Pregnancy Interaction

• Not safe to use during pregnancy, especially in the second and third trimesters (because to Telmisartan).
• Telmisartan may result in: – renal impairment in the fetus – diminished amniotic fluid – inadequate fetal development – cranial deformities in the fetus
• Metoprolol is safer, although it can change the baby's heart rate close to birth.
• If you get pregnant, stop taking the drug right away and call your doctor.
• Not suggested during breastfeeding because Metoprolol gets into breast milk.

Faq For Medicine

Q1: What is Telvas Beta 25 used for?
Used to lower blood pressure, control heart rate, and lower the risk of heart attack and stroke.

Q2. Is it okay to eat it?
Yes, you can take it with or without food.

Q3. Does it make your heart rate go down?
Yes. Metoprolol lowers the heart rate, which helps keep blood pressure in check and keeps the heart from getting too much work.

Q4. How long does it take to see results?
- Effect on heart rate: 1–2 hours.
- BP control: full effect in 2 to 4 weeks.

Q5. Is it okay to quit taking the medicine all at once?
No. Stopping suddenly could induce rebound hypertension or chest pain.

Q6: Can I drink alcohol while taking this pill?
Don't drink alcohol; it makes you feel dizzy and may lower your blood pressure too much.

Q7. Is it safe for people with asthma?
Be careful. Beta-blockers could make breathing difficulties worse.

Expert Advice

• Not safe during pregnancy; use a dependable form of birth control.
• Check your blood pressure, heart rate, and kidney function on a regular basis.
• You need to taper off your medication, so don't stop it all at once.
• To avoid getting dizzy, get up slowly from a sitting or reclining position.
• Unless your doctor tells you to, stay away from salt alternatives and foods high in potassium.
• Tell your doctor if you see:
• – heart rate that is very sluggish – trouble breathing – dizziness that doesn't go away – feet that swell – urination that is less frequent
• Keep making changes to your lifestyle, such eating less salt, exercising, and keeping your weight in check.

 Side Effects 

• Bradycardia, or a slow heart rate
• Feeling dizzy
• Tiredness
• Pain in the head
• Blood pressure is low
• Hands and feet that are cold
• Weakness
• Not as Common:
• Not being able to breathe
• Problems with sleep
• Stomach pain
• Depression (not very common)
• Serious (rare):
• Heart rate is really low.
• Passing out
• A very bad allergic reaction
• Heart failure getting worse
• If you get severe dizziness, trouble breathing, or chest pain, get help right once.

 How It Works

• Blocks angiotensin-II receptors, which makes blood arteries relax.
• Protects kidneys and lowers blood pressure.
• Beta-blocker Metoprolol Succinate
• Slows down the heart rate and makes the heart work less.
• Lessens the heart's need for oxygen.
• Helps keep angina and heart attacks from happening.
• Combined effect: lowers blood pressure and controls heart rate, which protects the heart and blood vessels very well.

Medicine Interaction

• Be careful with:
• ➤ Other drugs that lower blood pressure
• Danger of very low blood pressure.
• ➤ Drugs that reduce heart rate (Verapamil, Diltiazem, Digoxin)
• Can make your heart rate dangerously slow.
• ➤ Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and diclofenac
• Lower BP control and could hurt kidneys.
• ➤ Medicines for diabetes
• Metoprolol may hide the signs of low blood sugar.
• ➤ Potassium supplements and potassium-sparing diuretics
• Telmisartan can cause excessive potassium levels.
• ➤ Alcohol
• Makes you feel dizzy and lowers your blood pressure.

 How to use

• Take once a day or as directed.
• Keep the same time every day, preferably in the morning.
• Take the full thing without crushing it (Metoprolol is extended-release).
• If you forget a dosage: – Take it when you remember – Skip it if the next dose is soon – Do NOT take two doses

 Uses / Indications

• High blood pressure (hypertension)
• Chest pain (angina)
• Control of heart rate in heart problems
• Stopping heart attacks in people who are at high risk
• Hypertension in people requiring both blood pressure and heart rate management.