Bigtel M 40mg/50mg Tablet ER is a medicine used for treating high blood pressure. By lowering blood pressure, it helps in preventing future heart attacks and strokes. Early treatment with this medicine also improves the chances of survival in patients with heart attacks.
It is advised to take Bigtel M 40mg/50mg 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 headache, weakness, dizziness, decreased blood pressure, increased potassium level in blood, orthostatic hypotension (occasionally with syncope), breathlessness, nausea, vomiting, abdominal pain, and fatigue. 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.
In Treatment of Hypertension (high blood pressure)
Hypertension or an increase in blood pressure occurs when the blood vessels that supply blood to your heart become narrow. As a result of this, blood cannot flow smoothly to the heart, heart rate increases and it fails to pump blood effectively to other parts of the body. This puts a strain on the heart that can cause a chest pain or even a heart attack. Bigtel M 40mg/50mg Tablet ER reduces pressure in the blood vessels. It relaxes the blood vessels so that blood can flow more easily to your heart. This reduces strain on the heart and slows down heart rate. This further reduces the risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.
Side effects of Bigtel M Tablet ER
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 Bigtel M
Headache
Weakness
Dizziness
Cold extremities
Slow heart rate
Increased potassium level in blood
Decreased blood pressure
Orthostatic hypotension (sudden lowering of blood pressure on standing)
Breathlessness
Vomiting
Abdominal pain
How to use Bigtel M Tablet ER
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. Bigtel M 40mg/50mg Tablet ER is to be taken with food.
How Bigtel M Tablet ER works
Bigtel M 40mg/50mg Tablet ER is a combination of two blood-pressure lowering medicines: Telmisartan and Metoprolol Succinate.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Bigtel M 40mg/50mg Tablet ER.
Pregnancy
CONSULT YOUR DOCTOR
Bigtel M 40mg/50mg Tablet ER is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Bigtel M 40mg/50mg Tablet ER is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Bigtel M 40mg/50mg Tablet ER may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Bigtel M 40mg/50mg Tablet ER is safe to use in patients with kidney disease. No dose adjustment of Bigtel M 40mg/50mg Tablet ER is recommended.
Liver
CAUTION
Bigtel M 40mg/50mg Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Bigtel M 40mg/50mg Tablet ER may be needed. Please consult your doctor.
What if you forget to take Bigtel M Tablet ER?
If you miss a dose of Bigtel M 40mg/50mg Tablet ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly.
I'm type 2 diabetic patient with hypertension, l am taking following medicines Tezloc 40 - OD Glimisave Max-1 forte. BBF Glimisave Max-2 forte Cd Rozavel -5. Hs My usual blood pressure -80/145 Usual Blood glucose levels :fasting -120 PP-180 Hba1c - 7.6 Pl suggest me whether I need any change in medicines etc. I'm taking Januvia-100 also
Dr. Nabajit Talukdar
Cardiology
seems ok basically need control of blood pressure and hypertension get an ecg n echo done
High blood sugar lavel. Gallstone. High blood pressure
Dr. Sanjay Bhatt
Physician
Need to proper investigate and examine. So plz consult doctor nearby.or you can consult me at snergy multiple speciality clinic RD CITY ,BALJEET COMPLEX NEAR SRS MARKET SECTOR 52 gurgaon 9XXXXXX .Advice to maintain calories intake as per weight ,regular walk or aerobic exercises ,on time take your medicines and once a month visit your diabetologist for routine examination and investigations. Will definitely controlled your sugar and u can live healthy life.
Need to proper investigate and examine. So plz consult doctor nearby.or you can consult me at snergy multiple speciality clinic RD CITY ,BALJEET COMPLEX NEAR SRS MARKET SECTOR 52 gurgaon 9XXXXXX .Advice to maintain calories intake as per weight ,regular walk or aerobic exercises ,on time take your medicines and once a month visit your diabetologist for routine examination and investigations. Will definitely controlled your sugar and u can live healthy life.
Can I feel dizzy after taking Bigtel M 40mg/50mg Tablet ER?
Yes, the use of Bigtel M 40mg/50mg Tablet ER Succinate can make you feel dizzy. This may occur when you suddenly rise up from lying or sitting position. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
What lifestyle changes should be made while using Bigtel M 40mg/50mg Tablet ER?
Making lifestyle changes can boost your health while taking Bigtel M 40mg/50mg Tablet ER Succinate. Stop smoking, as smoking increases your risk of having heart attack and stroke. If you are overweight or obese, try to lose weight. You should maintain a healthy diet by including fruits and vegetables in your meals. Regular exercise can make your heart strong and reduce your risk of heart attack.
Can I stop taking Bigtel M 40mg/50mg Tablet ER when I feel better?
No, keep using Bigtel M 40mg/50mg Tablet ER as advised by your doctor, even if you feel well. Stopping Bigtel M 40mg/50mg Tablet ER suddenly may lead to serious complications such as heart attack and stroke.
Are there any special instructions regarding storage and disposal of this medicine?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
Drugs.com. Metoprolol Succinate. [Accessed 11 Apr. 2019] (online) Available from:
Telmisartan and Metoprolol (ER) Tablets [Package Insert]. Bari Brahmana, Jammu: Ravenbhel Healthcare Pvt. Ltd.; 2016. [Accessed 28th Sept. 2023] (online) Available from:
Marketer details
Name: Sunberry Lifesciences Private Limited
Address: Plot No 13 Jai Gruh Nirman Santha,Somalwada Nagpur Nagpur Mh 440015 India
Country of origin: India
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