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Metonce H 25/12.5 Tablet

Manufactured byMSN LABORATORIES LTD
ContainsHydrochlorothiazide (12.5 mg) + Metoprolol (25 mg)
Description
Metonce H 25/12.5 Tablet is a combination of Hydrochlorothiazide and Metoprolol. It is used for the treatment of high blood pressure when a single medicine is not effective. It helps in reducing the risk of future heart complications such as heart attack (blockage of heart muscles due to the formation of plaques) and stroke (brain damage that occurs when the blood flow to a part of the brain is reduced or interrupted). Metonce H 25/12.5 Tablet helps in relaxing the blood vessels, thereby controlling high blood pressure. Metonce H 25/12.5 Tablet may cause common side effects such as dizziness, drowsiness, nausea/vomiting, slow heart rate, fatigue, diarrhoea/constipation, etc. Consult your doctor if these symptoms persist or worsen. Metonce H 25/12.5 Tablet can be taken with or without food. For ease of remembering, take it around the same time every day. Avoid taking more or less than the recommended dose. You may have to take this medicine for the long-term depending on your condition. Do not stop taking this medicine unless your doctor advises you to do so. Metonce H 25/12.5 Tablet should be avoided if you are allergic to it. Inform your doctor if you have a history of diabetes or pre-existing lung, liver, kidney, or heart problems before beginning treatment with this medicine. Close evaluation with respect to your current medicines is necessary to avoid any undesired effects. If you are pregnant, breastfeeding, or are planning a pregnancy consult your doctor before taking this medication.

Side effects

Major & minor side effects for Metonce H 25/12.5 Tablet

  • Nausea or Vomiting
  • Diarrhoea or Constipation
  • Dry mouth
  • Stomach pain
  • Flatulence (Passing of gas)
  • Heartburn
  • Dizziness
  • Drowsiness
  • Headache
  • Tinnitus (ringing in the ears)
  • Tiredness
  • Fatigue
  • Shortness of breath
  • Slow heart rate

Uses of Metonce H 25/12.5 Tablet

What is it prescribed for?

  • Hypertension
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    Metonce H 25/12.5 Tablet shows its effect within two hours after intake.
  • How long do the effects of this medicine last?
    Metonce H 25/12.5 Tablet remains active in your body for an approximate duration of three days after intake.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with Metonce H 25/12.5 Tablet due to the increased risk of low blood pressure. Inform your doctor if you experience any symptoms of headache, dizziness, lightheadedness, fainting, changes in your pulse or heart rate.
  • Is this a habit forming medicine?
    No habit-forming tendencies have been reported with Metonce H 25/12.5 Tablet.
  • Can this medicine be taken during pregnancy?
    Metonce H 25/12.5 Tablet is not recommended during pregnancy unless necessary. If you are pregnant, consult your doctor.
  • Can this medicine be taken while breast-feeding?
    Metonce H 25/12.5 Tablet passes into breastmilk and may cause side effects in your breastfed infant. If you are breastfeeding, consult your doctor.

Allergy

Avoid Metonce H 25/12.5 Tablet if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.

Anuria

Anuria is a condition in which your kidneys are unable to produce urine due to a loss of kidney function. Since Metonce H 25/12.5 Tablet works by increasing your urine output, the effectiveness of this medicine is reduced if you have anuria. Hence this medicine is not recommended if you have this condition.

Heart diseases

Metonce H 25/12.5 Tablet is not recommended if you have a history of severe heart problems such as sinus bradycardia (slow heart rate), sick sinus syndrome (a condition that may result in irregular heartbeats), decompensated heart failure, and cardiogenic shock (conditions where your heart is unable to supply enough blood to your body), blocked blood vessels, as this medicine may worsen your condition.
Warnings for special population

Pregnancy

Metonce H 25/12.5 Tablet is not recommended during pregnancy unless necessary. If you are pregnant, consult your doctor.

Breast-feeding

Metonce H 25/12.5 Tablet passes into breastmilk and may cause side effects in your breastfed infant. If you are breastfeeding, consult your doctor.
General warnings

Abrupt withdrawal

Abrupt withdrawal of Metonce H 25/12.5 Tablet may affect your blood pressure control and may worsen your symptoms. Do not discontinue the use of this medicine without consulting your doctor.

Surgery

Use of Metonce H 25/12.5 Tablet before undergoing surgery may increase your risk of bradycardia (slow heart rate), hypotension (low blood pressure), stroke (damage to your brain resulting from reduced/blocked blood supply). Hence treatment with this medicine should be informed to your doctor before scheduling surgery.

Sports

Metonce H 25/12.5 Tablet is a combination of Hydrochlorothiazide and Metoprolol, both of which are prohibited for use while participating in certain sports. Hence, it is recommended for sportspersons to refer to the list of medicines published by the World Anti-Doping Agency to get information about the prohibited substances.

Other medicines

Metonce H 25/12.5 Tablet may interact with other medicines and may cause undesired side effects. Inform your doctor about your current medicines including any herbs or supplements before taking this medicine.

Driving or Operating machines

Metonce H 25/12.5 Tablet may cause drowsiness and dizziness. Do not drive or operate machines if you experience any symptoms that may affect your mental alertness.

Peripheral vascular disease

Metonce H 25/12.5 Tablet should be used with caution if you have blood circulation disorders like peripheral vascular disease (a condition with narrowing of your blood vessels, resulting in reduced blood flow to your limbs) as it may worsen your condition.

Missed Dose

Try not to skip a dose of Metonce H 25/12.5 Tablet. Take the missed dose as soon as you remember. If it is time for your next dose, skip the missed one. Do not double the dose to compensate for a missed one.

Overdose

Do not take more than the prescribed dose. Contact your doctor if you suspect an overdose with Metonce H 25/12.5 Tablet.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with Metonce H 25/12.5 Tablet due to the increased risk of low blood pressure. Inform your doctor if you experience any symptoms of headache, dizziness, lightheadedness, fainting, changes in your pulse or heart rate.
Interaction with Medicine

Olanzapine

Antidiabetic medicines

Levodopa

Alprazolam

Laxatives

Amphotericin B

Amitriptyline

Hydroxyzine

Disease interactions

Diabetes

Metonce H 25/12.5 Tablet should be used with caution if you have diabetes (increased blood sugar levels), as this medicine may alter the blood sugar levels. Monitor your blood sugar levels regularly while you taking this medication.

Hyperuricaemia

Metonce H 25/12.5 Tablet may decrease the excretion of uric acid from the body and increase the risk of hyperuricaemia (increased uric acid in the blood). Hence this medicine should be used with caution if you have a history of gout (swelling and pain due to the accumulation of uric acid in the joints) or kidney problems.

Liver Disease

Metonce H 25/12.5 Tablet should be used with caution if you have liver problems, as this medicine may further worsen your condition. Your doctor may suggest tests to monitor your liver function while on treatment with this medicine. If you notice any symptoms of jaundice like yellow discolouration of your skin, eyes, and nails or light, clay-coloured stools, abdominal pain, fever, chills, etc., inform your doctor immediately.

Glaucoma

Glaucoma is a condition in which your intraocular pressure (fluid pressure inside your eyeballs) is abnormally high which can lead to optic nerve damage and eventual loss of your vision. Metonce H 25/12.5 Tablet should be used with caution if you have glaucoma due to the increased risk of worsening your condition.

Hyperlipidaemia

Hyperlipidaemia is a condition with high blood lipid (cholesterol/fat) levels. Metonce H 25/12.5 Tablet may further increase your blood cholesterol levels and should be used with caution if you have hyperlipidaemia.

Electrolyte abnormalities

Metonce H 25/12.5 Tablet is commonly associated with loss of electrolytes (potassium, sodium, chloride, bicarbonate, magnesium), which may increase your risk of arrhythmia (irregular heartbeat) and heart attack. Inform your doctor if you experience any signs and symptoms of fluid or electrolyte imbalance such as dryness in your mouth, thirst, weakness, drowsiness, restlessness, muscle cramps, low blood pressure, decreased urine output, irregular heartbeat, nausea, vomiting, etc. Your fluid and electrolyte abnormalities need to be corrected before beginning treatment, and blood pressure needs to be monitored periodically.

Systemic Lupus Erythematosus

Systemic Lupus Erythematosus is a condition in which your body's immune system attacks your tissues and organs. Symptoms may include skin rash, fever, fatigue, joint pain, etc. Metonce H 25/12.5 Tablet should be used with caution if you have this condition as this medicine may worsen your symptoms.

Kidney Disease

Metonce H 25/12.5 Tablet should be used with caution if you have pre-existing kidney problems due to its reduced effectiveness. Since this medicine is eliminated by kidneys it may also increase your risk of severe side effects, resulting from the accumulation of this medicine in your body.

Myasthenia Gravis

Myasthenia gravis is a condition that causes weakness in your skeletal muscles (the muscles your body uses for movement). Metonce H 25/12.5 Tablet should be used with caution if you have this condition as it may worsen your symptoms and cause severe muscle weakness.

Pheochromocytoma

Pheochromocytoma is a condition with a non-cancerous tumour in your adrenal glands (glands located above your kidneys), which results in high blood pressure. Metonce H 25/12.5 Tablet when given alone in this condition may further increase your blood pressure. Inform your doctor before starting treatment with this medicine. Your doctor may prescribe additional anti-hypertensive medicines to help control your high blood pressure.

Psoriasis

Psoriasis is a chronic (long-term) skin condition that causes a skin rash with red, itchy, scaly patches. Metonce H 25/12.5 Tablet should be used with caution if you have this condition as it may worsen your skin rash.

Lung disease

Metonce H 25/12.5 Tablet should be taken with caution if you have pre-existing lung problems such as asthma, chronic obstructive pulmonary disease (a condition with swollen air sacs, resulting in breathing difficulties) as it may worsen your breathing problems.
Food interactions
Multivitamins and mineral supplements may reduce the effectiveness of Metonce H 25/12.5 Tablet when taken together. It is recommended to take these two medications with a gap of at least two hours.
Lab interactions
Information not available.
Take Metonce H 25/12.5 Tablet with or without food. Do not take more or less than the prescribed dose. Do not stop the use of this medicine without consulting your doctor as it may worsen your condition. Metonce H 25/12.5 Tablet may cause an imbalance of electrolytes in your body. Periodic monitoring of your electrolyte levels is recommended. Metonce H 25/12.5 Tablet may alter your blood sugar levels. It is recommended to regularly monitor your blood sugar levels. Avoid alcohol consumption while on treatment with Metonce H 25/12.5 Tablet as it may affect your blood pressure. Do not drive or operate machines if you experience any symptoms that may affect your alertness after taking Metonce H 25/12.5 Tablet.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Metonce H 25/12.5 Tablet is a combination of Hydrochlorothiazide and Metoprolol. Hydrochlorothiazide inhibits the reabsorption of sodium and chloride in your kidneys and promotes the loss of water from your body. Metoprolol relaxes your blood vessels and reduces your heart rate, promoting a smooth flow of blood. This combination is thus effective in lowering your elevated blood pressure.
Legal Status

Approved

Approved

Unknown

Unknown

Classification

Category

Antihypertensive combinations, Beta blockers with thiazides

Schedule

Schedule H

Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 9 November 2021].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/021956s004lbl.pdf>

Accessdata.fda.gov. 2021. [online] Available at: < [Accessed 9 November 2021].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021956s003lbl.pdf>

Drugs, H., 2021. Metoprolol: MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: < [Accessed 9 November 2021].

https://medlineplus.gov/druginfo/meds/a682864.html>

Drugs, H., 2021. Hydrochlorothiazide: MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: < [Accessed 9 November 2021].

https://medlineplus.gov/druginfo/meds/a682571.html>
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Information on this page was last updated on 15 Feb 2023

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