Description
Overview
INTRODUCTION
Cilnikem CT 10mg/12.5mg Tablet is a combination of medicines used in the treatment of hypertension (high blood pressure). It also helps to reduce the risk of stroke and heart attack.
Cilnikem CT 10mg/12.5mg Tablet should be taken with food preferably in the morning to avoid frequent urination at night. 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.
Glucose intolerance, ankle swelling, headache, tiredness, and decreased potassium level are some common side effects of this medicine. Consult your doctor If any of these bother you, or get worse, or do not go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst. Dizziness or headache may occur due to low blood pressure, hence rise slowly from sitting position or avoid driving.
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. You should have your blood pressure, kidney function, level of electrolytes, and blood sugar level checked regularly to make sure that this medicine is working properly.
USES OF CILNIKEM CT TABLET
- Hypertension (high blood pressure)
SIDE EFFECTS OF CILNIKEM CT TABLET
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 Cilnikem CT
- Glucose intolerance
- Sleepiness
- Ankle swelling
- Headache
- Flushing (sense of warmth in the face, ears, neck and trunk)
- Tiredness
- Palpitations
- Nausea
- Increased blood uric acid
- Decreased potassium level in blood
- Altered blood lipid level
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 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 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 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 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 Decreased potassium level in bloodYou will need a blood test to find out if your potassium levels are low. Your doctor might suggest using a salt substitute which contains potassium. Some foods which are good sources of potassium include fruit (especially bananas), vegetables, pulses, nuts and seeds, milk, fish, chicken and bread.
HOW TO USE CILNIKEM CT TABLET
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. Cilnikem CT 10mg/12.5mg Tablet is to be taken with food.
HOW CILNIKEM CT TABLET WORKS
Cilnikem CT 10mg/12.5mg Tablet is a combination of two medicines: Cilnidipine and chlorthalidone which lower blood pressure effectively. Cilnidipine is a calcium channel blocker which relaxes blood vessels and makes the heart more efficient at pumping blood throughout the body. Chlorthalidone is a diuretic which removes extra water and certain electrolytes from the body by increasing the amount of urine produced. Over time it also works by relaxing blood vessels and improving blood flow.
SAFETY ADVICE
Alcohol
UNSAFE
Cilnikem CT 10mg/12.5mg Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Cilnikem CT 10mg/12.5mg Tablet 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 Cilnikem CT 10mg/12.5mg Tablet during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Cilnikem CT 10mg/12.5mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Cilnikem CT 10mg/12.5mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Cilnikem CT 10mg/12.5mg Tablet may be needed. Please consult your doctor.
Use of Cilnikem CT 10mg/12.5mg Tablet is not recommended in these patients.
Use of Cilnikem CT 10mg/12.5mg Tablet is not recommended in these patients.
Liver
CAUTION
Cilnikem CT 10mg/12.5mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Cilnikem CT 10mg/12.5mg Tablet may be needed. Please consult your doctor.
Use of Cilnikem CT 10mg/12.5mg Tablet is not recommended in patients with severe liver disease.
Use of Cilnikem CT 10mg/12.5mg Tablet is not recommended in patients with severe liver disease.
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