Cilnidipine+metoprolol+telmisartan
About
Cilnidipine+metoprolol+telmisartan belongs to the group of anti-hypertensive medicines used to treat high blood pressure (hypertension). Cilnidipine+metoprolol+telmisartan 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.
Cilnidipine+metoprolol+telmisartan 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, Cilnidipine+metoprolol+telmisartan helps treat hypertension.
You are advised to take Cilnidipine+metoprolol+telmisartan 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. Cilnidipine+metoprolol+telmisartan is not recommended for children as efficacy and safety have not been established. Cilnidipine+metoprolol+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 your health condition to rule out any unpleasant side effects/interactions.
Uses of Cilnidipine+metoprolol+telmisartan
Medicinal Benefits
Cilnidipine+metoprolol+telmisartan is a combination of three drugs, namely: Cilnidipine, Telmisartan, and Metoprolol. Cilnidipine+metoprolol+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 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, Cilnidipine+metoprolol+telmisartan helps treat hypertension. Cilnidipine+metoprolol+telmisartan helps lower blood pressure, thereby reduces the chances of heart problems such as heart attack and stroke.
Directions for Use
Storage
Side Effects of Cilnidipine+metoprolol+telmisartan
- Headache
- Nausea
- Weakness
- Slow heart rate (bradycardia)
- Dizziness
In-Depth Precautions and Warning
Drug Warnings
Do not take Cilnidipine+metoprolol+telmisartan 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. Cilnidipine+metoprolol+telmisartan is not recommended for children as efficacy and safety have not been established. Cilnidipine+metoprolol+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+telmisartan may cause dizziness (orthostatic hypotension).
Drug Interactions
Drug-Drug Interactions: Cilnidipine+metoprolol+telmisartan may interact with 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: No interactions found/established.
Drug-Disease Interactions: Inform your doctor if you have diabetes, renal dysfunction (kidney disease), pulmonary disease, alcoholism, congestive heart failure (heart disease), hypotension (low blood pressure) or liver disease.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionAvoid consuming alcohol as it might cause increased dizziness.
Pregnancy
cautionPlease consult your doctor if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks.
Breast Feeding
cautionPlease consult your doctor if you are breastfeeding; your doctor will decide whether Cilnidipine+metoprolol+telmisartan can be given to breastfeeding mothers or not.
Driving
cautionCilnidipine+metoprolol+telmisartan may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
cautionDose adjustment may be needed. Cilnidipine+metoprolol+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+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+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.
- Regular exercise is also recommended to complement treatment with Cilnidipine+metoprolol+telmisartan.
- 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.
Special Advise
- Regular monitoring of blood pressure levels, kidney function and electrolyte levels while taking Cilnidipine+metoprolol+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 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.
FAQs
Cilnidipine+metoprolol+telmisartan 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, Cilnidipine+metoprolol+telmisartan helps treat hypertension.
Cilnidipine+metoprolol+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+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+telmisartan without consulting your doctor, as it may lead to a rise in blood pressure. To treat your condition effectually, continue taking Cilnidipine+metoprolol+telmisartan 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 Cilnidipine+metoprolol+telmisartan.
Orthostatic hypotension could be a side-effect of Cilnidipine+metoprolol+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+telmisartan are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
Cilnidipine+metoprolol+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.
