Description
Overview
INTRODUCTION
Cetanil M 50 Tablet ER is a medicine used to treat hypertension (high blood pressure). It is a combination of two medicines that effectively controls blood pressure when a single medication is not effective. By lowering the blood pressure, it helps in preventing future heart attack and stroke.
You can take Cetanil M 50 Tablet ER at any time of day, with food, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.
It may cause side effects like headache, ankle swelling, slow heart rate, and nausea. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. To reduce the swelling, raise your legs while sitting down. You may be asked for regular monitoring of blood pressure, kidney function, blood sugar level, and electrolytes level while on the treatment.
Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions.
USES OF CETANIL-M TABLET ER
- Hypertension (high blood pressure)
SIDE EFFECTS OF CETANIL-M TABLET ER
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Cetanil-M
- Sleepiness
- Headache
- Ankle swelling
- Flushing (sense of warmth in the face, ears, neck and trunk)
- Slow heart rate
- Tiredness
- Palpitations
- Nausea
- Edema (swelling)
- Constipation
- Cold extremities
HOW TO COPE WITH SIDE EFFECTS?
The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.
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Coping with SleepinessIf the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
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Coping with HeadacheMake sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
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Coping with Ankle swellingKeep your legs raised when you are sitting or lying down. Try to keep moving your legs and ankles by taking a short walk several times an hour, as standing still for too long can increase swelling. Avoid wearing tight-fitting clothes and do not cross your leg. Drink plenty of non-alcoholic fluids and avoid alcohol. Reduce the salt in your diet. Losing weight and performing leg exercises while sitting can also help reduce the swelling. Using compression socks may help relieve pain and prevent fluid collection in your legs, ankles and feet.
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Coping with Flushing (sense of warmth in the face, ears, neck and trunk)Sip cold or iced drinks. Try cutting down on coffee, tea and alcohol. It might help to keep the room cool and use a fan. You could also spray cool water on your face. Wear layers of light clothing that you can easily take off if you overheat. Breathe deeply and try to relax. Have a lukewarm shower or bath instead of a hot one. Avoid smoking and cut down on alcohol. The flushing should go away after a few days. If it does not go away or causes problems, contact your doctor. There may be medicines that can help.
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Coping with Slow heart rateSplash your face with cold water and breathe deeply. This will help you to relax. Exercise regularly, eat a healthy diet and maintain a healthy weight. Manage your blood pressure, cholesterol and blood sugar levels. Limit your alcohol intake or drink in moderation, do not smoke and manage your stress levels. If your condition does not improve, speak to your doctor as you may be offered a different type of medicine.
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Coping with TirednessMake sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
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Coping with PalpitationsIf this happens regularly after you take your medicine, try to take the medicine at a time when you can sit or lie down when the symptoms are worse. It may help to cut down on alcohol, smoking, caffeine and big meals as these might make the problem worse. If you are still having problems after a week, speak to your doctor as you may be offered a different type of medicine.
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Coping with NauseaYou can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
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Coping with ConstipationTry to eat foods which are high in fiber such as fresh fruits, vegetables and cereals to increase the bulk and consistency of bowel movements. Drink plenty of water or non-alcoholic drinks and stay hydrated to promote healthy digestion. Increasing physical activities such as walking, yoga and regular exercise can also be helpful. If your condition does not improve, you can ask your doctor to prescribe you laxative medicine.
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Coping with Cold extremitiesKeep your hands and feet warm by wearing gloves and warm socks. Try massaging and putting your hands or feet under warm water. Do not smoke or have drinks with caffeine as these can restrict blood flow to your hands and feet.
HOW TO USE CETANIL-M TABLET ER
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Cetanil M 50 Tablet ER is to be taken with food.
HOW CETANIL-M TABLET ER WORKS
Cetanil M 50 Tablet ER is a combination of two medicines: Cilnidipine and metoprolol which lower blood pressure effectively. Cilnidipine is a calcium channel blocker which works by relaxing blood vessels while metoprolol is a beta blocker that works specifically on the heart to slow down the heart rate. Together, they make the heart more efficient at pumping blood throughout the body.
SAFETY ADVICE
Alcohol
UNSAFE
It is unsafe to consume alcohol with Cetanil M 50 Tablet ER.
Pregnancy
CONSULT YOUR DOCTOR
Cetanil M 50 Tablet ER may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Cetanil M 50 Tablet ER during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Cetanil M 50 Tablet ER may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CONSULT YOUR DOCTOR
There is limited information available on the use of Cetanil M 50 Tablet ER in patients with kidney disease. Please consult your doctor.
Liver
CAUTION
Cetanil M 50 Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Cetanil M 50 Tablet ER may be needed. Please consult your doctor.
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