Hydrochlorothiazide + Metoprolol Succinate

Dosage forms available

• Hydrochlorothiazide + Metoprolol Succinate is available in the form of oral tablets.

Age and dose restrictions

• This medicine is primarily intended for use by adult patients.

Contraindications

• Hydrochlorothiazide + Metoprolol Succinate is contraindicated in patients with known hypersensitivity to either component or sulfa medicines.

• It should not be used in patients with cardiogenic shock, severe bradycardia, heart block, decompensated heart failure, anuria, sick sinus syndrome without a pacemaker, and untreated pheochromocytoma.

Other medications to avoid

• Hydrochlorothiazide + Metoprolol Succinate may interact with other antihypertensives or diuretics (such as furosemide), insulin or oral diabetes medicines (such as metformin), NSAIDs (like ibuprofen or naproxen), lithium, digoxin, cholestyramine or colestipol, rifampin, and medicines metabolised by CYP2D6 enzymes (like fluoxetine).

Overdose and missed dose

• An overdose of this medicine may lead to severe symptoms such as slow heartbeat and difficulty breathing. In case of suspected overdose, seek immediate medical attention.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Management of side effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Drinking plenty of fluids can help manage increased urination caused by this medication.

• Rising slowly from sitting or lying positions can help manage dizziness.

Use in driving and operating machinery

• Hydrochlorothiazide + Metoprolol Succinate may cause dizziness, making it unsafe to drive or operate heavy machinery. If you experience these side effects, avoid these activities.

Use in pregnancy and lactation

• Hydrochlorothiazide + Metoprolol Succinate should be used with caution during pregnancy and is not recommended during breastfeeding unless the benefits outweigh the risks. It's crucial to consult your doctor before using this medicine if you are pregnant or breastfeeding.

Caution in other conditions

• Patients with a history of heart, liver, kidney disease, diabetes, thyroid disorders, circulation problems, bronchospastic diseases, or gout should take caution while taking Hydrochlorothiazide + Metoprolol Succinate.

Special dietary and lifestyle recommendations

• Maintain a diet rich in potassium as Hydrochlorothiazide can cause low potassium levels.

• Limit alcohol intake as it can worsen dizziness.

• Continue with regular blood pressure monitoring.

• Avoid prolonged exposure to sunlight as Hydrochlorothiazide can make you more sensitive to it. Wear sunscreen and protective clothing when outdoors.