Cilny T 40 Tablet

CILNY T 40 TABLET

Name

• Brand Name: CILNY T 40 TABLET (also known as Cilny-T 40 mg Tablet)
• Manufacturer: INTAS PHARMACEUTICALS LTD

Composition CILNY T 40 TABLET contains a combination of two active ingredients:

• Cilnidipine (10 mg): A calcium channel blocker that works by blocking calcium entry into the smooth muscle cells of blood vessels, leading to relaxation and widening of blood vessels, thereby lowering blood pressure. It also acts on nerves controlling blood vessels, reducing stress-related constriction.
• Telmisartan (40 mg): An angiotensin II receptor blocker (ARB) that inhibits the action of angiotensin II, a hormone responsible for constricting blood vessels and increasing blood pressure. By blocking this effect, telmisartan relaxes blood vessels and improves blood flow.

Uses CILNY T 40 TABLET is prescribed for adults to manage:

• Essential Hypertension: High blood pressure.
• Heart-related Chest Pain: Such as angina.

By lowering blood pressure, it helps reduce the risk of serious complications like heart attacks, strokes, and kidney damage. It can also offer kidney protection, particularly in patients with hypertension and diabetes.

Dosage and Administration

• Take CILNY T 40 TABLET exactly as prescribed by your doctor.
• Swallow the tablet whole with a glass of water, without crushing, chewing, or breaking it.
• It can be taken with or without food, but it is best to take it at the same time each day to maintain consistent blood pressure control.
• The dosage will depend on your medical condition and response to the treatment.
• Do not stop taking the medicine suddenly without consulting your doctor, even if you feel well, as abrupt cessation can lead to adverse effects like changes in heart rhythm, blood pressure fluctuations, chest pain, or a heart attack.

Side Effects Common side effects may include:

• Swelling in the ankles or feet (edema).
• Headache, dizziness, sleepiness, fatigue.
• Changes in taste.
• Stomach upset, nausea, diarrhea, vomiting.
• Back pain, muscle spasms.
• Flushing (warm sensation in the face, ears, neck, and trunk).
• Upper respiratory tract infection, including pharyngitis and sinusitis.
• Hyperkalaemia (increased potassium levels in the blood).
• Slow heart rate, low blood pressure.

In rare cases, a serious side effect like cardiogenic shock may occur. If any side effects persist, worsen, or cause discomfort, consult your doctor.

Precautions

• Contraindications: Do not take CILNY T 40 TABLET if you are allergic to cilnidipine, telmisartan, or any other ingredients. It is not recommended for use during pregnancy or breastfeeding, in patients with severe liver impairment, advanced aortic stenosis, primary aldosteronism, or in diabetic patients taking aliskiren. It is also contraindicated in cases of biliary obstructive disorder, cardiogenic shock, recent unstable angina, or heart failure.
• General Warnings:
  • Inform your doctor if you have kidney or liver issues, heart problems (e.g., aortic or mitral stenosis, congestive heart failure, low blood pressure), or if you are severely dehydrated.
  • Regular monitoring of blood pressure, kidney function (creatinine and potassium levels) may be necessary, especially for patients with kidney problems.
  • Avoid driving or operating machinery if you experience dizziness or sleepiness.
  • Avoid alcohol consumption as it may increase dizziness and the risk of low blood pressure.
  • Use with caution in elderly patients, as a dose adjustment may be required.
  • The safety and effectiveness in children have not been established.
• Drug Interactions: Inform your doctor about all medicines, supplements, or herbal products you are currently taking to avoid potential interactions. CILNY T 40 TABLET may interact with ACE inhibitors, other angiotensin-II receptor antagonists, diuretics, aliskiren, anti-psychotic drugs (e.g., risperidone, quetiapine), digoxin, quinidine, lithium, antidepressants (e.g., paroxetine, fluoxetine), NSAIDs, and corticosteroids.

Storage Store CILNY T 40 TABLET in a cool and dry place, away from direct sunlight and moisture. Keep it out of sight and reach of children. The recommended storage temperature is between 10ºC to 25ºC or below 30ºC.

CILNY T 40 TABLET is a medication primarily used to manage high blood pressure. It is a combination of two active ingredients, Cilnidipine and Telmisartan, which work together to relax blood vessels and improve blood flow.

What is CILNY T 40 TABLET used for?

CILNY T 40 TABLET is used in adults to manage essential hypertension (high blood pressure) and may also be prescribed for heart-related chest pain (angina). By lowering blood pressure, it helps reduce the risk of serious cardiovascular complications such as heart attacks, strokes, and kidney problems.

How does CILNY T 40 TABLET work?

CILNY T 40 TABLET combines Cilnidipine and Telmisartan. Cilnidipine is a calcium channel blocker that works by preventing calcium from entering the smooth muscle cells of blood vessels, which relaxes and widens the blood vessels. Telmisartan is an angiotensin II receptor blocker (ARB) that blocks the action of angiotensin II, a hormone that causes blood vessels to constrict. Together, these actions relax and widen blood vessels, making it easier for the heart to pump blood and thereby lowering blood pressure.

What is the usual dosage for CILNY T 40 TABLET?

The typical dosage is one tablet per day, taken orally with a glass of water. It can be taken with or without food, but it is best to take it at the same time each day to maintain consistent blood levels. Do not crush, chew, or break the tablet. Your doctor will determine the exact dosage and duration based on your medical condition and response to treatment.

What are the possible side effects of CILNY T 40 TABLET?

Common side effects may include swelling in the ankles or feet (edema), headache, dizziness, fatigue, nausea, sleepiness, changes in taste, and upset stomach. Other potential side effects can include back pain, muscle spasms, flushing, upper respiratory tract infection, increased potassium levels in the blood (hyperkalemia), and low blood pressure. If side effects persist or worsen, consult your doctor.

Is CILNY T 40 TABLET safe during pregnancy or breastfeeding?

CILNY T 40 TABLET is not recommended during pregnancy as it may harm the unborn baby. It is also not recommended for use in breastfeeding women. If you are pregnant, planning to conceive, or breastfeeding, you should consult your doctor to discuss potential risks and alternative treatments.

Can CILNY T 40 TABLET be taken with other medications?

CILNY T 40 TABLET can interact with certain medications. Inform your doctor about all other medicines, supplements, and herbal products you are currently taking. Notable interactions include other blood pressure medications (such as ACE inhibitors, ARBs, diuretics like furosemide or hydrochlorothiazide, and aliskiren), anti-psychotic drugs (e.g., risperidone, quetiapine), heart medications (e.g., digoxin, quinidine), lithium, antidepressants (e.g., paroxetine, fluoxetine), and Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen or naproxen. Potassium supplements or potassium-sparing diuretics may also increase the risk of high potassium levels in the blood when taken with CILNY T 40 TABLET.

What precautions should be taken while using CILNY T 40 TABLET?

Avoid consuming alcohol as it can increase dizziness and lower blood pressure. Exercise caution if you have kidney or liver problems, severe dehydration, or certain heart conditions like aortic/mitral stenosis or congestive heart failure. Regular monitoring of blood pressure and kidney function may be necessary during treatment. If you experience dizziness, avoid driving or operating heavy machinery. It is also advised to avoid grapefruit or grapefruit juice, as it can increase the levels of Cilnidipine in your blood. CILNY T 40 TABLET is not recommended for patients with severe liver impairment, advanced aortic stenosis, or primary aldosteronism.

What happens if a dose of CILNY T 40 TABLET is missed?

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

How should CILNY T 40 TABLET be stored?

CILNY T 40 TABLET should be stored at room temperature (below 30°C or between 10°C to 25°C), in a cool and dry place, away from direct sunlight and moisture. Keep it out of the sight and reach of children.