Cinekar 5 mg (Tablet)
Medicine Details
| Category | Details |
|---|---|
| Generic | Cilnidipine |
| Company | Jenphar bangladesh ltd |
| Also available as |
Title
Cinekar
Categories
- Medicine
- Hypertension Management
- Calcium-channel Blocker
Description
Cinekar is indicated for the management of hypertension for end-organ protection. It is reported to be useful in elderly patients and in those with diabetes and albuminuria. Cinekar has been increasingly used in patients with chronic kidney disease. Cilnidipine is a dihydropyridine calcium-channel blocker. Cilnidipine binds to the dihydropy-ridine binding sites of the L-type voltage dependent calcium channel and inhibits Ca2+ influx across the cell membranes of vascular smooth muscle cells via this channel, consequently vascular smooth muscle is relaxed, causing vasodilation. Cilnidipine inhibits Ca2+ influx via N-type voltage dependent calcium channels in the sympathetic nerve cell membrane. The inhibition of Ca2+ influx via N-type voltage dependent calcium channel was observed over a similar range of drug concentrations to those inhibiting L-type voltage dependent Ca2+ channels. Consequently, release of norepinephrine from sympathetic nerve terminals would be inhibited. Cilnidipine is considered to suppress the reflex increase in heart rate after blood pressure reduction. Adults: 5-10 mg once daily after breakfast. Maximum dose: 20 mg once daily. Pediatric use: The safety of Cilnidipine in pediatric patients has not been established. Elderly use: Since the elderly may be more susceptible to hypotension, therapy should be initiated with the lowest possible dose (5 mg). Other anti-hypertensive, antipsychotics that cause hypotension, quinidine, carbamazepine, phenytoin, rifampicin, cimetidine, erythromycin. Cilnidipine is contraindicated in patients with known sensitivity to Cilnidipine or any of the excipients or patients having cardiogenic shock, recent MI or acute unstable angina and severe aortic stenosis. The most common side effects of Cinekar are: Dizziness; flushing; headache; hypotension; peripheral oedema; palpitations; GI disturbances; increased micturition frequency; lethargy; eye pain; depression. Cilnidipine should not be administered in pregnant woman or woman having possibilities of being pregnant. It is also advisable to avoid the administration of Cilnidipine to nursing mothers. However, if the administration is indispensable, the patient should be instructed to discontinue lactation. Cinekar should be administered with care in the following patients: patients with serious hepatic dysfunction, patients with a history of serious adverse reactions to calcium antagonists. During the discontinuation, the dosage should be gradually decreased under close observation. Store below 30°C, protected from light and moisture. Keep away from reach out of the children.
Attributes
- Dimensions:
- N/A
- Color Options:
- N/A
- Functions:
- Hypertension Management
- Vasodilation
- Heart Rate Regulation
- Ingredients:
- Cilnidipine
- Dosage for Adults: 5-10 mg once daily after breakfast
- Maximum Adult Dose: 20 mg once daily
- Pediatric Use Safety: Not established
- Elderly Use: Initiate therapy with 5 mg due to susceptibility to hypotension
- Interactions:
- Other anti-hypertensive drugs
- Antipsychotics causing hypotension
- Quinidine
- Carbamazepine
- Phenytoin
- Rifampicin
- Cimetidine
- Erythromycin
- Contraindications:
- Known sensitivity to Cilnidipine or excipients
- Cardiogenic shock
- Recent MI
- Acute unstable angina
- Severe aortic stenosis
- Side Effects:
- Dizziness
- Flushing
- Headache
- Hypotension
- Peripheral edema
- Palpitations
- GI disturbances
- Increased micturition frequency
- Lethargy
- Eye pain
- Depression
- Pregnancy & Lactation: Not recommended for pregnant or nursing women
- Precautions & Warnings:
- Serious hepatic dysfunction
- History of serious adverse reactions to calcium antagonists
- Gradual dosage decrease during discontinuation
- Therapeutic Class: Calcium-channel Blockers
- Storage Conditions: Below 30°C, protected from light and moisture, Keep away from children