Cilacar C 6.25 Mg Tablet (10 Tab)

CILACAR C 6.25 MG TABLET

Name:

• Brand Name: Cilacar C 6.25 Tablet
• Manufacturer: J.B. Chemicals & Pharmaceuticals Ltd.

Composition: Cilacar C 6.25 Tablet contains two active ingredients:

• Cilnidipine (10 mg)
• Chlorthalidone (6.25 mg)

Cilnidipine is a calcium channel blocker that relaxes and widens blood vessels, reducing blood pressure and decreasing the heart's workload. Chlorthalidone is a diuretic ("water pill") that helps the body eliminate excess water and salts through increased urination, further lowering blood pressure and reducing fluid buildup.

Uses: Cilacar C 6.25 Tablet is primarily prescribed for the management of:

• Hypertension (high blood pressure) It also helps to:
• Reduce the risk of cardiovascular complications such as heart attack and stroke.
• Manage fluid retention (oedema) and swelling associated with hypertension, heart failure, liver cirrhosis, and kidney disease.

Dosage and Administration:

• This medicine should be taken as directed by your doctor.
• Typically, it is taken orally once daily.
• It can be taken with or without food, but taking it in the morning, preferably with breakfast, is advised to prevent frequent nighttime urination.
• Swallow the tablet whole with a glass of water; do not crush or chew it.
• Do not discontinue the medicine abruptly, even if your blood pressure appears controlled, as this can lead to a sudden rise in blood pressure and increased risk of heart attack or stroke.

Side Effects:

• Common Side Effects: Dizziness, headache, fatigue, nausea, increased urination, palpitations (racing or pounding heart), low blood pressure (feeling light-headed), lethargy, peripheral oedema (swelling of legs/hands), flushing, rash, impotence (erectile dysfunction), gingival hyperplasia (gum overgrowth), stomach pain, constipation, muscle weakness, muscle twitching, irregular heartbeat, increased blood uric acid, decreased potassium levels in blood, altered blood lipid levels, sleepiness, and ankle swelling.
• Serious Side Effects: Severe dizziness or fainting, very low blood pressure, worsening heart failure, chest pain, jaundice (yellowing of the skin or eyes), allergic swelling, kidney failure, or severe electrolyte imbalance (low levels of potassium, sodium, or magnesium), and high blood sugar levels. Seek immediate medical attention if any serious side effects occur.

Precautions:

• Contraindications: Do not take this medicine if you are allergic to cilnidipine, chlorthalidone, or any other ingredients. It is also contraindicated in individuals with severe kidney or liver disease, blocked bile ducts, very low potassium or sodium levels, gout, or untreated Addison's disease.
• General Warnings:
  • Caution is advised in patients with kidney disease, heart failure, diabetes, gout, high cholesterol, aortic stenosis (narrowing of the aortic valve), or cardiogenic shock.
  • Regular monitoring of blood pressure, kidney function, and electrolyte levels is recommended.
  • This medicine may cause dizziness or sleepiness; avoid driving or operating heavy machinery until you know how it affects you.
  • Avoid alcohol consumption as it can increase the risk of side effects.
  • Consumption of grapefruit or grapefruit juice should be avoided as it can increase your exposure to cilnidipine.
  • Cilacar C 6.25 Tablet is generally not recommended for use during pregnancy or breastfeeding, as it may be harmful to the fetus or pass into breast milk. Consult your doctor if you are pregnant, planning a pregnancy, or breastfeeding.

Storage:

• Store below 30°C.
• Protect from light and heat.
• Keep out of the reach of children and pets.

What is Cilacar C 6.25 mg Tablet used for?

Cilacar C 6.25 mg Tablet is primarily used to manage hypertension, commonly known as high blood pressure. It is a combination medicine that helps reduce the risk of serious cardiovascular events such as stroke and heart attack. This medicine is often prescribed when blood pressure is not adequately controlled by a single medication.

How does Cilacar C 6.25 mg Tablet work?

Cilacar C 6.25 mg Tablet contains two active ingredients: Cilnidipine and Chlorthalidone.

• Cilnidipine is a calcium channel blocker that works by relaxing and widening the blood vessels, which lowers the pressure exerted by the blood on the vessel walls and reduces the heart's workload. It specifically blocks both L-type and N-type calcium channels.
• Chlorthalidone is a diuretic, also known as a "water pill." It helps the body remove excess fluid and salts by increasing urine production, thereby contributing to lower blood pressure.

What is the usual dosage for Cilacar C 6.25 mg Tablet?

The dosage of Cilacar C 6.25 mg Tablet should be taken strictly as prescribed by your doctor. The specific dose may vary based on your medical condition and how you respond to the treatment. It is generally recommended to take this tablet once daily with food, preferably in the morning, to avoid frequent urination during the night. Do not exceed the prescribed dosage without consulting your doctor.

What are the possible side effects of Cilacar C 6.25 mg Tablet?

Common side effects may include glucose intolerance, sleepiness, ankle swelling, headache, flushing (a sensation of warmth), tiredness, palpitations, nausea, increased blood uric acid levels, and decreased potassium levels in the blood. Serious side effects, though less common, can include chest pain, severe dizziness or fainting, very low blood pressure, worsening heart failure, jaundice, allergic swelling, kidney failure, or severe electrolyte imbalance. If you experience any severe symptoms, seek immediate medical attention.

Is Cilacar C 6.25 mg Tablet safe during pregnancy or breastfeeding?

Pregnancy: Cilacar C 6.25 mg Tablet is generally not recommended during pregnancy as its components are known to be potentially harmful to the fetus. Breastfeeding: This medicine is contraindicated for breastfeeding women. It is not recommended because it may pass into breast milk, potentially harming the nursing infant, and may also suppress lactation.

Can Cilacar C 6.25 mg Tablet be taken with other medications?

Cilacar C 6.25 mg Tablet can interact with various medications. For example:

• NSAIDs (like ibuprofen or naproxen) may reduce its blood pressure-lowering effects.
• Lithium can interact with chlorthalidone, potentially leading to lithium toxicity.
• Certain antibiotics (e.g., erythromycin) may increase the concentration of cilnidipine in your blood.
• Anticonvulsants (e.g., phenytoin, carbamazepine) may reduce cilnidipine levels.
• Other blood pressure-lowering medicines and barbiturates can enhance its hypotensive effects. It's crucial to inform your doctor about all medications, herbal preparations, and supplements you are currently taking to avoid potential interactions.

What precautions should be taken while using Cilacar C 6.25 mg Tablet?

Exercise caution if you have severe kidney or liver impairment, gout, or electrolyte imbalances. This medicine is not recommended for individuals with very low blood pressure (hypotension) or cardiogenic shock. Avoid driving or operating heavy machinery if you experience dizziness or tiredness. Do not stop taking the medicine abruptly, as this can worsen your condition or lead to a hypertensive crisis; any discontinuation should be gradual and under medical supervision. It may cause dehydration, so ensure you drink plenty of fluids. Your doctor may recommend regular monitoring of your blood pressure, kidney function, and electrolyte levels. Avoid grapefruit or grapefruit juice, as it can increase your exposure to cilnidipine. Limit alcohol consumption as it can increase dizziness and the risk of low blood pressure.

What happens if a dose of Cilacar C 6.25 mg Tablet is missed?

If you forget to take a dose, take it as soon as you remember. However, if it's 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 a missed one. Always consult your doctor before making any changes to your dosage.

How should Cilacar C 6.25 mg Tablet be stored?

Store Cilacar C 6.25 mg Tablet at room temperature, ideally below 30°C. Keep it in a tightly closed container and protect it from light and moisture to maintain its effectiveness. Always ensure this medicine is kept out of the reach of children and pets. Check the expiry date on the pack and do not use the tablet if it has expired.