Starpress R Xl 50 Tablet 10

Lupin Ltd

Strip of 10 Units

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Old MRP ₹416.2

MRP ~~₹390.19~~

₹312.15

₹39.02/Units

20% off

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Prescription required for this medicine

Store Below 30^o C

Composition

Metoprolol Succinate (50 Mg) + Ramipril (5 Mg)

Starpress R XL 50 Tablet is used to manage high blood pressure (hypertension). This combination antihypertensive helps relax blood vessels, lower blood pressure, and reduce strain on the heart for improved cardiovascular health. This medicine is a combination of two active ingredients and belongs to a class of medications known as antihypertensives.

Apart from this primary use, it is also employed to prevent heart attacks and strokes. It can be beneficial in managing certain types of heart failure, improving survival rates after a heart attack.

It's important that you take this medicine exactly as your doctor has directed. Inform your doctor about any pre-existing medical conditions or any other medications you are currently on before starting this medicine. If you notice any side effects while on this medication, notify your doctor immediately. For optimal results, continue taking the medication for the duration prescribed by your doctor.

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Starpress R XL 50 Tablet is used for the following:

Management of high blood pressure or hypertension
Prevention of heart attacks in patients with a history of heart disease
Reducing the risk of stroke in individuals with certain cardiovascular conditions
Mitigating symptoms and reducing risks associated with chronic (long-term) heart failure
Preventing migraines, although it may not reduce the number of attacks
Relief from symptoms of angina (chest pain)

Here's how you should take Starpress R XL 50 Tablet:

Swallow the tablet whole with water. Do not crush or chew it.
This medicine can be taken with or without food, but try to take it at the same time each day to help you remember.
Continue taking this medicine regularly and do not stop without consulting your doctor first.

Starpress R XL 50 Tablet is taken orally.

Starpress R XL 50 Tablet may have the following common side effects:

Fatigue
Dizziness
Slow Heartbeat
Dry Mouth
Diarrhoea

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Starpress R XL 50 Tablet. However, if you experience any serious side effects or worsening of any symptoms, please consult your doctor.

Here are some general guidelines for managing common side effects:

Dizziness: If you feel dizzy after taking this tablet, it's advisable to sit or lie down until you feel better.
Diarrhoea: Try taking Starpress R XL 50 Tablet with food or milk to help reduce this effect.

Starpress R XL 50 Tablet is composed of two active ingredients that work together to reduce blood pressure:

Metoprolol Succinate (50 mg): This component acts as a beta-blocker. It works by blocking the action of certain natural chemicals in your body, like adrenaline, on the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart.
Ramipril (5 mg): This ingredient is an angiotensin converting enzyme (ACE) inhibitor. It works by preventing the formation of chemicals that could increase blood pressure. In particular, it inhibits the production of a substance called angiotensin II, which can cause blood vessels to narrow and release a hormone that increases salt and water retention in your body.

Pregnancy

Caution is advised while taking Starpress R XL 50 Tablet if you are pregnant. It is best to consult your doctor before taking this medicine.

Breastfeeding

Starpress R XL 50 Tablet is contraindicated for breastfeeding/lactating women. Consult your doctor to understand the potential risks and benefits.

Alcohol

Consumption of alcohol while taking Starpress R XL 50 Tablet may increase side effects such as dizziness and sleepiness. Be cautious and speak to your doctor if you consume alcohol regularly.

Liver

Caution is advised while taking Starpress R XL 50 Tablet in case of mild to moderate liver impairment. If you have liver problems, discuss them with your doctor before starting this medicine. This medicine may affect liver function.

Kidney

If you have a history of kidney problems, caution is advised before using Starpress R XL 50 Tablet. It's a good idea to discuss any kidney-related concerns with your doctor before starting this medication.

Using Machines & Driving

Starpress R XL 50 Tablet may cause side effects like dizziness or tiredness which could affect your ability to drive or operate machinery. Ensure you know how this medicine affects you before driving or operating machines.

Allergy

If you are allergic to metoprolol succinate or ramipril, avoid using Starpress R XL 50 Tablet. Inform your doctor about any past allergic reactions to medicines.

Children

Caution is advised while giving Starpress R XL 50 Tablet 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 50 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 50 Tablet interacts with the following medicines:

Anti-diabetic medicines: When taken together with Starpress R XL 50 Tablet, medications like metformin or insulin may have reduced effectiveness as this medicine could cause changes in blood glucose levels.
Antihypertensive medicines: Concomitant use of medications such as amlodipine or losartan with this tablet might increase the risk of low blood pressure (hypotension).
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): Medications like ibuprofen and naproxen can reduce the blood pressure-lowering effects of Starpress R XL 50 Tablet.

Drug-Food Interactions

Certain foods can interact with Starpress R XL 50 Tablet:

High-Potassium Foods: Foods high in potassium, such as bananas and spinach, should be consumed in moderation as they may increase potassium levels in the body when consumed with this medicine.
High-Sodium Foods: Food high in sodium might elevate your blood pressure.

Drug-Disease Interactions

Starpress R XL 50 Tablet interacts with the following diseases:

Diabetes: This medicine could impact blood sugar control, making it crucial to monitor glucose levels closely when on this medication.
Heart disease: Patients with heart disease should use Starpress R XL 50 Tablet cautiously as it could potentially affect heart function.
Kidney disease: People suffering from kidney disease should exercise caution while taking this medicine, as it might exacerbate their condition.

Daily Dose

The daily dosage of Starpress R XL 50 Tablet will be determined by your doctor, based on factors such as your health condition and how you respond to the medicine. Always follow the prescribed dosage and avoid exceeding it without consulting your doctor. For further details, please read the package insert.

Over Dose

If you inadvertently take more than the prescribed dose of Starpress R XL 50 Tablet, you may experience common symptoms like dizziness or a slow heart rate. If these symptoms persist, it's advisable to inform your doctor.

Missed Dose

In case you forget to take your regular dose of Starpress R XL 50 Tablet, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed dose and return to your usual schedule. Never adjust your dose without consulting your doctor.

Keep Starpress R XL 50 Tablet in its original packaging until it is time to take it.
Store at room temperature, ideally below 30 degrees Celsius.
Protect from excessive light and moisture.
Position out of the reach and sight of children.

As Starpress R XL 50 Tablet is used to manage hypertension, aim to follow a low-salt diet. Consuming less salt can help maintain stable blood pressure levels.
Regular physical exercise can be beneficial. It doesn't need to be strenuous; a brisk walk daily would be a good start. However, please consult your doctor before starting any new exercise regimen.

Fact Box

Available Dosage Types	Tablet
Habit Forming	No
Ailment	Hypertension, Heart Failure
Drug Category	Beta-blocker, ACE inhibitor
Therapeutic Category	Antihypertensive

What is Starpress R XL 50 Tablet used for?

Starpress R XL 50 Tablet is used to manage high blood pressure and heart-related chest pain.

How should I take Starpress R XL 50 Tablet?

You should take this medicine orally, as directed by your doctor, usually once a day.

Can I take Starpress R XL 50 Tablet if I am pregnant?

Consult your doctor before taking this medicine if you are pregnant. It's generally not recommended during pregnancy.

Can I consume alcohol while taking Starpress R XL 50 Tablet?

It's better to avoid alcohol while taking this medicine as it may intensify side effects like dizziness and sleepiness.

What should I do if I miss a dose of Starpress R XL 50 Tablet?

If you miss a dose, take it as soon as you remember. If it's near the time for the next dose, skip the missed dose.

What are the side effects of Starpress R XL 50 Tablet?

Possible side effects include fatigue, nausea, dizziness, and increased potassium levels in the blood. Consult your doctor if these persist or worsen.

How should I store Starpress R XL 50 Tablet?

Store this medicine in a cool and dry place, away from direct heat and light. Keep it out of reach of children.

Last Updated On 22 Sep. 2025 | 9:57AM (IST)

Certified Content

Written by

Dr. Michelle Frank

Medical Content Writer | 9 years

Doctor of Medicine

Reviewed by

Dr. Osama Ahmed

Medical Content Writer | 3 years

Bachelor of Dental Surgery

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

Metoprolol: MedlinePlus drug information. (n.d.). https://medlineplus.gov/druginfo/meds/a682864.html
Website, N. (2024m, April 23). Ramipril. nhs.uk. https://www.nhs.uk/medicines/ramipril/
Hainer, J. W. & Sugg, J. (2007). Metoprolol succinate extended release/hydrochlorothiazide combination tablets. Vascular Health Risk Management, 3(3), 279-288. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2293963/
Metoprolol: Uses, interactions, mechanism of action | DrugBank Online. (n.d.-b). DrugBank. https://go.drugbank.com/drugs/DB00264
Ramipril: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00178

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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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