Starpress XL 25mg Tablet 15'S

Introduction About STARPRESS XL 25MG TABLET

STARPRESS XL 25MG TABLET is used in the management of high blood pressure,
angina pectoris (chest pain), heart failure, arrhythmias or palpitations, heart
attacks and migraine headaches. It contains Metoprolol which is a beta-blocker
that works by controlling heart functions and reduces strain on the heart.

Take STARPRESS XL 25MG TABLET only under medical supervision. It is usually
taken with or immediately after meals. Do not stop taking this medicine without
consulting your doctor as a precaution.

Avoid alcohol consum
pressure.It is not recommended for use in patients with asthma, COPD, severe
bradycardia, second or third-degree heart block, cardiogenic shock, cardiac
failure, sick sinus syndrome (unless a permanent pacemaker is present) and
unmanaged pheochromocytoma.

Before taking this medicine, inform your doctor if you have diabetes, stroke,
liver or kidney disease or if you are pregnant or breastfeeding as a precaution.

Low blood pressure, tiredness, dizziness, headache, cold hands and feet are some
of the common side effects associated with the use metoprolol. These side
effects are usually manageable. However, consult your doctor if they trouble
you.

Uses Of STARPRESS XL 25MG TABLET

• High blood pressure
• Angina pectoris (chest pain)
• Arrhythmias or palpitations
• Heart attack and heart failure
• Migraine

How STARPRESS XL 25MG TABLET Works

In hypertension, STARPRESS XL 25MG TABLET works by blocking the effect of
adrenaline on the heart and decreasing cardiac output, also reducing the outflow
of sympathetic neurons, and suppressing renin activity (normally responsible for
the increase in blood pressure). Together, these actions lower blood pressure
effectively.

In angina pectoris, STARPRESS XL 25MG TABLET works by blocking adrenaline
effects on the heart and decreases the heart rate, blood pressure, and extent of
heart contraction. It also reduces the oxygen requirements of the heart,
providing relief from angina.

In heart failure, STARPRESS XL 25MG TABLET slows down the heart rate and makes
it easier for the heart to pump blood around the body.

How to use STARPRESS XL 25MG TABLET

• Take this medicine exactly as prescribed by your doctor. The dose depends on your condition (like high blood pressure or heart-related issues) and response to the treatment
• It is usually recommended to take metoprolol with or immediately after a meal to enhance absor
• Swallow the medicine with a glass of water. Do not crush or chew the medicine
• Take the tablet at the same time each day, as this helps maintain consistent levels of the medication in your body
• If you miss a dose, take it as soon as you remember, but if it's almost time for your next dose, skip the missed one. Do not double the dose
• Do not stop taking metoprolol abruptly, as it can worsen your condition. Always follow your doctor’s advice when discontinuing
• Always consult your healthcare provider for personalized instructions

Side Effects Of STARPRESS XL 25MG TABLET

Common side effects of STARPRESS XL 25MG TABLET:

• feeling faint on standing because of low blood pressure
• tiredness, drowsiness
• cold hands and feet
• palpitations
• dizziness, headache
• diarrhoea, constipation, abdominal pain
• fluid retention (swelling)
• pins and needles
• muscle cramps
• weight gain, increased sweating
• depression, reduced concentration
• difficulty in sleeping
• shortness of breath
• skin rash

Stop taking STARPRESS XL 25MG TABLET and contact your physician immediately if
you experience any of the following side effects:

• symptoms of an allergic reaction such as skin rash, itching, flushing, swelling of the face, lips, tongue or throat, difficulty in breathing or swallowing

Warning & Precautions

!### Pregnancy

ContraindicatedSTARPRESS XL 25MG TABLET is not recommended for use in pregnant women.

!### Breastfeeding

ContraindicatedIt is not recommended for use in breastfeeding women, as metoprolol may pass
through the breast milk.

!### Driving and Using Machines

Use with CautionDo not drive or operate any machines if you feel dizzy and tired after taking
this medicine.

!### Alcohol

Consult your doctorAvoid alcohol consum
dizzier.

!### Kidney

Use with CautionSTARPRESS XL 25MG TABLET should be used with caution in patients with kidney
diseases such as abnormal function.

!### Liver

Use with CautionIt should be used with caution in patients with liver diseases.

!### Allergy

ContraindicatedDo not take STARPRESS XL 25MG TABLET if you are allergic to Metoprolol or any
other ingredients in this medicine.

!### Lungs

ContraindicatedSTARPRESS XL 25MG TABLET is not recommended for use in patients with
bronchospastic diseases like asthma or COPD.

Heart Disease

Consult your doctorSTARPRESS XL 25MG TABLET is not recommended for use in patients with severe
bradycardia, low blood pressure, second or third-degree heart block, cardiogenic
shock, decompensated cardiac failure, or sick sinus syndrome (unless a permanent
pacemaker is present) and should be used with caution in patients with
1st-degree heart block, myocardial infarction, angina pectoris, heart failure,
diseases of the heart valve, or enlarged heart muscle.

!### Use In Pediatrics

ContraindicatedThere is limited data on the use of metoprolol in children and adolescents.
Therefore, the use of metoprolol is not recommended.

!### Use In Geriatrics

Use with CautionThis medicine should be used with caution in elderly patients aged 65 years or
above.

Others

STARPRESS XL 25MG TABLET is not recommended for use if you have:

• severe peripheral arterial disease
• metabolic acidosis
• unmanaged phaeochromocytoma

Before taking this medicine, inform your doctor if you have:

• major surgery or anaesthesia
• stroke
• diabetes or low blood sugar
• hyperthyroidism
• peripheral vascular disease
• psoriasis

Interactions

A. Drug-Drug interactions:

Before taking this medicine inform your doctor if you are taking any of the
following medicine:

• other antihypertensive agents (such as reserpine, clonidine, hydralazine, alpha methyldopa, guanfacine, diltiazem, and verapamil)
• Anti-arrhythmic agents (such as quinidine, amiodarone, propafenone, disopyramide)
• Antidepressants
• digitalis (a medicine used to manage heart failure)
• cimetidine (a medicine used to manage ulcers)
• terbinafine (a medicine used to manage fungal infection)
• hydroxychloroquine (a medicine used to manage malaria)
• Antipsychotics (Ex. chlorpromazine, triflupromazine, chlorprothixene)
• diphenhydramine (medicines used to manage allergies)
• celecoxib, indomethacin (medicines used to manage pain)
• rifampicin (medicines used to manage tuberculosis)
• other beta-blockers, Ex.  timolol eye drops
• adrenaline, noradrenaline (medicines used to manage shock)
• Antidiabetic agents (such as glimepiride)
• lidocaine (a medicine used to induce numbness)

Overdosage:

If you or anyone else has accidentally taken too much of this medicine, consult
your doctor immediately or visit the nearby hospital. Symptoms of overdosage are
nausea, vomiting, bluish discolouration of the skin, severe bradycardia, low
blood pressure (fatigue, dizziness), atrioventricular block, heart failure,
bronchospasm or shortness of breath.

Synopsis

Drug	:	Metoprolol
Pharmacological Category	:	Beta-blockers
Therapeutic Indication	:	High blood pressure, Angina pectoris, Heart failure
Dosage Forms	:	Tablet, Capsule, Injection

More Information

To know more about this medicine:

FAQs About STARPRESS XL 25MG TABLET

Q: How STARPRESS XL 25MG TABLET work?

A: In hypertension, this medicine works by blocking the effect of adrenaline on
the heart and decreasing cardiac output, also reducing the outflow of
sympathetic neurons and suppressing renin activity (normally responsible for an
increase in blood pressure). Together, these actions lower blood pressure
effectively.

In angina pectoris, it works by blocking adrenaline effects on the heart and
decreases the heart rate, blood pressure, and extent of heart contraction. It
also reduces the oxygen requirements of the heart, providing relief from angina.

In heart failure, it slows down the heart rate and makes it easier for the heart
to pump blood around the body.

Q: What is STARPRESS XL 25MG TABLET used for?

A: STARPRESS XL 25MG TABLET is used to manage high blood pressure, angina, heart
failure, arrhythmias, and migraines.

Q: Can STARPRESS XL 25MG TABLET cause high blood sugar?

A: Yes. This medicine may raise blood sugar levels and should be used with
caution in patients with diabetes or low blood sugar. Consult your doctor for
more information.

Q: Can STARPRESS XL 25MG TABLET cause low blood pressure?

A: Sometimes, this medicine may decrease your blood pressure and causes
dizziness, headache, sweating, and faintness on standing up which is easy
manageable by taking some salty snack. If you experience severe dizziness,
unable to sit with plenty of exhaustion, talk to your doctor.

Q: Can I stop taking STARPRESS XL 25MG TABLET if I feel better?

A: Do not stop this medicine suddenly without informing your physician. As it
may lead to an exacerbation of angina pectoris (chest pain) or myocardial
infarction (heart attack). Contact your doctor before stop taking it.

User Feedback

Useful Diagnostic Tests

• Kidney function test (KFT)
• Cardiac Risk Profile