Tolol H 50mg Tablet (Metoprolol Succinate 50mg / Hydrochlorothiazide 12.5mg)

Description

Tolol H (12.5/50 mg) Tablet is a combination medicine used for the treatment of high blood pressure. Frequent monitoring of blood pressure and electrolytes level is necessary during treatment with this medicine.

Side effects

Major & minor side effects for Tolol H (12.5/50 mg) Tablet
Increased urination
Abdominal and stomach pain
Dry mouth
Joint pain, stiffness, and swelling
Cramping
Chest pain and discomfort
Decreased blood pressure
Blurred vision
Dizziness
Slow heart beat
Shortness of breath
Nausea or vomiting
Skin rash

Uses of Tolol H (12.5/50 mg) Tablet

What is it prescribed for?
Hypertension
This medicine is used in the treatment of high blood pressure which may be caused by genetic or environmental factors.

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to hydrochlorothiazide, other sulfonamides, metoprolol, other beta-blockers, or any other inactive ingredients present along with these medicines.
Anuria
This medicine is not recommended for use in patients with anuria, a condition where the kidney is unable to produce urine.
Heart diseases
This medicine is not recommended for use in patients with heart diseases such as a heart block, sinus bradycardia, heart failure, cardiogenic shock, or sick sinus syndrome since it may worsen the patient’s condition.
Circulatory disorders
This medicine is not recommended for use in patients with circulatory disorders due to the increased risk of severe adverse effects.

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Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women except in life-threatening conditions. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
General warnings
Volume and electrolyte depletion
This medicine may alter the blood volume and electrolyte levels in some patients. This may cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in patients suffering from kidney and liver diseases. Close monitoring of blood pressure and electrolyte levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Renal diseases
This medicine may cause Azotemia in patients with a known history of severe renal diseases. Close monitoring of kidney function is necessary while taking this medicine. Replacement with a suitable alternative may be required based on the clinical condition.
Major surgery
This medicine should be used with extreme caution in patients undergoing a major surgery due to the increased risk of severe adverse effects. Close monitoring of heart function is recommended for such patients.
Hyperthyroidism
This medicine should be administered with caution in patients suffering from hyperthyroidism since it may mask some of the patient’s symptoms. Report any unusual symptoms to the doctor immediately. You may require a dose adjustment and more frequent clinical monitoring to safely use this medicine. Do not stop the use of this medicine without consulting your doctor.
Peripheral Vascular Disease
This medicine should be used with caution in patients suffering from peripheral vascular diseases since it may worsen the patient’s condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Sports
Athletes are advised not to indulge in certain sports while using this medicine. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of medicines published by World Anti-Doping Agency (WADA) which are not to be taken while participating in specific sports events.
Ischemic heart disease
This medicine should not be discontinued abruptly in patients suffering from ischemic heart disease since abrupt discontinuation may worsen the patient’s condition. The dosage should be reduced gradually over a period of 1 to 2 weeks along with close monitoring of heart function before discontinuation of therapy.

Dosage

Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

General Instructions
Take this medicine exactly as advised by your doctor. Do not take in larger amounts than prescribed. It is advised to take this medicine at daytime to prevent sleep disturbance. Drink an adequate amount of water. Monitoring of kidney function and electrolytes levels is necessary while taking this medicine. Report any adverse effects to the doctor on priority. Do not stop the use of this medicine without consulting your doctor.