Starpress R XL 25 Tablet 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 Starpress R XL 25 Tablet 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.
Starpress R XL 25 Tablet 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.
Side effects of Starpress R 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 Starpress 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
How to use Starpress R 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. Starpress R XL 25 Tablet is to be taken with food.
How Starpress R Tablet ER works
Starpress R XL 25 Tablet 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.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Starpress R XL 25 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Starpress R XL 25 Tablet 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
Starpress R XL 25 Tablet 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
Starpress R XL 25 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Starpress R XL 25 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Starpress R XL 25 Tablet may be needed. Please consult your doctor. Regular monitoring of blood pressure is recommended for dose adjustment.
Liver
CAUTION
Starpress R XL 25 Tablet should be used with caution in patients with liver disease. Dose adjustment of Starpress R XL 25 Tablet may be needed. Please consult your doctor. Inform your doctor if you develop any signs and symptoms of jaundice while taking this medicine.
What if you forget to take Starpress R Tablet ER?
If you miss a dose of Starpress R XL 25 Tablet, 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.
You have been prescribed Starpress R XL 25 Tablet for the treatment of high blood pressure.
Starpress R XL 25 Tablet 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.
Fact Box
Habit Forming
No
Therapeutic Class
CARDIAC
Patient concerns
I have blood pressure since three years. I use to take starpress xl 25 tab (metaprolol) I feel bit increase in BP.(150)should I change medicine.what lifestyle should I prefer .?
i was facing dizziness and palpitations and i was diagnosed with BAV. I am at present taking Starpress xl 25 once in a day. Lots of side effects. I want to try discontinuing the tablet and become normal. I am thinking of taking starpress xl 12.5 for few days and then come out of the medication. Please suggest what can be done
I have BP problem for that I am taking starpress xl 50 mg and izit tl .and in facing frequent urination
Dr. Priyanka Shekhar
General Practitioner
Frequent urination - probably you have urinary tract infectionContinue tablet of BPGet regularly checking you BPKindly consult doctor for the antibiotics
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.
Sir,ipast 5 years I take,olmax H,starpress XL 25 mg,and autocare 5 mg continue,if I want consultant doctor or continue same tablets,its effect bad thing in my health
Dr. Pushkar Mani
Physician
U should consult a good cardiologist in town also do visit opthalmologist for regular eye checkup
I had done by pass surgery 3crafts before 2 years now morning i take Clopitab a 150mg & starpress XL 25mg night I take tonact 10 mg This tablets how long I take
Dr. Nabajit Talukdar
Cardiology
Long term can change clopitab a to ecosprin 150 mg .
i am suffering with B.P but now and then swelling my face , foot at joint, early morning,now i use followin medicine telcadh40 & starpress xl am . creatine 0.9, no sugar. what is better option, please see my 2d eco report this is my consultation report
Dr. Pushkar Mani
Physician
no way u taking this much anti hypertensivethere is 4 group f medicine prescribed to ujust take STARPRESS AM XL 50 TABLET once daily for 1 week and let me know ur BP status , monitor from 4rth day in evening and in morning make a note with date and time and share with usCBC, ESR, Urine RE & CS, Hba1c, Blood sugar (fasting & PP), Lipid profile, KFT, LFT, Thyroid profile, eGFR
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.
Ramipril. New York, New York: Pfizer, Inc.; 1991 [revised Sep. 2013]. [Accessed 11 Apr. 2019] (online) Available from:
Ramipril & Metoprolol Succinate ER. Verna, Goa: Sanofi India Limited; 2021. [Accessed 28th Sept. 2023] (online) Available from:
Marketer details
Name: Lupin Ltd
Address: 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
Country of origin: India Expires on or after: August, 2025
A licensed vendor partner from your nearest location will deliver Starpress R XL 25 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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Email ID:[email protected] Phone Number: 0124-4166666 Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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