Starpress R Xl 25 Tablet 10

Lupin Ltd

Strip of 10 Units

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Old MRP ₹245.6

MRP ~~₹230.25~~

₹184.2

₹23.02/Units

20% off

*MRP inclusive of all taxes

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Prescription required for this medicine

Store Below 30^o C

Composition

Metoprolol Succinate (25 Mg) + Ramipril (2.5 Mg)

Starpress R XL 25 Tablet is used primarily for managing high blood pressure, also known as hypertension. This medication is a combination medicine and belongs to the class of antihypertensives.

Apart from its primary use in managing hypertension, this medicine also helps in reducing the risk of serious complications like heart attacks, strokes and kidney problems by effectively controlling blood pressure levels. Additionally, it aids in facilitating effective blood pumping by the heart through relaxing blood vessels and slowing heart rate.

Before you start taking this medicine, it is essential to consult your doctor who will guide you on the appropriate dosage and frequency based on your health condition. Make sure to inform your doctor about any pre-existing conditions or medications that you are currently taking. If you experience any side effects while using this medicine, notify your doctor immediately. For optimal results, continue taking the medicine for the duration prescribed by your doctor.

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Starpress R XL 25 Tablet is used for managing the following conditions:

Essential hypertension, a condition characterised by high blood pressure without any known underlying cause.
By slowing the heart rate, this medicine helps reduce the work your heart has to do.
Prevention of cardiovascular complications, such as strokes and heart attacks.
This medicine helps safeguard your kidneys from the consequences of prolonged high blood pressure.

Here are some guidelines to follow when you take Starpress R XL 25 Tablet:

Swallow the tablet whole with a glass of water.
Do not crush, chew or break the tablet.
You can take it with or without food as per your preference.
Always remember to consult your doctor for specific advice regarding its use.

Starpress R XL 25 Tablet is taken orally.

Taking Starpress R XL 25 Tablet may lead to some common side effects such as:

Fatigue
Dry cough
Cold extremities: You might feel that your hands and feet are colder than usual.
Sleep disturbances, including nightmares
Decreased libido, impotence: This refers to reduced sexual desire or difficulty maintaining an erection.

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Starpress R XL 25 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are a couple of tips to manage some common side effects:

Fatigue: If you notice this medicine making you tired, consider taking it at bedtime.
Dry cough: Taking the tablet with food might help reduce the occurrence of a dry cough.

Starpress R XL 25 Tablet contains two active ingredients:

Metoprolol succinate (25 mg): As a beta-1 selective adrenergic receptor blocker, metoprolol succinate works by decreasing your heart rate as well as the strength and speed of your heartbeat.
Ramipril (2.5 mg): This angiotensin-converting enzyme (ACE) inhibitor prevents the conversion of angiotensin I to angiotensin II, resulting in your blood vessels relaxing and widening.

Pregnancy

Starpress R XL 25 Tablet is contraindicated during pregnancy. If you are pregnant or planning to conceive, make sure to discuss this with your doctor before starting this medicine.

Breastfeeding

Caution is advised while taking Starpress R XL 25 Tablet if you are breastfeeding. It is best to consult your doctor to understand the potential risks and benefits.

Alcohol

It's not recommended to consume alcohol while on Starpress R XL 25 Tablet as it may enhance the blood pressure lowering effect of this medicine.

Liver

This medicine is often prescribed for older patients, who may be more susceptible to liver health issues. It is advisable to discuss liver-related concerns with your doctor before starting treatment with Starpress R XL 25 Tablet.

Kidney

Caution is advised while taking Starpress R XL 25 Tablet if you have a history of kidney problems. It's a good idea to consult your doctor before taking this medicine.

Using Machines & Driving

Starpress R XL 25 Tablet may cause side effects such as dizziness, affecting your ability to drive or operate machinery. Avoid driving or operating machinery until you know how this medicine affects you.

Allergy

If you have known allergies to metoprolol, ramipril or any other component of Starpress R XL 25 Tablet, do not take this medicine. Always let your doctor know about your allergy history.

Children

Starpress R XL 25 Tablet should not be given to children under 18 years of age. Always consult your doctor before giving any medicine to a child.

Older Patients

Older patients should take Starpress R XL 25 Tablet under medical supervision as they may be more susceptible to its side effects. Caution is advised if patients are above 70 years of age. Your doctor will guide you based on your health status.

Drug-Drug Interactions

Starpress R XL 25 Tablet interacts with the following medicines:

Antihypertensives: Medicines like verapamil might interact with Starpress R XL 25 Tablet, which could cause a further decrease in blood pressure.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Medications like indomethacin can reduce the blood pressure-lowering effect of Starpress R XL 25 Tablet.
Potassium Supplements: These can interact with Starpress R XL 25 Tablet potentially leading to high potassium levels in your blood, a condition known as hyperkalaemia.

Drug-Disease Interactions

Starpress R XL 25 Tablet interacts with the following diseases:

Liver Disease: If you have severe liver problems, you should exercise caution as this tablet could exacerbate your condition.
Heart Conditions: For those with conditions like cardiogenic shock, severe bradycardia or heart block, and decompensated heart failure, using this medicine might lead to complications.
Lung Diseases: People suffering from bronchial asthma or severe chronic obstructive pulmonary disease should be cautious as Starpress R XL 25 Tablet might worsen their condition.
Diabetes: As this medication can mask symptoms of hypoglycaemia (low blood sugar), especially rapid heartbeat also known as tachycardia, it's essential to monitor your glucose levels closely if you have diabetes.

Daily Dose

Your doctor will prescribe the appropriate daily dose of Starpress R XL 25 Tablet for you. This dosage may vary depending on your individual health condition and how you respond to the medicine. Always follow your doctor's instructions and avoid changing the dosage on your own.

Over Dose

Excessive consumption of Starpress R XL 25 Tablet may lead to symptoms like severe dizziness, slow heartbeat, or difficulty in breathing. If you experience any such symptoms, inform your doctor right away.

Missed Dose

If you forget to take your dose of Starpress R XL 25 Tablet, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and continue with your regular schedule. Remember, never alter your dosage without consulting with your doctor.

Store Starpress R XL 25 Tablet at a controlled room temperature below 30°C.
Shield it from excessive heat and moisture.
Always keep this medicine out of reach of children.
Use the tablet before its expiry date.

Maintain a balanced diet, low in salt. High salt intake can exacerbate hypertension which Starpress R XL 25 Tablet is used to manage.
Regular exercise, like brisk walking or cycling, can help lower blood pressure. Always consult your doctor before starting any new exercise regimen.

Fact Box

Available Dosage Types	Tablet ER
Habit Forming	No
Ailment	Hypertension, Heart Disease
Drug Category	Beta-Blocker, ACE Inhibitor
Therapeutic Category	Antihypertensive

What Is Starpress R XL 25 Tablet Used For?

Starpress R XL 25 Tablet is used to manage essential hypertension, which is high blood pressure without a known secondary cause.

How Does Starpress R XL 25 Tablet Work?

This medicine combines metoprolol succinate and ramipril. These components work together to relax blood vessels, slow heart rate, and reduce the heart's workload.

Can I Take Starpress R XL 25 Tablet With Food?

Yes, you can take this medicine with or without food. Remember not to crush, chew or break the tablet swallow it whole.

Are There Any Side Effects of Starpress R XL 25 Tablet?

Common side effects include dizziness, fatigue, headache, nausea, vomiting, diarrhoea, dry cough and sleep disturbances. Consult your doctor if these persist.

Can I Stop Taking Starpress R XL 25 Tablet Suddenly?

Abrupt withdrawal of this medicine may worsen angina symptoms. Always consult your doctor before making any changes to your medication routine.

Are There Any Contraindications for Starpress R XL 25 Tablet?

Yes. If you have heart failure, severe liver impairment or are pregnant, you should not take this medicine. Also avoid if allergic to its components.

How Should I Store My Starpress R XL 25 Tablets?

Store them at room temperature, away from moisture and excessive heat. Keep them out of reach of children for safety reasons.

Last Updated On 13 May. 2025 | 11:07AM (IST)

Certified Content

Written by

Dr Nikita Lobo

Medical Content Reviewer | 8 years

BDS, MDS

Reviewed by

Dr. Chhavi Rosha

Medical Content Writer | 9 years

BAMS, FMC, MD Resident

Check out Editorial Policy

Manufacturer details

Kalpataru Inspire, 3rd Floor, Off. Western Express Highway, Santacruz (East), Mumbai

Country of origin: INDIA

Expiry on or after: March 2026

In case of any issues, contact us:

support@truemeds.in|09240250346

Address: 6th floor, Urmi Corporate Park Solaris, Saki Vihar Road, Andheri East, Mumbai 400071

References

Cardace ®. (n.d.). Cardace ® Ramipril tablets I.P. https://www.sanofi.in/dam/jcr:0bfbf654-07ae-4b10-8e3e-0485a7d40e1b/Cardace_PI_201802.pdf
Sivem Pharmaceuticals ULC. (2016). PRODUCT MONOGRAPH. https://pdf.hres.ca/dpd_pm/00033478.PDF
Ramipril: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00178
Novartis Pharmaceuticals Corporation. (2003). LOPRESSOR (metoprolol tartrate) tablet. https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/017963s062,018704s021lbl.pdf
Metoprolol: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00264

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Disclaimer

We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.

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