Cilacar Nb 5 Mg Tablet (10 Tab)

CILACAR NB 5 MG TABLET

Name:

• Brand Name: CILACAR NB 5 MG TABLET
• Manufacturer: J.B. CHEMICALS & PHARMACEUTICALS LTD.

Composition: CILACAR NB 5 MG TABLET contains a combination of two active ingredients:

• Cilnidipine: 10 mg
• Nebivolol: 5 mg

Uses: CILACAR NB 5 MG TABLET is primarily prescribed for the management of essential hypertension (high blood pressure). It is particularly used when blood pressure is not adequately controlled by a single medication. By effectively lowering high blood pressure, it helps to reduce the risk of future cardiovascular events such as heart attack and stroke, while also improving blood flow and reducing strain on the heart.

Dosage and Administration:

• Take CILACAR NB 5 MG TABLET exactly as prescribed by your doctor.
• Swallow the tablet whole with a glass of water; do not chew, crush, or break it.
• It can be taken with or without food, although some sources recommend taking it with or after a meal to help reduce side effects.
• For optimal results, it is best to take the medication at the same time each day.
• Do not stop taking this medication suddenly without consulting your doctor, as abrupt discontinuation can lead to a severe increase in blood pressure and worsen your condition.

Side Effects: CILACAR NB 5 MG TABLET may cause some side effects, which can be common or, in rare cases, serious.

• Common Side Effects: Headache, constipation, cold extremities, nausea, sleepiness, tiredness/lethargy, palpitations, ankle swelling (edema), flushing (a sensation of warmth in the face, neck, and ears), dizziness, increased frequency of urination, unusual itching or tingling sensations (paresthesia), shortness of breath, diarrhea, slow heart rate (bradycardia), and low blood pressure (hypotension). Inform your healthcare provider if these side effects become bothersome or persist.
• Serious Side Effects: Seek immediate medical attention if you experience worsening heart failure, very slow heartbeat, fainting, chest pain, significant swelling in the legs, severe difficulty breathing, severe dizziness, or signs of liver problems such as yellowing of the skin or eyes.

Precautions:

• Contraindications: Do not take CILACAR NB 5 MG TABLET if you are allergic to Cilnidipine, Nebivolol, or any other ingredients in the formulation. It is also contraindicated in patients with severe kidney problems, severe liver impairment, acute heart failure or sudden worsening of heart failure requiring hospital treatment, certain heart conduction disorders (e.g., second or third-degree heart block without a pacemaker, sick sinus syndrome, very slow heartbeat), untreated pheochromocytoma, very low blood pressure, severe circulation problems, or lung diseases such as asthma or wheezing.
• Specific Populations: This medicine is generally not recommended during pregnancy or breastfeeding unless the benefits outweigh the risks and it is clearly necessary, with fetal growth monitored if used during pregnancy. It should not be given to children and adolescents below 18 years of age. Caution is advised in elderly individuals above 75 years.
• Medical Conditions: Inform your doctor if you have underlying conditions such as diabetes (as it may mask signs of low blood sugar), mild to moderate heart failure, prolonged breathing problems, lactose intolerance, an overactive thyroid gland (hyperthyroidism), Raynaud's disease, or a history of psoriasis or severe allergic reactions.
• Drug Interactions: Inform your doctor about all medicines you are taking, especially other blood pressure or heart medications, medicines for mental illness, epilepsy, schizophrenia, depressive disorders, phenothiazines, asthma, glaucoma, and baclofen. Avoid grapefruit juice while on this medication.
• Activities: CILACAR NB 5 MG TABLET may cause dizziness or fatigue, so exercise caution when driving or operating machinery until you know how the medicine affects you.
• Alcohol: Caution is advised regarding alcohol consumption, and it is wise to limit it while taking this medication.
• Surgery: Inform your doctor if you are scheduled for any surgery that requires anesthesia.

Storage: Store CILACAR NB 5 MG TABLET at room temperature, ideally around 25°C or below 30°C. Keep the tablet container tightly closed to protect it from exposure to light and moisture. Always keep this medicine out of the reach of children. Ensure to use the product before the expiry date printed on the pack.

Here are the most frequently asked questions about CILACAR NB 5 MG TABLET:

What is Cilacar NB 5 mg Tablet used for?

Cilacar NB 5 mg Tablet is primarily used to manage hypertension, commonly known as high blood pressure. It is prescribed when a single medication is not sufficient to control blood pressure effectively. This medication helps to lower high blood pressure, thereby reducing the risk of future complications such as heart attack, stroke, and kidney problems.

How does Cilacar NB 5 mg Tablet work?

Cilacar NB 5 mg Tablet is a combination medicine containing Cilnidipine (a calcium channel blocker) and Nebivolol (a beta-blocker). Cilnidipine works by relaxing and widening blood vessels, allowing blood to flow more smoothly. Nebivolol works by selectively blocking beta-1 adrenergic receptors in the heart, which slows down the heart rate and further relaxes blood vessels. Together, these actions reduce the strain on the heart and lower blood pressure effectively.

What is the usual dosage for Cilacar NB 5 mg Tablet?

The dosage of Cilacar NB 5 mg Tablet is determined by your doctor based on your individual medical condition and response to the medicine. It is typically taken once daily, with or without food, at a fixed time each day to maintain a consistent level in the blood. It is crucial to follow your doctor's instructions and not to exceed the prescribed dose.

What are the possible side effects of Cilacar NB 5 mg Tablet?

Common side effects may include headache, dizziness, fatigue, nausea, peripheral oedema (swelling in the hands, feet, ankles, and legs due to fluid accumulation), and bradycardia (slower-than-normal heart rate). Other reported side effects include constipation, sleepiness, palpitations, ankle swelling, flushing (warmth in the face, neck, and ears), and increased urination frequency. Most of these side effects are temporary and usually resolve over time. If any side effects persist or worsen, consult your doctor.

Is Cilacar NB 5 mg Tablet safe during pregnancy or breastfeeding?

Cilacar NB 5 mg Tablet should generally be avoided during pregnancy unless the potential benefits outweigh the risks, as it can cause issues for the unborn baby, especially if taken during the last six months of pregnancy. Breastfeeding is also not recommended during treatment with Cilacar NB 5 mg Tablet, as it is unclear if the medication passes into breast milk and could affect the baby. Always consult your doctor before taking this medicine if you are pregnant or breastfeeding.

Can Cilacar NB 5 mg Tablet be taken with other medications?

Cilacar NB 5 mg Tablet can interact with certain medications. It is important to inform your doctor about all other medicines, supplements, and herbal products you are taking. Interactions can occur with antidepressants (e.g., quinidine, fluoxetine, paroxetine), other antihypertensives (e.g., ramipril), NSAIDs (e.g., ibuprofen, naproxen), and some heart medications (e.g., digoxin). Combining it with certain heart rhythm drugs (like quinidine, verapamil, or amiodarone) may dangerously slow your heart or lower blood pressure.

What precautions should be taken while taking Cilacar NB 5 mg Tablet?

Before starting treatment, inform your doctor if you have any allergies to Cilnidipine, Nebivolol, or other ingredients. Exercise caution if you have pre-existing medical conditions such as severe liver or kidney impairment, heart failure, diabetes, lung disease (like chronic bronchitis or asthma), thyroid problems, or circulation issues like Raynaud's disease. Alcohol consumption should be limited or avoided while on this medication as it may lead to decreased blood pressure. Do not stop taking the medicine suddenly without consulting your doctor, as abrupt discontinuation can lead to a sudden increase in blood pressure.

What happens if a dose of Cilacar NB 5 mg Tablet is missed?

If you miss a dose of Cilacar NB 5 mg Tablet, 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 double the dose to make up for a missed one.

How should Cilacar NB 5 mg Tablet be stored?

Cilacar NB 5 mg Tablet should be stored at room temperature, ideally around 25°C (or below 30°C), in a cool and dry place. Ensure the tablet container is tightly closed to protect it from direct sunlight, light, and moisture. Always keep this medicine out of the sight and reach of children.