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Cilnidipine Tablet: Uses, Side Effects, Dosages & Price

Manufactured by Cipla Ltd., Cilnidipine is a calcium channel blocker that is used to control symptoms pertaining to hypertension or high blood pressure. It is primarily used to increase the blood flow to the heart by inhibiting the effect of calcium on the heart and blood vessels.
Due to an increase in the level of blood flow to the heart, the heart rate automatically becomes slow thereby lowering the blood pressure. Cilnidipine may also be prescribed to relieve the heart strain in case of a heart attack.

Nature of Cilnidipine: Calcium Channel Blocker
Uses of Cilnidipine: To control high blood pressure
Composition of Cilnidipine: Cilnidipine
Side Effects of Cilnidipine:

Dizziness, muscle pain,

swelling of the limbs, skin rash,

Diarrhea, abdominal discomfort

Precautions of Cilnidipine:

Hypersensitivity, Heart-related ailments,

Pregnancy, Breastfeeding,

impaired function of the liver and

children are advised against the use of this medicine.

Composition and Nature of Cilnidipine Tablet:

Cilnidipine is a calcium channel blocker that is known to relax the blood vessels by restraining the effect of calcium on the heart as well as blood vessels.
This property of medicine helps it to effectively manage high blood pressure in patients suffering from hypertension.

Uses and Benefits of Cilnidipine Tablet:

Cilnidipine is primarily used for the treatment of high blood pressure also referred to as hypertension. As hypertension is a condition that cannot be fully treated, the use of medicine helps in the effective management of the symptoms related to hypertension.
Due to its calcium channel blocking nature, it also finds its use in the treatment of patients suffering from diabetes, chronic kidney ailments, and albuminuria.
Given below are a few symptoms that are relieved with the use of Cilnidipine-

  • Severe headache
  • Fatigue
  • Confusion
  • Vision-related impairments
  • Pain and discomfort in the chest
  • Breathing difficulty
  • Irregular heartbeat
  • Pounding or fluttering sensation in the ears or chest

Side Effects of Cilnidipine Tablet:

Apart from the intended effects of the medicines, a few side effects may occur in some cases. Some of the reported side effects experienced by patients post administering Cilnidipine Tablets are:
1.    Abdominal pain
2.    Swelling in the ankles
3.    Dizziness
4.    Edema
5.    Pain or irritation in the eyes
6.    Fatigue
7.    Flushing of face, ears, and neck
8.    Headache
9.    Nausea
10.    Pain in the chest area
11.    Palpitations
12.    Drowsiness
This is a non- exhaustive least and patients may experience varied side effects not listed above. These side effects may or may not be life-threatening, but in case patients experience any unintended side effects post administering the drug, it is advised to seek immediate medical attention.

Read More: Protinex Side Effects | Rantac Side Effects

Cilnidipine Tablet Dosage:

  • This medicine should be taken exactly as prescribed by a registered medical practitioner to avoid any risk associated with its consumption. Most doctors prescribe patients to administer the medicine 5mg to 10mg of Cilnidipine in a day.
  • In case symptoms are severe, 20mg of Cilnidipine may be prescribed to be taken in a day. Caution must be exercised to always consult a doctor before starting the dose of this medicine.
  • The course of treatment prescribed by the doctor must be strictly adhered to and the dosage of the medicine must not be altered or stopped abruptly.

Missed Dose-
In the case of a missed dose, it should be taken as soon as it is remembered. However, if it is already time for the next dose, it is advisable to skip the missed dose to avoid any complications arising out of overdosing on the medicine.
Overdose-
In case of a suspected overdose, it is essential to report the same to the prescribing doctor, especially on experiencing any side effects; to seek immediate medical assistance.

How to use Cilnidipine Tablet?

  • The medicine should be consumed exactly as per the prescription of the doctor. One must not alter the dosage of the medicine without consulting the doctor.
  • It is recommended to swallow the tablet as a whole, without chewing, crushing or breaking it.
  • The Tablet should be taken orally with water. It can be taken before or after having a meal.

Note: For case-specific recommendations, it is advisable to consult a doctor.

How Cilnidipine Tablet Works?

Cilnidipine block the activities of the calcium channels present in the blood vessels. As a result, it increases the blood supply to the heart. This action helps lower the blood pressure and the pressure placed on the heart.

When is Cilnidipine Tablet prescribed?

Cilnidipine belongs to a group of medicines known as calcium channel blockers. This drug is generally prescribed to treat symptoms associated with hypertension or to keep high blood pressure in check. It may also be prescribed to treat symptoms associated with albuminuria, diabetes, and chronic kidney ailments.

Precautions and Warnings Related To Cilnidipine Tablet:

Given below are some of the points that need to kept in mind prior to and while administering Cilnidipine tablets-

  • Hypersensitivity

Use of tablets is not recommended in patients with a known allergy to Cilnidipine.

  • Pregnancy

It may show an adverse effect on the fetus. Pregnant women should consult a doctor before starting the dose of this medicine.

  • Breastfeeding

Effects of this medicine on the quality and quantity of the breast-milk are not known. Hence, the nursing mother should not use this medicine unless prescribed by a doctor.

  • Liver-Related Ailments

Patients suffering from liver-related ailments may experience severe side-effects post administering the Tablet.  Hence, patients having a known history of liver-related ailments are recommended to exercise extra care and caution while administering this medicine. In such cases, close monitoring of liver function may be advised by the doctor.

A few other points of caution are:

  • It should only be taken as per the doctor’s prescription and the prescribed dosage must strictly be adhered to.
  • It is used for maintaining high blood pressure. This it may be prescribed to be taken for a prolonged period of time. Any complication experienced during the course of the medicine should be reported to the doctor immediately.
  • Self-medication of Cilnidipine Tablet is strictly prohibited.
  • Alcohol should never be consumed while administering Cilnidipine Tablet as it may lead to severe complications.
  • This medicine should not be administered with grapefruit juice as it reduces the absorption of Cilnidipine Tablet in the body.
  • The doctor must be consulted by patients suffering from the following conditions before administering the drug:
  • Hypotension
  • Liver-related ailment
  • Angina
  • Heart rhythm disorders

Substitutes of Cilnidipine Tablet:

Some of the common substitutes of Cilnidipine include:

Tablet: Manufactured by:
Cilacar 10 MG Tablet Jb Chemicals
Ciledge 10 MG Tablet Cadila Pharmaceuticals Ltd
Dilnip 5 MG Tablet Lupin Ltd
Nulong 5 MG Tablet Micro Labs Ltd
Twincal 20 MG Tablet Zydus Cadila
Nulong 10 MG Tablet Micro Labs Ltd
Cinod 10 MG Tablet Ajanta Pharma Ltd
Cilogard 10 MG Tablet Cipla Ltd
Cildip 10 MG Tablet Medley Pharmaceuticals
Neual 10 MG Tablet Pharmaceuticals Ltd
Cilovas 10 MG Tablet Lakshya Remedies Pvt Ltd
Nexovas 20 MG Tablet Macleods Pharmaceuticals Pvt.Ltd
Cilnidipine 20 MG Tablet Manufactured by Cipla Ltd
Cildip 5 MG Tablet Medley Pharmaceuticals
Cilnidipine 5 MG Tablet Cipla Ltd
Ciladuo 10 MG Tablet Abbott Healthcare Pvt. Ltd
Cilacar 5 MG Tablet Jb Chemicals
Cetanil 10 MG Tablet Alembic Ltd
Cetanil 20 MG Tablet Alembic Ltd
Rancil 10 MG Tablet Ranbaxy Laboratories Ltd
Dilnip 10 MG Tablet Lupin Ltd

Read More : Rifagut Substitutes | Redotil 100 MG Capsule Substitutes

Cilnidipine Tablet Interactions:

Interaction with Alcohol - It is known to interact with alcohol and produce adverse side effects such as excessive drowsiness among patients. Thus it is advised to avoid the consumption of alcohol during the prescribed course of Cilnidipine.
Interaction with lab test -
This medicine may interact with urinary vanillylmandelic acid and interfere with the Urinary vanillylmandelic acid test to check the presence of adrenal gland tumors. The medicine is known to cause a false-positive test result.
Interaction with diseases -
It must be administered with caution and only post consultation with a doctor by patients suffering from any of the following conditions, illness or diseases-

Cardiogenic shock

Hypotension

Congestive heart failure

  • Interaction with drugs-

Some drugs, when administered along with Cilnidipine Tablets, may either cause the occurrence of unintended side effects or decrease the efficacy of the drug. Here's a list of some of the salts that are known to interact adversely with Cilnidipine-
1.    Aldesleukin
2.    Antihypertensive drugs
3.    Antipsychotic drugs
4.    Carbamazepine
5.    Cimetidine
6.    Erythromycin
7.    Phenytoin
8.    Quinidine
9.    Rifampin

Cilnidipine Tablet Variants

The various variants of Cilnidipine Tablet are-

  • Cilnidipine 5 MG Tablet
  • Cilnidipine 10 MG Tablet
  • Cilnidipine 20 MG Tablet

Medicines that should not be taken with Cilnidipine Tablet

The following medicines are not recommended to be administered along with Cilnidipine Tablet as they may cause unintended side effects or worsening of the existing symptoms-

  • Rifampin
  • Quinidine
  • Phenytoin
  • Erythromycin
  • Cimetidine
  • Carbamazepine
  • Antipsychotic drugs
  • Antihypertensive drugs
  • Aldesleukin

Price Table:

Name of the medicine: Price (Quantity)
Cilnidipine tablet INR 30 10 tablet

How to store Cilnidipine Tablet:

1. The Tablet must be stored away from direct heat and sunlight.
2. It must be stored in a cool and dry place.
3. It must ideally be stored between 15°- 30° C
4. It must be kept out of reach of children and pets
5. The packaging of the medicine must not be tampered with in order to maintain its efficacy on consumption.

FAQs:

1) I missed a dose of Cilnidipine. What do I do?

Ans: If you have missed a dose of Cilnidipine then take it as soon as you remember and skip the next dose, if required. Consult a doctor if in doubt.

2) Can Cilnidipine and Nebivolol be taken together?

Ans: Yes, Cilnidipine and Nebivolol can be used together to lower blood pressure. Nebivolol helps decreases heart rate.

3) Is it safe to take this medicine as a long term treatment plan?

Ans: Yes, this medicine can be used as a long term treatment plan as it provides a lot of benefits. However, one must remember to take the medicine at the same time every day and continue to take the medicine to keep blood pressure under control.

4) My heart started pounding and I felt like fainting. What should I do?

Ans: When your heart starts pounding and if you feel like fainting, you might be experiencing side effects of taking the medicine. In such cases, the doctor should be informed and the patients must take immediate medical assistance.

5) I have been taking Cilnidipine for a month but it has not helped improve my health condition. What should I do?

Ans: If you have taken the medicine for over a month and have not seen any improvements in your health condition then you should consult a doctor immediately.

5) I felt lightheaded after taking the medicine. What should I do?

Ans: If you feel lightheaded after taking this medicine then you should not get out of the bed immediately, instead you should get out of the bed slowly. Dizziness is a common side effect and by getting up slowly will help you maintain your balance. Avoid any sudden actions.

6) Is this medicine safe for individuals with congestive heart failure?

Ans: This medicine must be used with caution by individuals who have suffered from a heart attack recently. Consult a doctor before using this medicine.

7) What are some of the common substitutes for Cilnidipine?

Ans: Some of the common substitutes include:

  • Cilaheart 10mg Tablet
  • Ciledge 10mg Tablet
  • Cilnikem 10mg Tablet
  • Cilogard 10mg Tablet
  • Neual 10mg Tablet

8) Can children take this medicine?

Ans: No, this medicine is not recommended for consumption by children. Consult a doctor before using this medicine.

9) What is Cilnidipine used to treat?

Ans- It is mainly used to treat, control, prevent and improve symptoms associated with hypertension or high blood pressure.

10) Is Cilnidipine safe for consumption?

Ans - It is a calcium channel blocker that is safe to use if taken in the exact dosage and duration as prescribed by a professional medical practitioner.

11) Is Cilnidipine available as an over- the counter medicine?

Ans- Yes, It is an over- the counter medicine that can easily be purchased without getting a prescription from a doctor. It is available for purchase over- the- counter.

12) What is Cilnidipine used for?

Ans : This medicine is mainly used for keeping high blood pressure in check. The drug works by inhibiting the action of calcium channels in the blood vessels, thereby relaxing them. This helps to reduce the strain on the heart and allows it to pump blood more effectively. Thus administering Cilnidipine helps in bringing down high blood pressure.

13) What are the side effects associated with administering Cilnidipine tablets?

Ans - A few of the most commonly occurring side effects associated with the consumption of Cilnidipine are edema, abdominal pain, swelling of the ankles and feet, dizziness, skin allergy, headaches, palpitations, and blurred vision. Different patients may experience different side effects.
In case of experiencing severe side effects, it is recommended to seek consultation from a doctor.

14) Does Cilnidipine help in getting relief from irregular heartbeat?

Ans - It might help in relieving irregular heartbeat caused due to high blood pressure but it does not help in getting rid of irregular heartbeat arising out of any other illness or condition.

15) Is it safe to drive or operate heavy machinery post administering Cilnidipine?

Ans - It is a Calcium Channel Blocker and thus is known to cause drowsiness and sleepiness in most patients. Thus, it is advised to avoid driving or operating heavy machinery during the course of Cilnidipine.

16) Can Cilnidipine be used to treat palpitations?

Ans : Cilnidipine is generally prescribed to patients suffering from high blood pressure. It may help in subsiding symptoms associated with palpitations caused due to hypertension.

17) Can Cilnidipine help in treating or monitoring diabetes?

Ans : No. Cilnidipine does not help in treating a diabetic condition but it may be prescribed as an additive to patients who are suffering from hypertension as well as diabetes.

18) Can I consume over- the- counter Cimetidine along with Cilnidipine?

Ans :- It is not recommended to administer over- the- counter Cimetidine along with Cilnidipine. This is because antacids make Cilnidipine less effective by reducing the amount of the drug being absorbed by the body. Unless prescribed by a doctor, the interaction of these two drugs must be avoided.

19) Can I consume alcohol while administering Cilnidipine?

Ans : It is not recommended to consume alcohol while taking a dosage of the medicine. This is because alcohol has the tendency to cause excessive drowsiness in the patient if being taken alongside Cilnidipine which itself has a tendency of causing lethargy and sleepiness.

20) Can Cilnidipine be administered by pregnant females?

Ans - Even though Cilnidipine is an over- the- counter medicine, it must only be used post consultation from a doctor. It is generally advised for pregnant females to avoid administering this drug. If it is absolutely necessary for the pregnant female to administer this medicine, doctor consultation is very important.

13) Can lactating mothers administer Cilnidipine?

Ans - No. It is not commonly advised to lactating mothers as it may pass through the breast milk in large amounts. This can lead to adverse side effects on the health of the infant. A doctor must be consulted for case-specific recommendations.

14) How much time does a dose of Cilnidipine take to show effect?

Ans - Cilnidipine generally shows its effect within 24 hours of oral administration.

15) Should I take Cilnidipine before or after a meal?

Ans - The medicine can be administered before or after a meal. Although in some cases, it is advised to administer Cilnidipine post having a meal for maximum absorption and efficacy.

16) Is Cilnidipine addictive by nature?

Ans - No. The medicine is not addictive by nature. All addictive drugs in India are classified as schedule X or H and as schedule II-IV in the United States. It is advised to read the packaging label of the drug carefully for all the related information.

17) Can I stop taking the medicine promptly?

Ans - It is advised to consult a doctor for dosage suggestions as per health history and condition, as stopping or starting the medicine promptly can cause adverse side effects.

18) What is the normally prescribed dosage for Cilnidipine?

Ans - The generally prescribed dosage for Cilnidipine is 5 mg to 10mg per day. The dosage may be altered depending on the severity of the patient’s condition.

19) What will happen if I accidentally have an expired dose of Cilnidipine?

Ans - Although there is no reported side effect of consuming an expired dose of Cilnidipine, the efficacy of the drug may be hampered. In case of experiencing any unwanted side effects on administering an expired dose, a doctor must be consulted immediately to seek remedial action.

20) Is this medicine safe for patients with congestive heart failure?

Ans - This medicine must be used with caution by individuals who have recently suffered from a heart attack. It is recommended to consult a doctor before using this medicine.

21) Can Cilnidipine tablet be administered to children?

Ans - No, The tablet is not recommended for consumption by children. It is essential to consult a doctor before starting the dose of this medicine.

22) What are some of the common substitutes for Cilnidipine?

Ans - Some of the common substitutes of Cilnidipine are:
1.    Cilaheart 10mg Tablet
2.    Ciledge 10mg Tablet
3.    Cilnikem 10mg Tablet
4.    Cilogard 10mg Tablet
5.    Neual 10mg Tablet

23) I have been taking Cilnidipine for a month but it has not helped improve my health condition. What should I do?

Ans - If administering Cilnidipine has not shown any improvements in your health condition then you should consult a doctor immediately for dosage adjustment or change of course of treatment.

24) Can Cilnidipine and Nebivolol be taken together?

Ans - Yes, Cilnidipine and Nebivolol can be used together to lower blood pressure. Nebivolol is a beta blocker that helps to decreases the heart rate.

25) Can administering Cilnidipine tablet cause an allergic reaction?

Ans - Yes. Allergic reactions are one the most commonly occurring side effects associated with administering the tablet. The reactions may include hives, skin rash, facial swelling, and swelling of eyelids, ankles, and feet.

26) Can Cilnidipine cause weight gain?

Ans -  No, Cilnidipine does not cause weight gain. In case the patient experiences any change in weight, a doctor must be consulted to seek remedial action.

27) What should I do in case I miss a dose of Cilnidipine tablet?

Ans - If you miss a dose of Cilnidipine tablet; take the medicine as soon as you remember. However, if you remember when it is almost time for your next dose, it is advised to skip the missed dose. Taking a double dose may lead to overdosing which can cause the occurrence of adverse effects.

28) What will happen if I continuously forget to take Cilnidipine tablets?

Ans - Missing a dose of Cilnidipine tablets may render the medicine ineffective in treating the condition it has been prescribed for. Since the medicine is a calcium channel blocker, missing it continuously may lead to serious heart-related conditions.

29) Can Cilnidipine tablets be prescribed to patients suffering from liver-related conditions?

Ans - No, the medicine cannot be administered to patients suffering from liver-related conditions. This is because the medicine may lead to severe side effects in such patients. Close monitoring of the functioning of the liver and regular dosage alteration may be required in such patients.

30) What are the storage requirements for Cilnidipine tablets?

Ans - The following instructions must be followed while storing Cilnidipine tablets -
1. The medicine should be stored at room temperature, away from direct sunlight and heat.
2. It should be stored in a dry and cool place.
3. The medicine should be kept out of reach of pets and children.

31) I took an extra dose of Cilnidipine tablet by mistake, so what is the corrective step?

Ans - In case of a suspected overdose, it should immediately be reported to the prescribing doctor, especially in case of experiencing any adverse side effects, in order to seek remedial action.

32) Can I take Cilnidipine Tablet on an empty stomach?

Ans - Yes, you may take Cilnidipine Tablet on an empty stomach. However, for better absorption, it is advisable to consume the drug after having a meal. For case-specific recommendations, one must consult the doctor.

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Last updated on : 17-06-2019

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