Cetanil Tm 25 Mg Tablet (10 Tab)

CETANIL TM 25 MG TABLET

CETANIL TM 25 MG TABLET is a prescription medicine manufactured by Alembic Pharmaceuticals Limited, primarily used for the management of high blood pressure.

---

Composition CETANIL TM 25 MG TABLET is a fixed-dose combination medication containing three active ingredients:

• Cilnidipine (10 mg)
• Metoprolol Succinate (23.75 mg)
• Telmisartan (40 mg)

---

Uses This medication is primarily prescribed for the treatment of hypertension (high blood pressure). By effectively lowering blood pressure, CETANIL TM 25 helps to prevent severe cardiovascular complications such as heart attack, stroke, angina (chest pain), and arrhythmia (uneven heartbeat). It also offers protection against kidney problems associated with hypertension and can be beneficial for patients with diabetes or an increased risk of cardiovascular diseases.

---

Dosage and Administration CETANIL TM 25 MG TABLET should be taken orally, exactly as directed by your healthcare provider. The tablet should be swallowed whole with a glass of water, and it should not be chewed, crushed, or broken. It is generally recommended to take this medicine with food, preferably at the same time each day to maintain consistent blood pressure control. The dosage and duration of treatment will be determined by your doctor based on your specific medical condition. Do not stop taking this medication abruptly without consulting your doctor, as it can lead to a sudden increase in blood pressure.

---

Side Effects While most side effects are temporary and resolve as your body adjusts, it's important to be aware of them.

• Common Side Effects: Headache, dizziness, fatigue, nausea, taste changes, diarrhea, swelling of the ankles, flushing (a warm sensation in the face, ears, neck), slow heart rate, decreased blood pressure, and stomach discomfort.
• Serious Side Effects (Seek immediate medical attention): Severe allergic reactions (such as skin rash, itching, swelling of the face, lips, mouth, or throat leading to difficulty in breathing or swallowing), severe skin reactions (blistering and peeling of skin), or sepsis.

---

Precautions Before taking CETANIL TM 25 MG TABLET, inform your doctor about any known allergies to its components.

• Pregnancy and Breastfeeding: This medication is not recommended during the second and third trimesters of pregnancy, and pregnant or nursing individuals should consult a doctor before use.
• Children: Its safety and efficacy have not been established in children, so it is not recommended for pediatric use.
• Medical Conditions: Exercise caution and inform your doctor if you have conditions such as diabetes, circulation disorders, asthma, thyroid issues, adrenal gland tumors, heart complications (e.g., severe heart failure, recent heart attack), or kidney or liver problems.
• Interactions: Avoid alcohol consumption as it may increase dizziness. Inform your doctor about all other medications you are taking, especially diuretics, NSAIDs, and antidepressants, to avoid potential drug interactions. Grapefruit juice should also be avoided while on this medication.
• Driving: As CETANIL TM 25 may cause dizziness, drive or operate machinery with caution.
• Diet: Avoid potassium-rich foods or supplements. Regular monitoring of blood pressure, kidney function, blood sugar levels, and electrolytes may be required during treatment.

---

Storage Store CETANIL TM 25 MG TABLET in a cool and dry place, away from direct heat and sunlight, typically below 30°C or at room temperature (20-25°C). Keep it out of reach and sight of children and pets.

Here are frequently asked questions about CETANIL TM 25 MG TABLET:

What is CETANIL TM 25 MG TABLET used for?

CETANIL TM 25 MG TABLET is primarily used to treat hypertension, commonly known as high blood pressure. It also helps in preventing associated cardiovascular complications such as heart attack, stroke, angina (chest pain), arrhythmia (uneven heartbeat), and kidney problems that can result from uncontrolled high blood pressure.

How does CETANIL TM 25 MG TABLET work?

This medication is a combination of three active ingredients: Cilnidipine, Metoprolol Succinate, and Telmisartan. Cilnidipine, a calcium channel blocker, relaxes and widens blood vessels to improve blood flow. Telmisartan, an angiotensin receptor blocker, works by blocking a substance that narrows blood vessels, further promoting relaxation and lowering blood pressure. Metoprolol Succinate, a beta-blocker, slows down the heart rate and reduces the force of the heart's contractions, easing the heart's workload and making it easier to pump blood throughout the body.

What is the usual dosage for CETANIL TM 25 MG TABLET?

The dosage and duration of treatment are determined by your doctor based on your specific medical condition, age, and response to treatment. You should take this medicine exactly as prescribed by your doctor, swallowing the tablet whole with a glass of water, preferably at the same time each day. It is generally recommended to take it with food. Do not chew, crush, or break the tablet.

What are the possible side effects of CETANIL TM 25 MG TABLET?

Common side effects may include dizziness, headache, fatigue, nausea, changes in taste, diarrhea, ankle swelling, flushing (a warm sensation), slow heart rate, cold extremities, and decreased blood pressure. Most of these side effects are usually temporary and resolve as your body adjusts to the medication. If any side effects persist or worsen, consult your doctor. Seek immediate medical attention if you experience serious side effects such as trouble breathing, sudden chest pain, very slow heartbeat, fainting, swelling of the face or throat, yellowing of the skin or eyes, or unusual tiredness.

Is CETANIL TM 25 MG TABLET safe during pregnancy or breastfeeding?

CETANIL TM 25 MG TABLET is generally not recommended during pregnancy, especially during the second and third trimesters. It is also not recommended for use while breastfeeding. If you are pregnant, planning to conceive, or breastfeeding, you should consult your healthcare provider to discuss safer alternatives.

Can CETANIL TM 25 MG TABLET be taken with other medications?

It is crucial to inform your doctor about all other medications, supplements, or herbal products you are currently taking to avoid potential drug interactions. This medicine may interact with certain other antihypertensive drugs, heart medications, diuretics, NSAIDs (non-steroidal anti-inflammatory drugs like ibuprofen), and some antidepressants. It is also advisable to avoid potassium supplements as Telmisartan, one of its components, can elevate potassium levels.

What precautions should be taken while using CETANIL TM 25 MG TABLET?

Before taking this medication, inform your doctor if you have conditions such as diabetes, circulation disorders, asthma, thyroid issues, adrenal gland tumors, severe heart problems (e.g., heart block, uncontrollable heart failure), kidney or liver problems, or if you are on a low-salt diet. Do not stop taking CETANIL TM 25 MG TABLET abruptly, as this can lead to a sudden increase in blood pressure. This medicine may cause dizziness, so exercise caution when driving or operating heavy machinery. Avoid alcohol consumption as it can amplify dizziness. Regular monitoring of your blood pressure, kidney function, blood sugar levels, and electrolytes may be necessary. It is not suitable for children.

What happens if a dose of CETANIL TM 25 MG 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 CETANIL TM 25 MG TABLET be stored?

Store CETANIL TM 25 MG TABLET in a cool and dry place, ideally below 30°C (some sources specify 20-25°C), away from direct heat and sunlight. Keep it out of the reach and sight of children.