INTRODUCTION
METOLAR contain Metoprolol which belongs to a group of medicine called beta-blockers. It is used to treat uneven heart beats (arrhythmias) after a heart attack (myocardial infarction). Arrhythmias is a condition where the heart beats with an irregular or abnormal rhythm.
METOLAR works by changing the way your body responds to some nerve impulses, especially in the heart. It slows down the heart rate and makes it easier for the heart to pump blood around your body. This medicine is strictly not recommended for use in children. Before taking this medicine tell your doctor if you have ever had kidney disease, heart disease, liver problems. Pregnant and breastfeeding women should consult their doctor before taking this medicine.
USES OF METOLAR
- Treat uneven heart beats (arrhythmias) after a heart attack (myocardial infarction)
HOW METOLAR WORKS
METOLAR works by changing the way your body responds to some nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for your heart to pump blood around your body.
DIRECTIONS FOR USE
METOLAR must be administered by a doctor or nurse. It will be given to you as an injection into your vein. Your doctor will decide the correct dose for you depending on your circumstances.
SIDE EFFECTS OF METOLAR
COMMON
- Feeling tired
- Slow pulse rate
- Pounding heartbeat
- Dizziness, headache
- Shortness of breath
- Nausea
- Stomach pain
- Diarrhoea or constipation
- Cold hands and feet
RARE
- Feeling anxious or nervous
- Disturbances of vision
- Dry or irritated eyes
- Uneven heartbeat
- Numbness and spasm in your fingers ((Raynaud’s disease)
- Allergic reactions include runny nose and red or watery eyes
- Dry mouth
- Hair thinning
- Impotence
- Liver problems
HOW TO MANAGE SIDE EFFECTS
Dizziness:
Get up and move around to feel awake, take small naps to edge off the sleepiness. Give your eyes a break to avoid fatigue and eat a healthy food to boost energy.
Headache:
Apply hot or cold-water bag on your head. Take rest in a quiet and dark room. Drink tea or coffee.
Nausea:
Keep try taking this medicine with, or just after, a meal or snack and stick to simple meals and do not eat rich or spicy food.
Stomach pain:
Try to rest and relax. Eat and drink slowly or have smaller and frequent meal. Applying heat pad or covered hot water bottle on your stomach. If still pain persists, speak to your doctor.
Constipation:
Take fibre rich foods such as fresh fruit, vegetables and cereals, and drink plenty of water. Exercise more regularly.
Dry mouth:
Chew sugar-free gum. Control caffeine intake. Do not use mouthwashes. Sip water regularly.
WARNING & PRECAUTIONS
PREGNANCY
METOLAR should be used with caution in pregnant women. Consult your doctor before taking this medicine.
BREASTFEEDING
METOLAR should be used with caution in breast feeding women. Consult your doctor before taking this medicine.
DRIVING AND USING MACHINES
Do not drive or operate any machine while taking this medicine as it may cause tiredness, dizziness.
ALCOHOL
Consumption of alcohol is not recommended during treatment with METOLAR.
KIDNEY
METOLAR should be used with caution in patients suffering from active kidney diseases. Consult your doctor for advice.
LIVER
METOLAR should be used with caution in patients suffering from liver function impairment or active liver diseases. Consult your doctor for advice.
ALLERGY
Do not take METOLAR if you are allergic (hypersensitive) to Metoprolol or any other ingredients in this medicine.
LUNGS
METOLAR should be used with caution in patients suffering from active lung diseases. Consult your doctor for advice.
HEART DISEASE
METOLAR should be used with caution in patients suffering from active heart diseases. Consult your doctor for advice.
OTHERS
Tell your doctor if you have or had a condition such as,
- Low blood pressure which may makes you feel faint
- Very poor circulation
- A tumour called phaeochromocytoma
- Metabolic acidosis
- Diabetes
- Thyrotoxicosis
- Psoriasis (a skin condition)
INTERACTIONS
Talk to your doctor if you are taking,
- Clonidine (used to treat high blood pressure or migraine)
- Medicines called Mono-Amine Oxidase Inhibitors (MAOIs)
- Medicines such as verapamil, diltiazem or nifedipine (used to treat high blood pressure or chest pain)
- Medicines such as quinidine, amiodarone, or digoxin (used to treat heart problems)
- Hydralazine (used to treat high blood pressure)
- Cimetidine (used to treat stomach ulcers)
- Antibiotic such as rifampicin (used to treat infection)
- Adrenaline, also known as epinephrine (used to stimulates the heart)
- Medicines such as indomethacin and celecoxib (used to treat pain, inflammation, and arthritis)
- Medicines for depression
- Phenothiazine (used to treat mental illness)
- Barbiturates (used for sedative)
- Antihistamines (used to treat hay fever and allergy)
- Beta-blocker such as timolol (used as eye drops)
- Insulin (used to treat diabetes)
- Lidocaine (used for local anaesthetic)
- Ergotamine (used to treat migraines)
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