TSART MCL 50 Tablet 10's

Introduction About TSART MCL 50 TABLET

TSART MCL 50 TABLET is a combination of Cilnidipine, Metoprolol and Telmisartan
which belongs to the group of medicines called Antihypertensive agents. It is
used to manage hypertension (high blood pressure). It can also be used to reduce
the risk of heart attack (myocardial infarction), stroke, chest pain (angina) or
uneven heartbeat (arrhythmia).

Before taking TSART MCL 50 TABLET inform your doctor if you have any liver or
kidney problems. You must also inform your doctor if you have diabetes, thyroid
problems, asthma, low blood pressure, poor blood circulation, psoriasis,
allergic reactions, dehydration or gout as a precaution.

TSART MCL 50 TABLET is not recommended for use in patients with severe heart
problems apart from hypertension (such as uncontrollable heart failure or heart
block). Do not take this medicine without consulting your doctor if you are
pregnant or breastfeeding.

The most common side effects of taking this medicine are low blood pressure,
slow heart rate, cold hands and feet, racing heartbeat, swelling of ankles or
other body parts, flushing, headache, dizziness, nausea, diarrhoea and
constipation. Consult your doctor if any of these side effect worsens.

Uses Of TSART MCL 50 TABLET

It is used to:

• Manage Hypertension (high blood pressure)
• Prevent heart attack, stroke, angina (chest pain) or arrhythmia (uneven heartbeat)

How TSART MCL 50 TABLET Works

TSART MCL 50 TABLET is an antihypertensive medicine. It contains three medicines
namely, metoprolol, cilnidipine and telmisartan. Metoprolol reduces the heart
rate and force of contraction of heart muscles.

How to use TSART MCL 50 TABLET

Take TSART MCL 50 TABLET as directed by your physician. Swallow the medicine
with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and health condition. Do not stop taking
this medicine without consulting your doctor.

Side Effects Of TSART MCL 50 TABLET

Common

• swelling of the ankles or other body parts
• headache, dizziness, sleepiness
• low blood pressure
• slow or fast heart rate
• flushing (redness and warmth of the skin)
• stomach pain, nausea, vomiting, diarrhea, constipation, indigestion
• shortness of breath even with mild physical activity
• changes in bowel habit
• tiredness, weakness
• gingival hyperplasia (enlargement of gums with inflammation)

Uncommon

• chest pain
• weight gain
• depression
• concentration problems, nightmares
• inability to sleep
• drowsiness
• tingling in the skin
• rashes
• increased sweating, fluid retention
• muscle cramps
• low or high blood potassium levels
• vertigo (spinning sensation)
• fast or irregular heartbeat
• low blood pressure causing dizziness while standing up
• dry mouth
• back pain, muscle spasm or pain
• erectile dysfunction (inability to get or keep an erection)
• increased blood uric acid levels
• sore throat, sinus inflammation, common cold, cough
• urinary tract infections
• anaemia
• kidney problems

Rare

• worsening of diabetes
• dry mouth, runny nose, hair loss
• nervousness, anxiety
• visual disturbances
• dry or irritated eyes
• bending of penis on erection (peyronie’s syndrome)
• low blood sugar levels
• low blood platelet count (causing unusual bleeding or bruising)
• high blood calcium levels

Stop taking TSART MCL 50 TABLET and contact your doctor immediately if you
experience any of the following side effects:

• severe allergic reactions (such as skin rash, itching, swelling of the face, lips, mouth, or throat which can lead to difficulty in breathing or swallowing)
• severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane)
• sepsis (infection of blood characterized by sever signs of illness and fever)

How To Manage Side Effects

Constipation

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals.
Drink plenty of fluids. Exercise more regularly. Consult your doctor if this
side effect bothers you.

!### Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or
machines completely while you are feeling dizzy. Do not consume excessive
alcohol, as it could aggravate your dizziness. Consult your doctor if your
dizziness worsens.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as
water or electrolytes. Applying a pain-relieving balm on your forehead can be
beneficial. Do not consume excessive alcohol, as it could aggravate your
headache. Consult your doctor if your headache worsens.

!### Nausea And Vomiting

Take TSART MCL 50 TABLET with or just after a meal or a snack. Stick to simple
meals. Avoid eating rich or spicy food. Consult your doctor if your nausea
worsens.

Warning & Precautions

!### Pregnancy

ContraindicatedTSART MCL 50 TABLET is not recommended for use in pregnant women as it may cause
serious harm to the growing fetus. Therefore, consult your doctor before taking
it. If you become pregnant while undergoing therapy with TSART MCL 50 TABLET,
stop taking it and consult your doctor immediately.

!### Breastfeeding

ContraindicatedTSART MCL 50 TABLET is not recommended for use in breastfeeding women.
Therefore, consult your doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or operate any machines if your ability is affected by TSART MCL 50
TABLET.

!### Alcohol

Consult your doctorAvoid consum
feel dizzier and drowsier.

!### Kidney

Consult your doctorTSART MCL 50 TABLET is not recommended for use in patients with severe kidney
problems. It should be used with caution in patients with other kidney problems
(such as kidney transplant, narrowing of renal arteries). Therefore, consult
your doctor before taking it.

!### Liver

Consult your doctorTSART MCL 50 TABLET is not recommended for use in patients with severe liver
impairment (such as cholestasis, jaundice, biliary obstruction). It should be
used with caution in patients with mild to moderate liver problems. Therefore,
consult your doctor before taking it.

!### Allergy

ContraindicatedDo not take TSART MCL 50 TABLET if you are allergic to Metoprolol, Cilnidipine
or to Telmisartan.

!### Lungs

ContraindicatedTSART MCL 50 TABLET is not recommended for use in patients with severe asthma or
chronic obstructive pulmonary disease. Therefore, consult your doctor for advice
before taking it.

!### Heart Disease

Consult your doctorTSART MCL 50 TABLET is not recommended for use in patients with severe heart
problems (such as heart block, uncontrollable heart failure, sick sinus syndrome
or a very slow or uneven heartbeat). It should be used with caution in patients
with other heart problems (such as a recent heart attack, or angina attack,
enlarged heart muscles, or surgery in the heart within the last 4 months).
Therefore, consult your doctor before taking it.

Others

TSART MCL 50 TABLET is not recommended for use if you:

• are in shock caused due to poor blood circulation
• have poor blood circulation caused due to blockage in the blood vessels
• have a very low blood pressure
• have metabolic acidosis (too much acidity in blood)
• have unmanageed phaeochromocytoma (tumor present in adrenal glands)
• have diabetes related kidney problems
• have low potassium levels in blood
• have high calcium levels in blood

Before taking TSART MCL 50 TABLET, inform your doctor if you:

• are prone to allergic reactions very often (such as even for insect bites)
• have problems in blood circulation around the body (especially in fingers, arms and feet)
• have diabetes
• have thyrotoxicosis (increased thyroid hormones in the body)
• are severely dehydrated
• have low sodium, potassium, or magnesium levels in the blood
• have gout
• have psoriasis (white scaly patches on the skin)
• have edema (swelling of body parts)
• have primary hyperaldosteronism (problems in adrenal gland)
• are on a low-salt diet
• have had skin cancer
• have an auto-immune disease condition affecting the skin (such as SLS)
• are scheduled for any upcoming surgery

Use in pediatrics:

TSART MCL 50 TABLET is not recommended for use in children and adolescents (aged
below 18 years). Therefore, consult your doctor for advice.

Use in geriatrics:

TSART MCL 50 TABLET should be used with caution in the elderly patients.
Therefore, consult your doctor before taking it.

Interactions

A. Drug - Drug interactions:

Before taking TSART MCL 50 TABLET, inform your doctor if you are taking any of
the following medicines such as:

• medicines used to manage advanced renal cell carcinoma (Ex. aldesleukin)
• medicines used to manage epilepsy (Ex. carbamazepine, phenytoin, phenobarbital)
• medicines used for bacterial infections (Ex. erythromycin)
• medicines used to manage tuberculosis (Ex. rifampicin)
• medicines used to manage hypertension (Ex. aliskiren, propranolol, amlodipine, diltiazem, verapamil, propafenone, captopril, enalapril, losartan, valsartan, clonidine, moxonidine, methyldopa, rilmenidine)
• medicines used for psychosis (Ex. risperidone, thioridazine, quetiapine, olanzapine)
• medicines used to manage diabetes (such as insulin, metformin, glimepiride, teneligli
• cimetidine (a medicine used to manage stomach ulcers)
• medicines used to manage uneven heartbeat (such as digoxin, disopyramide, quinidine or amiodarone)
• medicines used for pain and inflammation (such as ibuprofen, indomethacin, sulindac, diclofenac)
• medicines used to manage depression (such as fluoxetine, paroxetine, bupropion, lithium)
• ritonavir (a medicine used to manage HIV infection)
• antihistamines (used to manage allergic reactions) such as diphenhydramine
• medicines used to manage malaria (such as hydroxychloroquine, mefloquine)
• terbinafine (a medicine used to manage fungal infection)
• adrenaline (a medicine used to stimulate heart functions)
• phenylpropanolamine (a medicine used to reduce the swelling of the nasal mucosa)
• beta blockers used for glaucoma (such as timolol, pindolol, labetalol)
• ergotamine (a medicine used for migraine headache)
• medicines used to manage angina (such as nitroglycerin)
• anaesthetics (used to cause numbness or loss of sensation) such as lidocaine, sevoflurane, halothane
• alpha blockers (used to manage high blood pressure and benign prostatic hyperplasia) such as prazosine, tamsulosin, terazosine, doxazosine
• antacids (medicines used to neutralise stomach acid) such as aluminium hydroxide, magaldrate
• potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
• heparin (a medicine used to manage or manage blood clots)
• medicines used to manage bacterial infections (Ex. trimethoprim)
• medicines used to suppress immune functions (such as ciclosporin, tacrolimus)
• diuretics (used to reduce edema and blood pressure) such as furosemide, hydrochlorothiazide

Overdosage:

If you or anyone else accidentally took more TSART MCL 50 TABLET, consult your
doctor immediately. Overdosage may cause low blood pressure, decreased
heartbeat, problems in breathing, vomiting, feeling faint and fits.

Synopsis

Drug	:	Cilnidipine, Metoprolol, Telmisartan
Pharmacological Category	:	Calcium Channel Blockers, Beta-blockers, Angiotensin II Receptor Blockers
Therapeutic Indication	:	Hypertension, Angina, Heart attack, Stroke
Dosage Forms	:	Tablet

More Information

• Keep TSART MCL 50 TABLET out of the sight and reach of children
• Store TSART MCL 50 TABLET at room temperature

FAQs About TSART MCL 50 TABLET

Q: What are the uses of TSART MCL 50 TABLET?

A: TSART MCL 50 TABLET is used to manage hypertension. It can also be used to
manage the risk of heart attack, stroke, angina and arrhythmia.

Q: What type of a medicine is TSART MCL 50 TABLET?

A: TSART MCL 50 TABLET is an antihypertensive medicine. It slows down your
heartbeat and reduces force of contraction of the heart. It also relaxes blood
vessels supplying the heart which reduces the strain on the heart and helps the
heart to pump more blood with lesser force.

Q: What happens when I stop taking TSART MCL 50 TABLET?

A: Do not stop taking TSART MCL 50 TABLET without consulting your doctor as your
blood pressure may raise once again. Make sure to take TSART MCL 50 TABLET for
the stipulated duration recommended by your doctor to achieve maximum results.

Q: What is the best time to take TSART MCL 50 TABLET?

A: TSART MCL 50 TABLET can be taken with or without meals. Your doctor will
decide the best time for you to take TSART MCL 50 TABLET based on your age, body
weight and disease condition.

Q: What to do if I forgot to take a dose of TSART MCL 50 TABLET?

A: If you forgot to take a dose of TSART MCL 50 TABLET, take it as soon as you
remember. However, if it is time for the next dose of TSART MCL 50 TABLET, skip
the missed dose and take the next one regularly. Do not take a double dose of
TSART MCL 50 TABLET to compensate the missed ones.

Q: What precautions should be followed while taking TSART MCL 50 TABLET?

A: Before taking TSART MCL 50 TABLET inform your doctor if you have any liver or
kidney problems. You must also inform your doctor if you have diabetes, thyroid
problems, asthma, low blood pressure, poor blood circulation, dehydration or
gout as a precaution. Do not take this medicine without consulting your doctor
before if you are pregnant or breastfeeding. Regularly visit your doctor and
take all the necessary blood test recommended by your doctor without fail.

Q: Can I consume alcohol while taking TSART MCL 50 TABLET?

A: Avoid consum
make you feel dizzier and drowsier.

Q: What happens if I accidentally take more TSART MCL 50 TABLET?

A: If you or anyone else accidentally took more TSART MCL 50 TABLET, consult
your doctor immediately. Overdosage may cause low blood pressure, decreased
heartbeat, problems in breathing, vomiting, feeling faint and fits.

Q: Can I take TSART MCL 50 TABLET daily?

A: Take TSART MCL 50 TABLET as advised by your physician. Your doctor will
evaluate your health condition and suggests whether can you take TSART MCL 50
TABLET every day or not.

Q: Is TSART MCL 50 TABLET safe to use in diabetic patients?

A: TSART MCL 50 TABLET may alter the blood sugar levels in your body. Therefore,
it is necessary to inform your doctor if you have diabetes before taking TSART
MCL 50 TABLET as a precaution. Your doctor will closely monitor you blood sugar
levels to avoid the risk of side effects.

Q: What are the side effects of TSART MCL 50 TABLET?

A: The most common side effects of taking this medicine are low blood pressure,
slow heart rate, cold hands and feet, racing heartbeat, headache, dizziness,
nausea, diarrhoea and constipation. Consult your doctor if any of these side
effect worsens.

Q: Can I stop taking TSART MCL 50 TABLET once my symptoms subside?

A: No. Do not stop taking TSART MCL 50 TABLET without consulting your doctor. As
hypertension is a chronic condition, long term management may be necessary to
control its symptoms. Therefore, take TSART MCL 50 TABLET as advised by your
doctor for the stipulated duration. Premature discontinuation of therapy may
increase your blood pressure once again.

Q: Can TSART MCL 50 TABLET be taken during pregnancy?

A: TSART MCL 50 TABLET is not recommended for use in pregnant women as it may
cause serious harm to the growing fetus. Therefore, inform your doctor before
taking TSART MCL 50 TABLET if you are pregnant, think you may be pregnant or
planning to have a baby. If you become pregnant while undergoing therapy with
TSART MCL 50 TABLET, stop taking it and consult your doctor immediately.

Q: IsTSART MCL 50 TABLET safe to use in kidney disease?

A: TSART MCL 50 TABLET is not recommended for use in patients with severe kidney
problems. It should be used with caution in patients with other kidney problems
(such as kidney transplant, narrowing of renal arteries). Your doctor will
access your health condition and suggest a suitable dose for you. Therefore, it
is important to inform your doctor if you have any kidney problems before taking
TSART MCL 50 TABLET as a precaution.

Q: Can the use of TSART MCL 50 TABLET affect the liver?

A: Yes. TSART MCL 50 TABLET may affect the way your liver work. It can elevate
the levels of certain liver enzymes in your body. Therefore, it is strictly not
recommended for use in patients with severe liver diseases. It should be used
with caution in patients with other minor liver problems. Consult your doctor
before taking it.

Useful Diagnostic Tests

• Kidney Function Test