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Cilnidipine

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Molecule Description

Cilnidipine is a medicine used to lower high blood pressure by relaxing and widening your blood vessels. When blood vessels dilate, blood can flow more easily, which helps lower your blood pressure. This reduces strain on your blood vessels and protects you from complications like stroke and heart disease. It also works on certain nerves that control the heart and blood vessels, helping reduce the heart's overall workload. This makes it easier for your heart to pump blood without getting overstressed. Taking Cilnidipine regularly as advised, along with healthy lifestyle habits, can help keep your blood pressure under control and improve your overall heart health.

Uses

Cilnidipine is used to treat high blood pressure and heart disease. It is also used to relieve the heart strain in a heart attack.

Contraindications

When should one not use Cilnidipine

  • Allergic reaction to Cilnidipine
  • Recent heart attack
  • Low blood pressure due to causes related to heart (cardiogenic shock)

Side effects

Common side effects of this drug are:

  • Swelling of feet
  • Tiredness
  • Headache
  • Depression
  • Nausea
  • Dizziness
  • Stomach pain
  • Palpitations, flushing and excessive fall in blood pressure are observed as serious side effects along with male sexual dysfunction and allergic reactions
  • In a few cases, one can also see abnormal liver function

Precautions and Warnings

Pregnancy

Pregnancy

Cilnidipine is not rendered ‘safe’ for use during pregnancy. Hence, it should not usually be used during pregnancy because other relatively safer alternatives to control blood pressure are available.

Breast Feeding

Breast Feeding

The extent of excretion of the medicine in mother’s milk is not exactly known. Hence, it is preferable to avoid Cilnidipine during lactation.

Driving

Driving

It is advised to avoid driving during the medication of Cilnidipine as it causes sleepiness and drowsiness while driving.

Alcohol

Alcohol

Consumption of alcohol with Cilnidipine may cause a decrease in blood pressure so avoid alcohol while using this medicine.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • Tell your doctor if:
  • You have any heart-related problems
  • Liver problems
  • You feel chest pain after taking this medicine
  • Strictly prohibited from self-medication
  • This medicine is not for children

Mode of Action

How Does It Work?

It relaxes and widens the blood vessels and reduces the stress on the heart.

Interactions

Interactions with other medicines

  • Antiepileptic like Carbamazepine
  • Drugs for treating psychiatric conditions (antipsychotic) combined with Cilnidipin may cause low blood pressure
  • Cilnidipine with medicines for diabetes may result in changes in sugar levels

Interactions with food items

No specific interactions. Grapefruit and its juice should not be consumed by people who are taking Cilnidipine as it may affect the action of the drug.

Dietary Restrictions

If your doctor prescribes a low-salt or low-sodium diet, follow these directions rigorously.

Dosage

Overdose

You must immediately report to an emergency medical care unit as there are chances of excessive lowering of blood pressure with an overdose. This could be dangerous.

Missed a Dose

If you missed any dose, take it as soon as you remember. However, if it is almost time for the next dose, then skip the missed dose and continue with your regular dosage schedule. Do not take a double dose of medicine to compensate for a missed one.

Frequently Asked Questions (FAQs)

Tell your doctor if you have or have ever suffered from heart or liver disease or if you are a known case of heart failure. Tell your doctor the drugs you are already taking before starting Cilnidipine.

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