Metoprolol And Hydrochlorothiazide

Therapeutic Group

Beta Blocking Agent

Indication Dosage

Hypertension, Angina: 

  • Adults: 1 Tab 1-3 Times Daily. 
  • Children: Not Recommended.

Content

  • Tab 50 /25mg: Metoprolol Tartrate 50mg, Hydrochlorothiazide 25mg.
  • Tab 100 /25mg: Metoprolol Tartrate 100mg, Hydrochlorothiazide 25mg.

Pregnancy

Avoid, Risk Cannot Be Ruled Out.

Stability

  • Beta-blocker
  • Diuretic

Contra Indications

  • 2nd Or 3rd Degree Av Block (without Pacemaker), Severe Bradycardia, Sick Sinus Syndrome, Un-controlled Heart Failure, Cardiogenic Shock, Severe Peripheral Arterial Disease, Hypotension, Metabolic Acidosis, Untreated Pheochromocytoma, Severe Asthma Or Copd.

Precautions

  • 2nd Or 3rd Degree Av Block (without Pacemaker), Severe Bradycardia, Sick Sinus Syndrome, Un-controlled Heart Failure, Cardiogenic Shock, Severe Peripheral Arterial Disease, Hypotension, Metabolic Acidosis, Untreated Pheochromocytoma, Severe Asthma Or Copd.

Lactation

  • Caution Advised or Effect Undetermined.

Side Effects

  • Cardiovascular Effects Including Bradycardia
  • Postural Hypotension
  • Increased Av Block
  • Cardiac Arrhythmias
  • Raynaud's Phenomenon
  • Cold Extremities
  • Sexual Dysfunction
  • Gi Upset
  • Sleep And Cns Disturbances
  • Skin Reactions
  • Fatigue
  • Paraesthesia
  • Peripheral Neuropathy
  • Arthralgia
  • Myopathy
  • Altered Blood Sugar Haematology And Lipid Levels. Withdraw If Unexplained Dry Eyes Or Rash.
  • Rare: Heart Failure
  • Dyspnea
  • Bronchospasm

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