Cilaheart Tm 25mg Tab

CILAHEART TM 25MG TAB: Detailed Product Description

CILAHEART TM 25MG TAB is a prescription medication manufactured by Mankind Pharma Pvt Ltd (Mankind-Curis Div) used in the management of hypertension. This medication is a triple-combination therapy designed for patients whose blood pressure is not adequately controlled by a single medication.

• Name

  • Brand Name: CILAHEART TM 25MG TAB (also known as Cilaheart-TM 25 Tablet)
  • Common Name: Cilnidipine, Metoprolol Tartrate, and Telmisartan combination tablet.

• Composition Each CILAHEART TM 25MG TAB contains three active pharmaceutical ingredients:

  • Cilnidipine 10mg
  • Metoprolol Tartrate 25mg
  • Telmisartan 40mg

• Uses CILAHEART TM 25MG TAB is prescribed for:

  • Treating hypertension (high blood pressure).
  • Reducing the risk of future cardiovascular events such as heart attack and stroke.
  • Providing overall cardiovascular protection.

• Dosage and Administration

  • The typical dosage is one tablet once daily.
  • It should be taken at approximately the same time each day to maintain consistent blood levels.
  • The tablet can be taken with or without food.
  • Swallow the tablet whole with a glass of water; do not break, crush, or chew it.
  • Do not adjust the dose or discontinue the medication without consulting a healthcare professional, as sudden cessation can worsen the condition or lead to severe heart-related issues.

• Side Effects Like all medications, CILAHEART TM 25MG TAB may cause side effects, though not everyone experiences them. Common side effects may include:

  • Dizziness
  • Headache
  • Nausea and stomach pain
  • Fatigue or weakness
  • Oedema (swelling, particularly in ankles and feet)
  • Flushing
  • Hypotension (low blood pressure)
  • Sleepiness
  • Diarrhoea
  • Palpitations More serious side effects, such as an excessive fall in blood pressure or irregular heartbeats (due to increased potassium levels), may occur. Consult your doctor if any side effects persist or worsen.

• Precautions

  • Inform your doctor if you have known allergies to Cilnidipine, Metoprolol Tartrate, Telmisartan, or any other components of this medicine.
  • Exercise caution and inform your doctor if you have pre-existing conditions such as low blood pressure, heart failure, poor cardiac reserve, severe aortic stenosis, recent unstable angina or myocardial infarction, liver or kidney problems, or peripheral oedema.
  • This medication is generally not recommended during pregnancy or breastfeeding.
  • CILAHEART TM 25MG TAB can cause dizziness; avoid driving or operating machinery until you know how the medication affects you.
  • Avoid alcohol consumption during treatment as it can further lower blood pressure.
  • Due to the Telmisartan component, avoid potassium-rich foods and other medications that may increase potassium levels.
  • Inform your doctor about all other medications, supplements, and herbal products you are taking, as interactions can occur. Specific interactions include antiarrhythmic agents (e.g., quinidine), antiepileptic medicines (e.g., phenytoin), anti-TB drugs (e.g., rifampicin), antibiotics (e.g., erythromycin), other blood pressure-lowering medications (e.g., amlodipine, aliskiren), antipsychotic drugs, and NSAIDs.
  • Regular monitoring of blood pressure and kidney function may be necessary during treatment.

• Storage

  • Store in a cool and dry place, below 30°C.
  • Protect the medicine from light and moisture.
  • Keep out of reach of children.

CILAHEART TM 25MG Tablet is a combination medication typically prescribed for the management of high blood pressure. It generally contains three active ingredients: Cilnidipine (10mg), Metoprolol (specifically Metoprolol Succinate extended-release 25mg), and Telmisartan (40mg). This combination works through different mechanisms to effectively lower blood pressure and reduce the risk of associated cardiovascular complications.

Here are some frequently asked questions about CILAHEART TM 25MG Tablet:

What is CILAHEART TM 25MG Tablet used for?

CILAHEART TM 25MG Tablet is primarily used to treat high blood pressure (hypertension). By lowering blood pressure, it helps reduce the risk of serious cardiovascular events such as heart attacks, strokes, and kidney damage. It is often prescribed when blood pressure is not adequately controlled with single or dual medication therapies.

How does CILAHEART TM 25MG Tablet work?

This medicine combines three active ingredients that target different pathways involved in blood pressure regulation:

• Cilnidipine (10mg): A calcium channel blocker that relaxes and widens blood vessels, improving blood flow. It specifically blocks both L-type and N-type calcium channels.
• Metoprolol (Metoprolol Succinate extended-release 25mg): A beta-blocker that slows down the heart rate and reduces the force with which the heart muscle contracts, thereby decreasing the heart's workload.
• Telmisartan (40mg): An angiotensin II receptor blocker (ARB) that works by blocking the action of angiotensin II, a hormone that causes blood vessels to narrow. This leads to relaxation of blood vessels and a reduction in blood pressure.

What is the usual dosage of CILAHEART TM 25MG Tablet?

The typical dosage is usually one tablet once daily, taken orally. Your doctor will determine the exact dosage and duration based on your medical condition, age, and response to treatment. It should be swallowed whole with a glass of water and not chewed, crushed, or broken.

What are the possible side effects of CILAHEART TM 25MG Tablet?

Common side effects can include headache, dizziness, nausea, weakness, fatigue, slow heart rate (bradycardia), decreased blood pressure (hypotension), and swelling in the ankles or feet. Most of these side effects are usually temporary and resolve over time. If any side effects persist or worsen, you should consult your doctor.

Is CILAHEART TM 25MG Tablet safe during pregnancy or breastfeeding?

No, CILAHEART TM 25MG Tablet is generally not recommended for use during pregnancy or while breastfeeding. It can cause serious harm to an unborn baby. If you are pregnant, planning a pregnancy, or breastfeeding, it is crucial to inform your doctor to discuss alternative treatments.

Can CILAHEART TM 25MG Tablet be taken with other medications?

CILAHEART TM 25MG Tablet can interact with various other medications. It is important to inform your doctor about all prescription, over-the-counter, and herbal medicines you are taking. Potential interactions can occur with:

• Other antihypertensive drugs, diuretics, and medications that increase potassium levels.
• Non-steroidal anti-inflammatory drugs (NSAIDs).
• Antidiabetic medications, lithium, and certain antidepressants.
• CYP3A4 and CYP2D6 inhibitors (e.g., ketoconazole, ritonavir, fluoxetine, paroxetine).
• Dual blockade of the Renin-Angiotensin-Aldosterone System (RAAS) with ACE-inhibitors or aliskiren is generally not recommended due to increased risks of low blood pressure, high potassium levels, and kidney problems.

What precautions should be taken while using CILAHEART TM 25MG Tablet?

• Do not stop taking the medication abruptly, as this can lead to a sudden increase in blood pressure or other heart-related issues. Your doctor will gradually reduce the dose if discontinuation is necessary.
• Inform your doctor if you have pre-existing conditions such as diabetes, asthma, thyroid disorders, adrenal gland tumors, or kidney/liver problems.
• Avoid consuming alcohol, as it can increase dizziness.
• Rise slowly when standing up from a sitting or lying position to prevent dizziness caused by a sudden drop in blood pressure.
• Regular monitoring of blood pressure and kidney function tests are important during treatment.
• Avoid potassium-rich foods or potassium supplements, as the medication can increase potassium levels in the blood.
• Avoid grapefruit juice, as it can increase the absorption of cilnidipine, potentially leading to excessive lowering of blood pressure.

What happens if a dose of CILAHEART TM 25MG 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 a missed one.

How should CILAHEART TM 25MG Tablet be stored?

Store the medication in a cool and dry place, away from direct sunlight and moisture. Ensure it is kept at a temperature not exceeding 30°C and out of the sight and reach of children.