Metoprolol (50 mg) Extended-Release + Ramipril (5 mg) Tablet is a combination antihypertensive medicine used to treat hypertension (high blood pressure) and reduce the risk of cardiovascular complications. Metoprolol, a selective beta-1 adrenergic blocker, lowers heart rate and reduces the heart's workload, while Ramipril, an angiotensin-converting enzyme (ACE) inhibitor, relaxes blood vessels by inhibiting the formation of angiotensin II. Together, they provide effective 24-hour blood pressure control, improve heart function, and help reduce the risk of heart attack, stroke, heart failure, and kidney damage in patients with hypertension.