Cildocal 10 mg (Tablet)
Unit Price: ৳ 5.00 (3 x 10: ৳ 150.00)
Strip Price: ৳ 50.00
Medicine Details
Category | Details |
---|---|
Generic | Cilnidipine |
Company | Delta pharma ltd |
Also available as |
Indications
- Management of hypertension for end-organ protection
- Useful in elderly patients and those with diabetes and albuminuria
- Increasingly used in patients with chronic kidney disease
Pharmacology
- Dihydropyridine calcium-channel blocker
- Binds to L-type voltage dependent calcium channel
- Inhibits Ca2+ influx in vascular smooth muscle cells
- Causes vasodilation
- Inhibits Ca2+ influx via N-type voltage dependent calcium channels
- Suppresses reflex increase in heart rate after blood pressure reduction
Dosage & Administration
- Adult dose: 5-10 mg once daily after breakfast
- Maximum adult dose: 20 mg once daily
- Pediatric use safety not established
- Lowest possible dose (5 mg) for elderly patients
Interaction
- Interacts with other antihypertensive medications
- Interacts with antipsychotics causing hypotension
- Interacts with quinidine, carbamazepine, phenytoin, rifampicin, cimetidine, erythromycin
Contraindications
- Contraindicated in patients with known sensitivity to Cilnidipine or any excipients
- Contraindicated in patients with cardiogenic shock, recent MI, acute unstable angina, and severe aortic stenosis
Side Effects
- Dizziness
- Flushing
- Headache
- Hypotension
- Peripheral edema
- Palpitations
- GI disturbances
- Increased micturition frequency
- Lethargy
- Eye pain
- Depression
Pregnancy & Lactation
- Should not be administered in pregnant or possibly pregnant women
- Should be avoided in nursing mothers
- Discontinue lactation if administration is indispensable
Precautions & Warnings
- Administer with care in patients with serious hepatic dysfunction
- Administer with care in patients with history of serious adverse reactions to calcium antagonists
- Gradually decrease dosage during discontinuation under close observation
Therapeutic Class
- Calcium-channel blockers
Storage Conditions
- Store below 30°C
- Protect from light and moisture
- Keep away from reach of children