Metohexal 50mg Tablet
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Prescription Required
Overview
Metohexal 50mg Tablet contains metoprolol 50mg, a beta-1 selective (cardioselective) beta-blocker used to treat high blood pressure (hypertension), angina (chest pain from reduced blood flow to the heart), and certain heart rhythm problems, and to help manage stable chronic heart failure alongside other medicines.
Metoprolol selectively blocks beta-1 adrenergic receptors, found mainly in the heart, reducing the heart rate, the force of each heartbeat, and the release of renin (a hormone involved in blood pressure regulation). Together these effects lower blood pressure and reduce the heart’s oxygen demand.
How it Works
Metoprolol selectively blocks beta-1 adrenergic receptors, which are concentrated in heart tissue. By blocking these receptors, it slows the heart rate, reduces the force of contraction, and lowers renin release from the kidneys, which together decrease blood pressure and reduce the amount of oxygen the heart muscle needs to function.
Directions for Use
Take Metohexal 50mg Tablet with or immediately after food to help keep absorption consistent, at the same time(s) each day as your doctor has prescribed. Do not stop taking this medicine suddenly – abruptly stopping a beta-blocker can cause a rebound rise in blood pressure, worsening chest pain, or an abnormal heart rhythm; your doctor will reduce the dose gradually if it needs to be stopped.
Dosage
The usual starting dose of Metohexal 50mg Tablet for hypertension is around 50-100mg daily, which your doctor may adjust up to a maximum of about 200mg daily (often in divided doses) depending on your blood pressure or angina response. The exact dose for heart rhythm problems or heart failure is individualised by your doctor and usually started low with gradual adjustment.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Dizziness or light-headedness
- Tiredness or fatigue
- Slow heartbeat
- Cold hands or feet
- Nausea
- Depression or mood changes
- Shortness of breath
Contraindications
- Known hypersensitivity to metoprolol or other beta-blockers
- Severe bradycardia or significant heart block (2nd/3rd degree) without a pacemaker
- Decompensated (acutely worsening) heart failure
- Severe peripheral arterial circulation disorders
- Uncontrolled phaeochromocytoma
Drug / Food Interactions
- Verapamil or diltiazem (calcium channel blockers) combined with metoprolol can cause severe slowing of the heart rate or heart block
- Other blood pressure medicines may add to metoprolol’s blood-pressure-lowering effect
- NSAIDs (e.g. ibuprofen, diclofenac) may reduce metoprolol’s blood-pressure-lowering effect
- In people with diabetes, metoprolol may mask some warning signs of low blood sugar (such as a fast heartbeat) – monitor blood sugar closely
Quick Tips
- Never stop this medicine abruptly – your doctor will taper the dose down gradually if it needs to be discontinued
- Check your pulse and blood pressure periodically as advised by your doctor
- Rise slowly from sitting or lying down to reduce dizziness
- Tell any doctor, dentist, or surgeon that you are taking a beta-blocker before any procedure or surgery
- Take at the same time each day, with or after food, to build a consistent routine
Frequently Asked Questions
What is Metohexal 50mg Tablet used for?
Metohexal 50mg Tablet is used to treat high blood pressure, prevent angina attacks, help control certain fast heart rhythms, and support the management of stable chronic heart failure. Your doctor will confirm the specific reason it has been prescribed for you.
Why must I not stop this medicine suddenly?
Stopping a beta-blocker abruptly can cause a rebound increase in blood pressure, worsening chest pain, or an abnormal heart rhythm. If your doctor decides to stop this medicine, the dose will be reduced gradually over time.
Can I take this medicine if I have asthma?
Beta-blockers, including metoprolol, are generally used with caution in people with asthma or reactive airway disease, since even a cardioselective beta-blocker can affect the airways in some people. Discuss your respiratory history with your doctor before starting this medicine.
Will this medicine affect my exercise capacity or heart rate?
Metoprolol lowers resting and exercise heart rate as part of its intended effect. Some people notice reduced exercise tolerance initially; discuss any significant change in your ability to exercise with your doctor.
What should I do if I miss a dose of Metohexal 50mg Tablet?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue your regular schedule. Do not double the dose.
Can I buy Metohexal 50mg Tablet from DoctorOnCall?
Yes, Metohexal 50mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Metohexal 50mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Metohexal 50mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Metohexal 50mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Metohexal 50mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Metohexal 50mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Metoprolol tartrate 50mg
Safety Advice
Pregnancy
This medicine should be used cautiously during pregnancy. Monitoring may be required.
Breastfeeding
Use with caution. Monitor infant for potential adverse reactions.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Medical Review
