Metopil R 50mg/5mg Tablet ER

Metopil R 50mg/5mg Tablet ER is a medicine used for treating high blood pressure. By lowering the blood pressure, it helps in preventing future heart attack and stroke. Early treatment with this medicine also improves chances of survival in patients of heart attack.

It is advised to take Metopil R 50mg/5mg Tablet ER with food at a fixed time each day to maintain consistent levels of medicine in the blood. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor's advice while taking this medicine.

Some common side effects of this medicine include nausea, dry cough, headache, weakness, decreased blood pressure, and increased potassium level in blood. It is advised to avoid potassium rich food and supplements while taking this medicine. It may cause dizziness, avoid driving or rise slowly from the sitting position. You may be asked for regular monitoring of blood pressure, blood sugar level, kidney functioning, urea, or electrolytes level during the treatment.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions.

• Hypertension (high blood pressure)

Hypertension (high blood pressure)
Metopil R 50mg/5mg Tablet ER relaxes the blood vessels so that blood can flow more easily around your body. It also blocks the effects of some chemicals on your heart and blood vessels. This slows down your heart rate and helps the heart beat with less force. As a result, your blood pressure is lowered and this helps in reducing your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective, so keep taking it even if you feel well. Do not stop without talking to your doctor.

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Montana R

• Nausea
• Taste change
• Vomiting
• Diarrhea
• Constipation
• Cough
• Dizziness
• Weakness
• Headache
• Cold extremities
• Slow heart rate
• Numbness of extremity
• Increased potassium level in blood
• Decreased blood pressure

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Metopil R 50mg/5mg Tablet ER is to be taken with food.

Metopil R 50mg/5mg Tablet ER is a combination of two medicines: Metoprolol and ramipril which lower blood pressure effectively. Metoprolol is a beta blocker which works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body. Ramipril is an ACE inhibitor which reduces stress on the heart and relaxes blood vessel so that blood flows more smoothly.

• You have been prescribed Metopil R 50mg/5mg Tablet ER for the treatment of high blood pressure.
• Metopil R 50mg/5mg Tablet ER may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
• To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
• It may cause the level of potassium in blood to go up. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
• Do not take it during pregnancy or breastfeeding. Tell your doctor if you become pregnant while taking this medication.
• Do not stop taking the medication suddenly without talking to your doctor as it can cause a sudden increase in your blood pressure.

Metoprolol Succinate+Ramipril. Verna, Goa: Sanofi India Limited. [Accessed 11 Apr. 2019] (online) Available from:

Metoprolol succinate. Södertälje, Sweden: AstraZeneca AB; 1992 [revised 2010]. [Accessed 11 Apr. 2019] (online) Available from:

Ramipril. New York, New York: Pfizer, Inc.; 1991 [revised Sep. 2013]. [Accessed 11 Apr. 2019] (online) Available from: