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Introduction About CILACAR T TABLET
Cilacar T Tablet is a medication used to manage hypertension (high blood pressure) and related cardiovascular conditions. It contains Cilnidipine and telmisartan, two active ingredients that work together to lower blood pressure and reduce the risk of heart-related complications.
Cilacar T Tablet can be taken either on an empty stomach or with food. However, it is recommended to take it consistently at the same time each day, as directed by your doctor. The dosage will vary depending on your condition and how you respond to the management. It is important to continue taking this medication, even if you feel fine, as it helps lower your blood pressure and reduces the risk of heart attack or stroke. Do not stop taking it unless advised by your doctor. To enhance the effectiveness of the medication, consider making lifestyle changes such as staying active, quitting smoking, and following a low-salt, low-fat diet.
Common side effect of this medication includes dizziness, headache, fatigue, sleepiness, tiredness, taste change, and upset stomach. As it may cause dizziness, avoid driving or engaging in activities that require focus until you are aware of how it affects you. If any side effects are troubling or persist, consult your doctor.
Before taking this medication, inform your doctor if you have any kidney or liver problems or if you are severely dehydrated. Pregnant or breastfeeding women should consult their doctor before taking it. During management, your blood pressure will need to be monitored regularly, and your kidney function may also require testing.
Uses Of CILACAR T TABLET
- Hypertension (high blood pressure)
- Cardiovascular conditions
Benefits of CILACAR T TABLET
01) Helps Manage High Blood Pressure:
- Cilacar T Tablet contains Cilnidipine (a calcium channel blocker) and telmisartan (an angiotensin II receptor blocker, ARB). Together, they help lower blood pressure by relaxing blood vessels and reducing fluid retention, which allows blood to flow more easily.
02) Reduces the Risk of Heart Attacks and Strokes:
- By controlling high blood pressure, it reduces the strain on the heart and blood vessels, lowering the risk of serious cardiovascular events such as heart attacks, strokes, and kidney damage.
03) Improves Overall Cardiovascular Health:
- Regular use of Cilacar T Tablet can improve heart function by preventing complications that arise from untreated high blood pressure. It also helps reduce the risk of other cardiovascular diseases, such as heart failure and chronic kidney disease.
How CILACAR T TABLET Works
Cilnidipine is a calcium channel blocker that works by relaxing the blood vessels, which helps to improve blood flow and reduce blood pressure. Telmisartan is an angiotensin II receptor blocker (ARB) that blocks the action of a hormone called angiotensin II, which normally causes blood vessels to constrict. By reducing this effect, telmisartan helps to widen the blood vessels, further lowering blood pressure. Together, these two medications work synergistically to control high blood pressure and reducing the risk of stroke, heart attack, and kidney problems.
How to use CILACAR T TABLET
Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage.
How to Take Cilacar T Tablet?
- Take one tablet daily with water, and it can be taken with or without food.
- Swallow the tablet whole with a glass of water. Do not crush or chew the medication.
- For best results, take the tablet at the same time each day.
What if I forgot to take CILACAR T TABLET
- If you forget to take your dose, take it as soon as you remember.
- Do not take two doses to make up for a missed dose. This could increase your risk of side effects.
- If it is almost time for your next dose, skip the missed dose and take your regular dose at the usual time.
Side Effects Of CILACAR T TABLET
Like all medicines, Cilacar T Tablet may cause certain side effects in some individuals, although not everybody gets them.
The most common side effects of taking Cilacar T Tablet are:
- Dizziness
- Headache
- Fatigue
- Sleepiness
- Tiredness
- Taste change
- Upset stomach
When to consult your doctor?
- Allergic Reactions symptoms such as rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, wheezing, trouble breathing.
- Severe Dizziness or Fainting
- Heart problems symptoms such as unexplained chest pain or discomfort
- Elevated Potassium Levels symptoms such as muscle weakness, irregular heartbeat, or numbness/tingling
- Severe Fatigue or Weakness
- Kidney Problems symptoms such as decreased urine output, blood in urine, or swelling in legs/feet
- Liver problems symptoms such as yellow skin or eyes, dark urine (Jaundice)
How To Manage Side Effects
Dizziness Or Drowsiness
- Sit or Lie Down: If you feel dizzy, sit down or lie down immediately to prevent falling. Keep your head still and close your eyes if needed.
- Hydrate: Dehydration can cause dizziness, so drink water or electrolyte-replenishing drinks like sports drinks.
- Avoid Sudden Movements: When standing or sitting, do so slowly to avoid triggering dizziness. Take your time when getting up.
- Eat Small, Regular Meals: Low blood sugar can cause dizziness, so eat small meals throughout the day and avoid skipping meals.
- Fresh Air: Sometimes dizziness can be alleviated by taking slow, deep breaths in a well-ventilated area.
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.
Warning & Precautions
Pregnancy
ContraindicatedCilacar T Tablet is not recommended for use in pregnant women. It is important to consult your doctor before taking this medication.
Breastfeeding
ContraindicatedCilacar T Tablet is not recommended for use in breast-feeding women. It is important to consult your doctor before taking this medication.
Driving and Using Machines
Use with CautionDo not drive or operate machines if you experience dizziness or drowsiness.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking Cilacar T Tablet as it may cause low blood pressure while standing up from sitting or lying position (orthostatic hypotension).
Kidney
Use with CautionCilacar T Tablet should be used with caution in patients with chronic renal insufficiency, impaired kidney function, bilateral renal artery stenosis or stenosis of the artery to a single functioning kidney. Consult your doctor before taking it.
Liver
Consult your doctorCilacar T Tablet is not recommended for use in patients with severe liver impairment, cholestasis, biliary obstructive disorders and should be used with caution in patients with mild to moderate liver impairment and elevated liver enzymes. Consult your doctor before taking it.
Allergy
ContraindicatedDo not take this medication if you are allergic to telmisartan or cilnidipine or calcium channel antagonists such as amlodipine, nifedipine.
Heart Disease
Consult your doctorCilacar T Tablet is not recommended for use in patients with advanced aortic stenosis and should be used with caution in patients with aortic or mitral stenosis, obstructive hypertrophic cardiomyopathy, angina, ischaemic cardiopathy or ischaemic cardiovascular disease and congestive heart failure. Consult your doctor before taking it.
Use In Pediatrics
ContraindicatedCilacar T Tablet is not recommended for use in children and adolescents (aged below 18 years). Consult your pediatrician before giving it.
Use In Geriatrics
Use with CautionCilacar T Tablet should be used with caution in elderly patients (aged 65 years and above). Consult your doctor before taking it.
Other Warnings for CILACAR T TABLET
Before taking Cilacar T Tablet, inform your doctor if you:
- Volume and/or sodium depletion by diuretic therapy, dietary salt restriction, diarrhoea, or vomiting
- Diabetes
- Peripheral edema
- Metabolic acidosis, cellular lysis (such as acute limb ischemia, rhabdomyolysis, extended trauma)
Who should not take [GBNKEYWORD
Cilacar T Tablet is not recommended for use if you:
- Primary aldosteronism
Safety Advice
- Follow your doctor's instructions regarding the exact dosage.
- Do not exceed the recommended daily dosage.
- Take one tablet daily with water, and it can be taken with or without food.
- Swallow the tablet whole with a glass of water. Do not crush or chew the medication.
- For best results, take the tablet at the same time each day.
- Staying properly hydrated is crucial when taking hypertension medications, as dehydration can heighten the risk of side effects like dizziness or fainting.
- Cilacar T can raise potassium levels in the blood. It is important to avoid taking potassium supplements or eating foods high in potassium, such as bananas, oranges, or salt substitutes, unless advised by your doctor.
- Let your doctor know if you have kidney problems or liver problems
- Let your doctor know If you are pregnant or planning to become pregnant or breastfeeding women.
- Limit alcohol intake, as it may raise the risk of side effects such as dizziness, lightheadedness, or fainting.
- Cilacar T can cause dizziness or drowsiness in some people. If you experience these side effects, it is recommended to avoid driving or operating heavy machinery.
- It is important to inform your doctor about all other medications you are taking, including over-the-counter drugs, herbal supplements, and vitamins, as there could be potential interactions. Certain medications, such as NSAIDs, lithium, or diuretics, may interact with Cilacar T.
- Do not suddenly stop taking the medication without consulting your doctor, as this can lead to increase blood pressure.
Diet and Lifestyle Advice
Diet and Lifestyle tips for hypertension:
|
Category |
Lifestyle Change |
Details/Explanation |
|
Dietary Tips |
Increase Potassium Intake |
Foods like bananas, spinach, sweet potatoes, and beans can help balance sodium levels, lowering blood pressure. |
|
Reduce Sodium Intake |
Limit salt consumption to less than 2,300 mg per day (1,500 mg for people with hypertension). Avoid processed foods, canned soups, and salty snacks. |
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Eat More Fiber |
Foods like whole grains, fruits, vegetables, and legumes promote heart health and help lower blood pressure. |
|
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Limit Alcohol Consumption |
Excessive drinking raises blood pressure. Stick to moderate consumption—up to one drink per day for women and two for men. |
|
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Embrace DASH Diet |
The Dietary Approaches to Stop Hypertension (DASH) diet emphasizes fruits, vegetables, lean proteins, whole grains, and low-fat dairy. |
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Exercise Routine |
Aerobic Exercise |
Engage in activities like walking, jogging, cycling, or swimming for at least 30 minutes most days of the week. |
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Strength Training |
Include muscle-strengthening activities twice a week (e.g., weightlifting, resistance band exercises). |
|
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Yoga & Tai Chi |
These exercises help reduce stress and improve circulation, which can contribute to lower blood pressure over time. |
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Stress Management |
Practice Meditation |
Meditation, mindfulness, and deep breathing exercises help reduce stress, which can lower blood pressure. |
|
Progressive Muscle Relaxation |
This technique involves tensing and relaxing muscle groups, promoting relaxation and reducing tension. |
|
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Manage Sleep |
Aim for 7-9 hours of sleep per night. Poor sleep quality and insufficient sleep can elevate blood pressure. |
|
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Healthy Habits |
Quit Smoking |
Smoking raises blood pressure temporarily and contributes to overall heart disease risk. Quitting smoking can improve cardiovascular health. |
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Maintain a Healthy Weight |
Losing even a small amount of weight can significantly reduce blood pressure, especially if combined with exercise. |
|
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Stay Hydrated |
Drinking enough water (6-8 glasses a day) helps maintain good circulation and supports kidney function, which can affect blood pressure. |
Diet and Lifestyle tips for Heart Health:
|
Category |
Heart-Healthy Tips |
|
Dietary Tips |
|
|
1. Increase Fiber Intake |
Include whole grains (oats, brown rice), fruits (berries, apples), vegetables (spinach, carrots), and legumes (lentils, beans). |
|
2. Reduce Saturated Fats |
Limit intake of red meat, full-fat dairy, and processed foods. Opt for lean meats, skinless poultry, and low-fat dairy. |
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3. Choose Healthy Fats |
Include sources of unsaturated fats like olive oil, avocado, nuts (almonds, walnuts), and fatty fish (salmon, mackerel). |
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4. Limit Salt Intake |
Reduce processed foods, canned soups, and high-sodium snacks. Cook fresh meals and use herbs/spices for flavor. |
|
5. Control Portion Sizes |
Eat smaller meals throughout the day to manage calorie intake and maintain a healthy weight. |
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6. Focus on Antioxidants |
Consume foods rich in antioxidants, such as berries, dark chocolate, green tea, and leafy greens. |
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7. Include Omega-3 Fatty Acids |
Add omega-3-rich foods like flaxseeds, chia seeds, walnuts, and fatty fish for their heart-protective effects. |
|
Exercise Tips |
|
|
1. Aerobic Exercise |
Engage in at least 150 minutes of moderate-intensity aerobic activity per week (walking, cycling, swimming). |
|
2. Strength Training |
Include strength training exercises (weightlifting, resistance bands) at least two days a week to maintain muscle mass. |
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3. Stretching and Flexibility |
Incorporate flexibility exercises (yoga, stretching) to improve circulation and reduce stress on the heart. |
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4. High-Intensity Interval Training (HIIT) |
Incorporate short bursts of high-intensity exercises (e.g., sprinting, fast cycling) for improved cardiovascular health. |
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5. Stay Consistent |
Maintain a regular exercise routine to support heart health, stamina, and weight management. |
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6. Stress Reduction |
Practice relaxation techniques (deep breathing, meditation) to reduce stress and improve heart function. |
|
7. Avoid Smoking & Limit Alcohol |
Avoid smoking and limit alcohol consumption as both can negatively impact heart health. |
Drug - Drug interaction
Inform your physician if you are taking any of the following medicine before taking Cilacar T Tablet:
1. Other Antihypertensive Medications:
- Interactions: Combining Cilacar T with other blood pressure-lowering medications, such as ACE inhibitors (e.g., enalapril), diuretics (e.g., furosemide), or beta-blockers (e.g., atenolol), can lead to an excessive drop in blood pressure (hypotension).
- Effects: Severe hypotension, dizziness, fainting.
- Management: Close monitoring of blood pressure is required. Dose adjustments may be necessary. Ensure gradual increases in dosages.
2. Potassium-Sparing Diuretics (e.g., Spironolactone):
- Interactions: Telmisartan may increase potassium levels in the body (hyperkalemia), and combining it with potassium-sparing diuretics can worsen this effect.
- Effects: Elevated potassium levels, potentially leading to arrhythmias or cardiac arrest.
- Management: Regular monitoring of potassium levels is essential. Avoid combining Cilacar T with potassium-sparing diuretics unless absolutely necessary. If required, potassium supplements should be used with caution.
3. Lithium:
- Interactions: Both Telmisartan and Cilnidipine can increase lithium levels in the blood, leading to lithium toxicity.
- Effects: Symptoms include nausea, vomiting, tremors, confusion, and in severe cases, renal toxicity.
- Management: Regular monitoring of lithium levels is essential. Dose adjustments of lithium may be required when starting or stopping Cilacar T.
4. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs):
- Interactions: NSAIDs (e.g., ibuprofen, naproxen) may reduce the effectiveness of Telmisartan and increase the risk of kidney damage.
- Effects: Decreased antihypertensive effect, kidney dysfunction, fluid retention.
- Management: Avoid long-term use of NSAIDs, or use them at the lowest effective dose for the shortest time possible. Kidney function should be monitored, especially in patients with pre-existing renal conditions.
5. CYP3A4 Inhibitors (e.g., Ketoconazole, Ritonavir):
- Interactions: Cilnidipine is metabolized by the CYP3A4 enzyme, so drugs that inhibit this enzyme (e.g., ketoconazole, ritonavir) may increase Cilnidipine levels.
- Effects: Enhanced effects of Cilnidipine, leading to bradycardia, hypotension, or dizziness.
- Management: Dosage reduction of Cilacar T may be required when co-administered with CYP3A4 inhibitors. Close monitoring of blood pressure and heart rate is recommended.
6. St. John’s Wort:
- Interactions: St. John’s Wort may reduce the effectiveness of Telmisartan by increasing its metabolism through the CYP3A4 enzyme.
- Effects: Reduced effectiveness of the medication, possibly leading to inadequate blood pressure control.
- Management: Avoid using St. John’s Wort while taking Cilacar T.
7. Other Calcium Channel Blockers:
- Interactions: Combining Cilnidipine with other calcium channel blockers (e.g., verapamil, diltiazem) can increase the risk of bradycardia, heart block, or severe hypotension.
- Effects: Dangerous heart arrhythmias, severe hypotension.
- Management: Avoid concurrent use unless deemed necessary by a doctor. Close monitoring of heart rate and blood pressure is essential.
8. Renal Impairment Medications:
- Interactions: Medications that impact renal function (e.g., NSAIDs, ACE inhibitors) can exacerbate the renal side effects of Telmisartan and Cilnidipine, potentially leading to kidney dysfunction.
- Effects: Worsening renal function, elevated serum creatinine levels.
- Management: Monitor renal function regularly. Dose adjustments may be needed in patients with pre-existing kidney conditions.
9. Diuretics:
- Interactions: Cilacar T, when combined with diuretics (e.g., furosemide), may have an additive effect in lowering blood pressure.
- Effects: This combination can cause a significant drop in blood pressure (hypotension), dehydration, and electrolyte imbalances like low potassium levels.
- Management:
- Close monitoring of blood pressure, renal function, and electrolytes is recommended.
- Dosage adjustments may be required based on the patient's response.
- It is advisable to start Cilacar T at a low dose and titrate slowly to minimize the risk of hypotension and electrolyte imbalance.
10. Aspirin:
- Interactions: Aspirin (especially at high doses) may reduce the effectiveness of Cilacar T in controlling blood pressure. Additionally, the combined use may increase the risk of kidney damage, particularly in patients with pre-existing renal issues.
- Effects: Reduced antihypertensive effect of Cilacar T and possible kidney dysfunction.
- Management:
- Regular monitoring of kidney function and blood pressure.
- The combination should be used cautiously in patients with renal impairment.
- Use the lowest effective dose of aspirin, especially in those with cardiovascular conditions.
11. Diabetes Medications:
- Interactions: Cilacar T can enhance the blood glucose-lowering effect of certain diabetes medications, such as insulin or oral hypoglycemic agents (e.g., metformin, sulfonylureas), which may increase the risk of hypoglycemia.
- Effects: Hypoglycemia (low blood sugar), dizziness, sweating, and confusion.
- Management:
- Close monitoring of blood sugar levels is essential, especially when initiating or adjusting doses of diabetes medications.
- A dose adjustment of the diabetes medication may be needed to avoid hypoglycemia.
- Patients should be educated on recognizing signs of low blood sugar and adjusting their diabetes treatment accordingly.
Drug - Food interaction
Grapefruit and Grapefruit Juice:
- Interactions: Grapefruit contains compounds that can inhibit CYP3A4, which metabolizes Cilnidipine. This can increase Cilnidipine levels.
- Effects: Increased risk of side effects such as dizziness, headaches, or swelling.
- Management: Avoid grapefruit and grapefruit juice while taking Cilacar T. If consumed, monitor for any unusual side effects.
Synopsis
| Drug | : | Cilnidipine, Telmisartan |
| Pharmacological Category | : | Calcium channel blockers, Angiotensin II receptor antagonists |
| Therapeutic Indication | : | Hypertension |
| Dosage Forms | : | Tablet |
More Information
Storage
- Store Cilacar T Tablet at room temperature, typically between 20-25°C
- Keep this medication away from direct sunlight, heat sources, and humidity to maintain its effectiveness
- Store the medications in a safe location, out of reach of children and pets
- Never freeze Cilacar T Tablet, as freezing can damage the medication
FAQs About CILACAR T TABLET
Q: What is Cilacar T Tablet used for?
A: Cilacar T Tablet is commonly prescribed for managing high blood pressure (hypertension) and sometimes for managing heart-related issues, as it combines two active ingredients: Cilnidipine (a calcium channel blocker) and Telmisartan (an angiotensin receptor blocker).
Q: How does Cilacar T Tablet work?
A: Cilacar T Tablet works by relaxing blood vessels to improve blood flow. Cilnidipine helps relax the blood vessels and lower blood pressure, while Telmisartan prevents the constriction of blood vessels, aiding in the reduction of hypertension.
Q: Is Cilacar T Tablet safe for long-term use?
A: Cilacar T Tablet can be safe for long-term use when prescribed by a doctor and taken as directed. Long-term use is typically monitored, and regular check-ups with your healthcare provider are essential to ensure it continues to be effective and safe.
Q: Can Cilacar T Tablet cause dizziness?
A: Yes, dizziness is a possible side effect of Cilacar T Tablet, especially when standing up quickly. This may occur due to its blood pressure-lowering effects.
Q: How long does it take for Cilacar T Tablet to lower blood pressure?
A: The effects of Cilacar T Tablet on blood pressure can typically be noticed within 1-2 hours of taking the dose, but it may take a few days to weeks for its full blood pressure-lowering effect to be evident.
Q: What are the side effects of Cilacar T Tablet?
A: Some common side effects include dizziness, fatigue, headache, nausea, or swelling. Serious side effects may include severe low blood pressure, kidney issues, or allergic reactions. Always report any unusual symptoms to your doctor.
Q: Can I take Cilacar T Tablet with food?
A: Yes, Cilacar T Tablet can be taken with or without food. However, taking it at the same time each day may help you remember to take it consistently.
Q: How often should I take Cilacar T Tablet for hypertension?
A: The typical dosage is once a day, but your doctor will adjust the dose based on your specific condition and response to the medication.
Q: Is Cilacar T Tablet safe?
A: Cilacar T Tablet is generally considered safe when prescribed and monitored by a doctor. It is important to follow the prescribed dosage and keep track of any side effects or changes in your health.
Q: Can Cilacar T Tablet be taken with other medications?
A: Cilacar T Tablet may interact with other medications, including other blood pressure-lowering drugs, certain heart medications, or potassium supplements. Always inform your doctor about any other medications you are taking.
Q: How long does it take for Cilacar T Tablet to work?
A: Cilacar T Tablet can show an effect on blood pressure within hours, but it may take several days to weeks for optimal control.
Q: How long does it take for Cilacar T Tablet to show effects?
A: The effects of Cilacar T Tablet can begin to show within a few hours, but consistent use over several days may be required for optimal blood pressure control.
Q: Is Cilacar T Tablet habit-forming?
A: No, Cilacar T Tablet is not habit-forming.
Q: Can I stop taking Cilacar T Tablet suddenly?
A: You should not stop taking Cilacar T Tablet suddenly without consulting your doctor, as it may lead to a sudden increase in blood pressure. Gradual reduction is typically recommended if discontinuation is necessary.
Q: What should I do if I overdose on Cilacar T Tablet?
A: If you suspect an overdose, contact a healthcare professional or poison control immediately. Symptoms may include severe dizziness, fainting, or an extremely low blood pressure. Immediate medical attention is required.
Q: Is it safe to drive after taking Cilacar T Tablet?
A: Cilacar T Tablet can cause dizziness or drowsiness, especially when you first start taking it or after a dose increase. If you feel lightheaded or dizzy, avoid driving or operating heavy machinery until you are sure you can do so safely.
Q: Is Cilacar T Tablet Safe for Pregnant Women?
A: Cilacar T Tablet is not recommended during pregnancy, especially during the second and third trimesters, as it may harm the fetus. If you are pregnant or planning to become pregnant, consult your doctor before using this medication.
Q: Who should not take Cilacar T Tablet?
A: People with a history of severe kidney or liver issues, pregnant women, or those allergic to any of the components of Cilacar T Tablet should avoid using it. Always consult your doctor for a personalized evaluation.
References
1. KD. Tripathi. Antianginal and other Anti-ischaemic Drugs & Drugs Affecting Renin Angiotensin System. Eighth edition. June 2018. Page – 596 & 536.
2. C Venkata S Ram, Baby Shalini Muppalla, Sarvepalli Vijaya Parthasaradhi, Gajjela Praveen Kumar, Saumitra Ray, Uday Jadhav, J P S Sawhney, Govindan Unni, Nagaraj Desai, Members of the TelCom Study Group. Achieving the Latest American Heart Association and American College of Cardiology Therapeutic Goals for Hypertension With Combination Therapy and Its Effects on Blood Pressure and Central Hemodynamic Parameters. NIH National Library of Medicine. National Centre for Biotechnology Information. Pubmed.gov. April 2022. [Accessed on October 21st 2022] 
3. Torrent Pharmaceuticals Ltd. Telsar N (Telmisartan and Cilnidipine Tablets). [Revised in April 2020] [Accessed on October 21st 2022] 
4. Leogenic healthcare. CiniLeo T 10/40 (Cilnidipine and Telmisartan Tablets). [Accessed on October 21st 2022]
5. Pure & Cure Healthcare Pvt. Ltd. Cilacar T (Cilnidipine and Telmisartan Tablets). January 2020. [Accessed on October 21st 2022]
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