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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Hari Kumar , MBBS
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About Cilacar-TM 25 Tablet

Cilacar-TM 25 Tablet belongs to the group of anti-hypertensive medicines used to treat high blood pressure (hypertension). Cilacar-TM 25 Tablet helps lower blood pressure, thereby reduces the chances of heart problems such as heart attack and stroke. High blood pressure is a condition in which the blood exerts increased pressure on the walls of blood vessels. Symptoms include headache, dizziness, nosebleeds, changes in vision, chest pain, weakness and dyspnea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.
 
Cilacar-TM 25 Tablet is a combination of three drugs, namely: Cilnidipine, Telmisartan, and Metoprolol. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helps blood flow smoothly. Telmisartan works by blocking the angiotensin II receptor, thereby relaxes the blood vessels and lowers the blood pressure. Metoprolol slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Cilacar-TM 25 Tablet helps treat hypertension.
 
You are advised to take Cilacar-TM 25 Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as headache, nausea, dizziness, weakness, decreased blood pressure and slow heart rate. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Try not to stop taking it on your own, as it may cause a sudden increase the blood pressure. Consult your doctor if you are pregnant or breastfeeding. Cilacar-TM 25 Tablet is not recommended for children as efficacy and safety have not been established. Cilacar-TM 25 Tablet may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Inform your doctor about all the medicines you are taking and your health condition to rule out any unpleasant side effects/interactions.

Uses of Cilacar-TM 25 Tablet

Hypertension (high blood pressure).

Directions for Use

Swallow Cilacar-TM 25 Tablet as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Cilacar-TM 25 Tablet is a combination of three drugs, namely: Cilnidipine, Telmisartan, and Metoprolol. Cilacar-TM 25 Tablet is used to treat hypertension. Cilnidipine is a calcium channel blocker that acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helps blood flow smoothly. Telmisartan is an angiotensin receptor blocker that works by blocking the angiotensin II receptor, thereby relaxes the blood vessels and lowers the blood pressure. Metoprolol is a beta-blocker that slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Cilacar-TM 25 Tablet helps treat hypertension. Cilacar-TM 25 Tablet helps lower blood pressure, thereby reduces the chances of heart problems such as heart attack and stroke.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Do not take Cilacar-TM 25 Tablet if you are allergic to any of its contents. Inform your doctor if you have diabetes, circulation problems, asthma, thyroid disorder, adrenal gland tumour, heart, kidney, or liver problems; if you are on a low-salt diet or if you are taking potassium supplements. Consult your doctor if you are pregnant or breastfeeding. Cilacar-TM 25 Tablet is not recommended for children as efficacy and safety have not been established. Cilacar-TM 25 Tablet may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Rise slowly from lying/sitting position as Cilacar-TM 25 Tablet may cause dizziness (orthostatic hypotension).

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Cilacar-TM 25 Tablet:
Co-administration of Aliskiren with Cilacar-TM 25 Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Cilacar-TM 25 Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Taking trimethoprim with Cilacar-TM 25 Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Cilacar-TM 25 Tablet and trimethoprim, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, and a weak pulse. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Coadministration of enalapril with Cilacar-TM 25 Tablet may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Enalapril together with Cilacar-TM 25 Tablet may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, papayas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Taking lisinopril with Cilacar-TM 25 Tablet may increase the levels of potassium in blood.

How to manage the interaction:
Although there is a possible interaction, Cilacar-TM 25 Tablet can be taken with lisinopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications.
How does the drug interact with Cilacar-TM 25 Tablet:
Taking tizanidine with Cilacar-TM 25 Tablet may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Cilacar-TM 25 Tablet can be taken with tizanidine if prescribed by your doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Be cautious when getting up from a sitting or lying position. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Co-administration of Cilacar-TM 25 Tablet may significantly increase the blood levels of lithium.

How to manage the interaction:
Although there is a possible interaction, Cilacar-TM 25 Tablet can be taken with lithium if prescribed by the doctor. Consult the prescriber if you experience symptoms of lithium intoxication such as drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, or increased urination. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Taking Cilacar-TM 25 Tablet with benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Cilacar-TM 25 Tablet can be taken with benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Taking perindopril with Cilacar-TM 25 Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Cilacar-TM 25 Tablet can be taken with perindopril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Cilacar-TM 25 Tablet:
Taking spironolactone with Cilacar-TM 25 Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Cilacar-TM 25 Tablet can be taken with spironolactone if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanEluxadoline
Severe
How does the drug interact with Cilacar-TM 25 Tablet:
Co-administration of Cilacar-TM 25 Tablet increases levels of eluxadoline by increasing metabolism.

How to manage the interaction:
Taking Cilacar-TM 25 Tablet with Eluxadoline together can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Consume low salt and low-fat diet. 
  • Regular exercise is also recommended to complement treatment with Cilacar-TM 25 Tablet .
  • Eat a diet rich in whole grains, vegetables, and fruits.
  • Avoid smoking and alcohol consumption.
  • Maintain a healthy weight with proper diet and exercise.
  • Managing stress with meditation, yoga, massage would also help in treating high blood pressure.
  • Avoid consuming food rich in potassium, such as banana, broccoli, almonds, avocado, and potassium supplements.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Cilacar-TM 25 Tablet contains Cilnidipine, Telmisartan, and Metoprolol. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helps blood flow smoothly. Telmisartan works by blocking the angiotensin II receptor, thereby relaxes the blood vessels and lowers the blood pressure. Metoprolol slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Cilacar-TM 25 Tablet helps treat hypertension.

Cilacar-TM 25 Tablet may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry; however, if a slow heart rate continues or you begin to feel unwell, speak with your doctor.

High blood pressure increases the workload on the arteries and heart. If untreated, it could damage the blood vessels of the heart, brain, kidney and might result in stroke, heart failure or kidney failure. Hypertension increases the risk of heart attacks. Therefore, anti-hypertensives such as Cilacar-TM 25 Tablet are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.

Please do not stop taking Cilacar-TM 25 Tablet without consulting your doctor, as it may lead to a rise in blood pressure. To treat your condition effectually, continue taking Cilacar-TM 25 Tablet for as long as your doctor has prescribed it. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Cilacar-TM 25 Tablet .

Orthostatic hypotension could be a side-effect of Cilacar-TM 25 Tablet . Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead lie down and get up slowly only when you feel better. People taking Cilacar-TM 25 Tablet are advised to regularly monitor their blood pressure levels to avoid unpleasant events.

Cilacar-TM 25 Tablet may cause swelling in the ankles or foot. If you experience oedema, raise your legs while sitting down. Talk to your doctor if the swelling persists or if you have any concerns.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • PREGABALIN
  • PHENYTOIN
  • DULOXETINE
  • INSULIN GLARGINE
  • FUROSEMIDE
  • LEVOTHYROXINE
  • ERYTHROMYCIN
  • RIFAMPICIN
  • QUINIDINE
  • ALDESLEUKIN

Special Advise

  • Regular monitoring of blood pressure levels, kidney function and electrolyte levels while taking Cilacar-TM 25 Tablet is advised.

Disease/Condition Glossary

High blood pressure (hypertension): It is a condition in which the blood exerts increased pressure on the walls of blood vessels leading to hypertension. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when the blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness and dyspnoea (shortness of breath). However, most of the time, the signs and symptoms of hypertension are none.

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