Cilnidipine + Metoprolol Succinate + Telmisartan

Dosage Forms Available

• Cilnidipine + Metoprolol Succinate + Telmisartan can be taken orally (tablet).

Age and Dose Restrictions

• This medicine is intended for use by adults aged 18 and above.

Contraindications

• This combination is contraindicated in patients with known hypersensitivity to any of the three components: Cilnidipine, Metoprolol Succinate, or Telmisartan. It should also not be used in patients suffering from cardiogenic shock, decompensated heart failure, sick sinus syndrome, severe bradycardia or severe hepatic impairment.

Other Medications to Avoid

• This combination may interact with medicines that inhibit CYP2D6 (such as quinidine, fluoxetine, and paroxetine).

Overdose and Missed Dose

• In case of an overdose, symptoms may include severe hypotension, bradycardia, dizziness, and cardiac failure. Contact your doctor immediately if you suspect an overdose.

• If you miss a dose of this medication, take it as soon as you recall. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• To manage headaches or dizziness caused by this medication, it may be helpful to rest and avoid sudden movements.

• Fatigue can be managed by ensuring you get enough sleep and by pacing your activities throughout the day.

Use in Driving and Operating Machinery

• This medication may affect your ability to drive or operate heavy machinery, due to its potential side effects of dizziness and fatigue. Avoid these activities if you feel any such side effects after taking the medicine.

Use in Pregnancy and Lactation

• This combination is contraindicated during pregnancy. Always consult your doctor before using this medication if you are pregnant or breastfeeding.

Caution in Other Conditions

• Patients with liver impairment should exercise caution when taking this medicine. Consult your doctor for advice.

Special Dietary and Lifestyle Recommendations

• Reducing sodium intake can contribute to managing high blood pressure.

• Avoid grapefruit juice since this medicine may interact with it.