Starpress-H XL 25mg 10 Tablets

babies: nil. lactating mothers: the medication is secreted in milk in minute amounts.
use with caution. pregnancy: consult your doctor and use with caution.
driving: it may cause dizziness. use medication with caution.
alcohol: it may cause dizziness and drowsiness. so, use medication with caution.
kidney: hydrochlorothiazide and metoprolol succinate tablet should be used with caution in patients with kidney disease. you may require a dosage adjustment and regular monitoring of kidney function.
seek a doctor’s advice before using this medication. liver: hydrochlorothiazide and metoprolol succinate tablet should be used with caution in patients with liver disease.
you may require a dosage adjustment and regular monitoring of liver function. seek a doctor’s advice before using this medication.
hydrochlorothiazide and metoprolol succinate tablets are not recommended in severe liver disease..

Bradycardia Cold extremities Constipation Depression Diarrhea Dizziness Dyspnea Fatigue Headache Heart failure Hypokalemia Hypotension Nausea Pruritus Wheezing Anorexia Epigastric distress Phototoxicity Bronchospasm.

STARPRESS H XL tablet is a combination of two medicines. metoprolol succinate is a beta-blocker that works specifically on the heart to lower heart rate and improve heart efficiency in pumping blood throughout the body.
hydrochlorothiazide is a diuretic that lowers blood pressure by flushing the body of excess water and electrolytes. it also relaxes blood vessels and improves blood flow over time..

If you miss a dose, take STARPRESS H XL as soon as possible. If it is near the time of the next dose, then skip the missed dose.
Take the prescribed dose on your regular time daily. Don't double the dose to catch up with the missed dose..

• STARPRESS H XL need to be taken as directed by your physician • stopping hydrochlorothiazide and metoprolol succinate abruptly can cause your blood pressure to spike, increasing your risk of a heart attack or stroke. • if you have diabetes, it can mask symptoms of low blood sugar.
routinely monitor your blood sugar levels. • do not abruptly discontinue the medication without first consulting your doctor, as this can increase your blood pressure • dehydration may occur when taking metoprolol succinate and hydrochlorothiazide.
consume plenty of fluids and notify your doctor if you experience extreme thirst, muscle weakness, or a very dry mouth.

contraindicated • hydrochlorothiazide and metoprolol succinate + dofetilide: concurrent use leads to increased risk of cardiotoxicity decreasing renal clearance of dofetilide serious • hydrochlorothiazide and metoprolol succinate + aceclofenac: concurrent use leads to increase or decreased diuretic effectiveness and possible nephrotoxicity • hydrochlorothiazide and metoprolol succinate + acetyldigoxin: concurrent use leads to digitalis toxicity due to diuretic induce hypokalemia and hypomagnesemia enhances na-k-atpase inhibition by cardiac glycosides monitor closely • hydrochlorothiazide and metoprolol succinate + acarbose: concurrent use leads to increased risk of hypoglycemia, and increased insulin requirement • hydrochlorothiazide and metoprolol succinate + acemetacin: concurrent use leads to increased blood pressure due to decreased production of renal prostaglandins .