INTRODUCTION

OLMETROL M 50MG TABLET is a combination of Metoprolol and Olmesartan which belongs to the group of medicines called Antihypertensive agents. It is used to treat hypertension (high blood pressure). It can also be used to reduce the risk of heart attack (myocardial infarction), stroke, chest pain (angina) and uneven heartbeat (arrhythmia).

Before taking OLMETROL M 50MG TABLET inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have diabetes, thyroid problems, asthma, poor blood circulation, psoriasis, allergic reactions or gout as a precaution.

OLMETROL M 50MG TABLET is not recommended for use in patients with severe low blood pressure, uncontrollable heart failure or heart block. It is also not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby.

The most common side effects of taking this medicine are low blood pressure, slow or fast heart rate, cold hands and feet, headache, dizziness, nausea, diarrhoea, constipation, sore throat, cough, high blood cholesterol levels and swollen ankles. Consult your doctor if any of these side effect worsens.

USES OF OLMETROL M 50MG TABLET

• Treats Hypertension (high blood pressure)
• Prevents heart attack, stroke, angina (chest pain) and arrhythmia (uneven heartbeat)

HOW OLMETROL M 50MG TABLET WORKS

OLMETROL M 50MG TABLET is an antihypertensive medicine. It relaxes the blood vessels supplying the heart and various other organs of the body. This allows blood to flow more smoothly across the blood vessels. It also reduces the heart rate and force of contraction of heart muscles. Collectively, these actions reduce the strain on the heart and helps the heart to pump more blood with less pressure.

DIRECTIONS FOR USE

Take OLMETROL M 50MG TABLET as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Do not stop taking this medicine without consulting your doctor. 

SIDE EFFECTS OF OLMETROL M 50MG TABLET

HOW TO MANAGE SIDE EFFECTS

Constipation

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Nausea And Vomiting

Take OLMETROL M 50MG TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

WARNING & PRECAUTIONS

PREGNANCY

Contraindicated

OLMETROL M 50MG TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing foetus. Therefore, inform your doctor before taking OLMETROL M 50MG TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with this medicine, stop taking it and consult your doctor immediately.

BREASTFEEDING

Contraindicated

OLMETROL M 50MG TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

DRIVING AND USING MACHINES

Use with Caution

Do not drive or handle any heavy tools or machines if you experience dizziness or drowsiness after taking OLMETROL M 50MG TABLET.

ALCOHOL

Consult your doctor

Avoid consumption of alcohol while taking OLMETROL M 50MG TABLET as it might make you feel dizzier and drowsier.

KIDNEY

Use with Caution

OLMETROL M 50MG TABLET should be used with caution in patients with kidney problems (such as kidney transplant, narrowing of renal arteries). Therefore, consult your doctor before taking it.

LIVER

Consult your doctor

OLMETROL M 50MG TABLET is not recommended for use in patients with severe liver impairment (such as cholestasis, jaundice, biliary obstruction). It should be used with caution in patients with mild to moderate liver problems. Therefore, consult your doctor before taking it.

ALLERGY

Contraindicated

Do not take OLMETROL M 50MG TABLET if you are allergic to Metoprolol or Olmesartan.

LUNGS

Contraindicated

OLMETROL M 50MG TABLET is not recommended for use in patients with severe asthma or chronic obstructive pulmonary disease. Therefore, consult your doctor for advice before taking it.

HEART DISEASE

Consult your doctor

OLMETROL M 50MG TABLET is not recommended for use in patients with severe heart problems (such as heart block, uncontrollable heart failure, sick sinus syndrome or a very slow or uneven heartbeat). It should be used with caution in patients with other heart problems (such as a recent heart attack, or angina attack, irregular heart rhythm, enlarged heart muscles, or surgery in the heart within the last 4 months). Therefore, consult your doctor before taking it.

OTHERS

OLMETROL M 50MG TABLET is not recommended for use if you:

• are in shock caused due to poor blood circulation
• have poor blood circulation caused due to blockage in the blood vessels
• have a very low blood pressure
• have metabolic acidosis (too much acidity in blood)
• have untreated phaeochromocytoma (tumor present in adrenal glands)
• have diabetes related kidney problems

Before taking OLMETROL M 50MG TABLET, inform your doctor if you:

• have diabetes
• are prone to allergic reactions very often (such as even for insect bites)
• have thyrotoxicosis (increased thyroid hormones in the body)
• have problems in blood circulation around the body (especially in fingers, arms and feet)
• have psoriasis (white scaly patches on the skin)
• are going to undergo an operation
• have primary hyperaldosteronism (problems in adrenal gland)
• are severely dehydrated (due to diarrhea, vomiting or excess sweating)
• have hyperkalemia (high blood potassium levels)

Use in pediatrics:

OLMETROL M 50MG TABLET is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor for advice.

Use in geriatrics:

OLMETROL M 50MG TABLET should be used with caution in the elderly patients. Therefore, consult your doctor before taking it.

INTERACTIONS

A. Drug-Drug interactions:

Before taking OLMETROL M 50MG TABLET inform to your doctor, if you are taking any of these medicines:

• other medicines used to treat elevated blood pressure (such as aliskiren, captopril, enalapril, lisinopril, verapamil, diltiazem, losartan, valsartan, clonidine, moxonidine, methyldopa, rilmenidine, propafenone)
• lithium, St. John’s wort (medicines used to treat depression)
• potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
• non-steroidal anti-inflammatory drugs (used for pain relief) such as indomethacin, celecoxib, sulindac, ibuprofen, aspirin
• colesevelam (a medicine used to treat high blood cholesterol levels)
• antacids (medicines used to neutralize stomach acid) Ex. aluminium hydroxide, magaldrate
• medicines that can depress the brain such as barbiturates (Ex. phenobarbital)
• medicines used to treat depression (such as fluoxetine, paroxetine, bupropion)
• medicines used to treat mental illnesses (such as thioridazine)
• antihistamines (used to treat allergic reactions) such as diphenhydramine
• medicines used to treat malaria (such as hydroxychloroquine, mefloquine)
• ritonavir (a medicine used to treat HIV infection)
• terbinafine (a medicine used to treat fungal infection)
• cimetidine (a medicine used to treat stomach ulcers)
• medicines used to treat uneven heartbeat (such as digoxin, disopyramide, quinidine or amiodarone)
• adrenaline (a medicine used to stimulate heart functions)
• phenylpropanolamine (a medicine used to reduce the swelling of the nasal mucosa)
• beta blockers used for glaucoma (such as timolol, pindolol, labetalol)
• ergotamine (a medicine used for migraine headache)
• medicines used to treat angina (such as nitroglycerin)
• anaesthetics (used to cause numbness or loss of sensation) such as lidocaine, sevoflurane, halothane
• medicines used to treat diabetes (such as insulin, metformin, glimepiride, teneligliptin, pioglitazone)
• rifampicin (a medicine used to treat tuberculosis)
• alpha blockers (used to treat high blood pressure and benign prostatic hyperplasia) such as prazosine, tamsulosin, terazosin, doxazosin

Overdosage:

If you or anyone else accidentally took more OLMETROL M 50MG TABLET, consult your doctor immediately. Overdosage may cause low blood pressure, decreased heartbeat, dizziness, problems in breathing, vomiting, feeling faint and fits.

SYNOPSIS

MORE INFORMATION

• Keep OLMETROL M 50MG TABLET out of reach of children
• Store OLMETROL M 50MG TABLET at room temperature

FAQs ABOUT OLMETROL M 50MG TABLET

Q: What are the uses of OLMETROL M 50MG TABLET?

A: OLMETROL M 50MG TABLET is used to treat hypertension. It can also be used to prevent the risk of heart attack, stroke, angina and arrhythmia.

Q: What type of a medicine is OLMETROL M 50MG TABLET?

A: OLMETROL M 50MG TABLET is an antihypertensive medicine. It slows down your heartbeat and reduces force of contraction of the heart. It also relaxes the blood vessels supplying the heart and various other organs of the body. Collectively, it reduces the strain on the heart and helps the heart to pump blood more smoothly with less pressure.

Q: What happens when I stop taking OLMETROL M 50MG TABLET?

A: Do not stop taking OLMETROL M 50MG TABLET without consulting your doctor as your blood pressure may raise once again. Make sure to take OLMETROL M 50MG TABLET for the stipulated duration recommended by your doctor to achieve maximum results.

Q: What is the best time to take OLMETROL M 50MG TABLET?

A: OLMETROL M 50MG TABLET can be taken with or without meals. Your doctor will decide the best time for you to take OLMETROL M 50MG TABLET based on your age, body weight and disease condition.

Q: What to do if I forgot to take a dose of OLMETROL M 50MG TABLET?

A: If you forgot to take a dose of OLMETROL M 50MG TABLET, take it as soon as you remember. However, if it is time for the next dose of OLMETROL M 50MG TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of OLMETROL M 50MG TABLET to compensate the missed ones.

Q: What precautions should be followed while taking OLMETROL M 50MG TABLET?

A: Before taking OLMETROL M 50MG TABLET inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have diabetes, asthma thyroid problems, asthma, low blood pressure, poor blood circulation or dehydration as a precaution. Do not take this medicine if you are pregnant or breastfeeding. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.

Q: Can I consume alcohol while taking OLMETROL M 50MG TABLET?

A: Avoid consumption of alcohol while taking OLMETROL M 50MG TABLET as it might make you feel dizzier and drowsier.

Q: What happens if I accidentally take more OLMETROL M 50MG TABLET?

A: If you or anyone else accidentally took more OLMETROL M 50MG TABLET, consult your doctor immediately. Overdosage may cause low blood pressure, decreased heartbeat, problems in breathing, vomiting, feeling faint and fits.

Q: Can I take OLMETROL M 50MG TABLET daily?

A: Take OLMETROL M 50MG TABLET as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take OLMETROL M 50MG TABLET every day or not.

Q: Is OLMETROL M 50MG TABLET safe to use in diabetic patients?

A: OLMETROL M 50MG TABLET may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before taking OLMETROL M 50MG TABLET as a precaution. Your doctor will closely monitor you blood sugar levels to avoid the risk of side effects.

Q: What are the side effects of OLMETROL M 50MG TABLET?

A: The most common side effects of taking this medicine are low blood pressure, slow or fast heart rate, cold hands and feet, headache, dizziness, nausea, diarrhoea, constipation, sore throat, cough, high blood cholesterol levels and swollen ankles. Consult your doctor if any of these side effect worsens.

Q: Can I stop taking OLMETROL M 50MG TABLET once my symptoms subside?

A: No. Do not stop taking OLMETROL M 50MG TABLET without consulting your doctor. As hypertension is a chronic condition, long term treatment may be necessary to control its symptoms. Therefore, take OLMETROL M 50MG TABLET as advised by your doctor for the stipulated duration. Premature discontinuation of therapy may increase your blood pressure once again.

Q: Can OLMETROL M 50MG TABLET be taken during pregnancy?

A: GBNKEYWORD] is not recommended for use in pregnant women as it may cause serious harm to the growing foetus. Therefore, inform your doctor before taking it. If you accidentally become pregnant while undergoing therapy with OLMETROL M 50MG TABLET, stop taking it and consult your doctor immediately.

Q: Is OLMETROL M 50MG TABLET safe to use in kidney disease?

A: OLMETROL M 50MG TABLET should be used with caution in patients with kidney problems. Your doctor will access your health condition and suggest a suitable dose for you.

Q: Can the use of OLMETROL M 50MG TABLET affect the liver?

A: Yes. OLMETROL M 50MG TABLET may affect the way your liver work. It can elevate the levels of certain liver enzymes in your body. Therefore, it is strictly not recommended for use in patients with severe liver diseases. It should be used with caution in patients with other minor liver problems. Consult your doctor before taking it.

REFERENCES

1. KD. Tripathi. Antiadrenergic Drugs (Adrenergic Receptor Antagonists) and Drugs for Glaucoma & Cardiovascular drugs. Antihypertensive Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 148 & 507.

2. Xiaoshen Zhang, Han Zhang, Yuxia Ma, Wenliang Che, and Michael R. Hamblin. Management of Hypertension Using Olmesartan Alone or in Combination. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. March 2017. [Accessed on 24th December 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446820/

3. XiaoLiang Cheng, Min Zhu, Qing Liu, Zhenxia Feng, and Yong Meng. Effectiveness of Metoprolol in Improving Cardiac and Motor Functions in Patients with Chronic Heart Failure: A Prospective Study. NIH.  National Library of Medicine, National center for biotechnology information. August 2020. [Accessed on 25th January 2023] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7457782/

4. Zentiva k.s. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on 25th January 2023] https://www.medicines.org.uk/emc/files/pil.12971.pdf

5. APL Swift Services (Malta) Limited. Electronic Medicines Compendium (EMC). [Revised in November 2020] [Accessed on 25th January 2023] https://www.medicines.org.uk/emc/files/pil.5199.pdf

6. Glenmark Pharmaceuticals Europe Limited. Electronic Medicines Compendium (EMC). [Revised in March 2022] [Accessed on 25th January 2023] https://www.medicines.org.uk/emc/files/pil.9886.pdf

7. Torrent Pharmaceuticals Ltd. Olsar-M. [Revised in June 2021]. [Accessed on 25th January 2023] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2965.pdf

8. Central Drugs Standard Control Organization. Metoprolol succinate ER 25mg+50mg + Olmesartan 20/20mg. July 2010. [Accessed on 25th January 2023] https://cdscoonline.gov.in/CDSCO/Drugs

9. Leeford Healthcare Pvt Ltd. Omnipress-M. [Accessed on 25th January 2023] https://www.leeford.in/product/1476/omnipres-m

USEFUL DIAGNOSTIC TESTS

• Kidney Function Test