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Cilamet XL Tablet is used to treat hypertension. It combines cilnidipine, a calcium channel blocker, and metoprolol, a beta-blocker, to relax blood vessels and lower heart rate. This medicine helps prevent complications such as heart attack, stroke, and kidney damage. Take it exactly as prescribed, inform your doctor about your medical history and current medications, and report side effects immediately.
Cilamet XL Tablet is used for managing hypertension in adults. It helps prevent heart-related complications, including heart attacks and strokes, and supports kidney health by controlling blood pressure effectively.
Swallow the tablet whole with a glass of water.
Do not crush, chew, or split the tablet.
Ensure you take your dose at the same time each day, preferably in the morning.
Never increase your dose without consulting your doctor.
Do not suddenly stop taking this medicine without speaking to your doctor first.
Cilamet XL 10/25 Tablet is taken orally.
Cilamet XL Tablet may cause headaches, dizziness, fatigue, nausea, diarrhea or constipation, cough, nasal congestion, and a slow heartbeat. If you feel nauseous, you can take this medicine with your meals to make it easier on your stomach. Always consult with your doctor if you are unsure or if the side effects bother you.
Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Cilamet XL 10/25 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.
Here are some guidelines for managing common side effects:
Nausea: Try taking Cilamet XL 10/25 Tablet with a meal to lessen this effect.
Fatigue: If you feel tired after taking this medicine, consider taking it at bedtime to manage this symptom.
Cilamet XL 10/25 Tablet contains two active ingredients that work together to lower blood pressure:
Cilnidipine (10 mg): This component belongs to a class of medicines known as calcium channel blockers. It works by blocking the movement of calcium into the cells of the heart and blood vessels. This action relaxes and widens your blood vessels, reducing the effort required by your heart to pump blood around your body.
Metoprolol Succinate (25 mg): This ingredient is a beta-1 selective adrenergic receptor blocker. It operates by slowing down your heart rate and reducing the force with which the heart muscle contracts, lessening the demand for oxygen and lowering blood pressure.
Caution is advised while taking Cilamet XL 10/25 Tablet if you are pregnant. It is best to consult your doctor before taking this medicine.
Cilamet XL 10/25 Tablet should be avoided if you are breastfeeding. Discuss the risks and benefits with your doctor.
Combining this medicine with alcohol may lower your blood pressure too much, which could lead to dizziness or fainting. Ask your doctor for advice before drinking alcohol while taking this medication.
Caution is needed when using Cilamet XL 10/25 Tablet in case of mild to moderate liver impairment. This medicine may not be suitable for severe liver diseases. Please consult your doctor if you have liver problems.
If you have a history of kidney problems, it's a good idea to discuss this with your doctor before starting Cilamet XL 10/25 Tablet.
This medicine may cause dizziness, affecting your ability to drive or operate machinery. Be careful until you know how the medication affects you.
Avoid using Cilamet XL 10/25 Tablet if you're allergic to cilnidipine, metoprolol, or any other ingredients in the tablet. Talk to your doctor about any known allergies before starting this medicine.
Cilamet XL 10/25 Tablet is not recommended for use in children under 18 years of age. Always consult your doctor before giving any medicine to a child.
Older patients should take Cilamet XL 10/25 Tablet under medical supervision as they may be more susceptible to its side effects. Your doctor will guide you based on your health status.
Cilamet XL 10/25 Tablet interacts with the following medicines:
Antihypertensives: Medicines like amlodipine or lisinopril may interact with Cilamet XL 10/25 Tablet, potentially leading to an excessive decrease in blood pressure.
Heart rhythm medications: Medicines like digoxin or amiodarone may interact with Cilamet XL 10/25 Tablet, potentially causing altered heart rhythms.
NSAIDs: Taking non-steroidal anti-inflammatory medications such as ibuprofen or naproxen with Cilamet XL 10/25 Tablet can reduce its blood pressure-lowering effects.
Antidepressants: Medications like fluoxetine or paroxetine may increase the level of metoprolol in your body, exacerbating its side effects.
Antipsychotics: Combining certain antipsychotic medications like thioridazine with Cilamet XL 10/25 Tablet may increase your risk of slow heartbeat and low blood pressure.
Certain foods can also interact with this medicine:
Grapefruit Juice: This juice can increase the amount of cilnidipine in your body, enhancing its effects and side effects.
Cilamet XL 10/25 Tablet interacts with the following diseases:
Decompensated Heart Failure: This medicine should be used cautiously in patients suffering from heart failure as it can further decrease heart function.
Severe Bradycardia: Patients with a slow heart rate should avoid using this medicine because it can further reduce the heart rate.
Asthma and COPD: Individuals with these respiratory conditions should use this medicine cautiously as it can lead to breathing difficulties.
Severe Hepatic Impairment: In patients with severe liver disease, this medicine should be used cautiously due to a higher risk of adverse effects.
You should take your daily dose of Cilamet XL 10/25 Tablet as instructed by your doctor. The dosage can vary depending on factors like the severity of your condition and how well you respond to this medicine. Always follow your doctor's prescribed dosage and never exceed it without their advice.
If you accidentally take more Cilamet XL 10/25 Tablet than prescribed, you may experience common symptoms such as dizziness, fatigue, and upset stomach. If these symptoms persist or worsen after some time, it's crucial to inform your doctor.
If you forget to take a dose of Cilamet XL 10/25 Tablet, take it as soon as you remember. But if it's almost time for the next dose, skip the missed one and continue with your regular schedule. You should never increase your dosage without consulting your doctor.
Keep your Cilamet XL 10/25 Tablet in a closed container at room temperature, below 30°C.
Protect it from excessive light and moisture.
Always place the medicine out of reach of children.
Check the expiry date before use; do not consume any tablet past its expiry.
Adopt a low-salt diet: High blood pressure can be managed better when you limit your salt intake.
Regular exercise: Incorporate physical activities like walking or yoga into your daily routine to help manage hypertension. Always consult your doctor before starting any new exercise regimen.
| Available Dosage Types | Tablet |
| Habit Forming | No |
| Ailment | Hypertension |
| Drug Category | Calcium channel blocker, Beta-1 blocker |
| Therapeutic Category | Antihypertensive |
Cilamet XL 10/25 Tablet is used to manage hypertension (high blood pressure) in adults.
The medicine works by relaxing and widening blood vessels and reducing heart rate, effectively lowering blood pressure.
No, the tablet should be swallowed whole. Crushing or chewing it may alter its extended-release mechanism.
If you miss a dose, take it as soon as you remember. If it's nearly time for your next dose, skip the missed one.
The medicine starts showing some effect within 1-2 weeks, but it may take 2-4 weeks for the full effect.
Side effects can include headache, dizziness, fatigue, nausea, diarrhoea or constipation, cough, slow heartbeat and stuffy nose.
This medicine should be avoided during pregnancy; consult your doctor if you're breastfeeding as its impact on breast milk is unknown.
Check out Editorial Policy
National Center for Biotechnology Information. (2008). Metoprolol: A Review of Its Use in Chronic Heart Failure. Retrieved 1 April 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2015014/
DailyMed. (n.d.). Metoprolol Succinate Extended Release Tablets, USP. Retrieved 1 April 2024, from
U.S. Food and Drug Administration. (n.d.). Metoprolol Succinate Extended Release Tablets, USP. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/psg/PSG_019962.pdf
Chandra, K. S., & Ramesh, G. (2013). The fourth-generation Calcium channel blocker: Cilnidipine. Indian Heart Journal, 65(6), 691–695. Retrieved 1 April 2024, from
Morris, J., Awosika, A. O., & Dunham, A. (2024). Metoprolol. In StatPearls. StatPearls Publishing. Retrieved 1 April 2024, from
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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