Cilamet Xl 1025 Tablet 20

Cilamet Xl 10/25 Tablet 20

Ajanta Pharma Ltd

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Composition

Cilnidipine (10 Mg) + Metoprolol Succinate (25 Mg)

Cilamet XL 10/25 Tablet is primarily used to manage hypertension, more commonly known as high blood pressure. This medicine is a combination product that falls under the class of antihypertensives.

It also assists in preventing severe complications associated with high blood pressure such as heart attacks, strokes and kidney damage. This dual action of the medicine makes it a potent tool in the management of hypertension.

For optimal results, you should take this medicine as directed by your doctor. It is crucial to inform your doctor about your medical history and current medications before starting this medicine. Any side effects experienced while taking this medication should be reported to your doctor promptly. Remember to take the medicine for the entire duration prescribed by your doctor.

Cilamet XL 10/25 Tablet is used for the following:

Managing hypertension in adults
Helping to prevent heart-related complications such as heart attacks
Assisting in the prevention of stroke
Aiding in the prevention of kidney damage related to high blood pressure

Directions for Use of Cilamet Xl 10/25 Tablet 20

Swallow the tablet whole with a glass of water.
Do not crush, chew, or split the tablet.
Ensure you take your dose at the same time each day, preferably in the morning.
Never increase your dose without consulting your doctor.
Do not suddenly stop taking this medicine without speaking to your doctor first.

Cilamet XL 10/25 Tablet is taken orally.

Side Effects of Cilamet Xl 10/25 Tablet 20

Cilamet XL 10/25 Tablet may have the following common side effects:

Headache
Dizziness
Fatigue
Nausea
Diarrhoea or constipation
Cough
Stuffy nose
Slow heartbeat

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Cilamet XL 10/25 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are some guidelines for managing common side effects:

Nausea: Try taking Cilamet XL 10/25 Tablet with a meal to lessen this effect.
Fatigue: If you feel tired after taking this medicine, consider taking it at bedtime to manage this symptom.

Cilamet XL 10/25 Tablet contains two active ingredients that work together to lower blood pressure:

Cilnidipine (10 mg): This component belongs to a class of medicines known as calcium channel blockers. It works by blocking the movement of calcium into the cells of the heart and blood vessels. This action relaxes and widens your blood vessels, reducing the effort required by your heart to pump blood around your body.
Metoprolol Succinate (25 mg): This ingredient is a beta-1 selective adrenergic receptor blocker. It operates by slowing down your heart rate and reducing the force with which the heart muscle contracts, lessening the demand for oxygen and lowering blood pressure.

Pregnancy

Caution is advised while taking Cilamet XL 10/25 Tablet if you are pregnant. It is best to consult your doctor before taking this medicine.

Breastfeeding

Cilamet XL 10/25 Tablet should be avoided if you are breastfeeding. Discuss the risks and benefits with your doctor.

Alcohol

Combining this medicine with alcohol may lower your blood pressure too much, which could lead to dizziness or fainting. Ask your doctor for advice before drinking alcohol while taking this medication.

Liver

Caution is needed when using Cilamet XL 10/25 Tablet in case of mild to moderate liver impairment. This medicine may not be suitable for severe liver diseases. Please consult your doctor if you have liver problems.

Kidney

If you have a history of kidney problems, it's a good idea to discuss this with your doctor before starting Cilamet XL 10/25 Tablet.

Using Machines & Driving

This medicine may cause dizziness, affecting your ability to drive or operate machinery. Be careful until you know how the medication affects you.

Allergy

Avoid using Cilamet XL 10/25 Tablet if you're allergic to cilnidipine, metoprolol, or any other ingredients in the tablet. Talk to your doctor about any known allergies before starting this medicine.

Children

Cilamet XL 10/25 Tablet is not recommended for use in children under 18 years of age. Always consult your doctor before giving any medicine to a child.

Older Patients

Older patients should take Cilamet XL 10/25 Tablet under medical supervision as they may be more susceptible to its side effects. Your doctor will guide you based on your health status.

Interactions of Cilamet Xl 10/25 Tablet 20

Drug-Drug Interactions

Cilamet XL 10/25 Tablet interacts with the following medicines:

Antihypertensives: Medicines like amlodipine or lisinopril may interact with Cilamet XL 10/25 Tablet, potentially leading to an excessive decrease in blood pressure.
Heart rhythm medications: Medicines like digoxin or amiodarone may interact with Cilamet XL 10/25 Tablet, potentially causing altered heart rhythms.
NSAIDs: Taking non-steroidal anti-inflammatory medications such as ibuprofen or naproxen with Cilamet XL 10/25 Tablet can reduce its blood pressure-lowering effects.
Antidepressants: Medications like fluoxetine or paroxetine may increase the level of metoprolol in your body, exacerbating its side effects.
Antipsychotics: Combining certain antipsychotic medications like thioridazine with Cilamet XL 10/25 Tablet may increase your risk of slow heartbeat and low blood pressure.

Drug-Food Interactions

Certain foods can also interact with this medicine:

Grapefruit Juice: This juice can increase the amount of cilnidipine in your body, enhancing its effects and side effects.

Drug-Disease Interactions

Cilamet XL 10/25 Tablet interacts with the following diseases:

Decompensated Heart Failure: This medicine should be used cautiously in patients suffering from heart failure as it can further decrease heart function.
Severe Bradycardia: Patients with a slow heart rate should avoid using this medicine because it can further reduce the heart rate.
Asthma and COPD: Individuals with these respiratory conditions should use this medicine cautiously as it can lead to breathing difficulties.
Severe Hepatic Impairment: In patients with severe liver disease, this medicine should be used cautiously due to a higher risk of adverse effects.

Daily Dose

You should take your daily dose of Cilamet XL 10/25 Tablet as instructed by your doctor. The dosage can vary depending on factors like the severity of your condition and how well you respond to this medicine. Always follow your doctor's prescribed dosage and never exceed it without their advice.

Over Dose

If you accidentally take more Cilamet XL 10/25 Tablet than prescribed, you may experience common symptoms such as dizziness, fatigue, and upset stomach. If these symptoms persist or worsen after some time, it's crucial to inform your doctor.

Missed Dose

If you forget to take a dose of Cilamet XL 10/25 Tablet, take it as soon as you remember. But if it's almost time for the next dose, skip the missed one and continue with your regular schedule. You should never increase your dosage without consulting your doctor.

Keep your Cilamet XL 10/25 Tablet in a closed container at room temperature, below 30°C.
Protect it from excessive light and moisture.
Always place the medicine out of reach of children.
Check the expiry date before use; do not consume any tablet past its expiry.

Adopt a low-salt diet: High blood pressure can be managed better when you limit your salt intake.
Regular exercise: Incorporate physical activities like walking or yoga into your daily routine to help manage hypertension. Always consult your doctor before starting any new exercise regimen.

Fact Box

Drug Category	Calcium channel blocker, Beta-1 blocker
Therapeutic Category	Antihypertensive
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Hypertension

What is Cilamet XL 10/25 Tablet used for?

Cilamet XL 10/25 Tablet is used to manage hypertension (high blood pressure) in adults.

How does Cilamet XL 10/25 Tablet work?

The medicine works by relaxing and widening blood vessels and reducing heart rate, effectively lowering blood pressure.

Can I chew or crush the Cilamet XL 10/25 Tablet?

No, the tablet should be swallowed whole. Crushing or chewing it may alter its extended-release mechanism.

What if I miss a dose of Cilamet XL 10/25 Tablet?

If you miss a dose, take it as soon as you remember. If it's nearly time for your next dose, skip the missed one.

How long before Cilamet XL 10/25 Tablet starts working?

The medicine starts showing some effect within 1-2 weeks, but it may take 2-4 weeks for the full effect.

Are there any side effects of Cilamet XL 10/25 Tablet?

Side effects can include headache, dizziness, fatigue, nausea, diarrhoea or constipation, cough, slow heartbeat and stuffy nose.

Is Cilamet XL 10/25 Tablet safe during pregnancy or breastfeeding?

This medicine should be avoided during pregnancy; consult your doctor if you're breastfeeding as its impact on breast milk is unknown.

Certified Content

Written by

Dr Nikita Lobo

Medical Editor & Reviewer | 7 years

BDS, MDS

Reviewed by

Dr. Osama Ahmed

Dental/Medical Writer, Editor, Reviewer | 2 years

Bachelor of Dental Surgery

Check out Editorial Policy

Manufacturer details

54, Sir Mathuradas Vasanji Rd, Hanuman Nagar, Andheri East, Mumbai, Maharashtra 400053

Country of origin: INDIA

References

National Center for Biotechnology Information. (2008). Metoprolol: A Review of Its Use in Chronic Heart Failure. Retrieved 1 April 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2015014/
DailyMed. (n.d.). Metoprolol Succinate Extended Release Tablets, USP. Retrieved 1 April 2024, from
https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=a8374722-d2b5-4eb3-bbcd-6ddc52e763ba&type=display
U.S. Food and Drug Administration. (n.d.). Metoprolol Succinate Extended Release Tablets, USP. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/psg/PSG_019962.pdf
Chandra, K. S., & Ramesh, G. (2013). The fourth-generation Calcium channel blocker: Cilnidipine. Indian Heart Journal, 65(6), 691–695. Retrieved 1 April 2024, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905258/
Morris, J., Awosika, A. O., & Dunham, A. (2024). Metoprolol. In StatPearls. StatPearls Publishing. Retrieved 1 April 2024, from
https://www.ncbi.nlm.nih.gov/books/NBK532923/

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