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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.
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Substitutes
List of substitutes for Vivalol 25 MG Tablet XL
Betaone Xl 25 MG Tablet XL
Dr. Reddys Laboratories Ltd.
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.
Prolomet Xl 25 MG Tablet XL
Sun Pharma Laboratories Ltd.
Side effects
Major & minor side effects for Vivalol 25 MG Tablet XL
- Chest pain and discomfort
- Decreased blood pressure
- Blurred vision
- Dizziness
- Slow heart beat
- Shortness of breath
- Nausea or vomiting
- Skin rash
Uses of Vivalol 25 MG Tablet XL
What is it prescribed for?
- Hypertension
- Angina Pectoris
- Heart Attack
- Congestive Heart Failure
- Hyperthyroidism
- Migraine Prevention
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Concerns
Commonly asked questions
- Onset of actionThe 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 effectThe effect lasts for 3 to 6 hours upon oral administration. This increases to 5 to 6 hours upon intravenous infusion.
- Safe with alcohol?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.
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).
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.
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.
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
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
Amlodipine
Diltiazem
Aminophylline
Ergotamine
Disease interactions
Asthma
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
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
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
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
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
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.
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.
Miscelleneous
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
Classification
Category
Cardioselective beta blockers
Schedule
Schedule H
[Internet]. 2017 [cited 6 March 2017]. Available from:
DailyMed - Metoprolol tartrate injection, solution [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 6 March 2017]. Available from:
Metoprolol Tartrate Tablets BP 50mg - Summary of Product Characteristics (SmPC) - (eMC) [Internet]. Medicines.org.uk. 2018 [cited 15 May 2018]. Available from:
Metoprolol: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2018 [cited 15 May 2018]. Available from:
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