Topme-XL 25mg Tablet belongs to a group of medicines called beta-blockers. It is used to treat high blood pressure (hypertension), angina (heart-related chest pain), irregular heart rhythms (arrhythmia). It also helps to prevent future heart attacks and stroke and to prevent migraines.

Topme-XL 25mg Tablet is also used to relieve the symptoms caused by an overactive thyroid gland. It may be prescribed alone or together with other medications. The dose and frequency depend on what you are taking it for and the severity of your condition. It may be taken empty stomach or with a meal, but take it regularly at the same time each day to get the most benefit. It may take several weeks before you get the full benefit of this medicine and you may need to take it for the rest of your life. However, it is important to continue taking it even if you feel well. Most people with high blood pressure do not feel ill and if you stop taking it, your condition may worsen.
The main side effects of this medicine are sudden lowering of blood pressure, slow heart rate, headache, feeling dizzy, and nausea. These are usually mild and short-lived. It may also cause shortness of breath or low blood pressure in some people. To reduce the risk of side effects your doctor will probably start the medicine at a low dose and gradually increase it. Consult your doctor if the side effects bother you or do not go away.
Before taking it, let your doctor know if you have any liver problems. It may also not be suitable for people who have a slow heart rate, severe circulation problems, severe heart failure, or low blood pressure. Pregnant or breastfeeding mothers should also consult their doctor before taking it. You must talk to your doctor to find out whether this medicine is suitable for you to use. You should have your blood pressure checked regularly to make sure that this medicine is working properly. Avoid drinking alcohol as it may increase certain side effects.

Uses of Topme Tablet ER

Benefits of Topme Tablet ER

In Treatment of Angina (heart-related chest pain)

Topme-XL 25mg Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively.

In Treatment of Arrhythmia

Topme-XL 25mg Tablet is used to stabilize heart rhythms (particularly atrial fibrillation). It helps in normalizing an abnormal heart rhythm, preventing it from occurring in the first place, or slowing down the heart rate during an episode.

In Prevention of Heart attack

Topme-XL 25mg Tablet helps lower your blood pressure and make it easier for your heart to pump blood around your body. This reduces the chances of you having a heart attack. It can also reduce the risk of dying if it is given immediately after a heart attack. 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.

In Treatment of Hypertension (high blood pressure)

Topme-XL 25mg Tablet belongs to a group of medicine called long-acting beta-blocker. It works by blocking the effects of some chemicals on your heart and blood vessels. It slows down your heart rate and helps the heartbeat with less force. This lowers your blood pressure and 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.

In Prevention of Migraine

Topme-XL 25mg Tablet helps change electrical activity in the brain, reduce the flow of blood in your brain, or increase activity in a region of the brain associated with migraines. By preventing and reducing the frequency of migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life.

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Side effects of Topme 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 Topme

Orthostatic hypotension (sudden lowering of blood pressure on standing)
Slow heart rate
Headache
Dizziness
Tiredness
Stomach pain
Nausea
Breathlessness

How to use Topme 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. Topme-XL 25mg Tablet is to be taken with food.

How Topme Tablet ER works

Topme-XL 25mg Tablet is a short-acting beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Topme-XL 25mg Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Topme-XL 25mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Topme-XL 25mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

CONSULT YOUR DOCTOR

It is not known whether Topme-XL 25mg Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

Kidney

SAFE IF PRESCRIBED

Topme-XL 25mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Topme-XL 25mg Tablet is recommended.

Liver

SAFE IF PRESCRIBED

Topme-XL 25mg Tablet is safe to use in patients with liver disease. No dose adjustment of Topme-XL 25mg Tablet is recommended.

What if you forget to take Topme Tablet ER?

If you miss a dose of Topme-XL 25mg 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.

Topme-XL 25mg Tablet

₹4.45/Tablet ER

Metorica 25 Tablet ER

Medirica Lifescience

₹3.95/tablet er

11% cheaper

Bolomet XR 25 Tablet

Liras Pharmaceutical LLP

₹3.82/tablet er

14% cheaper

Hi Blonet 25mg Tablet ER

Rajat Care LLP

₹3.77/tablet er

15% cheaper

Madratol 25mg Tablet ER

Syntonic Lifesciences

₹4.44/tablet er

same price

Metwin XL 25 Tablet

Concur Pharmaceuticals Pvt.Ltd

₹4.37/tablet er

2% cheaper

Quick tips

It may cause dizziness. If this happens to you, get up slowly when rising from a sitting or lying position.
It can hide symptoms of low blood sugar if you are diabetic. Monitor your blood sugar levels regularly.
Do not stop taking Topme-XL 25mg Tablet suddenly as it can cause your blood pressure to rise suddenly, thereby increasing the risk of heart attack and stroke.

Fact Box

Chemical Class

Alcohol & phenols

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Beta blocker- Cardioselective

Patient concerns

What is heart attack? When heart attack coming?

Dr. Nabajit Talukdar

Cardiology

Related to chest pain angina commonly

I am having pain in left side of the chest also in left arm is it related to heart attack what can be done get relief ??

Dr. Manju Singh

Homeopathy

Please consult to your nearest doctor for blood pressure examination. then let me know.

Diabetes with heart paining and high BLood pressure

Dr. Sanjay Bhatt

Physician

It is not good control. A person can control his or her sugar levels by doing regular exercise and walk or regular aerobic exercises at least 30 to 45 minutes per day.MEDICAL NUTRITIONAL THERAPY THAT IS TO MAINTAIN CALORIES INTAKE AS PER BMI .TAKE HELP OF DIABETIC EDUCATOR. VISIT YOUR DOCTOR AND FOLLOW ALL WHAT DOCTOR SUGGESTED.IN TIME ALL ROUTINE INVESTIGATIONS SHOULD BE DONE.you should not treat it as disease but a start of a healthy life.Uncontrolled sugar levels for long time leads to lower limb weakness which is neuropathy and which is followed by foot ulcers and other complications like kidney or heart problems .online prescription is not allowed without seeing pt.so contact doctor nearby for any change or dose adjustment or visit my clinic at gurgaon sector 52 RdCity snergy multi speciality clinic near SRS MARKET

FAQs

What is the difference between Metoprolol Succinate and Topme-XL 25mg Tablet?

Metoprolol Succinate is an extended-release form of Metoprolol. This means it is released into your body slowly and only needs to be taken once a day. Topme-XL 25mg Tablet, on the other hand, is available as an immediate-release tablet. It doesn’t stay in your body as long as Metoprolol Succinate does. Hence, multiple doses in a day may be required.

Is Topme-XL 25mg Tablet effective?

Topme-XL 25mg Tablet is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Topme-XL 25mg Tablet too early, the symptoms may return or worsen.

Which is better, Topme-XL 25mg Tablet or Metoprolol Succinate?

Topme-XL 25mg Tablet and Metoprolol Succinate are both effective depending on the condition being treated. Metoprolol Succinate is more effective for treating heart failure. Metoprolol Succinate may also be less likely to cause some side effects as compared to Topme-XL 25mg Tablet.

What if I forget to take a dose of Topme-XL 25mg Tablet?

If you have missed a dose of Topme-XL 25mg Tablet, take it as soon as you remember it. However, if it is almost time for your next dose, take it in the regular schedule instead of taking the missed dose. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.

Can I take alcohol while on treatment with Topme-XL 25mg Tablet?

No, you should not take alcohol while on treatment with Topme-XL 25mg Tablet. Drinking alcohol while taking Topme-XL 25mg Tablet may increase the risk of drowsiness and dizziness. Therefore , it is generally not recommended to use Topme-XL 25mg Tablet with alcohol. However, you may consult your doctor if you have any concerns regarding the same.

Can you switch from Topme-XL 25mg Tablet to Metoprolol Succinate?

Yes, in some cases, Topme-XL 25mg Tablet may be switched to Metoprolol Succinate. Metoprolol Succinate may be preferred for its once-daily dosing. Consult a doctor to determine your treatment options when switching medications to know what suits you best and to get maximum benefit.

When should you not take Topme-XL 25mg Tablet?

Topme-XL 25mg Tablet should not be taken if you experience very low heart rates, low blood pressure, or severe heart failure. It is important to discuss your medical history with a doctor to determine if you should be on Topme-XL 25mg Tablet or not.

What should I avoid while taking Topme-XL 25mg Tablet?

Alcohol and certain medications should be avoided while taking Topme-XL 25mg Tablet. Some medications including calcium channel blockers, certain antidepressants, and those processed in a similar way as Topme-XL 25mg Tablet may increase the risk of adverse effects with Topme-XL 25mg Tablet.

Can I use Topme-XL 25mg Tablet in pregnancy?

No, Topme-XL 25mg Tablet should not be used in pregnancy. It may be used during pregnancy if the benefits clearly outweigh the risks. Not enough studies have been done to show that these medications are 100% safe during pregnancy. Consult a doctor if you are planning a baby, pregnant or breastfeeding to avoid any harmful effects on the baby.

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Disclaimer:

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.

References

Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 182.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 904-905.
Metoprolol tartrate [Prescribing Information]. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2008. [Accessed 20 Feb. 2024] (online) Available from:

Marketer details

Name: Johnlee Pharmaceuticals Pvt Ltd

Address: 42/44, Babu Genu Road, Shop No. 06, 2nd Floor, Om Shanti Co-op Housing Society, Kalbadevi Road, Mumbai-400002. (India)

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.