Uses / Indications:
Starpress XL 25 Tablet is a prescription medicine that is used to treat certain heart conditions including high blood pressure, heart attack, and abnormal heart rhythm (tachyarrhythmia). This medicine is also used for the long-term treatment of chest pain (angina pectoris). This medicine works by relaxing blood vessels and reducing the heart rate to promote blood flow which further helps in lowering blood pressure. Starpress XL 25 Tablet is also used to prevent migraine.
Starpress XL 25 Tablet may also be used along with other medicines in the treatment of certain conditions as recommended by the doctor. It is used with other antihypertensive agents to treat high blood pressure. This medicine works by relaxing blood vessels and reducing the heart rate to promote blood flow which further helps in lowering blood pressure.
Interactions / Warnings:
Don't stop taking Starpress XL 25 Tablet 15's without talking to your doctor first. Stopping Starpress XL 25 Tablet 15's gradually may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. You should not use Starpress XL 25 Tablet 15's if you have very slow heartbeat, serious lung condition (like asthma), serious heart condition (sick sinus syndrome), or any heart blockage. It should not be given to the children less than 12 years of age. Before taking Starpress XL 25 Tablet 15's you should tell doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problem (COPD, bronchitis, emphysema), low blood sugar level (hypoglycaemia), low blood pressure (hypotension), depression, previous heart failure, liver/kidney disease, thyroid hormone disorder like overActive thyroid (hyperthyroidism), adrenal gland cancer, or severe blood circulation problem (Raynaud’s syndrome).
Side Effects:
Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you. Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing. Change in sex ability. This most often goes back to normal. Feeling tired or weak. Low mood (depression). Loose stools (diarrhea). Slow heartbeat.
Medicine interaction:
When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-effects. In medical terms, this is called as a Drug Interaction.
Starpress XL 25 Tablet may interact with catecholamine-depleting drugs such as reSerpinane, which is used to treat high blood pressure. The use of Starpress XL 25 with catecholamine-depleting drugs may cause a spinning sensation, fainting, or low blood pressure due to standing up from a sitting or lying position. Such patients should be closely monitored for low blood pressure or slow heartbeat.
There may be an interaction of Starpress XL 25 with anesthetics, which are used to induce a state of sleepiness and/or unconsciousness. Some inhalation anesthetics may increase the heart depressive effects of Starpress XL 25.
Starpress XL 25 Tablet interacts with cytochrome P450 2D6 enzyme inhibitors. When cytochrome P450 2D6 enzyme inhibitors (fluoxetine, paroxetine or bupropion, thioridazine, quinidine, propafenone, ritonavir, antihistamines, diphenhydramine, hydroxychloroquine or quinidine, terbinafine, and cimetidine) is used with Starpress XL 25, may increase the level of Starpress XL 25 in the blood. It is advised to take necessary precautions while using Starpress XL 25 and cytochrome P450 2D6 inhibitors in combination.
Special instructions need to be followed while taking this medicine along with centrally-acting blood lowering medicines such as clonidine, moxonidine, guanfacin, rilmenidine, methyldopa, which are used to treat high blood pressure. The combined use of clonidine and Starpress XL 25 may increase the risk of recurrence of high blood pressure. Use of Starpress XL 25 should be discontinued several days before withdrawal treatment of clonidine.
Your doctor's guidelines may need to be followed while taking this medicine along with calcium antagonists, which are used to treat high blood pressure, angina, abnormal heart rhythms and migraine pain. When calcium antagonists (verapamil) is injected directly into veins in patients who are on treatment with Starpress XL 25 may increase the risk of low blood pressure, abnormalities in heart conduction, and left ventricular insufficiency. The use of Starpress XL 25 with calcium antagonists is not recommended in patients with abnormal functioning of the heart.
Starpress XL 25 Tablet may interact with sympathetic ganglion blockers, which are used to control blood pressure levels or other beta-blockers, which are used to treat high blood pressure. The patient should be monitored carefully while using Starpress XL 25 with the medicines that block the transmission between nerve cells (called as; sympathetic ganglion blockers), or other beta-blockers.
There may be an interaction of Starpress XL 25 with monoamine oxidase inhibitors, which are used to treat depression. The use of Starpress XL 25 with monoamine oxidase inhibitors may cause a slow heart rate and enhanced low blood pressure conditions. Take necessary precautions while using monoamine oxidase inhibitors with Starpress XL 25. Carefully monitor the blood pressure and heart rate during initial use of Starpress XL 25 in such patients.
Starpress XL 25 Tablet interacts with antiarrhythmic drugs, which are used to treat irregular heartbeat. When Starpress XL 25 is used with antiarrhythmic drugs (for example, quinidine, amiodarone, and propafenone), the beta blocker can intensify the decreased muscle contraction (negative inotropic) and reduced muscle conduction (negative dromotropic) effects. Patients should use caution when using Starpress XL 25 with antiarrhythmic drugs.
Special instructions need to be followed while taking this medicine along with ergotamine, which is used to treat migraine type headache. The use of Starpress XL 25 with ergotamine may affect blood circulation. The combined use Starpress XL 25 and ergotamine may require essential care.
Your doctor's guidelines may need to be followed while taking this medicine along with digitalis, which is used to treat congestive heart failure. When Starpress XL 25 is used in combination with digitalis, excessive slow heart rate (bradycardia) and an increase in heart conduction time (atrioventricular conduction time) may occur.
Starpress XL 25 Tablet may interact with parasympathomimetics, which are used to treat glaucoma and muscle weakness. The use of Starpress XL 25 with the medicine that stimulates the parasympathetic nervous system (parasympathomimetics) result in the prolonged condition of slow heart rate (bradycardia).
There may be an interaction of Starpress XL 25 with sympathomimetics such as adrenaline, which are used to treat severe allergic conditions. The combined use of adrenaline with Starpress XL 25 may lead to an increase in blood pressure and slow heart rate although these symptoms are less likely to occur with the use of β 1-selective drugs.
Starpress XL 25 Tablet interacts with non steroidal anti-inflammatory drugs (indomethacin), which are used to treat fever and mild to moderate pain or inflammation. The combined use of Starpress XL 25 with indomethacin may decrease the blood pressure lowering effects of Starpress XL 25.
Special instructions need to be followed while taking this medicine along with insulin or oral antidiabetics, which are used to treat high blood sugar levels. When Starpress XL 25 is used with insulin or other oral anti-diabetics, the blood sugar-reducing effect is increased. The dosage adjustment of oral anti-diabetic agents is recommended.
Your doctor's guidelines may need to be followed while taking this medicine along with alpha blockers (prazosine, tamsulosin, terazosine, doxazosine), which are used to treat high blood pressure and prostate gland enlargement. When Starpress XL 25 is used with alpha-blockers may increase the risk of the occurrence of low blood pressure especially when standing up from a sitting position (severe orthostatic low blood pressure).
This page does not contain all the possible interactions of Starpress XL 25 Tablet. Share a list of all medicines that you use with your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your doctor.
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