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Cilacar-TM 50 Tablet is used for management of severe high blood pressure (hypertension). This triple-combination uses cilnidipine (CCB), telmisartan (ARB), and metoprolol (beta-blocker). The three agents relax blood vessels, manage pressure, and slow the heart rate, providing superior blood pressure management for individuals whose hypertension is inadequately controlled by single medications.
Cilacar-TM 50 Tablet is used for the management of high blood pressure (hypertension), particularly beneficial for patients whose hypertension is not adequately controlled by single medicines, thus working effectively to reduce the workload on the heart and prevent associated cardiovascular complications like heart disease and stroke.
Here are some guidelines on how to take Cilacar-TM 50 Tablet:
Swallow the tablet whole with a sufficient amount of water. Avoid crushing or chewing it.
It's important not to stop taking this medicine without consulting your doctor first.
Remember, these are general instructions. For more personalised advice, always consult your doctor.
Cilacar-TM 50 Tablet is taken orally.
Cilacar-TM 50 Tablet may cause dizziness, headache, fatigue, nausea, peripheral oedema (swelling in limbs), bradycardia (slow heart rate), and hypotension (low blood pressure). Consult your doctor if symptoms worsen.
Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Cilacar-TM 50 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.
Here are some general guidelines for managing common side effects:
Dizziness: Try taking Cilacar-TM 50 Tablet at bedtime to manage this effect during sleep.
Nausea: If you're feeling nauseous, consider taking this medicine with or immediately after meals to lessen this effect.
Cilacar-TM 50 Tablet is a combination medicine comprising three active ingredients:
Cilnidipine (10 mg): This ingredient is a calcium channel blocker. It relaxes your blood vessels, making it easier for your heart to pump blood.
Metoprolol Succinate (50 mg): As a selective beta-1 adrenergic receptor blocker, this ingredient reduces the force and rate of heart contractions. It works by reducing the workload on your heart, thus lowering your blood pressure.
Telmisartan (40 mg): This angiotensin II receptor blocker prevents the narrowing of blood vessels caused by angiotensin II, a hormone that increases blood pressure. It selectively binds to the AT1 receptor subtype, blocking the vasoconstrictor and aldosterone-secreting effects of angiotensin II.
Cilacar-TM 50 Tablet is not suitable during pregnancy due to the risk of harm to the fetus. It is highly recommended to consult your doctor before taking this medicine if you are pregnant.
Caution is advised while breastfeeding if you're taking Cilacar-TM 50 Tablet. It would be wise to discuss this with your doctor before consuming the medicine.
While on medication with Cilacar-TM 50 Tablet, alcohol consumption may cause adverse effects. Hence, it's best to consult your doctor about safely consuming alcohol.
If you have liver concerns, caution is recommended when taking Cilacar-TM 50 Tablet. It's always a good idea to discuss any liver-related issues with your doctor before starting this medicine.
For individuals with a history of kidney problems, precaution is advised when taking Cilacar-TM 50 Tablet. Please ensure you consult your doctor before starting this medication.
Cilacar-TM 50 Tablet may cause dizziness as a side effect. If you're going to operate heavy machinery or drive, it's crucial to understand how your body responds to the medication first.
Those with known allergies to Cilnidipine, Metoprolol Succinate, or Telmisartan should avoid using Cilacar-TM 50 Tablet. Always inform your doctor about any existing allergies before starting the medication.
Cilacar-TM 50 Tablet is not recommended for children under 18 years of age. Always consult a doctor before giving any medication to a child.
Older patients should take Cilacar-TM 50 Tablet under medical supervision as they may be more susceptible to its side effects. If you are above 70 years of age, caution is advised. Your doctor will guide you based on your health status.
Cilacar-TM 50 Tablet interacts with the following medicines:
CYP2D6 Inhibitors: If paired with Cilacar-TM 50 Tablet, medications like quinidine, fluoxetine, and paroxetine can increase levels of metoprolol in your body and risk of adverse effects.
Diuretics: Medicines like furosemide or hydrochlorothiazide, used to remove excess water from your body, can escalate the risk of low blood pressure (hypotension) and imbalanced electrolytes when taken alongside Cilacar-TM 50 Tablet.
Antimaniac Agent: Medicine like lithium, which is a mood stabilising medication, when used with Cilacar-TM 50 Tablet may lead to increased lithium levels in your body, potentially causing toxicity.
Certain foods can affect the way Cilacar-TM 50 Tablet works:
Grapefruit: Consuming grapefruit or its juice while taking this medicine can increase the concentration of cilnidipine in your body which may enhance its side effects.
Cilacar-TM 50 Tablet interacts with the following diseases:
Liver Disease: If you have liver disease, this medicine could cause complications as cilnidipine is metabolised by the liver.
Heart Failure: Patients suffering from severe heart failure need to be cautious as this medicine may induce symptomatic low blood pressure or hypotension.
Renal Impairment: For those with kidney disease or renal artery narrowing, this medicine could alter kidney functions due to telmisartan's effects.
As per your doctor's instructions, you should take the prescribed dose of Cilacar-TM 50 Tablet. The dosage might vary depending on individual factors such as the severity of your condition and your response to treatment. It's crucial not to exceed the prescribed dosage without consulting your doctor.
If you happen to take more than the prescribed dose of Cilacar-TM 50 Tablet, you could experience some common side effects like dizziness or fatigue. In case these symptoms persist or worsen, inform your doctor.
In case you forget to take Cilacar-TM 50 Tablet at the scheduled time, take it as soon as you remember. If it's nearly time for your next dose, just skip the missed one and continue with your regular schedule. It's important not to double up your dosage to make up for a missed one without checking with your doctor first.
Keep Cilacar-TM 50 Tablet in a tightly closed container.
Store at room temperature, ideally between 20-25°C.
Avoid exposure to light and moisture, as this can damage your medicine.
Always ensure the medicine is out of reach of children.
Lastly, remember to use your medicine before the expiry date printed on the packaging.
A low-salt diet is recommended. Salt can increase your blood pressure, making Cilacar-TM 50 Tablet less effective. Opt for fresh foods over processed ones, as they are often high in salt.
Regular physical activity helps manage high blood pressure. Try to include exercise in your routine, but always consult your doctor before starting any new physical activity programme.
| Dosage Forms Available | Tablet ER |
| Habit Forming | No |
| Ailment | Hypertension |
| Drug Category | Calcium Channel Blocker, Beta-Blocker, Angiotensin II Receptor Blocker |
| Therapeutic Category | Antihypertensive |
It's used to manage high blood pressure in adults. It contains three active ingredients: cilnidipine, metoprolol succinate, and telmisartan.
Cilnidipine relaxes blood vessels, metoprolol succinate reduces heart rate and force of contractions, and telmisartan prevents blood vessel constriction.
The tablet is taken as prescribed by your physician, with or without food. Always swallow it whole with a sufficient amount of water.
Yes, some common side effects include dizziness, headache, fatigue, nausea, peripheral swelling, slow heart rate, and low blood pressure.
No, this medicine should not be used during pregnancy due to the risk of harm to the baby. If you're pregnant, consult your doctor immediately.
Yes, certain medicines may interact with it and affect its effectiveness or cause side effects. Always tell your doctor about any other medicines you're taking.
If you accidentally take too much of this medicine, seek immediate medical attention as it can cause severe low blood pressure and slow heart rate.
Check out Editorial Policy
National Center for Biotechnology Information. (2007). Telmisartan: A review of its use in hypertension. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2015014/ on 1 April 2024.
DailyMed. (n.d.). METOPROLOL SUCCINATE- metoprolol succinate tablet, film coated, extended release. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=5988bc0d-68dc-47bc-819d-2709572042ce on 1 April 2024.
DailyMed. (n.d.). TELMISARTAN- telmisartan tablet. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=c3658bc8-1524-43db-930e-66f9ac01b808 on 1 April 2024.
U.S. Food and Drug Administration. (2018). Telmisartan and Hydrochlorothiazide Tablets, for Oral Use. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/210428s000lblReplacement.pdf on 1 April 2024.
National Center for Biotechnology Information (2024). PubChem Compound Summary for CID 5282138, Cilnidipine. Retrieved November 17, 2024 from https://pubchem.ncbi.nlm.nih.gov/compound/Cilnidipine.
We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.
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