Cilaheart Tm 50mg Tab

CILAHEART TM 50MG TAB

• Name: CILAHEART TM 50MG TAB (Brand name: CILAHEART TM 50 Tablet)

• Manufacturer: Mankind Pharma Pvt Ltd / MANKIND-CURIS DIV

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

  • Cilnidipine 10 mg
  • Metoprolol Tartrate 50 mg (or Metoprolol Succinate equivalent to 50 mg Metoprolol Tartrate)
  • Telmisartan 40 mg

• Uses: CILAHEART TM 50MG TAB is primarily prescribed for the management of high blood pressure (hypertension). This combination therapy is often used when single or dual therapy is not sufficient to control blood pressure. By effectively lowering blood pressure, it helps to reduce the risk of serious cardiovascular events such as heart attack and stroke. It works by relaxing blood vessels and slowing the heart rate, making it easier for the heart to pump blood efficiently. It may also be used for certain heart conditions under medical supervision.

• Dosage and Administration: CILAHEART TM 50MG TAB is typically taken orally, usually once daily, with or without food, as directed by a physician. The tablet should be swallowed whole with water and should not be chewed, crushed, or broken. For optimal results, it is recommended to take the medicine at the same time each day to maintain consistent blood levels. The exact dosage and duration will be determined by the doctor based on the patient's condition and response to treatment.

• Side Effects: Common side effects may include headache, nausea, weakness, dizziness, slow heart rate (bradycardia), fatigue, and swelling in the legs or feet. Some patients may also experience upset stomach or increased potassium levels in the blood. If side effects persist or worsen, medical advice should be sought promptly. Serious side effects, though rare, can include significant drops in blood pressure (hypotension).

• Precautions:

  • Pregnancy and Breastfeeding: This medication is generally not recommended during pregnancy or while breastfeeding; consult a doctor if pregnant, planning pregnancy, or breastfeeding.
  • Medical Conditions: Inform your doctor about any pre-existing conditions such as diabetes, liver problems, kidney problems, heart conditions (like severe heart block or decompensated heart failure), or low blood pressure. Regular monitoring of blood pressure and kidney function tests may be required.
  • Alcohol: Avoid consuming alcohol as it may increase dizziness.
  • Discontinuation: Do not stop taking CILAHEART TM 50MG TAB abruptly without consulting a doctor, as sudden discontinuation can lead to a sharp increase in blood pressure or other heart-related issues.
  • Driving and Operating Machinery: As this medicine may cause dizziness, caution is advised when driving or operating machinery until you know how it affects you.
  • Diet: Maintain a low-salt and low-fat diet. Avoid consuming potassium-rich foods or potassium supplements without consulting your doctor, as it can increase potassium levels in the blood.

• Storage: Store in a cool and dry place, away from sunlight and moisture, at a temperature not exceeding 30°C. Keep medicine out of the sight and reach of children.

CILAHEART TM 50MG TAB, produced by MANKIND-CURIS DIV, is primarily a combination medication used to treat high blood pressure. While the exact "50MG" in the name can be ambiguous, reliable sources indicate that "Cilaheart T" or "Cilaheart TM" typically contains a combination of Cilnidipine (10 mg) and Telmisartan (40 mg), making the total active ingredient strength 50mg. The following frequently asked questions and answers pertain to this combination.

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What is CILAHEART TM 50MG TAB used for?

CILAHEART TM 50MG TAB is primarily used to treat hypertension (high blood pressure). By effectively managing blood pressure, it helps reduce the risk of serious cardiovascular complications such as heart attacks, strokes, and kidney problems.

How does CILAHEART TM 50MG TAB work?

This medicine combines two active ingredients: Cilnidipine and Telmisartan.

• Cilnidipine is a calcium channel blocker. It works by relaxing and widening blood vessels, making it easier for blood to flow and reducing the heart's workload. Unlike some other calcium channel blockers, Cilnidipine also blocks N-type calcium channels, which may help suppress the increase in heart rate often associated with blood pressure reduction.
• Telmisartan is an angiotensin II receptor blocker (ARB). It works by blocking the action of a hormone called angiotensin II, which causes blood vessels to narrow. By blocking this hormone, Telmisartan helps to relax blood vessels, further lowering blood pressure and improving blood flow throughout the body.

What is the usual dosage of CILAHEART TM 50MG TAB?

The usual adult dosage is typically one tablet once daily. It can be taken with or without food. Always follow your doctor's specific instructions regarding dosage and administration.

What are the possible side effects of CILAHEART TM 50MG TAB?

Common side effects may include dizziness, headache, fatigue, flushing, nausea, stomach pain, and oedema (swelling), particularly in the ankles or feet. Most of these side effects are usually temporary and resolve over time. If any side effects persist or worsen, it is important to consult your doctor.

Is CILAHEART TM 50MG TAB safe during pregnancy or breastfeeding?

No, CILAHEART TM 50MG TAB is generally not recommended during pregnancy or breastfeeding. Studies in animals have shown adverse effects on the fetus, and there is limited data on its safety in human pregnancy. For breastfeeding mothers, Cilnidipine has been found in the milk of lactating rats, and it's advisable to discontinue breastfeeding if the medication is necessary.

Can CILAHEART TM 50MG TAB be taken with other medications?

CILAHEART TM 50MG TAB can interact with other medications, so it's crucial to inform your doctor about all medicines, supplements, and herbal products you are taking.

• Other blood pressure-lowering medications: Concomitant use with beta-blockers, ACE inhibitors, or diuretics may lead to an additive effect, potentially causing hypotension (low blood pressure).
• Potassium-sparing diuretics or potassium supplements: Telmisartan can increase potassium levels, so combining it with these agents may lead to hyperkalemia (high potassium).
• CYP3A4 inhibitors: Cilnidipine is metabolized by CYP3A4, so certain medications like azole antifungal agents (e.g., itraconazole, miconazole) or antibiotics (e.g., erythromycin) can increase Cilnidipine levels and enhance its effect.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): These may reduce the antihypertensive effect of Cilnidipine.

What precautions should be taken while using CILAHEART TM 50MG TAB?

• Low blood pressure: Use with caution if you have low blood pressure, heart failure, or poor cardiac reserve, as the medicine may further lower blood pressure.
• Liver and kidney problems: Exercise caution and inform your doctor if you have liver or kidney impairment.
• Driving and operating machinery: This medicine may cause dizziness or syncope; avoid activities requiring alertness until you know how it affects you.
• Grapefruit juice: Avoid consuming grapefruit juice as it may enhance the effects of Cilnidipine and increase the risk of side effects.
• Alcohol: Avoid or limit alcohol consumption as it can increase dizziness and hypotensive effects.
• Sudden discontinuation: Do not stop taking CILAHEART TM 50MG TAB suddenly without consulting your doctor, as this can lead to a sudden increase in blood pressure or worsen angina.

What happens if a dose of CILAHEART TM 50MG TAB 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 compensate for the missed one.

How should CILAHEART TM 50MG TAB be stored?

Store CILAHEART TM 50MG TAB in a cool, dry place, protected from light and moisture. Keep it out of reach of children.