At whatever point you take more than one medicine, or mix it with specific foods or beverages, you're in danger of a drug interaction. 

Interaction with Disease 

Asthma Major 

Metocard Xl 75 MG Tablet XL ought not be utilized in patients experiencing bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the occurrence of Asthma to your specialist so that Metocard Xl 75 MG Tablet XL can be substituted with another medicine. 

Heart Block Major 

Metocard Xl 75 MG Tablet XL ought not be utilized in patients showing at least a bit of kindness square more noteworthy 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 

Metocard Xl 75 MG Tablet XL ought to be directed 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 manifestation showing a brought down glucose level is suspected while utilizing this medicine. 

Liver malady Major 

Metocard Xl 75 MG Tablet XL ought to be controlled with alert in patients having a liver illness. Appropriate portion alteration and wellbeing checking are prompted in such cases. 

Glaucoma Moderate 

Metocard Xl 75 MG Tablet XL ought to be controlled with alert in a patient experiencing Glaucoma. An adjustment in the portion of current Glaucoma medicine might be required. At times, your specialist may educate the utilization regarding another medicine instead of a beta blocker. 

Elevated cholesterol and fat Moderate 

Metocard Xl 75 MG Tablet XL ought to be controlled with alert in a patient having large amounts of cholesterol and fats in their body. Reasonable portion modification and wellbeing checking might be required in such cases. 

Interaction with Alcohol 

Ethanol Moderate 

Utilization of liquor ought to be maintained a strategic distance from while taking Metocard Xl 75 MG Tablet XL particularly when you begin taking the medicine or a change its measurements. Manifestations like cerebral pain, tipsiness, change in heartbeat or pulse ought to be accounted for to the specialist. 

Interaction with Lab Test 

Lab 

Data not accessible. 

Interaction with Food 

Multivitamin with Minerals Moderate 

Metocard Xl 75 MG Tablet XL ought to be utilized with alert in the event that you are taking nutrient and mineral enhancement. Report the use of enhancements to the specialist so portion changes and wellbeing observing should be possible. There ought to be a hole of something like 2 hours between the utilization of these two medicines. 

Interaction with Medicine 

Amlodipine Moderate 

Report the utilization of both of these medicines to the specialist. A portion modification and security checking might be required in such cases. Side effects like cerebral pain, blacking out, decline in heartbeat or pulse ought to be accounted for to the specialist. 

Diltiazem Major 

Report the utilization of both of these medicines to the specialist. Portion modification and wellbeing checking might be required in such cases. Side effects like exhaustion, cerebral pain, blacking out, an expansion in weight, chest agony ought to be accounted for to the specialist. 

Aminophylline Major 

Report the utilization of both of these medicines to the specialist. Portion modifications and security observing might be required in such cases. Contact your specialist on the off chance that you experience queasiness, regurgitating, absence of rest, and uneven heartbeat. Try not to suspend the use of any medicine without counseling your specialist. 

Ergotamine Moderate 

Report the utilization of both of these medicines to the specialist. A portion modification and security checking might be required in such cases. Manifestations like cold and numb hands and feet, muscle agony and shortcoming, extreme cerebral pain and so on ought to be accounted for to the specialist.

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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 Metocard Xl 75 MG Tablet XL, and hence can be used as its substitute.

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 Metocard Xl 75 MG Tablet XL) 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, Metocard Xl 75 MG Tablet XL 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

Metocard Xl 75 MG Tablet XL 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

Metocard Xl 75 MG Tablet XL is not recommended for people who have serious heart problems like heart block, Sick Sinus Syndrome etc.

Circulatory disorders

Metocard Xl 75 MG Tablet XL is not recommended for people who have a severe blood circulation related disease.

Heart Failure

Metocard Xl 75 MG Tablet XL is not recommended for use in patients who have severe heart failure and are getting emergency attention.

Heart rhythm disorders

Metocard Xl 75 MG Tablet XL is not recommended for people having slow heart rate i.e (Bradycardia).

Hypertension

Metocard Xl 75 MG Tablet XL is used for lowering high blood pressure.

Angina Pectoris

Metocard Xl 75 MG Tablet XL is used for relieving long term chest pain caused due to reduced blood flow to the heart.

Heart Attack

Metocard Xl 75 MG Tablet XL is used during the early stages of treatment of heart attack.

Congestive Heart Failure

Metocard Xl 75 MG Tablet XL is used for the management of a heart condition where the blood is pumped in less than normal quantities.

Hyperthyroidism

Metocard Xl 75 MG Tablet XL is used with other medications to relieve certain symptoms of Hyperthyroidism.

Migraine Prevention

Metocard Xl 75 MG Tablet XL is sometimes used to prevent and relieve migraine related headaches.

Metocard Xl 75 MG Tablet XL is endorsed to patients to improve heart capacity and control blood course through the vessels. The drug helps in the treatment of hypertension, that is, hypertension and angina, that is, chest torment. Metocard Xl 75 MG Tablet XL successfully hinders the activity of a couple of body synthetic concoctions that happen normally in the body. The medicine can be taken either previously or after a supper. The measurement of the drug relies upon the seriousness of the condition. The specialist may build measurements according to prerequisite. Over measurements of Metocard Xl 75 MG Tablet XL ought to be dodged. If there should be an occurrence of unplanned over dose crisis medicinal consideration ought to be gained. Patients with certain therapeutic problems are commonly not encouraged to take this drug. The medicine isn't suggested for patients who have coronary illness or blood course issues. On the off chance that you have endured a heart assault as of late Metocard Xl 75 MG Tablet XL may not be the best alternative for you. Patients who experience the ill effects of kidney issues and liver problems, or have a thyroid issue or even hypersensitivities ought to educate their specialist about their medicinal issues previously devouring the drug. 

certain side effects of Metocard Xl 75 MG Tablet XL are- 

exhaustion and wooziness 

disposition swings and perplexity 

breathing issues 

problems with resting 

bad dreams 

rashes and disturbance 

looseness of the bowels 

Since Metocard Xl 75 MG Tablet XL prompts perplexity, one ought to abstain from driving so as to evade mishaps. Liquor should likewise be stayed away from when on the drug since alcohol can strengthen its side effects. The measurement of Metocard Xl 75 MG Tablet XL may shift from 100mg to 450mg. A few medicines which may influence the activity of Metocard Xl 75 MG Tablet XL are prazosin, terbinafine, bupropion and so on. In this manner, you ought to illuminate your specialist about any medicines that you are at present taking before beginning the medicine. If there should arise an occurrence of a missed drug portion, it ought to be taken at the earliest opportunity. Anyway abstain from taking the missed portion alongside the following portion as it might prompt entanglements.