Arbitel MT 25mg Tablet 7'S

Talk to your doctor before taking this medicine, if you: Are allergic to metoprolol, telmisartan or other beta-blockers or any of the other ingredients of this medicine Suffer with heart conduction or rhythm problems Have severe or uncontrolled heart failure Are in shock caused by heart problems Suffer with blocked blood vessels including blood circulation problems Have a slow heart rate or have suffered a heart attack Suffer with untreated phaeochromocytoma (high blood pressure due to a tumour near the kidney) Suffer from increased acidity of the blood (metabolic acidosis) Have low blood pressure Have or have had breathing difficulties or asthma including COPD Suffer with diabetes Have liver or kidney disease or failure Have difficulties in passing urine Have low levels of potassium (hypokalaemia) or sodium (hyponatraemia) in your blood Have high levels of calcium (hypercalcaemia) Suffer with gout due to high levels of uric acid (hyperuricaemia) in your blood causing crystals to deposit in joints of hands or feet causing pain Have myasthenia gravis Have or have suffered from psoriasis ARBITEL and Alcohol You are advised to avoid alcohol whilst taking this medicine. Alcohol may increase the blood pressure lowering effect of this medicine

Take ARBITEL exactly as your doctor tells you to take it Take this medicine one time each day at the same time Your doctor will tell you how much medicine to take and when to take it If you take too much ARBITEL If you take too much ARBITEL, call your doctor or go to the nearest hospital emergency room right away If you miss a dose of ARBITEL If you miss a dose, take it as soon as you remember. If it is close to your next dose, do not take the missed dose. Take the next dose at your regular time If you stop taking ARBITEL Do not suddenly stop taking this medicine before your doctor tells to

Like all medicines, this medicine can cause side effects, although not everybody gets them. Metoprolol: Allergic reaction such as itching, difficulty breathing or swelling of the face, lips, throat or tongue Telmisartan: Injury or death to your unborn baby Low blood pressure Swelling of the face, tongue, throat Difficulty breathing Blistering of the skin or rash

Tell your doctor if you are taking, have taken recently or might take any other medicines. Do not take ARBITEL if you are already taking: Monoamine oxidase inhibitors (MAOIs) or tricyclic or SSRI antidepressants for depression Disopyramide or quinidine, amiodarone, propafenone (to treat irregular heartbeat) Cimetidine (to treat stomach ulcers) Hydralazine, clonidine or prazosin (to treat high blood pressure) Barbiturates (to treat epilepsy) Phenothiazines (for mental illness) Anaesthetics such as cyclopropane or trichloroethylene or lidocaine Aldesleukin (to treat some cancers, particularly cancer of the kidney) Alprostadil (to treat erectile dysfunction) Anxiolytics or hypnotics (e.g. temazepam, nitrazepam, diazepam) Indometacin or celecoxib (Non-Steroidal Anti-Inflammatory Drugs - NSAIDs) Rifampicin (antibiotic) or terbinafine (antifungal) Cocaine Oestrogens such as a contraceptive pill or hormone replacement therapy Corticosteroids (e.g. hydrocortisone, prednisolone) Adrenaline (epinephrine) or noradrenaline (norepinephrine), used in anaphylactic shock or other sympathomimetics Medicines used to treat diabetes Moxisylyte (used in Raynaud’s syndrome) Mefloquine (to treat malaria) Tropisetron (to prevent nausea and vomiting) Xanthines such as aminophylline or theophylline (to treat asthma) Medicines to treat migranes such as ergotamine Cardiac glycosides e.g. digoxin (to treat heart conditions) Hydroxychloroquine (to treat rheumatoid arthritis) Diphenhydramine (sedative antihistamine)

Storage Store at room temperature (15-25ºC) Do not use this medicine after the expiry date Keep out of reach of children