CILNIDIB N Tablet 10's

Hypertension Rx required

Best Price* ₹ 109.60 MRP ₹ 137.00
(Inclusive of all taxes) *10 Tablet(s) in a Strip * Mkt: PREVEGO HEALTHCARE & RESEARCH PRIVATE LIMITED * Country of Origin: India * Delivery charges if applicable will be applied at checkout

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INTRODUCTION

CILNIDIB N is a combination of Cilnidipine and Nebivolol which belongs to the group of medicines called Antihypertensives. It is used in the treatment of essential hypertension that occurs when you have abnormally high blood pressure not because of a medical condition. Hypertension is a condition in which force of the blood is consistently high against the walls of the arteries which can increase the risk of heart disease, kidney disease, and stroke. It is characterized by symptoms such as blurry vision, chest pain, shortness of breath, dizziness, fatigue, mental confusion, nosebleed, and severe headaches.

Nebivolol is a beta-blocker which works by reducing the force of contraction of the heart muscles by the blocking the effects of certain hormones called adrenaline and making the heart to beat more easily thus it lowers the blood pressure. Cilnidipine is a calcium channel blocker which decreases the blood pressure by relaxing the blood vessels and enhances easy flow of blood to the heart muscles.

CILNIDIB N is not recommended for use in patients having kidney, lung, liver, or heart diseases, untreated phaeochromocytoma, diabetic ketoacidosis, serious circulation problems, and low blood pressure. CILNIDIB N should be used with caution in patients who have diabetes, overactive thyroid gland, allergy, peripheral oedema, and who require anesthesia.

CILNIDIB N should not be used by pregnant or breast-feeding women, children, and adolescents below 18 years of age. CILNIDIB N should be used with caution in elderly individuals above 75 years of age. The most common side effects of taking CILNIDIB N are headache, dizziness, constipation, nausea, diarrhea, shortness of breath, tiredness, and oedema. Contact your doctor if any of the symptoms worsen.

USES OF CILNIDIB N

  • Treats essential hypertension

HOW CILNIDIB N WORKS

CILNIDIB N helps to reduce high blood pressure, where nebivolol works by reducing the force of contraction of the heart muscles by the blocking the effects of certain hormones called adrenaline and making the heart to beat more easily thus it lowers the blood pressure and cilnidipine is a calcium channel blocker which decreases the blood pressure by relaxing the blood vessels and enhances easy flow of blood to the heart muscles.     

DIRECTIONS FOR USE

Take CILNIDIB N as advised by your doctor. Swallow the medicine 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.

SIDE EFFECTS OF CILNIDIB N

COMMON

  • headache
  • dizziness
  • tiredness
  • unusual feeling of itching or tingling
  • diarrhoea
  • constipation
  • nausea
  • shortness of breath
  • swollen hands or feet
  • flushing
  • low blood pressure
  • peripheral oedema
  • fast heart rate
  • palpitations (sensation of fast heartbeat)
  • gastrointestinal disturbances
  • increased frequency of urination
  • lethargy

UNCOMMON

  • slow heartbeat or other heart problems
  • cramp-like leg pains on walking
  • abnormal vision
  • impotence (inability to maintain erection)
  • indigestion, gas in stomach or bowel, vomiting
  • skin rash and itching
  • breathlessness such as in asthma (due to sudden cramps in the muscles around the airways)
  • bronchospasm nightmares

RARE

Stop taking CILNIDIB N and contact your doctor immediately if you experience any of the following side effects:

  • signs of allergic reactions such as whole body allergic reaction, with generalized skin eruption

HOW TO MANAGE SIDE EFFECTS

Nausea:

Take this medicine with, or just after meals. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your symptom does not improve.

Constipation:

Eat plenty of fiber rich foods such as vegetables, fresh fruits, cereals, and drink plenty of water. Exercise more regularly. Consult your doctor if your symptom does not improve.

Diarrhoea:

Drink lot of fluids, such as water, squash, or fruit juice to keep yourself hydrated. Do not take any medicine on your own for treating diarrhea without consulting your doctor. 

Headache:

Try to take rest and don’t involve yourself in exertive activities. Apply a pain-relieving balm on your forehead if required. Consult your doctor if your symptom does not improve.

Tiredness:

Drink plenty of fluids and eat balanced diet and frequent meals. Do regular minimal exercise and follow regular sleep schedule. Consult your doctor if your symptom does not improve.

WARNING & PRECAUTIONS

PREGNANCY

CILNIDIB N is not recommended for use in pregnant women unless it is considered clearly necessary. Consult your doctor before taking CILNIDIB N.

BREASTFEEDING

CILNIDIB N is not recommended for use in breastfeeding women. Consult your doctor before taking CILNIDIB N.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you experience dizziness or tiredness after taking CILNIDIB N.

KIDNEY

CILNIDIB N is not recommended for use in patients having serious kidney disease. Consult your doctor before taking CILNIDIB N.

LIVER

CILNIDIB N is not recommended for use in patients having liver disease such as liver function disorders. It should be used with caution in patients having liver dysfunction and elevated liver enzymes. Consult your doctor before taking CILNIDIB N.

ALLERGY

Do not take CILNIDIB N if you are allergic to Cilnidipine or Nebivolol.

LUNGS

CILNIDIB N is not recommended for use in in patients having lung disease such as asthma or wheezing. It should be used with caution in patients having prolonged breathing problems. Consult your doctor before taking CILNIDIB N.

HEART DISEASE

CILNIDIB N is not recommended for use in patients having heart disease such as second- and third-degree atrioventricular block, heart conduction disorders, very slow heartbeat, heart failure or undergoing treatment for circulatory shock. It should be used with caution in patients who have untreated chronic heart failure, abnormally slow heartrate, and first-degree heart block. Consult your doctor before taking CILNIDIB N.

OTHERS

CILNIDIB N is not recommended for use if you have:

  • untreated phaeochromocytoma
  • diabetic ketoacidosis
  • serious circulation problems
  • low blood pressure

Before taking CILNIDIB N tell your doctor if you have:

  • lactose intolerance
  • diabetes
  • overactive thyroid gland
  • peripheral oedema
  • surgery and require anesthesia
  • poor circulation in legs or arms

Use in pediatrics:

CILNIDIB N is not recommended for use in children and adolescents (under 18 years of age). Consult your doctor before taking CILNIDIB N.

Use in geriatrics:

CILNIDIB N should be used with caution in patients above 75 years of age. Consult your doctor before taking CILNIDIB N.

INTERACTIONS

A. Drug – Drug Interactions:

Before taking CILNIDIB N inform to your doctor, if you are taking any of these medicines:

  • medicines used for controlling the blood pressure or heart problems (Ex. amiodarone, clonidine, digoxin, diltiazem, disopyramide, methyldopa, mexiletine, moxonidine, felodipine, flecainide, guanfacine, hydroquinidine, lacidipine, nicardipine, nifedipine, nimodipine, nitrendipine, propafenone, amlodipine, cibenzoline, quinidine, rilmenidine, verapamil and quinidine)
  • medicines used for treating mental illness and epilepsy (Ex. phenobarbital, amobarbital)
  • medicines used in the treatment of schizophrenia and depressive disorders (Ex. thioridazine, amitriptyline, paroxetine, fluoxetine)
  • phenothiazines such as chlorpromazine, promethazine (used for treating vomiting and nausea)
  • medicines used for anesthesia during an operation (Ex. lidocaine)
  • medicines used in the treatment of asthma (Ex. salbutamol, terbutaline)
  • medicines used in the treatment of glaucoma (Ex. acetazolamide)
  • baclofen (used to relieve muscle spasm and pain)
  • medicines used during cancer treatment (Ex. amifostine, aldesleukin)
  • medicines used for treating excessive stomach acid or ulcers (Ex. cimetidine)
  • mefloquine (medicine used in malaria treatment)
  • medicines used in the treatment of bacterial infections (Ex. rifampicin, erythromycin)

Overdosage:

If you or anyone else accidentally take too much of CILNIDIB N, consult your doctor immediately or visit the nearby hospital. Overdosage symptoms of CILNIDIB N are very slow heartbeat, low blood pressure with possible fainting, breathlessness such as in asthma, and acute heart failure.

SYNOPSIS

Drug :  

Cilnidipine, Nebivolol

Pharmacological Category :  

Calcium Channel Blockers,Beta-Blockers

Therapeutic Indication :  

Essential Hypertension

Dosage Forms :  

Tablet

MORE INFORMATION

  • Keep CILNIDIB N out of reach of children
  • Store at room temperature below 30°C

FAQs ABOUT CILNIDIB N

What is CILNIDIB N and why it has been prescribed to me?

CILNIDIB N is a combination of Nebivolol and Cilnidipine which belongs to the group of medicines called Antihypertensives. It is prescribed to you to treat your condition called essential hypertension. Consult with your doctor for further information.

Can CILNIDIB N cause dizziness?

Yes, CILNIDIB N can cause dizziness. Lie down until dizziness passes away and then move slowly and carefully. Take plenty amount of rest and drink plenty of fluids. Do not drive or use machineries until you feel normal. Consult your doctor if the symptom does not improve or it worsens.

Is CILNIDIB N safe in pregnant and breast-feeding women?

CILNIDIB N is not intended for use in pregnant women or women trying to become pregnant and breastfeeding women unless considered clearly necessary. Therefore, contact your doctor before taking CILNIDIB N.

Can I stop taking CILNIDIB N when my blood pressure is under control?

No, you should follow the instructions of your doctor while taking CILNIDIB N. When stopped taking suddenly it will increase your blood pressure severely. If you have symptoms of low blood pressure (dizziness, light-headedness, blurred vision) or if you experience severe drop in blood pressure while taking CILNIDIB N, consult your doctor immediately.   

What to do if I miss to take a dose of CILNIDIB N?

You should take CILNIDIB N immediately when you remember. If it is time for your next dose skip the missed dose and follow your regular dose schedule. Do not double the dose to match up your missed dose.

REFERENCES

1. KD. Tripathi. Antiadrenergic Drugs and Drugs for Glaucoma. Essentials of medical pharmacology. Seventh edition. 2013. Page – 149.

2. Shivani Priyadarshni, Bryan H. Curry. Nebivolol. NIH. National Library of Medicine, National center for biotechnology information. November 2021. [Accessed on 8th June 2022] https://www.ncbi.nlm.nih.gov/books/NBK551582/

3. Robert Weiss. Nebivolol: A Novel Beta-Blocker with Nitric Oxide-Induced Vasodilatation. NIH. National Library of Medicine, National center for biotechnology information. [Revised in September 2006] [Accessed on 8th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1993984/

4. Torrent Pharmaceuticals. Nebicard LN. Nebivolol Hydrochloride & Cilnidipine Tablets. [Revised in February 2022] [Accessed on 8th June 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2995.pdf

USEFUL DIAGNOSTIC TESTS

  • Kidney function test
  • Liver function test
  • ECG (Electrocardiogram)

PRODUCT DETAILS

    Country Of Origin
    India
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CILNIDIB N Tablet 10's

CILNIDIB N Tablet 10's Mkt: PREVEGO HEALTHCARE & RESEARCH PRIVATE LIMITED

M.R.P.: Rs.137.00
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