Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg)

Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg) — Uses and Benefits

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

How to Use 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

Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg) — Side Effects

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.

Cilnidipine (10mg) + Metoprolol Succinate (23.75mg) + Telmisartan (40mg) — Safety Information and Precautions

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.