Cilnidipine+metoprolol Succinate+telmisartan
About
Cilnidipine+metoprolol Succinate+telmisartan belongs to the group of anti-hypertensive medicines used to treat high blood pressure (hypertension). Cilnidipine+metoprolol Succinate+telmisartan helps lower the blood pressure, thereby reducing 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.
Cilnidipine+metoprolol Succinate+telmisartan is a combination of three drugs, namely: Cilnidipine, Telmisartan, and Metoprolol succinate. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping the blood flow smoothly. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate slows down the rate and makes it easier for the heart to pump blood throughout the body. Together, Cilnidipine+metoprolol Succinate+telmisartan helps treat hypertension.
Take Cilnidipine+metoprolol Succinate+telmisartan as prescribed. You are advised to take Cilnidipine+metoprolol Succinate+telmisartan for as long as your doctor has recommended 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 Cilnidipine+metoprolol Succinate+telmisartan on your own as it may cause a sudden increase in blood pressure. Consult your doctor before taking Cilnidipine+metoprolol Succinate+telmisartan if you are pregnant or breastfeeding. Cilnidipine+metoprolol Succinate+telmisartan is not recommended for children as efficacy and safety have not been established. Cilnidipine+metoprolol Succinate+telmisartan 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 about your health condition to rule out any unpleasant side effects/interactions.
Uses of Cilnidipine+metoprolol Succinate+telmisartan
Medicinal Benefits
Cilnidipine+metoprolol Succinate+telmisartan is a combination of three drugs, namely: Cilnidipine, Telmisartan, and Metoprolol succinate. Cilnidipine+metoprolol Succinate+telmisartan 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 helping the blood flow smoothly. Telmisartan is an angiotensin receptor blocker that works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate is a beta-blocker that slows down the rate and makes it easier for the heart to pump blood throughout the body. Together, Cilnidipine+metoprolol Succinate+telmisartan helps treat hypertension. Cilnidipine+metoprolol Succinate+telmisartan helps lower the blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.
Directions for Use
Storage
Side Effects of Cilnidipine+metoprolol Succinate+telmisartan
- Headache
- Nausea
- Weakness
- Slow heart rate (bradycardia)
- Dizziness
In-Depth Precautions and Warning
Drug Warnings
Do not take Cilnidipine+metoprolol Succinate+telmisartan if you are allergic to any of its contents. Inform your doctor before taking Cilnidipine+metoprolol Succinate+telmisartan 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 before taking Cilnidipine+metoprolol Succinate+telmisartan if you are pregnant or breastfeeding. Cilnidipine+metoprolol Succinate+telmisartan is not recommended for children as efficacy and safety have not been established. Cilnidipine+metoprolol Succinate+telmisartan may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Rise slowly from lying/sitting position as Cilnidipine+metoprolol Succinate+telmisartan may cause dizziness (orthostatic hypotension).
Drug Interactions
Drug-Drug Interactions: Cilnidipine+metoprolol Succinate+telmisartan may have interaction with medicines such as painkiller (aspirin), anti-convulsant (pregabalin, phenytoin), anti-depressant (duloxetine), anti-diabetic (insulin glargine), diuretic (furosemide), hormone (levothyroxine), antibiotics (erythromycin, rifampicin), anti-arrhythmic agent (quinidine), cytokines (aldesleukin).
Drug-Food Interactions: Maintain low-salt and low-fat diet while taking Cilnidipine+metoprolol Succinate+telmisartan. Avoid consuming food rich in potassium, such as potassium-containing salt substitutes or over-the-counter potassium supplements. Avoid smoking and alcohol consumption.
Drug-Disease Interactions: Cilnidipine+metoprolol Succinate+telmisartan may have interactions with conditions such as diabetes, renal dysfunction (kidney disease), pulmonary disease, alcoholism, congestive heart failure (heart disease), hypotension (low blood pressure), and liver disease.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionAvoid consuming alcohol as it might cause increased dizziness.
Pregnancy
cautionPlease consult your doctor before taking Cilnidipine+metoprolol Succinate+telmisartan if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks.
Breast Feeding
cautionPlease consult your doctor before taking Cilnidipine+metoprolol Succinate+telmisartan; your doctor will decide whether Cilnidipine+metoprolol Succinate+telmisartan can be given to breastfeeding mothers or not.
Driving
cautionCilnidipine+metoprolol Succinate+telmisartan may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionDose adjustment may be needed. Cilnidipine+metoprolol Succinate+telmisartan should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have liver problems or any concerns regarding this.
Kidney
cautionDose adjustment may be needed. Cilnidipine+metoprolol Succinate+telmisartan should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney problems or any concerns regarding this.
Children
cautionCilnidipine+metoprolol Succinate+telmisartan is not recommended for children as safety and effectiveness have not been established.
Habit Forming
Diet & Lifestyle Advise
- Consume low salt and low-fat diet while taking Cilnidipine+metoprolol Succinate+telmisartan.
- Regular exercise is also recommended to complement treatment with Cilnidipine+metoprolol Succinate+telmisartan.
- Eat a diet rich in whole grains, vegetables, 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 bananas, broccoli, almonds, avocado, and potassium supplements.
Special Advise
Regular monitoring of blood pressure levels, kidney function and electrolyte levels while taking Cilnidipine+metoprolol Succinate+telmisartan is advised.
Patients Concern
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 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.
FAQs
Cilnidipine+metoprolol Succinate+telmisartan contains Cilnidipine, Telmisartan, and Metoprolol succinate. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping the blood flow smoothly. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol succinate slows down the rate and makes it easier for the heart to pump blood throughout the body. Together, Cilnidipine+metoprolol Succinate+telmisartan helps treat hypertension.
Cilnidipine+metoprolol Succinate+telmisartan 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 Cilnidipine+metoprolol Succinate+telmisartan are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.
Please do not stop taking Cilnidipine+metoprolol Succinate+telmisartan without consulting your doctor as it may lead to a rise in blood pressure. To treat your condition effectually, continue taking Cilnidipine+metoprolol Succinate+telmisartan for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Cilnidipine+metoprolol Succinate+telmisartan.
Orthostatic hypotension could be a side-effect of Cilnidipine+metoprolol Succinate+telmisartan. 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 Cilnidipine+metoprolol Succinate+telmisartan are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
Cilnidipine+metoprolol Succinate+telmisartan 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.
