INTRODUCTION

CILACAR 10 TABLET contains Cilnidipine which belongs to the group of medicines called Antihypertensive agents. It is used to treat hypertension and its associated vascular disorders.

Hypertension (also known as high blood pressure) is a medical condition in which the force of the blood exerted against the walls of the arteries remains very high, and as a result it may lead to severe damage to the blood vessels supplying vital organs, such as heart, kidney or brain. If left untreated, it may cause serious complications such as heart attack, heart failure, stroke or even blindness.

By lowering blood pressure, CILACAR 10 TABLET can also reduce the risk of angina (chest pain), heart attack (myocardial infarction) or stroke (sudden loss of blood supply).

Before taking CILACAR 10 TABLET, inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have severe hypotension (low blood pressure), edema or congestive heart failure.

CILACAR 10 TABLET is not recommended for use in patients with other severe heart problems such as narrowing of heart valves. Consult your doctor before taking CILACAR 10 TABLET if you are pregnant or breastfeeding.

The most common side effects of taking CILACAR 10 TABLET are swelling of ankles or other body parts, headache, dizziness, flushing, skin rashes and gingival hyperplasia (enlargement or overgrowth of the gums). Contact your doctor if any of these side effects trouble you.

USES OF CILACAR 10 TABLET

• Treats hypertension
• Prevents the risk of angina, heart attack or stroke

HOW CILACAR 10 TABLET WORKS

CILACAR 10 TABLET is a vasodilator. It works by blocking the entry of certain ions (calcium ions) within the blood vessels that causes narrowing. As a result, it relaxes the blood vessels and allows blood to flow more smoothly across the blood vessels with less pressure. It also improves blood flow and oxygen supply to the heart muscles which reduces the strain on the heart, improves heart functions and prevents the risks of heart attack or stroke.

DIRECTIONS FOR USE

Take CILACAR 10 TABLET as advised by your physician. Swallow the medicines with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. Continue to take CILACAR 10 TABLET for the stipulated duration instructed by your doctor to achieve better results.

SIDE EFFECTS OF CILACAR 10 TABLET

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

Take CILACAR 10 TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache:  

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Constipation:

Eat plenty of fibre rich foods such as fresh fruits, vegetables and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug - Drug interactions:

Before taking CILACAR 10 TABLET, inform your doctor if you are taking any of the following medicines such as:

• medicines used to treat advanced renal cell carcinoma (Ex. aldesleukin)
• medicines used to treat epilepsy (Ex. carbamazepine, phenytoin)
• medicines used for bacterial infections (Ex. erythromycin)
• medicines used to treat tuberculosis (Ex. rifampicin)
• medicines used to treat hypertension and heart problems (Ex. quinidine, propranolol, digoxin)
• medicines used for psychosis (Ex. risperidone, quetiapine, olanzapine)
• insulin (a medicine used for diabetes mellitus)
• cimetidine (a medicine used to treat stomach ulcers)

Overdosage:

If you or anyone else accidentally took more CILACAR 10 TABLET, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

MORE INFORMATION

• Keep CILACAR 10 TABLET out of the sight and reach of children
• Store CILACAR 10 TABLET at room temperature

FAQs ABOUT CILACAR 10 TABLET

What are the uses of CILACAR 10 TABLET?

CILACAR 10 TABLET is used to treat hypertension and its associated vascular disorders. It can also be used to prevent the risk of angina, heart attack or stroke.

What type of a medicine is CILACAR 10 TABLET?

CILACAR 10 TABLET is an antihypertensive medicine. It contains cilnidipine which is a calcium channel blocker. It reduces strain on the heart, relaxes blood vessels and makes the heart to pump more blood with lesser force.

What happens when I stop taking CILACAR 10 TABLET?

Do not stop taking CILACAR 10 TABLET without consulting your doctor as your blood pressure may raise once again. Make sure to take CILACAR 10 TABLET for the stipulated duration recommended by your doctor to achieve maximum results.

What is the best time to take CILACAR 10 TABLET?

CILACAR 10 TABLET can be taken with or without meals. Your doctor will decide the best time for you to take CILACAR 10 TABLET based on your age, body weight and disease condition.

What to do if I forgot to take a dose of CILACAR 10 TABLET?

If you have missed a dose of CILACAR 10 TABLET, take it as soon as you remember. However, if it is time for the next dose of CILACAR 10 TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of CILACAR 10 TABLET to compensate the missed ones.

What precautions should be followed while taking CILACAR 10 TABLET?

Before taking CILACAR 10 TABLET, inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have severe high or low blood pressure, or other heart problems (such as narrowing of the arteries, or a recent heart attack). Consult your doctor before taking CILACAR 10 TABLET if you are pregnant and breastfeeding. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.

Can I consume alcohol while taking CILACAR 10 TABLET?

Avoid consumption of alcohol while taking CILACAR 10 TABLET as it might make you feel dizzier and drowsier.

What happens if I accidentally take more CILACAR 10 TABLET?

If you or anyone else accidentally took more CILACAR 10 TABLET, consult your doctor immediately. Symptoms of overdosage might include dizziness, fainting, light-headedness, weakness, shock, cool or clampy skin and shortness of breath.

Can I take CILACAR 10 TABLET daily?

Take CILACAR 10 TABLET as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take CILACAR 10 TABLET every day or not.

Can CILACAR 10 TABLET cause ankle swelling?

CILACAR 10 TABLET may cause edema or swelling of ankles in few patients. If you experience ankle swelling, keep your legs on a table or slightly elevated from the ground level. If this symptom bothers you, contact your doctor.

What are the side effects of CILACAR 10 TABLET?

The most common side effects of taking CILACAR 10 TABLET are swelling of ankles or other body parts, headache, dizziness, flushing, skin rashes and gingival hyperplasia (enlargement or overgrowth of the gums). Contact your doctor if any of these side effects trouble you.

Can I stop taking CILACAR 10 TABLET once my symptoms subside?

No. Do not stop taking CILACAR 10 TABLET without consulting your doctor. As hypertension is a chronic condition, long term treatment may be necessary to control its symptoms. Therefore, take CILACAR 10 TABLET as advised by your doctor for the stipulated duration. Premature discontinuation of therapy may increase your blood pressure once again.

Can CILACAR 10 TABLET be taken during pregnancy?

CILACAR 10 TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.

Can the use of CILACAR 10 TABLET affect the liver?

Yes. CILACAR 10 TABLET may affect the way your liver work. Therefore, it should be used with caution in patients with liver problems. Consult your doctor before taking it.

REFERENCES

1. Lionel H. Opie. Calcium channel blockers. Drugs for the heart. 8th Edition. 2013. Page- 88-89.

2. Junichi Minami, Yuhei Kawano, Yuriko Makino, Hiroaki Matsuoka and Shuichi Takishita. Effects of cilnidipine, a novel dihydropyridine calcium antagonist, on autonomic function, ambulatory blood pressure and heart rate in patients with essential hypertension. NIH. National Library of Medicine, National Center for biotechnology information. PMC. PubMed Central. September 2016. [Accessed on 1st October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2015014/

3. Unique pharmaceutical laboratories. Cilacar 20mg. September 2017. [Accessed on 1st October 2022] https://medicaldialogues.in/uploads/2020/05/20/file_upload-129064.pdf

4. Cilnidipine. Centaurpharma.com. [Accessed on 1st October 2022] https://www.centaurpharma.com/downloads/CENTAPRES.pdf

5. Cilocab. Cilnidipine. ACL limited. [Accessed on 1st October 2022] https://www.acipharma.net/assets/files/product-pdf/cilocab.pdf

USEFUL DIAGNOSTIC TESTS

• Activated Partial Thromboplastin Time
• Complete Blood Count
• Kidney Function Test
• Prothrombin Time