TELMISTRUM MT CT 50
Item requires a valid prescription
Manufactured By Steris Healthcare Pvt Ltd
Composition Telmisartan (40mg), Cilnidipine (10mg),& Metoprolol (ER) 50mg
Rs 162.78
MRP Rs 167.81
(3% OFF)
Includes all taxes
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( For 10 Tablet )
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Description:
TELMISTRUM MT CT 50 is manufactured and marketed by Steris Healthcare Pvt. Ltd. It combines telmisartan, cilnidipine, and extended-release metoprolol at 50mg into a single once-daily tablet. Below you'll find complete product information, why the higher metoprolol strength matters, how each of the three medicines works, correct dosing, essential safety information, and a clear path to ordering it.
| Field | Details |
|---|---|
| Brand name | TELMISTRUM MT CT 50 |
| Composition | Telmisartan 40mg + Cilnidipine 10mg + Metoprolol Succinate (extended-release) 50mg |
| Drug classes | Angiotensin Receptor Blocker (ARB) + Calcium Channel Blocker (CCB) + Beta-Blocker |
| Product form | Tablet (oral, extended-release component) |
| Pack size | 10 tablets (strip pack) |
| Manufacturer / Marketer | Steris Healthcare Pvt. Ltd. |
| Country of origin | India |
| Therapeutic category | Antihypertensive / Cardiovascular |
| Primary use | Management of hypertension where blood pressure and heart rate both need active, more substantial management, as directed by your doctor |
| Route of administration | Oral |
| Typical dosing | One tablet once daily, or as directed by your physician |
| Prescription status | Schedule H — prescription required |
| Storage | Store below 30°C in a dry place, protected from light and moisture |
| Keep away from | Children and direct sunlight |
| Shelf life | As printed on the pack — do not use beyond the expiry date |
Why the Metoprolol Component Here Is Higher
This three-medicine combination is also available with metoprolol at 25mg, and if you've been moved specifically to the 50mg version, there's usually a clear reason behind it. In general, this reflects one of two situations:
Your heart rate needed more active reduction than the lower dose achieved. Beta-blockers are dose-dependent in their effect on heart rate — a higher dose produces a more pronounced slowing effect. If 25mg brought some benefit but your doctor determined your heart rate (or angina symptoms, if relevant) needed further control, stepping up to 50mg is a natural progression.
You were started here directly, based on your doctor's assessment of your baseline heart rate, blood pressure, and overall cardiovascular profile, rather than being titrated up gradually.
Either way, the telmisartan and cilnidipine components stay the same across both versions — it's specifically the beta-blocker's contribution that's been increased, reflecting a treatment plan tailored to how your body has responded, or is expected to respond, to more substantial heart rate control.
How TELMISTRUM MT CT 50 Works
Telmisartan (40mg) is an angiotensin receptor blocker (ARB). It blocks angiotensin II, a hormone that would otherwise bind to receptors on blood vessel walls and cause them to narrow. With that receptor blocked, blood vessels stay more relaxed and open, easing the pressure the heart works against.
Cilnidipine (10mg) is a calcium channel blocker that relaxes blood vessel walls directly through its L-type channel action, while its additional N-type channel effect helps moderate sympathetic nervous system activity to some degree — contributing to a comparatively gentler effect on heart rate and a lower tendency toward ankle swelling than some older calcium channel blockers.
Metoprolol (extended-release, 50mg) is a beta-blocker, and at this higher strength, it delivers a more substantial reduction in heart rate and cardiac workload than the 25mg dose. It works by blocking the effects of adrenaline-related hormones on the heart, directly slowing heart rate and reducing the force of each heartbeat — lowering the heart's demand for oxygen and easing overall cardiac strain. The extended-release formulation releases the medicine gradually over the day, supporting smooth, once-daily dosing.
Together, these three medicines cover blood vessel relaxation from two distinct angles (telmisartan and cilnidipine) plus a more pronounced reduction in the heart's own rate and workload (metoprolol at 50mg) — a broader, more assertive approach than the 25mg version, suited to situations where heart rate control specifically needs to be a bigger part of the treatment strategy.
Who Is TELMISTRUM MT CT 50 Typically Prescribed For?
Only your doctor can confirm whether this specific combination and strength suit your health profile. Broadly, it's commonly considered for adults in India who:
- Haven't achieved adequate heart rate control on the lower-strength (25mg metoprolol) version of this combination
- Have a higher baseline heart rate or more pronounced angina symptoms that call for more substantial beta-blocker dosing
- Have a relevant cardiac history where their doctor believes a stronger beta-blocker contribution adds meaningful benefit alongside blood pressure control
- Are already taking all three medicines as separate tablets, with metoprolol at 50mg, and want to simplify to one daily tablet
- Are being closely monitored, since higher-dose beta-blocker combinations typically involve more regular heart rate and blood pressure checks
This is generally not a starting combination for someone newly diagnosed with straightforward hypertension — it reflects a more considered, individualized treatment decision built around specific heart rate or angina management needs.
How to Take TELMISTRUM MT CT 50
This is general label guidance. Your doctor's specific instructions on dose, timing, and duration always take priority — and with this particular combination, following them precisely matters more than usual, especially at the higher metoprolol strength.
- Take one tablet daily, at the same time each day. Because it contains an extended-release component, consistent daily timing helps keep the medicine's release pattern steady.
- Swallow the tablet whole — do not crush, split, or chew it, since doing so can disrupt the extended-release mechanism and cause the full metoprolol dose to be released at once rather than gradually.
- It can generally be taken with food, unless your doctor specifies otherwise, which can help with the absorption of the extended-release metoprolol component.
- If you miss a dose, take it as soon as you remember, unless it's close to your next scheduled dose — in that case, skip the missed one rather than doubling up.
- Never stop taking this medicine abruptly without your doctor's guidance. This is the single most important instruction for any beta-blocker-containing medicine, and it matters even more at a higher dose like this one. Stopping suddenly can cause a rebound effect — a rapid rise in heart rate and blood pressure, and in some cases chest pain or other cardiac symptoms. If your doctor decides to discontinue it, the dose is typically reduced gradually over time.
- Monitor for a notably slow heart rate. At this higher metoprolol strength, it's worth paying closer attention to your pulse and how you feel generally. If your heart rate feels unusually low, or you feel unusually fatigued, dizzy, or light-headed, mention it to your doctor rather than adjusting your dose yourself.
- Keep up with scheduled check-ups. This combination typically involves periodic monitoring of blood pressure, heart rate, and sometimes kidney function, particularly in the early months of treatment or after this dose increase.
Possible Side Effects and Precautions
With three active ingredients, including a beta-blocker at a higher strength, there's a somewhat broader range of things to be aware of. This is a general overview, not a complete list — read the pack insert and speak with your doctor or pharmacist about your specific situation.
Commonly reported effects can include:
- Fatigue or a general feeling of low energy, particularly in the first few weeks or after this dose increase
- A slower-than-usual heart rate, potentially more noticeable than at the lower 25mg strength
- Dizziness, especially when standing up quickly
- Cold hands or feet
- Mild ankle swelling
- Headache
Tell your doctor before starting if you:
- Are pregnant, planning pregnancy, or breastfeeding
- Have asthma or a history of significant breathing difficulties, since beta-blockers can affect airway responsiveness in some people
- Have a history of very slow heart rate, certain heart rhythm disorders, or heart block
- Have diabetes, since beta-blockers can mask some of the usual warning symptoms of low blood sugar, such as a racing heartbeat
- Have significant liver or kidney impairment
- Have poor circulation or a history of conditions affecting blood flow to the extremities
Never stop this medicine suddenly, even if you feel it's not needed anymore or you're experiencing side effects — contact your doctor first, since abrupt discontinuation of a beta-blocker, particularly at this higher dose, can trigger a more pronounced rebound in heart rate and blood pressure.
How to Identify a Genuine Pack of TELMISTRUM MT CT 50
Given the complexity of this three-drug, extended-release combination, and the higher beta-blocker strength involved, buying from a verifiable, licensed source matters:
- Clear manufacturer details. TELMISTRUM MT CT 50 is manufactured and marketed by Steris Healthcare Pvt. Ltd. A genuine strip carries a visible batch number, manufacturing date, and expiry date printed directly on the foil.
- The correct metoprolol strength printed on the strip. Confirm it reads 50mg, since this combination is also available with metoprolol at 25mg, and the two are not interchangeable without your doctor's direction.
- An intact, sealed blister strip, with tablets uniform in size, shape, and markings — since extended-release tablets rely on a specific formulation to release the medicine gradually.
- A complete pack insert, detailing dosage, precautions, storage, and — critically — the instruction not to stop the medicine abruptly.
- A prescription check before dispensing. This is a Schedule H medicine under Indian drug regulations, and a legitimate pharmacy will always verify your prescription before processing an order.
Buy TELMISTRUM MT CT 50 — 10 Tablet Pack
TELMISTRUM MT CT 50 (telmisartan 40mg + cilnidipine 10mg + metoprolol ER 50mg) is supplied in a 10-tablet strip pack, matched to a standard prescription refill cycle so you're not left short before your next scheduled review — which matters more with this combination, given both its complexity and the risks of any unplanned gap in dosing with a beta-blocker.
Before you place your order:
- Keep your prescription handy. A clear photo or scan is generally sufficient for verification at checkout, since this medicine cannot legally be dispensed in India without a valid prescription from a registered medical practitioner.
- Confirm all three strengths and the extended-release formulation match your prescription exactly. In particular, double-check that your prescription specifies metoprolol at 50mg and not 25mg, since both versions of this combination exist.
- Reorder well ahead of time. A 10-tablet pack covers roughly ten days of once-daily dosing. Because stopping this medicine abruptly isn't advisable, running out unexpectedly is something you want to actively avoid.
- Buy only from licensed pharmacies that verify prescriptions and issue a proper bill.
Ready to order? Add your 10-tablet pack to cart, upload your prescription at checkout, and a licensed pharmacist will verify it before your order is dispatched. Still confirming details with your doctor? Bookmark this page and make sure this specific three-drug combination, including the 50mg metoprolol strength, matches exactly what's been prescribed for you.
Frequently Asked Questions
1. Where can I buy Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg online?
Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg may be purchased online through authorized pharmaceutical suppliers and pharmacies. For Steris Healthcare products, customers can check the official Steris ordering platform for availability, pricing, and ordering details.
2. What is the price of Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg?
The price can vary depending on the brand, pack size, applicable taxes, and seller. Check the current product listing or contact Steris Healthcare for the latest price and availability.
3. Can I order Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg online?
Yes, if the product is listed as available by an authorized pharmacy or supplier, it can be ordered online. Since this is a prescription medicine, an appropriate prescription may be required before the order can be processed.
4. Is Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg available from Steris Healthcare?
Availability depends on current stock and distribution. You can check with Steris Healthcare or its authorized sales/order channel for current availability, pack size, and purchasing information.
5. What is Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg used for?
This combination contains medicines that work through different mechanisms to help manage high blood pressure (hypertension) and may also be prescribed for certain cardiovascular conditions. Telmisartan helps block angiotensin II, cilnidipine helps relax blood vessels, and metoprolol succinate helps reduce heart rate and cardiac workload. It should be used only according to a healthcare professional's advice.
6. What is the composition of Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg?
The composition is:
-
Telmisartan – 40 mg
-
Cilnidipine – 10 mg
-
Metoprolol Succinate – 50 mg
The exact formulation and release characteristics should be confirmed from the product packaging or prescribing information.
7. Is a prescription required for Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg?
Yes. This is a prescription medicine, so it should be taken only under the guidance of a qualified healthcare professional. Do not start, stop, or change the dose without medical advice.
8. How should Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg be taken?
Take the medicine exactly as prescribed by your doctor. It is generally taken orally and should be swallowed with water. The dose and timing depend on your medical condition and treatment plan. Do not alter the prescribed dose or stop treatment suddenly without consulting your doctor.
9. What should I know before buying Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg?
Before purchasing, verify the brand name, composition, strength, pack size, manufacturer/marketer, expiry date, and product authenticity. Because it is a prescription cardiovascular medicine, discuss your medical history and other medicines with your healthcare professional before use.
10. How can I order Telmisartan 40 mg, Cilnidipine 10 mg and Metoprolol Succinate 50 mg online?
To order online, check the product's availability through an authorized pharmaceutical website or Steris Healthcare's official ordering channel, select the required pack, provide prescription details if requested, and complete the available payment and delivery process. Always purchase prescription medicines from a legitimate and authorized source.
The Bottom Line
TELMISTRUM MT CT 50 brings together telmisartan, cilnidipine, and extended-release metoprolol at its higher 50mg strength — an ARB, a calcium channel blocker, and a more substantially dosed beta-blocker — into one once-daily tablet, manufactured by Steris Healthcare Pvt. Ltd. and supplied in a 10-tablet pack. It's built for situations where heart rate control needs to be a bigger, more assertive part of the treatment strategy, alongside blood pressure management.
If your doctor has prescribed telmisartan 40 mg, cilnidipine 10 mg and metoprolol succinate 50 mg together, TELMISTRUM MT CT 50 is exactly that three-part combination in one tablet. Keep your prescription on hand, never stop it abruptly without medical guidance, buy from a licensed pharmacy that verifies your prescription properly, and take your dose at the same time every day. That consistency is especially important with a combination like this one.