Metwin XL 25 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.

It is a beta blocker

Uses of Metwin Tablet ER

Benefits of Metwin Tablet ER

In Treatment of Hypertension (high blood pressure)

Metwin XL 25 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 Treatment of Angina

Metwin XL 25 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 Addison's disease

Metwin XL 25 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 Migraine

Metwin XL 25 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 Metwin 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 Metwin

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

How to use Metwin 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. Metwin XL 25 Tablet is to be taken with food.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Metwin XL 25 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Metwin XL 25 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

Metwin XL 25 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 Metwin XL 25 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

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

Liver

SAFE IF PRESCRIBED

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

What if you forget to take Metwin Tablet ER?

If you miss a dose of Metwin 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.

Metwin XL 25 Tablet

₹4.42/Tablet ER

Topme-XL 25mg Tablet

Johnlee Pharmaceuticals Pvt Ltd

₹4.5/tablet er

2% costlier

Bolomet XR 25 Tablet

Liras Pharmaceutical LLP

₹3.59/tablet er

19% cheaper

Hi Blonet 25mg Tablet ER

Rajat Care LLP

₹3.5/tablet er

21% cheaper

Madratol 25mg Tablet ER

Syntonic Lifesciences

₹4.2/tablet er

5% cheaper

Metorica 25 Tablet ER

Medirica Lifescience

₹3.7/tablet er

16% 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 Metwin XL 25 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

High blood pressure and migraine headache weekness

Dr. Ashwin Porwal

Internal Medicine

consult a doctor nearby

I am a patient of hypertension

Dr. Jyoti Kapoor Madan

Psychiatry

Hypertension is clinal condition of high blood pressure. Please see a physician.

FAQs

Q. What is the difference between Metoprolol Succinate and Metwin XL 25 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. Metwin XL 25 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.

Q. Is Metwin XL 25 Tablet effective?

Metwin XL 25 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 Metwin XL 25 Tablet too early, the symptoms may return or worsen.

Q. Which is better, Metwin XL 25 Tablet or Metoprolol Succinate?

Metwin XL 25 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 Metwin XL 25 Tablet.

Q. What if I forget to take a dose of Metwin XL 25 Tablet?

If you have missed a dose of Metwin XL 25 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.

Q. Can I take alcohol while on treatment with Metwin XL 25 Tablet?

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

Q. Can you switch from Metwin XL 25 Tablet to Metoprolol Succinate?

Yes, in some cases, Metwin XL 25 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.

Q. When should you not take Metwin XL 25 Tablet?

Metwin XL 25 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 Metwin XL 25 Tablet or not.

Q. What should I avoid while taking Metwin XL 25 Tablet?

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

Q. Can I use Metwin XL 25 Tablet in pregnancy?

No, Metwin XL 25 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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Related lab tests

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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.

Marketer details

Name: Concur Pharmaceuticals Pvt.Ltd

Address: RZ-32/33 Matiala Extension , Uttam Nagar , New Delhi- 110059

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.