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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Efnocar-MX 40/25 mg Tablet is used to treat High blood pressure (hypertension). It contains Efonidipine (calcium channel blocker) and Metoprolol (beta-blocker). Efonidipine works by relaxing blood vessels so that blood passes through them more easily. Metoprolol works by blocking beta receptors in the heart, making the heartbeat slow and with less force. It decreases the pressure at which blood is pumped out of the heart and throughout the body.

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Manufacturer/Marketer :

Zuventus Healthcare Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Efnocar-MX 40/25 mg Tablet

Efnocar-MX 40/25 mg Tablet is used to treat High blood pressure (hypertension). Hypertension is a condition where the force of the blood against the walls of the arteries is consistently too high. If left untreated, this condition can cause chest pain (angina), heart attack, brain damage (stroke) and kidney failure.

Efnocar-MX 40/25 mg Tablet is a combination medicine containing Efonidipine (calcium channel blocker) and Metoprolol (beta-blocker). Efonidipine works by relaxing blood vessels so that blood passes through them more easily. Metoprolol works by blocking beta receptors in the heart, making the heart beat slowly and with less force. It decreases the pressure at which blood is pumped out of the heart and throughout the body.

Take Efnocar-MX 40/25 mg Tablet as prescribed by your doctor. Do not stop taking this medicine abruptly without consulting your doctor. In some cases, you may experience headaches, nausea, stomach discomfort, abdominal pain, hot flashes, palpitations, and facial flushing that usually resolve after some time.

Before taking Efnocar-MX 40/25 mg Tablet , inform your doctor about all your medical conditions, sensitivities, and medications you are using to rule out any possible side effects or interactions. Efnocar-MX 40/25 mg Tablet is not recommended for use in pregnancy and breastfeeding. Efnocar-MX 40/25 mg Tablet may cause dizziness; therefore, avoid driving vehicles or operating machinery until you return to normal.

Uses of Efnocar-MX 40/25 mg Tablet

Efnocar-MX 40/25 mg Tablet is used in the treatment of High blood pressure (hypertension). The detailed uses of Efnocar-MX 40/25 mg Tablet are as follows:<br/>• Control of blood pressure: Efnocar-MX 40/25 mg Tablet helps to control blood pressure.<br/>• Reduce the risk of heart conditions: Efnocar-MX 40/25 mg Tablet is used to reduce the risk of heart conditions like heart attacks and strokes.<br/>

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Directions for Use

• Efnocar-MX 40/25 mg Tablet can be taken with or without food, as advised by your doctor.• Follow your doctor's instructions on the dosage and timing of this medication.• Swallow Efnocar-MX 40/25 mg Tablet as a whole with a glass of water.• Do not break, crush, or chew it.

Medicinal Benefits

Efnocar-MX 40/25 mg Tablet is a combination medication that contains efonidipine (calcium channel blocker) and metoprolol (beta blocker). This medicine relaxes the blood vessels, allowing the heart to pump blood more efficiently. It reduces the force and contractions of the heart. Thus, it lowers blood pressure and reduces the risk of heart attack and stroke.

How Efnocar-MX 40/25 mg Tablet Works

Efnocar-MX 40/25 mg Tablet is a combination medicine containing Efonidipine (calcium channel blocker) and Metoprolol (beta-blocker). Efonidipine works by relaxing blood vessels so that blood passes through them more easily. Metoprolol works by blocking beta receptors in the heart, making the heart beat slowly and with less force. It decreases the pressure at which blood is pumped out of the heart and throughout the body.

Storage

• Store in a cool and dry place away from sunlight.• Keep Efnocar-MX 40/25 mg Tablet out of reach and sight of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Efnocar-MX 40/25 mg Tablet
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
  • Do not stand up suddenly. Lie down and get up slowly only when you feel better.
  • Avoid alcohol and large meals.
  • Drink enough water before standing for long periods.
  • Exercise regularly; however, avoid exercising in extreme heat.
  • Eat small, low-carb meals.
  • Wear compression stockings.

What if I have taken an overdose of Efnocar-MX 40/25 mg Tablet

If you accidentally take more medicine than your doctor has told you to, or if a child has taken some of the medicine by mistake, contact your doctor or go to your nearest hospital emergency department immediately. An overdose could cause adverse events such as flushed skin, dizziness, fainting, and low blood pressure. Do this even if there are no signs of discomfort.

Drug Warnings

Do not use Efnocar-MX 40/25 mg Tablet if you are allergic to Efnocar-MX 40/25 mg Tablet or its components. Please inform your doctor if you are using any prescription and non-prescription medications, including vitamins, before starting Efnocar-MX 40/25 mg Tablet . Let your doctor know if you have any history of severe heart, kidney, or liver diseases. Efnocar-MX 40/25 mg Tablet should not be administered to pregnant women and women suspected of being pregnant. Mothers on Efnocar-MX 40/25 mg Tablet treatment should avoid breastfeeding. Efnocar-MX 40/25 mg Tablet is not recommended in children and adolescents under 18 years due to a lack of information for this age group. Grapefruit and grapefruit juice can increase the blood levels of efonidipine, which can cause an unpredictable increase in its blood pressure-lowering effect. So, it is recommended not to drink grapefruit juice or eat grapefruit while taking this medicine.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Taking Tizanidine with Efnocar-MX 40/25 mg Tablet together can decrease blood pressure.

How to manage the interaction:
Although taking Efnocar-MX 40/25 mg Tablet and Tizanidine together can cause an interaction, it can be taken if a doctor has suggested it. However, contact a doctor immediately if you experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Do not stop using any medications without consulting a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Co-administration of Clonidine and Efnocar-MX 40/25 mg Tablet together may lower the blood pressure and slow the heart rate.

How to manage the interaction:
Although there is a possible interaction between Clonidine and Efnocar-MX 40/25 mg Tablet, you can take these medicines together if prescribed by a doctor. However, if you experience headaches, slow heartbeat, dizziness, contact a doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Co-administration of verapamil with Efnocar-MX 40/25 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Although taking verapamil and Efnocar-MX 40/25 mg Tablet together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Taking Efnocar-MX 40/25 mg Tablet with Atazanavir together can increase the risk of abnormal heart rhythm

How to manage the interaction:
Taking Efnocar-MX 40/25 mg Tablet with Atazanavir together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, or rapid heartbeat, consult the doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Taking Metoprolol with Diltiazem together can cause increased side effects.

How to manage the interaction:
There may be a possibility of interaction between Diltiazem and Efnocar-MX 40/25 mg Tablet, but it can be taken if prescribed by a doctor. However, if you notice fatigue, a headache, dizziness, swelling of the hands and feet, difficulty breathing, chest pain, an irregular heartbeat, make sure to contact a doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Taking Efnocar-MX 40/25 mg Tablet with Theophylline, could make Efnocar-MX 40/25 mg Tablet less effective and enhance the effects of Theophylline.

How to manage the interaction:
Although taking Efnocar-MX 40/25 mg Tablet and theophylline together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as nausea, vomiting, insomnia, shaking of hands and legs, restlessness, uneven heartbeats, or difficulty breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Co-administration of Aminophylline with Metoprolol could reduce the effects of Metoprolol and increase the affects of aminophylline.

How to manage the interaction:
Taking Aminophylline with Metoprolol can cause an interaction; however, it can be taken only if a doctor has advised it. If you experience nausea, vomiting, sleeplessness, restlessness, irregular heartbeats, or difficulty in breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Co-administration of Fingolimod and Efnocar-MX 40/25 mg Tablet can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Although taking Efnocar-MX 40/25 mg Tablet and Fingolimod together can cause an interaction, it can be taken if a doctor has suggested it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, or rapid heartbeat, consult the doctor immediately. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Taking Dolasetron and Efnocar-MX 40/25 mg Tablet together can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although taking Efnocar-MX 40/25 mg Tablet and Dolsetron together can cause an interaction, it can be taken if a doctor has suggested it. However, if you notice However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, or rapid heartbeat, consult the doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Efnocar-MX 40/25 mg Tablet:
Co-administration of Ritodrine with Efnocar-MX 40/25 mg Tablet can decrease the effectiveness of both medications.

How to manage the interaction:
Although taking Efnocar-MX 40/25 mg Tablet and Ritodrine together can cause an interaction, it can be taken if a doctor has suggested it. In case you experience any unusual symptoms, consult a doctor. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Keep your weight under control with a BMI of 18.5-24.9.
  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help lower your raised blood pressure by about 5 mm Hg.
  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • Limit sodium chloride (table salt) intake in your daily diet.
  • If you are taking alcohol, only one serving for women and two serving for men is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily, and immediately contact your doctor if there is too much fluctuation.
  • Try to include heart-healthy omega-3 fatty acid-containing food and drinks in your daily diet. You can also use low-fat cooking oil like olive, soybean, canola, and coconut oil, as they may help lower your blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES
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Alcohol

Unsafe

It is not to consume alcohol since it may worsen the side effects like dizziness and also increase blood pressure.

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Pregnancy

Caution

Efnocar-MX 40/25 mg Tablet should not used by pregnant women and women suspected of being pregnant unless the benefits to the mother outweigh the risks to the foetus.

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Breast Feeding

Caution

Efnocar-MX 40/25 mg Tablet should not used if you are breastfeeding unless the benefits surpass the risks to your baby.

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Driving

Caution

Do not drive or operate machinery as Efnocar-MX 40/25 mg Tablet can influence the ability to drive and use machines. Dizziness or drowsiness may occasionally occur when taking Efnocar-MX 40/25 mg Tablet .

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Liver

Caution

Efnocar-MX 40/25 mg Tablet should be used cautiously in patients with liver disease. Inform your doctor if you have a liver impairment before taking Efnocar-MX 40/25 mg Tablet . Your doctor may adjust the dose accordingly.

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Kidney

Caution

Limited data is available on using Efnocar-MX 40/25 mg Tablet in patients with kidney disease. If you have kidney problems, inform your doctor before taking Efnocar-MX 40/25 mg Tablet .

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Children

Caution

Efnocar-MX 40/25 mg Tablet is not recommended in children and adolescents under 18 years due to a lack of information for this age group.

FAQs

Efnocar-MX 40/25 mg Tablet is used to treat High blood pressure (hypertension).

Efnocar-MX 40/25 mg Tablet is a combination medicine containing Efonidipine and Metoprolol. Efonidipine works by relaxing blood vessels so that blood passes through them more easily. Metoprolol works by blocking beta receptors in the heart, making the heart beat slowly and with less force. It decreases the pressure at which blood is pumped out of the heart and throughout the body.

You should use Efnocar-MX 40/25 mg Tablet in dose and duration as the doctor advises. Do not stop taking Efnocar-MX 40/25 mg Tablet without consulting your doctor, as it may lead to a sudden rise in blood pressure and increase the risk of heart attack and stroke. The discontinuation should be done gradually under the supervision of the doctor.

You are not recommended to stop taking Efnocar-MX 40/25 mg Tablet on your own. You are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending upon your current blood pressure readings, there is a possibility that your doctor may lower the dosage.

Consult your doctor before taking Efnocar-MX 40/25 mg Tablet if you have hyperthyroidism, as it might mask the symptoms or make it difficult to recognise the signs of excess thyroid hormone in the body (thyrotoxicosis).

It&#039;s unlikely that Efnocar-MX 40/25 mg Tablet affects fertility in men or women. However, there&#039;s not enough evidence to say for certain. For the best advice, consult your doctor.

High blood pressure during pregnancy increases the following risks: Less blood flows to the placenta. The fetus may receive less oxygen and nutrients if the placenta doesn&#039;t get enough blood. This can result in slow growth (intrauterine growth restriction), low birth weight, or preterm birth.

Country of origin

India

Manufacturer/Marketer address

Office No. 5119, 5Th Floor, 'D' Wing, Oberoi Garden Estates, Chandivili, Andheri (E), Mumbai - 400 072.
Other Info - EFN0006

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