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Vivalol 25 MG Tablet XL

Manufactured by: Glenmark Pharmaceuticals Ltd.
Composition: Metoprolol
Prescription Required: Yes
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Description

Vivalol 25 MG Tablet XL is a beta blocker medicine that is used for the lowering of high blood pressure and relieving chest pain caused due to reduced blood flow to the heart. It is also used for treating other complications associated with heart and blood vessels.

Side effects

Major & minor side effects for Vivalol 25 MG Tablet XL

  • Chest pain and discomfortsevere
  • Decreased blood pressuresevere
  • Blurred visionsevere
  • Dizzinesssevere
  • Slow heart beatsevere
  • Shortness of breathsevere
  • Nausea or vomiting
  • Skin rash
SEVERE
Contact your doctor immediately if any of these symptoms are experienced on a regular basis.
RARE
Observed in a small fraction of population.
This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.

Highlights

Commonly asked questions for Vivalol 25 MG Tablet XL

Onset of action

The effect of Metoprolol (primary constituent of Vivalol 25 MG Tablet XL) can be observed within an hour of oral administration. When given in the form of an intravenous infusion, the action starts in 20 minutes.

Duration of effect

The effect lasts for 3 to 6 hours upon oral administration. This increases to 5 to 6 hours upon intravenous infusion.

Safe with alcohol?

moderate
Use of alcohol should be avoided while taking Vivalol 25 MG Tablet XL especially when you start taking the medicine or a change its dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.

Is it habit forming?

No habit forming tendencies were reported.

Usage in pregnancy?

This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.

Usage while breast-feeding?

This medicine has not known to cause any alarming side effects on the infant as the amount passed through milk is very less. However, caution should be exercised and the medicine be used only when the potential benefits outweigh the risks associated. Consult your doctor before taking this medicine.

Substitutes

List of substitutes for Vivalol 25 MG Tablet XL

Below is the list of medicines, which have the same composition, strength and form as Vivalol 25 MG Tablet XL, and hence can be used as its substitute.
Bpmet Xl 25 MG Tablet XL
Emcure Pharmaceuticals Ltd.
Met Xl 25 MG Tablet XL
Ajanta Pharma Ltd.
Myoprol Xl 25 MG Tablet XL
Aristo Pharmaceuticals Pvt. Ltd.
Revelol Xl 25 MG Tablet XL
Ipca Laboratories Pvt. Ltd.
Seloken 25 MG Tablet XL
Astra Zeneca Pharma India Ltd.

What is it prescribed for?

Uses of Vivalol 25 MG Tablet XL

  • Hypertension

    Vivalol 25 MG Tablet XL is used for lowering high blood pressure.

  • Angina Pectoris

    Vivalol 25 MG Tablet XL is used for relieving long term chest pain caused due to reduced blood flow to the heart.

  • Heart Attack

    Vivalol 25 MG Tablet XL is used during the early stages of treatment of heart attack.

  • Congestive Heart Failure

    Vivalol 25 MG Tablet XL is used for the management of a heart condition where the blood is pumped in less than normal quantities.

  • Hyperthyroidism

    Vivalol 25 MG Tablet XL is used with other medications to relieve certain symptoms of Hyperthyroidism.

  • Migraine Prevention

    Vivalol 25 MG Tablet XL is sometimes used to prevent and relieve migraine related headaches.

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When not to use?

Contraindications of Vivalol 25 MG Tablet XL

  • Allergy

    Vivalol 25 MG Tablet XL is not recommended for people who have a known history of allergy to this medication or any other medicines belonging to the group Beta Blockers. (Eg: Atenolol, Labetalol etc).

  • Heart diseases

    Vivalol 25 MG Tablet XL is not recommended for people who have serious heart problems like heart block, Sick Sinus Syndrome etc.

  • Circulatory disorders

    Vivalol 25 MG Tablet XL is not recommended for people who have a severe blood circulation related disease.

  • Heart Failure

    Vivalol 25 MG Tablet XL is not recommended for use in patients who have severe heart failure and are getting emergency attention.

  • Heart rhythm disorders

    Vivalol 25 MG Tablet XL is not recommended for people having slow heart rate i.e (Bradycardia).

Dosage

  • Missed Dose

    Take the missed dose as soon as you remember. However, the missed dose can be skipped if it is almost time for the next scheduled dose.

  • Overdose

    An overdose of this medication can cause some serious effects on the heart, blood vessels, and nerve conduction. Report the incidence as soon as possible so that medical intervention can begin. Supportive measures like Gastric lavage and symptomatic treatment might be required based on severity.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcoholmoderate

  • Description

    - Using alcohol while taking Vivalol 25 MG Tablet XL may cause an additional lowering of the blood pressure. This may result in some very severe complication over time.

  • Instructions

    - Use of alcohol should be avoided while taking Vivalol 25 MG Tablet XL especially when you start taking the medicine or a change its dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.

Interaction with Medicine

Disease interactions

  • Asthma

    severe
    Vivalol 25 MG Tablet XL should not be used in patients suffering from bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the incidence of Asthma to your doctor so that Vivalol 25 MG Tablet XL can be substituted with another medication.

  • Heart Block

    severe
    Vivalol 25 MG Tablet XL should not be used in patients having a heart block greater than first degree. However, it can be used in this case if a pacemaker is present to correct the disorder.

  • Diabetes

    severe
    Vivalol 25 MG Tablet XL should be administered with caution in patients suffering from diabetes or a condition where blood sugar level is likely to get low. You should consult a doctor if any symptom indicating a lowered blood sugar level is suspected while using this medicine.

  • Liver disease

    severe
    Vivalol 25 MG Tablet XL should be administered with caution in patients having a liver disease. Suitable dose adjustment and safety monitoring are advised in such cases.

  • Glaucoma

    moderate
    Vivalol 25 MG Tablet XL should be administered with caution in a patient suffering from Glaucoma. A change in the dose of current Glaucoma medicine may be required. In some cases, your doctor may advise the use of another medicine in place of a beta blocker.

  • High cholesterol and fat

    moderate
    Vivalol 25 MG Tablet XL should be administered with caution in a patient having high levels of cholesterol and fats in their body. Suitable dose adjustment and safety monitoring may be required in such cases.

Food interactions

  • Vivalol 25 MG Tablet XL should be used with caution if you are taking vitamin and mineral supplement. Report the usage of supplements to the doctor so that dose adjustments and safety monitoring can be done. There should be a gap of at least 2 hours between the consumption of these two medicines.

Lab interactions

  • Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take Vivalol 25 MG Tablet XL as instructed by the doctor. The dosage is likely to change based on your response to the medicine. It is advised to take this medicine at the same time of the day. The blood pressure should be monitored at regular intervals to ensure that the response at given dose is appropriate. Do not start or discontinue the usage of any other medication without consulting your doctor.

Warnings

Warnings for special population

  • Pregnancy

    - This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.

  • Breast-feeding

    - This medicine has not known to cause any alarming side effects on the infant as the amount passed through milk is very less. However, caution should be exercised and the medicine be used only when the potential benefits outweigh the risks associated. Consult your doctor before taking this medicine.

General warnings

  • Heart Failure

    - Vivalol 25 MG Tablet XL can cause heart failure and reduced flow of blood to the especially in people having a heart disease. Suitable dose adjustment and safety monitoring might be required based on the severity of the disease.

  • Ischemic Heart Disease

    - Vivalol 25 MG Tablet XL should not be discontinued abruptly in patients with Ischemic heart disease. The dosage should be gradually reduced over a period of 1 to 2 weeks

  • Major surgery

    - Vivalol 25 MG Tablet XL should be given with caution to patients who are going to have a major surgery done. The dose should be very carefully monitored in such cases both before and after the surgical procedure.

  • Pheochromocytoma

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having this condition which results in an excess of substance that controls heart beat, blood pressure etc. Suitable medicine combinations is to be given in order to counter the effects.

  • Bronchospastic Disease

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having a disease of the lung or the airways leading to the lung. It can be Pneumonia, Asthma or Chronic Obstructive Pulmonary Disease. Suitable dose adjustment and safety monitoring are necessary in such cases.

  • Diabetes and Hypoglycemia

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having elevated blood sugar levels. Some adverse effects may not be evident in these cases and hence doctor's intervention is a must before taking this medicine.

  • Thyrotoxicosis

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having elevated thyroid hormone level. Some adverse effects may not be evident in these cases and hence doctor's intervention is a must before taking this medicine.

  • Peripheral Vascular Disease

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having narrowed blood vessels in the body due to any underlying reason. Dose adjustment and safety monitoring might be required in such cases.

  • Other Medicines

    - Report the use of any other medicine including nutritional supplements that you are taking to the doctor.

  • Sports

    - It is advised to not indulge in certain sports while Vivalol 25 MG Tablet XL is consumed. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of medicine published by World Anti-Doping Agency which is not to be taken while participating in specific sports events.

Other details

  • Food timings: Information not available
  • Administration time: Information not available
  • Sleep inducing: Information not available

How it works

This medicine works by relaxing the blood vessels and slowing the heart beat. This results in an improved blood flow to the heart and blood pressure is lowered.

Legal Status

Approved
Approved
Approved
Approved

Classification

Category
Cardioselective beta blockers
Schedule
Schedule H

References

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Information on this page was last updated on 13 Mar 2017

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Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.