy to this medication or any other medicines belonging to the group Beta Blockers. (Eg: Atenolol, Labetalol etc).

Heart diseases

Met XL R 25mg/2.5mg Tablet is not recommended for people who have serious heart problems like heart block, Sick Sinus Syndrome etc.

Circulatory disorders

Met XL R 25mg/2.5mg Tablet is not recommended for people who have a severe blood circulation related disease.

Heart Failure

Met XL R 25mg/2.5mg Tablet is not recommended for use in patients who have severe heart failure and are getting emergency attention.

Heart rhythm disorders

Met XL R 25mg/2.5mg Tablet is not recommended for people having slow heart rate i.e (Bradycardia).

Hypertension

Met XL R 25mg/2.5mg Tablet is used for lowering high blood pressure.

Angina Pectoris

Met XL R 25mg/2.5mg Tablet is used for relieving long term chest pain caused due to reduced blood flow to the heart.

Heart Attack

Met XL R 25mg/2.5mg Tablet is used during the early stages of treatment of heart attack.

Congestive Heart Failure

Met XL R 25mg/2.5mg Tablet is used for the management of a heart condition where the blood is pumped in less than normal quantities.

Hyperthyroidism

Met XL R 25mg/2.5mg Tablet is used with other medications to relieve certain symptoms of Hyperthyroidism.

Migraine Prevention

Met XL R 25mg/2.5mg Tablet is sometimes used to prevent and relieve migraine related headaches.

Met XL R 25mg/2.5mg Tablet is endorsed to patients to enhance heart capacity and control blood course through the vessels. The medication helps in the treatment of hypertension, that is, hypertension and angina, that is, chest torment. Met XL R 25mg/2.5mg Tablet viably obstructs the activity of a couple of body synthetic concoctions that happen normally in the body. The drug can be taken either previously or after a dinner. The measurement of the medication relies upon the seriousness of the condition. The specialist may expand measurements according to prerequisite. Over measurement of Met XL R 25mg/2.5mg Tablet ought to be stayed away from. If there should be an occurrence of unplanned over measurement crisis therapeutic consideration ought to be procured. Patients with certain medicinal issues are commonly not encouraged to take this medication. The medication isn't suggested for patients who have coronary illness or blood dissemination issues. On the off chance that you have endured a heart assault as of late Met XL R 25mg/2.5mg Tablet may not be the best choice for you. Patients who experience the ill effects of kidney issues and liver issues, or have a thyroid issue or even sensitivities ought to advise their specialist about their restorative issues previously devouring the medication. 

certain symptoms of Met XL R 25mg/2.5mg Tablet are- 

weariness and wooziness 

temperament swings and perplexity 

breathing issues 

issues with dozing 

bad dreams 

rashes and bothering 

loose bowels 

Since Met XL R 25mg/2.5mg Tablet prompts perplexity, one ought to abstain from driving so as to maintain a strategic distance from mishaps. Liquor should likewise be dodged when on the medication since alcohol can strengthen its symptoms. The dose of Met XL R 25mg/2.5mg Tablet may differ from 100mg to 450mg. A few medications which may influence the activity of Met XL R 25mg/2.5mg Tablet are prazosin, terbinafine, bupropion and so forth. Accordingly, you ought to illuminate your specialist about any prescriptions that you are at present taking before beginning the medication. In the event of a missed medication portion, it ought to be taken as quickly as time permits. Anyway abstain from taking the missed portion alongside the following portion as it might prompt complexities.