Cilacar C Tab

CILACAR C Tablet

CILACAR C Tablet is a combination medication manufactured by J B Chemicals and Pharmaceuticals Ltd., primarily used for the management of hypertension, also known as high blood pressure.

Composition

Each film-coated tablet contains:

• Cilnidipine (10 mg): This is a calcium channel blocker that works by relaxing and widening blood vessels, allowing blood to flow more easily. This action helps to reduce the workload on the heart.
• Chlorthalidone (12.5 mg): This is a diuretic (water pill) that promotes the removal of excess fluid, water, and salts from the body through increased urination. This further aids in lowering blood pressure.

Uses

CILACAR C Tablet is prescribed for:

• Treatment of essential hypertension (high blood pressure).
• Reducing the risk of associated cardiovascular problems such as heart attack and stroke.
• Managing blood pressure in patients whose condition is not adequately controlled with monotherapy of Cilnidipine or Chlorthalidone or dual therapy of lower doses.

Dosage and Administration

The typical recommended adult oral dosage for CILACAR C Tablet is one tablet per day. It should be taken with food, preferably in the morning, to avoid frequent urination at night. Tablets should be swallowed whole with water and not chewed, crushed, or broken. The dosage and duration of treatment are determined by a doctor based on the patient's condition and response to the medicine. It is crucial not to stop taking the medicine abruptly.

Side Effects

Common side effects may include:

• Headache
• Dizziness
• Fatigue/Tiredness
• Nausea
• Increased frequency of urination (Polyuria)
• Muscle cramps/pain
• Flushing (sense of warmth in the face, ears, neck, and trunk)
• Low blood pressure (feeling light-headed)
• Hypokalemia (low potassium levels in blood)
• Hyperuricemia (excess uric acid in blood)

Serious side effects, though less common, can include:

• Chest pain
• Severe dizziness or fainting
• Worsening heart failure
• Jaundice (yellowing of the skin or eyes)
• Allergic swelling
• Kidney failure
• Severe electrolyte imbalance (low potassium, sodium, magnesium; high calcium, uric acid)

Precautions

• Pregnancy: CILACAR C Tablet is not recommended during pregnancy and should be used with caution, as it may be unsafe and can potentially cause jaundice, low blood sugar, or bruising in newborns.
• Breastfeeding: This medicine is contraindicated for breastfeeding women as it may suppress lactation and be excreted in breast milk.
• Alcohol: Caution is advised while consuming alcohol, as it may cause excessive drowsiness and increase the risk of side effects.
• Liver Disease: Use with caution in patients with liver diseases; dosage adjustment may be necessary. It is contraindicated in severe hepatic failure.
• Kidney Disease: Use with caution in patients with kidney problems, as it can cause electrolyte disturbances. It is contraindicated in severe renal failure.
• Driving and Operating Machinery: Avoid driving or operating heavy machinery if you experience dizziness, tiredness, or decreased alertness after taking this medicine.
• Allergies: Do not take if allergic to chlorthalidone, cilnidipine, or any other ingredients.
• Other Conditions: Inform your doctor if you have heart-related problems (e.g., low blood pressure, heart failure, recent MI, unstable angina, severe aortic stenosis), diabetes, gout, or if you are on a low-salt diet.
• Drug Interactions: Inform your doctor about all other medicines, herbal preparations, and supplements you are taking. Diuretics like chlorthalidone can reduce lithium excretion, leading to increased lithium plasma levels.

Storage

Store CILACAR C Tablet protected from light and moisture, at a temperature not exceeding 30°C. Keep out of the sight and reach of children.

What is Cilacar C Tablet used for?

Cilacar C Tablet is primarily used to treat hypertension, which is persistently high blood pressure. By effectively lowering blood pressure, it helps to reduce the risk of serious cardiovascular events such as heart attacks, strokes, and kidney damage.

How does Cilacar C Tablet work?

Cilacar C Tablet contains two active ingredients: Cilnidipine and Chlorthalidone. Cilnidipine is a calcium channel blocker that works by relaxing and widening the blood vessels, which in turn reduces the pressure against the vessel walls and decreases the workload on the heart. Chlorthalidone is a diuretic, also known as a "water pill," which helps the body remove excess fluid, sodium, and chloride through increased urine production. This combined action leads to lower blood pressure and improved blood flow.

What is the usual dosage for Cilacar C Tablet?

The typical adult oral dosage for Cilacar C Tablet (containing Cilnidipine 10 mg and Chlorthalidone 12.5 mg) is one tablet once daily, as prescribed by your doctor. It should be taken with food, preferably in the morning, to help prevent frequent urination at night. Do not chew, crush, or break the tablet; swallow it whole with water.

What are the possible side effects of Cilacar C Tablet?

Common side effects may include headache, dizziness, fatigue, nausea, increased urination (polyuria), muscle cramps, ankle swelling, flushing, and sleepiness. Less common but potentially serious side effects can include very low blood pressure, severe dizziness or fainting, changes in blood electrolyte levels (e.g., low potassium or high uric acid), and worsening heart failure. If you experience any severe or persistent side effects, consult your doctor.

Is Cilacar C Tablet safe during pregnancy or breastfeeding?

Cilacar C Tablet is generally not recommended during pregnancy as it may be unsafe and could pose risks to the fetus. For breastfeeding mothers, this medicine is also contraindicated as its components may pass into breast milk and could suppress lactation. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding for safer alternatives.

Can Cilacar C Tablet be taken with other medications?

Cilacar C Tablet can interact with various medications. For example, NSAIDs (like ibuprofen) may reduce its blood pressure-lowering effects, and lithium (for mood disorders) may lead to toxicity when taken with Cilacar C. Certain antibiotics and anticonvulsants can also affect the levels of cilnidipine in your blood. Combining it with other blood pressure medications might cause additive hypotensive effects. It is crucial to inform your doctor about all other medications, herbal supplements, and over-the-counter drugs you are currently taking to avoid potential interactions.

What precautions should be taken while using Cilacar C Tablet?

Caution is advised for individuals with kidney disease, liver disease, gout, diabetes, or certain heart conditions like low blood pressure, severe aortic stenosis, or recent heart attack. Alcohol consumption should be limited or avoided as it can increase drowsiness and the risk of low blood pressure. If you experience dizziness or fatigue, avoid driving or operating heavy machinery. Regular monitoring of blood pressure, kidney function, and electrolyte levels may be recommended by your doctor. Additionally, avoid grapefruit juice as it can increase the risk of side effects.

What happens if a dose of Cilacar C 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 one and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should Cilacar C Tablet be stored?

Cilacar C Tablet should be stored in a cool and dry place, away from direct sunlight, moisture, and heat. Keep it out of the sight and reach of children and pets. Do not use any expired or damaged medicine.