Pregnancy Interaction

• Not allowed at all during pregnancy.
• Telmisartan can seriously hurt a fetus, especially in the second and third trimesters. It can damage the kidneys, lower the amount of amniotic fluid, cause birth problems, or even kill the fetus.
• Metoprolol may slow down the heart rate of the fetus and influence its growth.
• If you get pregnant while taking this pill, stop taking it right once and see a doctor.
• Not suggested while breastfeeding since metoprolol can go into breast milk and make babies' hearts beat slowly or their blood sugar levels low.

Faq For Medicine

Q1. What does Tsart M 40/50 mg do?

It is used to treat excessive blood pressure, palpitations, chest pain, and problems with the heart.

Q2. When will I notice the change?

BP starts to go down in 1–3 hours and is fully gone in 1–2 weeks.

Q3. Is it okay to discontinue taking this tablet once my blood pressure is normal?

No. Stopping suddenly might produce a severe spike in blood pressure, a fast heartbeat, or chest pain.

Q4. Is this medicine safe for people with diabetes?

Yes, but metoprolol can hide the signs of low blood sugar, so you need to check your blood sugar levels often.

Q5. Will this make you fatigued or slow down your heart rate?

Yes, metoprolol can make you tired, dizzy, or have a sluggish heart beat (bradycardia).

Q6. Is it safe for those with asthma?

Be careful when using it. Beta-blockers may make it harder to breathe.

Q7. Is it okay to drink beer while taking this medicine?

Stay away from alcohol because it might severely drop your blood pressure and make you feel dizzy.

Expert Advice

• Check your heart rate and blood pressure often.
• You should take the medicine at the same time every day, preferably in the morning.
• Stay away from foods that are high in potassium, such bananas and coconut water, unless your doctor tells you to.
• Don't just stop taking the medicine; only do so with your doctor's advice.
• Stay away from NSAIDs like Diclofenac and Ibuprofen since they make it harder to control your blood pressure.
• Be careful when driving or using equipment because you can feel dizzy.
• Tell your doctor if you have diabetes, asthma, heart block, thyroid problems, or renal illness.
• Not safe to use when pregnant or nursing.

Side Effects

• Common Side Effects:
• Bradycardia, or a slow heartbeat
• Feeling dizzy
• Tiredness
• Pain in the head
• Hands and feet that are cold
• Feeling sick
• Feeling lightheaded
• Low blood pressure
• Weakness
• Rare but serious side effects:
• Blood pressure drops a lot
• Hard to breathe
• Heart failure getting worse
• Pain in the chest
• Changes in mood or depression
• A lot of potassium
• Problems with the kidneys
• Fainting
• If you are very dizzy, faint, have a very sluggish heartbeat, or chest pain, you should go to the doctor very once.

 How It Works

• Telmisartan (40 mg)
• This is an Angiotensin II Receptor Blocker (ARB).
• Keeps blood vessels from getting tighter so they can relax.
• It lowers blood pressure and keeps the heart, kidneys, and blood vessels safe.
• 50 mg of Metoprolol Succinate
• A beta-blocker.
• Slows down the heart rate and makes the heart work less.
• Keeps cardiac problems from happening and stops palpitations.
• Together:
• They help keep blood pressure in check, lessen the strain on the heart, and protect the cardiovascular system by preventing stroke and heart attack.

Medicine Interaction

• Drug Interactions:
• Calcium channel blockers (Amlodipine, Diltiazem) might make your heart pulse very slowly.
• NSAIDs (such ibuprofen and diclofenac) make it less effective.
• Potassium supplements and potassium-sparing diuretics can raise potassium levels.
• Diuretics (water pills) can lower blood pressure.
• Anti-diabetic drugs, including metoprolol, may hide signs of low blood sugar.
• Amiodarone and Sotalol are anti-arrhythmics.
• Clonidine: Don't stop taking it all at once.
• Alcohol makes you feel dizzy and lowers your blood pressure.
• Interactions between diseases:
• Asthma and COPD
• Blockage in the heart
• Failure of the heart
• Liver or kidney problems
• Problems with the thyroid
• Diabetes
• Sadness
• Low blood pressure

 How to Use

• Take one pill per day or as directed.
• You can take it with or without food.
• Do not crumble or chew; just swallow whole.
• Every day, take it at the same time.
• If you forget to take a dose, take it as soon as you recall, but not if it's almost time for the next dose.
• For the best blood pressure control, keep up long-term therapy.

 Uses / indications

• High blood pressure (hypertension)
• Control of heart rate
• Stopping strokes
• Stopping heart attacks
• BP not managed with monotherapy
• Palpitations
• Stable angina
• Protecting the heart and blood vessels in people with diabetes and high blood pressure