CETANIL TM 25MG TABLET

Uses and Benefits of CETANIL TM 25MG TABLET (Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg))

This combination medicine is mainly used to treat high blood pressure (hypertension) that needs more than one medicine to be controlled properly.

WHAT THIS MEDICINE IS USED FOR

• Long-term control of high blood pressure
• Reducing the workload on the heart in patients with hypertension
• Use in patients who need combination therapy instead of single-drug treatment

HOW IT WORKS

• Cilnidipine is a calcium channel blocker that relaxes blood vessels, lowering blood pressure
• Metoprolol Succinate is a beta-blocker that slows the heart rate and reduces the force of heart contraction
• Telmisartan is an angiotensin receptor blocker (ARB) that relaxes blood vessels by blocking a hormone that narrows them
• Together, these three actions lower blood pressure more effectively than a single medicine alone

WHAT IT IS NOT USED FOR

• Not used for immediate relief of a sudden severe rise in blood pressure (hypertensive emergency)
• Not a treatment for chest pain occurring suddenly (acute angina attack)
• Not used to treat infections or pain
• Not suitable for starting blood pressure treatment without a doctor's evaluation

Side Effects of CETANIL TM 25MG TABLET (Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg))

COMMON SIDE EFFECTS

• Dizziness
• Tiredness or fatigue
• Headache
• Slow heart rate
• Swelling of ankles or feet

LESS COMMON SIDE EFFECTS

• Nausea
• Low blood pressure symptoms like light-headedness on standing
• Cold hands or feet
• Sleep disturbances
• Dry mouth

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Fainting or severe dizziness
• Very slow or irregular heartbeat
• Difficulty breathing or wheezing
• Swelling of face, lips or throat (allergic reaction)
• Signs of high potassium levels such as muscle weakness or irregular heartbeat
• Yellowing of skin or eyes
• Severe decrease in urine output

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use CETANIL TM 25MG TABLET (Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg))

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once a day
• Swallow the tablet whole with a glass of water; do not crush or chew
• Take it at the same time every day to maintain steady blood levels
• Can be taken with or without food, unless your doctor advises otherwise
• Do not stop taking this medicine suddenly without consulting your doctor, as this can cause a sudden rise in blood pressure or heart problems

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember
• If it is almost time for your next dose, skip the missed one and continue your normal schedule
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original packaging until it is time to take the medicine
• Keep out of reach and sight of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for CETANIL TM 25MG TABLET (Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg))

This medicine is a prescription-only medicine in India and should be used only under the supervision of a registered doctor.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to Cilnidipine, Metoprolol, Telmisartan or any other ingredient in the tablet
• Have severe heart failure or very slow heart rate
• Have severe liver disease
• Are pregnant or planning pregnancy
• Are breastfeeding

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney disease
• Have liver disease
• Have diabetes
• Have asthma or breathing problems
• Have a history of low blood pressure or fainting
• Are taking any other blood pressure or heart medicines

MEDICINES THAT CAN INTERACT

• Other blood pressure-lowering medicines
• Potassium supplements or potassium-sparing diuretics
• NSAIDs (pain relievers like ibuprofen) used long term
• Diabetes medicines, as this combination may mask low blood sugar symptoms
• Other beta-blockers or calcium channel blockers

FREQUENTLY ASKED QUESTIONS

Can I stop this medicine once my blood pressure is normal?

No, stopping suddenly can cause blood pressure or heart problems; your doctor will guide you on tapering the dose if needed.

Can I take this medicine during pregnancy?

No, this combination is not recommended during pregnancy as it may harm the baby.

Will this medicine make me feel sleepy?

• Some people may feel tired or dizzy, especially when starting treatment, so avoid driving until you know how it affects you.
• Doctor ya pharmacist se salah lein.