• Swallow the tablet whole with a glass of water.
• Do not chew, cut, or crush the tablet.
• Take the medicine at the same time each day to ensure maximum efficacy.
• Do not discontinue without consulting your doctor.
Cilnaren TM 50 Tablet is primarily indicated for the management of high blood pressure, clinically known as hypertension. It is categorised under antihypertensive medicines.
Cilnaren TM 50 Tablet is utilised for:
• Managing high blood pressure, or hypertension
• Assisting individuals whose hypertension is not adequately controlled with dual combination therapy or monotherapy
• Swallow the tablet whole with a glass of water.
• Do not chew, cut, or crush the tablet.
• Take the medicine at the same time each day to ensure maximum efficacy.
• Do not discontinue without consulting your doctor.
Cilnaren TM 50 Tablet is taken orally.
Common side effects associated with Cilnaren TM 50 Tablet may include:
• Headache
• Dizziness
• Fatigue
• Nausea
• Diarrhoea
Cilnaren TM 50 Tablet includes the following active ingredients:
• Cilnidipine (10 mg): This calcium channel blocker inhibits calcium influx into vascular smooth muscle cells, resulting in vasodilation and lower blood pressure.
• Metoprolol (50 mg): A beta-blocker that targets beta1 receptors, reducing heart rate and cardiac output, consequently lowering blood pressure.
• Telmisartan (40 mg): An angiotensin II receptor blocker that promotes vasodilation by inhibiting the actions of angiotensin II, thereby reducing blood pressure.
Not recommended.
Nursing mothers should discontinue breastfeeding if this medicine is advised.
Avoid alcohol as it may enhance the hypotensive effect, leading to dizziness.
Caution is advised.
Caution is advised.
May cause dizziness or drowsiness; do not drive or operate machinery until you are sure how you react to the medicine.
Avoid if you are allergic to cilnidipine or any ingredients in the tablet.
Not recommended for those under 18 years.
Should be taken under medical supervision due to increased sensitivity to side effects.
Drug-Drug Interactions
• Other Antihypertensives: Concurrent use may result in an exaggerated drop in blood pressure.
• Cardiac Glycosides: Possible interaction leading to altered medication effects or increased side effects.
• Lithium Preparations: Concomitant use can raise lithium levels, risking toxicity.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): These can reduce the efficacy of the antihypertensive effect.
• Potassium supplements or potassium-sparing diuretics: Concurrent use can potentially lead to hyperkalemia, an elevated level of potassium in the blood.
Drug-Food Interactions
• Potassium-Rich Foods: Consuming these foods may increase the risk of hyperkalaemia.
• Sodium-Rich Foods: Excessive intake may counteract the medicine's effectiveness.
Drug-Disease Interactions
• Low Blood Pressure (Hypotension): Further reduction in blood pressure can occur.
• Heart Conditions: This is advised against use in severe bradycardia, heart block, or cardiogenic shock as it may worsen cardiac function.
Daily Dosage
• The dose of Cilnaren TM 50 Tablet should be taken as prescribed by your doctor.
Missed Dose
• If a dose is missed, take it as soon as you remember. If it is close to the time for the next dose, skip the missed dose. Do not double the dose to make up for the missed dose.
Overdose
• Common symptoms of overdose include severe low blood pressure, slow heart rate, and dizziness. Immediate medical attention is necessary if an overdose is suspected.
• Store Cilnaren TM 50 Tablet in a cool, dry place.
• Keep the tablet at temperatures not exceeding 30°C.
• Protect the tablet from light and moisture.
• Keep out of reach of children.
• Use before the expiry date indicated on the package.
• Limit salt intake to aid in managing hypertension.
• Engage in regular physical activity to assist in blood pressure control.