PRODUCT INTRODUCTION

CLINDITAS-10 TAB, containing Cilnidipine 10mg, is a highly effective medication primarily used for the management of essential hypertension (high blood pressure). As a dual L-type and N-type calcium channel blocker, it offers a unique mechanism to control blood pressure, reducing the risk of associated cardiovascular complications like stroke and heart attack. This medication helps in relaxing blood vessels, allowing blood to flow more easily, thereby lowering the pressure within the arteries. It is a crucial component in the long-term management of hypertension, contributing to improved patient outcomes and quality of life. Regular use, as prescribed by a healthcare professional, is key to its efficacy and sustained blood pressure control.

Uses of CLINDITAS-10 TAB

CLINDITAS-10 TAB is primarily prescribed for the treatment of high blood pressure.

  • Essential Hypertension

    CLINDITAS-10 TAB is used to treat essential hypertension, a condition where blood pressure is persistently elevated without an identifiable secondary cause. It helps to relax blood vessels, making it easier for the heart to pump blood and reducing the strain on the cardiovascular system. Effective management of hypertension is crucial to prevent serious complications like heart attack, stroke, and kidney disease.

  • Hypertension with Renal Complications

    Due to its unique mechanism, Cilnidipine may offer benefits in patients with hypertension who also have certain renal considerations. It can help improve renal hemodynamics and potentially slow the progression of kidney damage associated with high blood pressure. This makes it a suitable option for patients requiring careful blood pressure control with kidney involvement.

  • Prevention of Cardiovascular Events

    By effectively lowering and maintaining blood pressure within a healthy range, CLINDITAS-10 TAB plays a vital role in reducing the overall risk of major cardiovascular events. This includes conditions such as myocardial infarction (heart attack), stroke, and heart failure, thereby improving long-term cardiovascular health and patient prognosis.

Side Effects of CLINDITAS-10 TAB

Like all medicines, CLINDITAS-10 TAB can cause side effects, although not everybody gets them. Most side effects are mild and temporary, but some can be serious.

Common side effects

  • Headache
  • Dizziness
  • Flushing (redness of face)
  • Palpitations (awareness of heartbeat)
  • Ankle swelling (peripheral edema)

Less common or rare side effects may occur and require immediate medical attention if experienced.

  • Nausea
  • Abdominal discomfort
  • Rash
  • Fatigue
  • Gum hyperplasia

If any side effect persists or worsens, or if you notice any other unusual symptoms, please consult your doctor immediately. Do not discontinue the medication without medical advice.

How to use CLINDITAS-10 TAB

  • Adults:

    The usual starting dose of Cilnidipine is 5 mg once daily. Depending on the patient's blood pressure response, the dose may be increased to 10 mg or a maximum of 20 mg once daily. It should be taken orally, preferably at the same time each day, with or without food, as directed by the physician.

  • Children:

    The safety and efficacy of Cilnidipine in children and adolescents below 18 years of age have not been established. Therefore, it is generally not recommended for use in this age group unless specifically advised by a pediatrician in rare circumstances.

  • Elderly:

    In elderly patients, a lower starting dose of 5 mg once daily may be considered due to potential age-related physiological changes that could affect drug metabolism and excretion. Dosage adjustments should be made cautiously under strict medical supervision, monitoring for efficacy and side effects.

  • Missed Dose:

    If you miss a dose of CLINDITAS-10 TAB, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this can increase the risk of side effects.

How CLINDITAS-10 TAB works

Cilnidipine, the active ingredient in CLINDITAS-10 TAB, exerts its antihypertensive effects by blocking both L-type and N-type voltage-dependent calcium channels. L-type calcium channels are predominantly found in vascular smooth muscle and cardiac muscle. By blocking these channels, Cilnidipine causes vasodilation, particularly in peripheral arteries, leading to a reduction in systemic vascular resistance and consequently, a decrease in blood pressure. Furthermore, Cilnidipine's unique action on N-type calcium channels, located in sympathetic nerve terminals, helps to inhibit the release of norepinephrine. This inhibition contributes to a reduction in sympathetic nervous system activity, which can otherwise lead to vasoconstriction and increased heart rate. This dual mechanism of action provides a comprehensive approach to blood pressure control, potentially offering benefits beyond simple vasodilation, such as reducing reflex tachycardia often seen with other dihydropyridine calcium channel blockers. This combined blockade helps to achieve sustained blood pressure reduction while potentially mitigating some of the common side effects associated with other calcium channel blockers. The sustained action ensures consistent blood pressure control throughout the day, making it an effective choice for daily hypertension management.

Precautions

  • Inform your doctor about all your medical conditions, especially heart, liver, or kidney problems, before starting CLINDITAS-10 TAB.
  • Use with caution in patients with severe aortic stenosis or obstructive hypertrophic cardiomyopathy.
  • Avoid sudden discontinuation of the medication, as it may lead to a rebound increase in blood pressure.
  • Monitor blood pressure regularly during treatment to ensure optimal control and detect any adverse effects.
  • Patients with a history of heart failure should use Cilnidipine with caution, as it may worsen the condition in some cases.
  • Inform your doctor about all other medications, including over-the-counter drugs and herbal supplements, to avoid potential drug interactions.

Safety Advice

Alcohol

Alcohol

CAUTION

Alcohol consumption can enhance the blood pressure-lowering effect of CLINDITAS-10 TAB, leading to excessive dizziness or lightheadedness. It is advisable to limit or avoid alcohol while on this medication.

Pregnancy

Pregnancy

CONSULT YOUR DOCTOR

CLINDITAS-10 TAB is generally not recommended during pregnancy as there is limited data on its safety. Your doctor will weigh the benefits against potential risks before prescribing.

Breastfeeding

Breastfeeding

CONSULT YOUR DOCTOR

It is unknown whether Cilnidipine passes into breast milk. Therefore, breastfeeding mothers should consult their doctor before taking this medication to assess the potential risks and benefits.

Driving

Driving

CAUTION

CLINDITAS-10 TAB may cause dizziness or fatigue, especially at the beginning of treatment or upon dose adjustment. Avoid driving or operating heavy machinery if you experience these symptoms.

Kidney

Kidney

CAUTION

Patients with kidney impairment should use CLINDITAS-10 TAB with caution. Dose adjustment may be necessary, and regular monitoring of kidney function is recommended by your doctor.

Liver

Liver

CAUTION

Patients with liver impairment should use CLINDITAS-10 TAB with caution. Dose adjustment may be necessary, and close monitoring of liver function is advised by your doctor.

Fact Box

Chemical Class
Dihydropyridine Calcium Channel Blocker
Habit Forming
No
Therapeutic Class
Antihypertensive
Action Class
Dual L-type and N-type Calcium Channel Blocker

Frequently asked questions by patients

Q: How long does CLINDITAS-10 TAB take to show its effect?

A: CLINDITAS-10 TAB typically starts to lower blood pressure within a few hours of the first dose. However, the full therapeutic effect and stable blood pressure control may take several days to weeks of consistent use as part of a regular treatment regimen.

Q: Can I stop taking CLINDITAS-10 TAB if my blood pressure normalizes?

A: No, you should not stop taking CLINDITAS-10 TAB without consulting your doctor, even if your blood pressure appears to be normal. Hypertension is often a chronic condition requiring long-term management, and stopping the medication abruptly can lead to a sudden and dangerous increase in blood pressure.

Q: What should I do if I experience swelling in my ankles while taking this medication?

A: Ankle swelling (peripheral edema) is a common side effect of calcium channel blockers like Cilnidipine. If you experience this, try elevating your legs when resting. If the swelling is severe or bothersome, consult your doctor, who may adjust your dose or suggest alternative management strategies.

Q: Does CLINDITAS-10 TAB affect blood sugar levels?

A: Cilnidipine is generally considered to be metabolically neutral and does not typically affect blood sugar levels significantly. It can be a suitable option for hypertensive patients with diabetes. However, regular monitoring of blood sugar is always recommended for diabetic patients as part of their overall health management.

Frequently Asked Questions

Q: Is CLINDITAS-10 TAB safe for long-term use?

Yes, CLINDITAS-10 TAB is generally considered safe and effective for long-term management of hypertension when used as prescribed by a healthcare professional. Regular follow-ups with your doctor are important to monitor its efficacy and any potential long-term side effects, ensuring continued optimal health.

Q: Can CLINDITAS-10 TAB be taken with other blood pressure medications?

CLINDITAS-10 TAB can often be used in combination with other antihypertensive medications, such as ACE inhibitors, ARBs, or diuretics, to achieve better blood pressure control. However, combination therapy should always be initiated and monitored by a doctor to avoid excessive blood pressure drops or adverse interactions.

Q: What lifestyle changes should I adopt while taking CLINDITAS-10 TAB?

Adopting a healthy lifestyle is crucial for managing hypertension. This includes maintaining a balanced diet low in sodium, engaging in regular physical activity, managing stress, limiting alcohol intake, and quitting smoking. These changes can significantly enhance the effectiveness of CLINDITAS-10 TAB and improve overall cardiovascular health.

Q: Are there any dietary restrictions while on CLINDITAS-10 TAB?

While there are no specific dietary restrictions directly interacting with Cilnidipine, it is generally recommended to follow a low-sodium, heart-healthy diet to support blood pressure management. Avoid excessive grapefruit juice consumption as it can sometimes interact with certain calcium channel blockers, though this interaction is less pronounced with Cilnidipine.

Q: What is the difference between CLINDITAS-10 TAB and other calcium channel blockers?

CLINDITAS-10 TAB (Cilnidipine) is unique among dihydropyridine calcium channel blockers due to its dual blockade of both L-type and N-type calcium channels. This dual action not only causes vasodilation but also helps modulate sympathetic nervous system activity, potentially leading to a more balanced blood pressure reduction and possibly fewer reflex tachycardia episodes compared to some other L-type specific blockers.

Additional Information

Category
Cardiovascular
FORM
TABLET
Tag
Calcium Channel Blocker, Antihypertensive
Packing
10x10
Composition
CILNIDIPINE 10MG
Disclaimer: This information is provided for educational purposes only and should not replace professional medical advice. Always consult your healthcare provider before starting, stopping, or changing any medication. Individual results may vary. Keep this and all medications out of reach of children.

CLINDITAS-10 TAB, containing Cilnidipine 10mg, stands as a vital medication in the effective management of essential hypertension. Its unique dual mechanism of action, targeting both L-type and N-type calcium channels, provides comprehensive blood pressure control by promoting vasodilation and moderating sympathetic activity. This not only helps in achieving sustained blood pressure reduction but also contributes to minimizing the risk of serious cardiovascular complications such as heart attacks and strokes. Consistent adherence to the prescribed dosage and regular monitoring by a healthcare professional are paramount to maximizing the therapeutic benefits of CLINDITAS-10 TAB. While generally well-tolerated, it is important to be aware of potential side effects and precautions, ensuring open communication with your doctor regarding any concerns. By integrating CLINDITAS-10 TAB with appropriate lifestyle modifications, patients can significantly improve their cardiovascular health and overall quality of life, effectively managing their hypertension for the long term.

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