Name: CILACAR 20 Tablet 15's - Netmeds
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CILACAR 20 Tablet 15's - Hypertension-Cal

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Introduction About CILACAR 20MG TABLET

CILACAR 20 TABLET contains cilnidipine, which belongs to the group of medicines called calcium channel blockers. It is used to manage high blood pressure (hypertension). It also helps to lowering the risk of heart attack and stroke.

Cilacar 20 Tablet may be used alone or with other medicines, depending on your condition. Your doctor will decide the right dose for you. You can take it any time of day, with or without food, but try to take it at the same time daily. Continue taking it as long as your doctor recommends. Do not stop this medicine on your own, even if you feel well, because high blood pressure may not show symptoms and stopping suddenly could worsen your condition.

Staying physically active, maintaining a healthy weight, and eating a nutritious diet can all help manage your blood pressure. Always follow your doctor’s instructions when taking this medication.

The most common side effects include swelling in ankles, feet and other body parts, headache, dizziness, fatigue, sleepiness and tiredness, flushing, skin reactions, low blood pressure, palpitations, gingival hyperplasia, other mouth related effects, abdominal and muscle pain. If you experience any side effects that bother you or do not go away, consult your doctor. Research indicates that this medication may also help protect the kidneys.

Before taking this medication, inform your doctor about any existing liver, kidney, or heart conditions. If you are pregnant or breastfeeding, consult your doctor before taking this medicine. Make sure to mention any other medications you are currently using, particularly those for high blood pressure or heart problems. Regular blood pressure checks are recommended to monitor how well the management is working.

Uses Of CILACAR 20MG TABLET

High blood pressure (hypertension)
Lowering the risk of heart attack and stroke

Benefits of CILACAR 20MG TABLET

1) Blood Pressure Management

One of the primary benefits of CILACAR 20 is its ability to effectively manage high blood pressure. By relaxing the blood vessels, the medication allows blood to flow more easily, reducing the pressure that the heart needs to exert to pump blood. It is suitable for patients with mild to moderate hypertension and is often used in combination with other antihypertensive drugs if blood pressure is not adequately controlled by a single medication.

2) Cardiovascular Support and Heart Function

CILACAR 20 supports overall cardiovascular health by reducing the workload on the heart. Lowering the resistance in the blood vessels helps the heart pump more efficiently, which can be particularly beneficial for patients at risk of developing heart failure. In the long term, this reduces the chances of cardiac complications such as heart attacks, strokes, and heart muscle thickening (left ventricular hypertrophy), which are common in people with uncontrolled hypertension.

3) Kidney Protection in Diabetic Patients

Cilnidipine also offers kidney-protective effects, especially in patients with diabetes and hypertension, a group at high risk of developing kidney disease. Studies have shown that cilnidipine can reduce proteinuria (excess protein in urine), an early sign of kidney damage. By managing blood pressure and reducing stress on the kidneys, CILACAR 20 helps preserve kidney function over time, making it a valuable choice in diabetic hypertensive patients.

4) Improved Tolerability and Fewer Side Effects

Compared to other calcium channel blockers such as amlodipine, cilnidipine is associated with fewer side effects, particularly pedal edema (swelling of the feet and ankles), which is a common complaint with other medications in this class. This improved tolerability can help patients adhere to their management plan more consistently, which is crucial for long-term blood pressure control.

5) Enhanced Quality of Life and Exercise Tolerance

By reducing blood pressure and improving blood circulation, CILACAR 20 can help patients experience better physical endurance and reduced fatigue. This may support greater engagement in daily activities and exercise, contributing to a better quality of life and helping to manage other conditions like obesity, diabetes, or heart disease.

How CILACAR 20MG TABLET Works

CILACAR 20 Tablet contains cilnidipine, a calcium channel blocker that acts by relaxing the smooth muscle in the walls of blood vessels. This relaxation widens (dilates) the blood vessels, allowing blood to flow more easily and reducing the pressure exerted on the vessel walls. As a result, the heart does not have to work as hard to pump blood, which helps maintain healthy blood pressure and supports overall cardiovascular function.

Blocks Calcium Channels for Vascular Relaxation

By blocking calcium channels, CILACAR 20 Tablet reduces calcium ion influx into vascular smooth muscle cells. This prevents the muscles from contracting tightly, leading to relaxation and dilation of blood vessels.

Supports Blood Vessel Relaxation and Improved Blood Flow

The relaxation of blood vessels improves blood flow throughout the body. Enhanced blood flow ensures that organs and tissues receive adequate oxygen and nutrients, which is essential for maintaining healthy cardiovascular function.

Reduces Strain on the Heart and Supports Cardiovascular Health

With blood vessels relaxed, the heart does not have to pump as hard to circulate blood. This reduces the workload on the heart, lowers the risk of heart-related complications, and supports overall heart health.

Inhibits Calcium Ion Influx to Lower Blood Pressure

The inhibition of calcium ion influx into vascular smooth muscle cells is central to the blood pressure-lowering effect of CILACAR 20 Tablet. By preventing calcium-mediated contraction, the drug maintains lower blood pressure.

Suppresses Norepinephrine Release for Stress Blood Pressure Control

Cilnidipine’s action on N-type calcium channels at sympathetic nerve endings reduces the release of norepinephrine. This suppresses the body’s stress response that would otherwise increase blood pressure, providing additional control over blood pressure spikes during stressful situations.

How to use CILACAR 20MG TABLET

Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage.

Recommended Dosage and Administration:

Typical Dosage: The usual adult dose is 20 mg once daily or as exactly prescribed by your doctor.

When and How to Take CILACAR 20 Tablet:

Timing: Take CILACAR 20 Tablet at the same time each day to maintain consistent blood levels.

With or Without Food: You can take the tablet with or without food, as directed by your doctor.

Swallow Whole: Swallow the tablet whole with a glass of water. Do not break, crush, or chew the tablet.

Tips for Best Results with CILACAR 20 Tablet:

Consistency: Take your dose at the same time each day for optimal results.

Regular Monitoring: Have your blood pressure checked regularly to ensure the medicine is working effectively.

Lifestyle Changes: Maintain a healthy diet, exercise regularly, and avoid excessive salt intake to help control blood pressure.

Medical Supervision: Do not stop taking the medication without consulting your doctor, even if you feel well.

Inform Your Doctor: Tell your doctor about all other medications you are taking and any existing health conditions.

What if I forgot to take CILACAR 20MG TABLET

If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for a missed one.

Overdose

Taking more than the prescribed dose can cause severe low blood pressure, dizziness, or fainting. If you suspect an overdose, seek immediate medical attention.

Side Effects Of CILACAR 20MG TABLET

Like all medicines, Cilacar 20 Tablet may cause certain side effects in some individuals, although not everybody gets them.

The most common side effects of taking Cilacar 20 Tablet are:

Swelling in ankles, feet, and other body parts
Headache
Dizziness
Fatigue
Sleepiness
Tiredness
Flushing
Skin reactions
Low blood pressure
Palpitations
Gingival hyperplasia
Other mouth related effects
Abdominal pain
Muscle pain

When to consult your doctor?

Severe allergic reactions symptoms such as skin rash, swelling and/or itching, especially of the face, lips, throat, or tongue
Severe dizziness, fainting, or light-headedness
Heart failure symptoms such as chest pain, severe shortness of breath, or sudden swelling of the legs

How To Manage Side Effects

Dizziness Or Drowsiness

Sit or Lie Down: If you feel dizzy, sit or lie down right away to prevent falls. Remain seated until you feel better.
Hydrate: Drink water or electrolyte drinks, as dehydration can worsen dizziness3.
Avoid Sudden Movements: Stand up or sit down slowly to avoid triggering dizziness1.
Eat Small, Regular Meals: Reduce low blood sugar by eating small, frequent meals and not skipping meals.
Get Fresh Air: Take slow, deep breaths in a well-ventilated area if you feel dizzy.

Headache

Rest in a Quiet, Dark Room: Find a calm, quiet space away from bright lights and loud noises. Lie down and close your eyes.
Hydrate: Dehydration can contribute to headaches, so drink plenty of water.
Apply a Cold or Warm Compress: A cold pack on your forehead may reduce pain, or a warm compress on your neck or shoulders can relieve tension.
Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like acetaminophen or ibuprofen if appropriate for you. Follow the recommended dosage.
Practice Relaxation Techniques: Deep breathing exercises, meditation, or gentle stretching can help reduce stress and alleviate headache symptoms.

Cilacar 20 Tablet should be used with caution in elderly patients (aged 65 years or older). Consult your doctor before taking this medication.

Other Warnings for CILACAR 20MG TABLET

Before taking Cilacar 20 Tablet, inform your doctor if you have:

edema (swelling of body parts)

Drug - Drug interaction

Inform your physician if you are taking any of the following medicine before taking Cilacar 20 Tablet:

1. Antihypertensive Drugs (e.g., Amlodipine, Atenolol, Enalapril)
• Interaction: Combined use may enhance the blood pressure-lowering effect.
• Effects: Risk of excessive hypotension (low blood pressure), dizziness, or fainting.
• Management: Monitor blood pressure regularly; dose adjustment may be necessary under medical supervision.

2. CYP3A4 Inhibitors (e.g., Ketoconazole, Ritonavir, Erythromycin)
• Interaction: May increase Cilnidipine blood levels by inhibiting its metabolism.
• Effects: Enhanced side effects such as flushing, headache, or swelling.
• Management: Use cautiously; monitor for adverse effects. Dose reduction of Cilacar may be needed.

3. CYP3A4 Inducers (e.g., Rifampicin, Carbamazepine, Phenytoin)
• Interaction: May reduce Cilnidipine blood levels by increasing its metabolism.
• Effects: Decreased effectiveness in controlling blood pressure.
• Management: Monitor blood pressure and consider dosage adjustment if needed.

4. Diuretics (e.g., Furosemide, Hydrochlorothiazide)
• Interaction: May enhance the antihypertensive effect when used together.
• Effects: Increased risk of hypotension, dehydration, or electrolyte imbalance.
• Management: Regular monitoring of blood pressure, electrolytes, and kidney function is advised.

5. Beta-blockers (e.g., Metoprolol, Propranolol)
• Interaction: Additive effect on blood pressure and heart rate.
• Effects: Excessive lowering of blood pressure or bradycardia (slow heart rate).
• Management: Monitor heart rate and blood pressure closely; dose adjustment may be required.

Synopsis

Drug	:	Cilnidipine
Pharmacological Category	:	Calcium Channel Blockers
Therapeutic Indication	:	Hypertension, Heart Attack, Stroke
Dosage Forms	:	Tablet

More Information

1. Lifestyle tips to complement Cilacar 20 Tablet for better hypertension management?

Lifestyle Area	Recommendations	Expected Benefit
Diet	Follow a low-salt (sodium) diet; eat plenty of fruits, vegetables, and whole grains; limit processed foods and saturated fats.	Helps control blood pressure and supports heart health.
Exercise	Engage in regular physical activity, such as brisk walking for 20–30 minutes at least 5 days a week.	Improves cardiovascular fitness and lowers blood pressure.
Weight Management	Aim for a healthy weight; lose excess weight if overweight or obese.	Reduces strain on the heart and improves medication effectiveness.
Hydration	Drink plenty of fluids unless advised otherwise by your doctor.	Supports overall health and helps manage side effects.
Alcohol	Limit or avoid alcohol consumption.	Prevents blood pressure spikes and reduces risk of interaction.
Medication Adherence	Take Cilacar 20 Tablet as prescribed, at the same time each day; do not skip doses or stop suddenly.	Maintains consistent blood pressure control.
Regular Monitoring	Check your blood pressure regularly as advised by your doctor.	Tracks progress and allow timely adjustments

2. How combining Cilacar 20 Tablet with simple lifestyle changes can significantly improve cardiovascular health outcomes?

Lifestyle Change	Recommendation	Impact on Cardiovascular Health
Low-Salt Diet	Limit sodium intake; avoid processed and salty foods.	Helps lower blood pressure and reduces risk of heart attack or stroke.
Regular Brisk Walking	Engage in brisk walking for 20–30 minutes at least 5 days a week.	Improves physical fitness, aids blood pressure control, and boosts heart health.
Maintaining Healthy Weight	Achieve and maintain a healthy body weight through balanced diet and exercise.	Reduces strain on the heart, enhances medication effectiveness, and lowers risk of complications.
Adequate Hydration	Drink plenty of fluids unless otherwise advised by your doctor.	Supports overall health and may help manage side effects.
Medication Adherence	Take Cilacar 20 Tablet as prescribed, at the same time daily.	Ensures consistent blood pressure control and maximizes benefits.
Regular Blood Pressure Checks	Monitor blood pressure as advised by your doctor.	Tracks progress and allows timely adjustments for optimal outcomes

FAQs About CILACAR 20MG TABLET

Q: What is Cilacar 20 Tablet used for?

A: Cilacar 20 Tablet is primarily used to manage high blood pressure (hypertension), reduce the risk of cardiovascular events such as heart attacks and strokes, and improve blood flow in patients with hypertension or angina (chest pain).

Q: How does Cilacar 20 Tablet work?

A: Cilacar 20 Tablet contains cilnidipine, a calcium channel blocker that relaxes and widens blood vessels by inhibiting calcium entry into cells, resulting in lower blood pressure and reduced strain on the heart.

Q: How should I take Cilacar 20 Tablet?

A: Take Cilacar 20 Tablet exactly as prescribed by your doctor, usually once daily, with or without food, and at the same time each day to maintain stable blood levels.

Q: What are the common side effects of Cilacar 20 Tablet?

A: Common side effects include dizziness, headache, swelling of the ankles or feet, flushing, fatigue, sleepiness, abdominal pain, and palpitations. If you experience severe side effects like chest pain or allergic reactions, seek medical attention promptly.

Q: Can Cilacar 20 Tablet be used during pregnancy or breastfeeding?

A: Cilacar 20 Tablet should be used with caution during pregnancy and breastfeeding. Always consult your doctor before use in these situations.

Q: What should I do if I miss a dose of Cilacar 20 Tablet?

A: If you miss a dose, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose, do not double up to make up for a missed dose.

Q: Are there any precautions I should take while using Cilacar 20 Tablet?

A: Inform your doctor if you have liver, kidney, or heart problems, or if you are taking other medications. Monitor your blood pressure regularly and avoid sudden position changes to reduce dizziness.

Q: Can I stop taking Cilacar 20 Tablet if I feel better?

A: No, do not stop taking Cilacar 20 Tablet without consulting your doctor, even if you feel better, as this may increase your risk of high blood pressure or heart-related complications.

Q: Can Cilacar 20 Tablet cause swelling in the legs or feet?

A: Yes, swelling (edema) in the ankles or feet is a common side effect. Elevate your legs while sitting and consult your doctor if the swelling persists.

Q: Is Cilacar 20 Tablet safe for elderly patients?

A: Cilacar 20 Tablet can be used in elderly patients but may require closer monitoring for side effects such as dizziness or low blood pressure.

Q: Where to Buy Cilacar 20 Tablet?

A: You can purchase authentic CILACAR 20 Tablet from reputable online pharmacies like Netmeds. Always ensure you buy from licensed sources and consult your doctor before starting any new medication.

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 July 2025]