Tolol -XR 25 Tablet (Metoprolol Succinate)

Tolol -XR 25 Tablet

TOLOL XR 25 MG TABLET is a heart medicine that contains Metoprolol. It is used to treat hypertension (high blood pressure), angina pectoris (chest pain caused when your heart muscle does not get enough oxygen-rich blood), and arrhythmia (irregular heartbeat). TOLOL XR 25 MG TABLET helps in preventing heart attack (a blockage of blood flow to the heart muscle) and stroke (damage to the brain from interruption of its blood supply). TOLOL XR 25 MG TABLET works by reducing the rate and force of the contractions of your heart. Thus it decreases high blood pressure.

TOLOL XR 25 MG TABLET may cause side effects like headache, breathing difficulty, low blood pressure, etc. Consult your doctor if these symptoms persist for a longer time. This medicine may also cause dizziness or drowsiness. Avoid driving vehicles or operating machines after taking this medicine. Do not take TOLOL XR 25 MG TABLET if you are allergic to it.

TOLOL XR 25 MG TABLET should be taken with food or immediately after food. For the ease of remembering, take this medicine around the same time every day. Do not stop taking this medicine without consulting your doctor.

TOLOL XR 25 MG TABLET may interact with other medicines. Hence, inform your doctor about your complete medical history including medical conditions if any. Inform your doctor if you are pregnant, planning a pregnancy, or are breastfeeding before taking TOLOL XR 25 MG TABLET. This medicine is not recommended for use in children below 6 years of age.

Substitutes

List of substitutes for TOLOL XR 25 MG TABLET
Angibloc 25 MG Tablet ER
Alkem Laboratories Ltd.
Metox 25 MG Tablet ER
Wockhardt Ltd.
Wokprol 25 MG Tablet ER
Wockhardt Ltd.
STARCAD-B 25 TABLET
Lupin Ltd.

Side effects

Major & minor side effects for TOLOL XR 25 MG TABLET
Blurred vision
Dizziness
Shortness of breath
Nausea or vomiting
Cough
Fever and chills
Breathing difficulty
Dark urine
Unusual tiredness or weakness
Yellow eyes and skin
Headache
Low blood pressure

Uses of TOLOL XR 25 MG TABLET

What is it prescribed for?
Hypertension
Hypertension is a condition in which your blood pressure is very high. TOLOL XR 25 MG TABLET reduces your blood pressure by widening the blood vessels and improves the heart rate.
Angina pectoris
Angina pectoris is chest pain or discomfort due to reduced blood flow to your heart. It occurs when the blood vessels are narrowed or blocked. TOLOL XR 25 MG TABLET causes blood vessels to relax resulting in an improved blood flow to your heart and treats Angina.
Cardiac arrhythmias
Cardiac arrhythmia is a condition where your heartbeats are irregular. TOLOL XR 25 MG TABLET slows down the activity of your heart allowing your heart to beat slower and less forcefully. Therefore it is used to treat heart rhythm problems.

Dosage

Tolol -XR 12.5 Tablet
Tolol -XR 25 Tablet
Tolol -XR 50 Tablet
Tolol AM 25mg Tablet
Tolol H 50mg Tablet

When not to use?

Allergy
Avoid taking TOLOL XR 25 MG TABLET if you are allergic to it. Seek immediate medical attention if you notice any symptoms of allergic reactions such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.
Second or third-degree heart block
Heart block is a condition that occurs when the signals that control your heart are slowed down. Heart block is of three stages named as first, second, or third-degree. First-degree heart block is the least severe, second-degree heart block is severe and can often progress to third-degree heart block, the most severe form. TOLOL XR 25 MG TABLET is not recommended to treat second or third-degree heart block that requires emergency attention.
Severe bradycardia
Bradycardia or slow heart rate occurs when your heart beats less than 60 times per minute. TOLOL XR 25 MG TABLET is not recommended to treat a slow heart rate.

Warnings

Warnings for special population
Pregnancy
TOLOL XR 25 MG TABLET is not recommended for use during pregnancy. Consult your doctor before taking this medicine.
Breast-feeding
TOLOL XR 25 MG TABLET is safe to use during breastfeeding. It passes into breast milk in very low levels that are not expected to cause any side effects in breastfed infants. However, consult your doctor before taking this medicine.
General warnings
Major surgery
Use TOLOL XR 25 MG TABLET with caution if you are planning to undergo major surgery.
Sports
Athletes are advised not to indulge in certain sports while using TOLOL XR 25 MG TABLET. Archery, racing, shooting, and other high-risk sports should be avoided. If you are actively involved in sports, you are advised to refer to the list of medicines published by the World Anti-Doping Agency (WADA) that are not to be taken while participating in certain sports events.
Use in children
TOLOL XR 25 MG TABLET is not recommended for use in children and adolescents below 6 years of age since the safety and efficacy of its use are not clinically established.
Driving or operating machines
TOLOL XR 25 MG TABLET may cause dizziness and fatigue in some people. Do not drive vehicles or operate machines after taking this medicine.

Dosage

Missed Dose
Do not skip any dose of TOLOL XR 25 MG TABLET. If you forget to take a dose of TOLOL XR 25 MG TABLET, take it as soon as you remember. If it is time for the next dose, skip the missed dose. Do not take two doses together to make up for a forgotten dose.
Overdose
Never take more than the prescribed dose. If you suspect that you might have taken an overdose of TOLOL XR 25 MG TABLET, seek immediate medical attention.

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 Alcohol
Description
N/A
Instructions
Avoid drinking alcohol while you are on treatment with TOLOL XR 25 MG TABLET because it can lower the blood pressure drastically.
Interaction with Medicine
Amlodipine
Aminophylline
Diltiazem
Disease interactions
Asthma/ COPD
Use TOLOL XR 25 MG TABLET with caution if you have a respiratory condition such as asthma (a condition in which a person’s airways become inflamed, narrow and swell and produce extra mucus, which makes it difficult to breathe) or chronic obstructive pulmonary disease (COPD; a group of lung diseases that block airflow and make it difficult to breathe). TOLOL XR 25 MG TABLET can cause shortness of breath and also worsen other respiratory symptoms.
Diabetes
TOLOL XR 25 MG TABLET can mask the symptoms of low blood sugar if you have diabetes. Your doctor may suggest tests to monitor your blood sugar levels while on treatment with this medicine.
Liver disease
TOLOL XR 25 MG TABLET should be used with extreme caution if you have a liver problem. This medicine breaks down in your liver and is excreted through urine. Using this medicine while you have pre-existing liver troubles can further worsen your condition.
Glaucoma
Glaucoma or high eye pressure occurs when the nerve connecting the eye to the brain is damaged. Take TOLOL XR 25 MG TABLET with caution if you have such a condition as it may increase the risk of mydriasis (a condition in which the pupil of the eye gets widened due to increased eye pressure).
Hyperlipidaemia
Hyperlipidaemia is a condition in which there are high levels of fat or cholesterol in the blood. TOLOL XR 25 MG TABLET can increase the cholesterol levels in your blood. Hence use TOLOL XR 25 MG TABLET with caution.
Food interactions
Multivitamins with minerals may reduce the effectiveness of TOLOL XR 25 MG TABLET when used together. Take TOLOL XR 25 MG TABLET 2 hours before taking multivitamins with minerals.
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

TOLOL XR 25 MG TABLET is used to treat high blood pressure and heart problems. Take TOLOL XR 25 MG TABLET with food or immediately after food.

Never take more than the prescribed dose. Take TOLOL XR 25 MG TABLET at around the same time daily.

Appropriate lifestyle changes like low-fat diet, exercise, and smoking cessation should be done along with this medicine to get the best possible effect.

TOLOL XR 25 MG TABLET may cause dizziness. Avoid driving vehicles or operating machines after taking this medicine.

Do not break or crush TOLOL XR 25 MG TABLET in your mouth.