IVA Met XL 5mg/50mg Tablet is a combination medicine used in the treatment of angina (heart-related chest pain). It works by reducing the heart rate and making the heart more efficient at pumping blood throughout the body. It is advised to take IVA Met XL 5mg/50mg Tablet with food at a fixed time each day to maintain consistent levels of medicine in the blood. In case you have missed any doses, take it as soon as you remember it. Never skip any doses and finish a full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to the doctor as it may worsen your symptoms. The most common side effects of this medicine include slow heart rate, tiredness, and blurred vision These are usually mild but let your doctor know if they bother you or last more than a few days. You may be asked for regular monitoring of blood pressure, heart rate, and blood glucose level while taking this medicine. Avoid driving or attention-seeking activity while taking this medicine. Before taking this medicine, tell your doctor if you have liver or kidney disease. You must tell your doctor if you are pregnant or breastfeeding. You should also let your healthcare team know all other medicines you are taking as they may affect, or be affected by this medicine.