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Envamine M 50mg/5mg Tablet SR

Shinto Organics (P) Limited
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Rs.270for 1 strip(s) (10 tablet sr each)
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Composition FOR Envamine M

Metoprolol Succinate(50mg),Ramipril(5mg)

food interaction for Envamine M

alcohol interaction for Envamine M

pregnancy interaction for Envamine M

lactation interaction for Envamine M

food
alcohol
pregnancy
lactation
Envamine M 50mg/5mg Tablet SR is to be taken with food.
None
CAUTION
It is unsafe to consume alcohol with Envamine M 50mg/5mg Tablet SR.
UNSAFE
Envamine M 50mg/5mg Tablet SR 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.
CONSULT YOUR DOCTOR
Envamine M 50mg/5mg Tablet SR is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
SAFE IF PRESCRIBED

SALT INFORMATION FOR Envamine M

Metoprolol Succinate(50mg)

Uses

Metoprolol Succinate is used in the treatment of Hypertension (high blood pressure), Angina (heart-related chest pain), Arrhythmia, heart attack and migraine.

How it works

Metoprolol Succinate is a long-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.

Common side effects

Cold extremities, Headache, Dizziness, Slow heart rate, Rash, Depression, Diarrhea, Tiredness, Shortness of breath, Gastrointestinal disturbance, Hypotension (low blood pressure), Stroke, Chest pain, Confusion, Short-term memory loss, Sleepiness, Paresthesia (tingling or pricking sensation), Blurred vision, Sexual dysfunction, Ringing in ear, Hair loss, Agranulocytosis (deficiency of granulocytes in the blood), Dry eye, Worsening of psoriasis, Sweating, Photosensitivity, Taste change, Nightmares
Ramipril(5mg)

Uses

Ramipril is used in the treatment of Hypertension (high blood pressure), prevention of heart attack and stroke and Heart failure.

How it works

Ramipril is an angiotensin converting enzyme (ACE) inhibitor. It works by reducing stress on the heart and relaxing blood vessel so that blood flows more smoothly and the heart can pump blood more efficiently.

Common side effects

Dizziness, Drowsiness, Dry cough, Headache, Fatigue, Nausea, Vomiting, Decreased blood pressure

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Expert advice FOR Envamine M

  • Metoprolol Succinate lowers your blood pressure and makes it easier for your heart to pump blood around your body.
  • It may also be used to reduce the number and severity of angina attacks (chest pain caused by heart disease).
  • Metoprolol Succinate should be taken once a day regularly at the same time.
  • Lowering high blood pressure helps prevent stroke and heart attack.
  • Lifestyle changes like low-fat diet, exercise, and not smoking may help this medicine work better.
  • Do not stop taking Metoprolol Succinate suddenly as it can cause your blood pressure to rise suddenly, thereby increasing the risk of heart attack and stroke.
  • 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.

Frequently asked questions FOR Envamine M

Metoprolol Succinate

Q. How long does Metoprolol Succinate take to work?
The time taken by Metoprolol Succinate to start working varies from person to person. Usually, Metoprolol Succinate starts working within 15 minutes. However, in some patients, it may take up to 2 hours to start showing its beneficial effects. It starts acting slowly and the maximum or full effect is usually experienced within a span of 1 week. In case you do not feel any difference while taking Metoprolol Succinate, do not panic. The medicine exerts its beneficial effects when taken for a long time.
Q. Is taking Metoprolol Succinate dangerous?
Metoprolol Succinate is usually safe when taken as per the doctor’s prescription. This medicine exhibits dangerous effects if the medicine is stopped suddenly. Stopping the medicine suddenly can cause an abrupt increase in the heart rate and affect its activity, which can be dangerous for heart failure patients and can even lead to a heart attack in some patients. So, do not stop the medicine suddenly and take it for the prescribed duration.
Q. Does Metoprolol Succinate help you sleep better?
Metoprolol Succinate belongs to the beta-blockers class of medicine. Though their effect on sleep varies from person to person, it has been found that these medicines are known to alter the sleep pattern and disturb sleep in few patients. On the other hand, it has also been seen to promote better sleep in patients with increased heart rate and anxiety by calming down the heart and nerves. Do consult your doctor in case you have any sleep disturbances.
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Q. What should I do if I forget to take Metoprolol Succinate?
If you forget to take a dose of Metoprolol Succinate, then take it as soon as you remember it. However, if the time of your next dose is nearby, then skip the missed dose to avoid taking a double dose.
Q. Can I take alcohol after taking Metoprolol Succinate?
No, you should not consume alcohol after taking Metoprolol Succinate. Alcohol may increase the blood-pressure-lowering effects of this medicine and lead to low blood pressure.

Ramipril

Q. I have been diagnosed with heart failure and the doctor has prescribed me Ramipril. Why?
Ramipril belongs to the angiotensin-converting enzyme (ACE) inhibitor group of drugs. It relaxes and widens the blood vessels, making it easier for the blood to pass through the vessels. As a result of this, the heart does not have to work more to push the blood. Since the workload on the heart is reduced, it is beneficial in heart failure. Additionally, it is also used to lower blood pressure and prevent stroke.
Q. When can I expect my blood pressure to be normal after starting Ramipril?
Ramipril takes a few hours to reduce high blood pressure but since there are no symptoms, you will not notice any difference. It takes a few weeks for the blood pressure to get fully controlled. Do not stop taking the medicine. Keep taking it even if you feel better or if your blood pressure is normalized.
Q. Can Ramipril increase potassium levels? If yes, what should be done?
Ramipril may increase potassium levels in the blood, especially if you have uncontrolled diabetes mellitus, kidney problems, and dehydration. Potassium levels may also increase in patients using potassium salts or medicines which increase potassium levels or are aged more than 70 years of age. If you have any of these conditions and are using Ramipril, you need to be careful and get regular blood tests done to monitor potassium levels.
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Q. Ever since I started taking Ramipril, I noticed that I have developed a dry cough which is very irritating and is not relieved by any medicine. Why is it?
Ramipril commonly is responsible for dry cough which can be persistent and is not relieved by any medicine. Talk to your doctor if it bothers you or you have trouble sleeping, as another medicine may be better. Even if you stop taking Ramipril, the cough may take a few days to a month to go away.
Q. I accidentally took a 25 mg Ramipril tablet instead of one 5 mg. Will it have any harmful effects?
Yes, you may feel lightheaded, dizzy, your pulse may become slow and you may even faint. You should take the help of a relative or friend for an emergency or seek immediate medical support.
Q. I have diabetes. Does Ramipril have any effect on blood sugar levels?
Yes, Ramipril may have some effect on antidiabetic medicines and insulin and may lower your blood sugar levels. Therefore, you need to check your blood sugar levels regularly.
Q. I have been using Ramipril for blood pressure for some time, but now I have noticed that I often have a sore throat along with fever. I want to stop Ramipril and see if this goes, can I stop Ramipril?
No, you should not stop Ramipril suddenly as this may cause a sudden increase in your blood pressure which may be harmful to you. In addition to this, Ramipril can very rarely decrease your white blood cell count which is important to fight infections in your body. Consult your doctor and get a blood test done. If your white cell count is decreased, it could be due to Ramipril. Ask your doctor for alternative medicine for blood pressure. You can continue taking Ramipril if your investigations are normal.
Q. Is it safe to take Ramipril for a long time?
Yes, Ramipril is safe and works best if taken for a long time. But, taking Ramipril for a long time can sometimes affect the working of your kidneys. To keep track of this, your doctor will get regular blood tests done and check how well your kidneys are working.
Q. Can Ramipril affect my fertility?
There is no evidence that Ramipril has any effect on fertility in both men and women. However, if you are planning to get pregnant, talk to your doctor first because Ramipril is not recommended in pregnancy.
Q. Will there be any problem if I am taking Ramipril and I have surgery scheduled in a week?
Inform your doctor that you are taking Ramipril. Ramipril can reduce your blood pressure when it is used with a general anesthetic. Your doctor may advise you to stop taking it 24 hours before surgery.

Content on this page was last updated on 29 November, 2023, by Dr. Varun Gupta (MD Pharmacology)