Cinod T 20

CINOD T 20

CINOD T 20 is a prescription medication manufactured by Ajanta Pharma Limited, used for the management of high blood pressure.

• Name:

  • Brand Name: CINOD T 20
  • Common Name: Cilnidipine and Telmisartan tablets

• Composition: Each tablet contains a combination of two active ingredients:

  • Cilnidipine: 20 mg
  • Telmisartan: 40 mg

• Uses: CINOD T 20 is primarily prescribed for the treatment of:

  • Hypertension (High Blood Pressure): It helps to lower elevated blood pressure, thereby reducing the risk of heart attacks, strokes, and other cardiovascular complications.
  • Heart-related Chest Pain (Angina): It can be used to manage angina, which is chest pain caused by reduced blood flow to the heart.
  • Cardiovascular Protection: By lowering blood pressure, it contributes to overall cardiovascular protection.
  • Diabetic Patient Care: It may also provide kidney protection for patients with hypertension and diabetes.

• Dosage and Administration:

  • CINOD T 20 is typically taken once daily, preferably at the same time each day to maintain consistent levels of the medicine in the blood.
  • It can be taken with or without food.
  • Tablets should be swallowed whole with a glass of water and should not be crushed, chewed, or broken.
  • Do not stop taking the medicine without consulting your doctor, even if you feel well, as sudden discontinuation can lead to adverse effects.

• Side Effects:

  • Common Side Effects: Dizziness, headache, stomach pain, diarrhea, back pain, weakness, muscle pain, swelling of the hands, ankles, feet, or lower legs (peripheral edema), fatigue, sleepiness, congested feeling, spinning sensation, soreness in the sinus, changes in taste, skin rash, increased urination frequency, and low blood pressure.
  • Serious Side Effects (Rare): Chest pain, irregular heartbeat, abnormal heart rate, shortness of breath, hyperkalaemia (high potassium levels). If these or any other severe symptoms occur, seek immediate medical attention.

• Precautions:

  • Pregnancy and Breastfeeding: CINOD T 20 is generally not recommended during pregnancy and breastfeeding due to potential risks to the baby. Consult a doctor for safer alternatives.
  • Alcohol: Avoid or limit alcohol consumption as it may increase the risk of dizziness and low blood pressure.
  • Driving and Operating Machinery: This medicine may cause dizziness or drowsiness, so avoid activities requiring mental focus until you know how it affects you.
  • Medical Conditions: Use with caution in patients with liver disease, kidney problems (renal artery stenosis, impaired kidney function), severe dehydration, congestive heart failure, cardiogenic shock, recent myocardial infarction, acute unstable angina, or severe aortic stenosis. Regular monitoring of blood pressure and kidney function may be required.
  • Drug Interactions: Avoid concomitant use with Aliskiren, especially in patients with diabetes or kidney problems, as it may increase the risk of kidney damage, low blood pressure, and hyperkalaemia. Inform your doctor about all other medications, supplements, and herbal products you are taking.

• Storage:

  • Store in a cool and dry place, away from direct sunlight.
  • Keep out of sight and reach of children.
  • Store below 25°C or below 30°C, in its original packaging.
  • Always check the expiry date before use.

Here are frequently asked questions about CINOD T 20:

What is CINOD T 20 used for?

CINOD T 20 is a combination medicine primarily used in adults to manage essential hypertension (high blood pressure) and heart-related chest pain (angina). By lowering blood pressure, it helps reduce the risk of serious complications such as heart attacks, strokes, and kidney problems. It can be particularly beneficial for patients whose blood pressure is not adequately controlled by using just one component alone.

How does CINOD T 20 work?

CINOD T 20 contains two active ingredients: Cilnidipine (20 mg) and Telmisartan (40 mg).

• Cilnidipine is a calcium channel blocker (CCB). It works by blocking calcium entry into the smooth muscle cells of blood vessels, which relaxes and widens the blood vessels. This reduces resistance to blood flow and lowers blood pressure.
• Telmisartan is an angiotensin II receptor blocker (ARB). It works by blocking the action of a substance called angiotensin II, which causes blood vessels to narrow. This allows blood to flow more smoothly and makes the heart more efficient at pumping blood throughout the body.

Together, these two components help to relax blood vessels, making it easier for the heart to pump blood, thereby lowering blood pressure and reducing the workload on the heart.

What is the usual dosage of CINOD T 20?

CINOD T 20 is typically taken orally once daily, with or without food, as advised by your physician. It is important to take it at the same time each day to maintain consistent blood levels of the medication. The exact dosage and duration of treatment will be determined by your doctor based on your medical condition and response to the medicine. Do not crush, chew, or break the tablet; swallow it whole with water.

What are the possible side effects of CINOD T 20?

Common side effects of CINOD T 20 may include dizziness, headache, fatigue, nausea, stomach upset, and swelling in the ankles or feet (peripheral edema). Other possible side effects can include changes in taste, low blood pressure, muscle pain, and increased potassium levels in the blood (hyperkalemia). If side effects persist, worsen, or cause discomfort, consult your doctor. Since it may cause dizziness, it is advisable to avoid driving or performing tasks that require focus until you know how the medicine affects you.

Is CINOD T 20 safe during pregnancy or breastfeeding?

CINOD T 20 is generally not recommended during pregnancy as it may harm the unborn baby. Pregnant women should consult their doctor for safer alternatives. Similarly, it is advisable for breastfeeding mothers to consult their doctor before using this medicine to assess potential risks, as it is unknown if it passes into breast milk.

Can CINOD T 20 be taken with other medications?

CINOD T 20 can interact with other medications. It is crucial to inform your doctor about all the medicines, supplements, or herbal products you are currently taking to avoid possible interactions.

• It may interact with other blood pressure medications such as ACE inhibitors (e.g., enalapril, lisinopril), angiotensin-II receptor antagonists (e.g., losartan, irbesartan), diuretics, and aliskiren, potentially leading to increased risk of low blood pressure, kidney problems, and high potassium levels.
• Concomitant use with certain anti-psychotic drugs (e.g., risperidone, quetiapine), digoxin, lithium, and NSAIDs (e.g., ibuprofen, naproxen) may also lead to interactions or alter the effectiveness of CINOD T 20.

What precautions should be taken while using CINOD T 20?

Several precautions should be taken when using CINOD T 20:

• Medical Conditions: Inform your doctor if you have kidney or liver problems, severe dehydration, heart conditions (like heart failure, aortic or mitral stenosis), or diabetes.
• Alcohol: Avoid or limit alcohol consumption as it may increase dizziness and the risk of low blood pressure.
• Driving and Machinery: Be cautious while driving or operating machinery, as the medicine may cause dizziness or sleepiness.
• Diet: Avoid potassium-rich foods and supplements that may increase potassium levels in your blood.
• Monitoring: Regular monitoring of blood pressure and kidney function (creatinine and potassium levels) may be necessary during treatment.
• Abrupt Discontinuation: Do not stop taking CINOD T 20 without consulting your doctor, even if you feel well, as sudden discontinuation can lead to a rebound increase in blood pressure or other complications.

What happens if a dose of CINOD T 20 is missed?

If you miss a dose of CINOD T 20, 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 CINOD T 20 be stored?

CINOD T 20 should be stored in a cool and dry place, below 25°C or below 30°C. Protect it from light and moisture, and keep it in its original packaging. Ensure the medicine is out of sight and reach of children. Always check the expiry date before taking the tablet.