Pregnancy Interaction

• Telmisartan is not safe to take during pregnancy, especially in the second and third trimesters.
• Telmisartan may result in: – renal impairment in the fetus – decreased amniotic fluid – restricted fetal growth – cranial development abnormalities
• - fetal death (rare but possible)
• Metoprolol may make the fetal heart rate drop close to delivery.
• If you get pregnant, stop taking the pill right once and talk to your doctor.
• Not safe to use when breastfeeding because Metoprolol gets into breast milk.

Faq For Medicine

Q1.What is Telvas Beta 50 used for?
To lower blood pressure, control heart rate, avoid angina, and stop heart attacks.

Q2. Will it make my heart rate go down?
Yes. Metoprolol lowers the heart rate to make the heart work less hard.

Q3. When will it start to work?
Effect on heart rate: 1–2 hours
Blood pressure control: it will work fully in 2 to 4 weeks.

Q4. Is it okay to eat with it?
Yes, with or without food.

Q5. Can I stop taking it when my blood pressure is normal?
No. Stopping suddenly can induce arrhythmia, chest pain, or rebound hypertension.

Q6. Does it make you feel dizzy?
Yes, dizziness is typical, especially in the first several days.

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

Expert Advice

• Don't use when pregnant; make sure you use the right birth control.
• Check your heart rate and blood pressure often.
• Do not stop taking the medicine all at once; the dose must be slowly lowered.
• Don't use salt substitutes (which are high in potassium) unless you have to.
• To avoid getting dizzy, get up carefully from sitting or lying down.
• Report: – heart rate very slow – hard to breathe – severe dizziness – feet swelling – less urine output
• Eat less sodium, work out, and keep your weight in check.

 Side Effects

• Heart rate that is slow
• Tiredness
• Feeling dizzy
• Pain in the head
• Cold hands and feet
• Blood pressure that is too low
• Not as common:
• Breathlessness
• Problems with sleep
• Depression (not very common)
• Pain in the stomach
• Very serious (rare):
• Heart rate that is very sluggish (bradycardia)
• Episodes of fainting
• Bad allergic response
• Heart failure getting worse
• If you have severe dizziness, chest discomfort, trouble breathing, or fainting, get treatment right away.

 How It Works

• Angiotensin-II receptors are blocked, which makes blood arteries relax.
• Lowers blood pressure and protects the heart and kidneys.
• Metoprolol Succinate (Beta-blocker, ER)
• Slows down the heart rate and makes the heart work less.
• Lowers the risk of heart attack and angina.
• Helps keep blood pressure in control.
• Combined effect: ✔ Strong BP drop ✔ Heart rate regulation ✔ Less strain on the heart ✔ Long-term protection for the heart and blood vessels

Medicine Interaction

• Be careful when using with:
• ➤ Other medications that reduce BP
• Danger of very low blood pressure.
• >>> Drugs that reduce heart rate
• Taking Verapamil, Diltiazem, or Digoxin can make your heart rate dangerously slow.
• ➤ NSAIDs (Ibuprofen, Diclofenac)
• Less control over blood pressure and more strain on the kidneys.
• ➤ Medications for diabetes
• Metoprolol might hide signs of low blood sugar, such as heart palpitations.
• ➤ Potassium supplements and potassium-sparing diuretics
• Telmisartan can cause excessive potassium levels.
• ➤ Alcohol
• Makes you feel dizzy and lowers your blood pressure when you stand up.

How to Use

• Take once a day or as directed.
• Keep the same time every day.
• Do not crush or break Metoprolol; it is an extended-release drug.
• If you forget to take a dose, do the following: – Take it when you remember – Skip it if the next dose is close – DO NOT take two doses.

 Uses / Indications

• High blood pressure (hypertension)
• Pain in the chest (angina)
• Keeping your heart rate in check
• Stopping heart attacks in people who are at high risk
• Controlling blood pressure in people who need dual-action therapy (blood pressure and heart rate)