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DELIVERY LOCATION
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Vivalol 25 MG Tablet XL

Manufacturer
Glenmark Pharmaceuticals Ltd.
Composition
Metoprolol
Prescription
Required
10 TABLET ( 10 / STRIP )
₹36.08
₹45.10
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Offers
Rs. 50 OFF
Auto applies at the time of payment
Use code: PRACTO & get 40% OFF
40% OFF = 25% OFF + 15% Cashback.
Valid on 1st order on prescription medicines only in September. *T&C apply.
10 TABLET ( 10 / STRIP )
₹36.08
₹45.10
(20% off)
Buy Now
Add to cart

Description

Vivalol 25 MG Tablet XL is used to reduce high blood pressure and relieve chest pain caused due to reduced blood flow to the heart. It is also used for treating other complications associated with the heart and blood vessels.

Uses of Vivalol 25 MG Tablet XL

What is it prescribed for?

  • Hypertension

    Vivalol 25 MG Tablet XL is used to reduce high blood pressure caused by genetic and/or environmental factors.

  • 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 a 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.

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
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.

Is it habit forming?

No habit-forming tendencies were reported.

Usage in pregnancy?

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Usage while breast-feeding?

This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the 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.
Betaone Xl 25 MG Tablet XL
Dr. Reddys Laboratories Ltd.
Metocard Xl 25 MG Tablet XL
Torrent Pharmaceuticals Ltd.
Metscore 25 MG Tablet XL
Zydus Cadila
Sms Xl 25 MG Tablet XL
Torrent Pharmaceuticals Ltd.
Vinicor Xl 25 MG Tablet XL
Ipca Laboratories Pvt. Ltd.

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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

    Oral forms: The missed dose of Vivalol 25 MG Tablet XL should be taken as soon as possible. It is advisable to skip the missed dose if it is already time for your next scheduled dose. Do not double the dose to make up for the missed one. Since Vivalol 25 MG Tablet XL injection is mostly administered by a healthcare professional in a clinical or hospital setting, the likelihood of missing a dose is very low.

  • Overdose

    Oral forms: Seek emergency medical attention or contact your doctor in case of an overdose with Vivalol 25 MG Tablet XL. Injection: Since this medicine is administered in the hospital or clinical setting by a qualified healthcare professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.

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

    - Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.

Interaction with Medicine

Disease interactions

  • Asthma

    severe
    Vivalol 25 MG Tablet XL should not be used in patients with a history of bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the incidence of Asthma to the doctor so that an appropriate alternative can be prescribed by the doctor.

  • 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 with diabetes or a condition where blood sugar level is likely to get low. It is advised to consult with a doctor if any symptom indicating a low blood sugar level is suspected while using this medicine.

  • Liver disease

    severe
    Vivalol 25 MG Tablet XL should be administered with caution in patients with impaired hepatic function. 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

  • Coadministration of multivitamin with minerals and this Vivalol 25 MG Tablet XL may decrease the effects of this medicine. Close monitoring of blood pressure and appropriate dose adjustments may be necessary in some cases based on the clinical condition. Your doctor may advise you to maintain an appropriate time gap between the consumption of multivitamin with minerals and this medicine to minimize their interaction.

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 use of this medication without consulting your doctor.

Warnings

Warnings for special population

  • Pregnancy

    - This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

  • Breast-feeding

    - This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

General warnings

  • Heart Failure

    - Vivalol 25 MG Tablet XL decreases cardiac function and reduced flow of blood especially in people having a heart disorder causing heart failure. 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

    - This medicine should be administered with extreme caution in patients suffering from pheochromocytoma, a condition which results in an excess of a substance that controls heartbeat and blood pressure. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

  • Bronchospastic Disease

    - This medicine should be administered with caution in patients with a disease of the lung or the airways leading to the lungs such as pneumonia, asthma, or chronic obstructive pulmonary disease. Close monitoring of lung function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

  • Diabetes and Hypoglycemia

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having elevated blood sugar levels.This medicine may mask certain symptoms of hypoglycemia which may cause serious adverse effects.

  • Thyrotoxicosis

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having elevated thyroid hormone levels. Some adverse effects may not be evident in these cases and abrupt stopping of this medicine may cause an abnormal rise in thyroid hormones.

  • Peripheral Vascular Diseases

    - Vivalol 25 MG Tablet XL should be administered with caution in patients having narrowed blood vessels in the body due to any underlying reason. Suitable dose adjustment and clinical 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

    - 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 certain specific sports events.

Other details

  • 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

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 15 May 2018

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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.