Ciplar 40 MG Tablet

Ciplar 40 MG Tablet is used for the management of high blood pressure (hypertension), angina pectoris, pheochromocytoma, essential tremor, tetralogy of Fallot cyanotic spells, and arrhythmias (such as atrial fibrillation and flutter, A-V nodal re-entrant tachycardias, and catecholamine-induced arrhythmias).

It is also used in the prevention of myocardial infarction, migraine headache. Ciplar 40 MG Tablet is also helpful in treating the prevention of myocardial infarction, migraine headache.

This medication is a beta-blocking agent that attaches itself to the heart and inhibits the regular molecules from triggering the receptors. It blocks the beta-adrenergic receptors in the heart, thus slowing your heartbeat down and lowering the blood pressure. This lowers the stress placed on your heart, arteries, veins and blood vessels, decreasing the workload of the heart.

The medicine might not be suitable for everyone as it can have harmful effects on people with certain conditions. Before beginning a course of this medication, you need to notify your doctor if you are-

• Pregnant or breastfeeding, or
• Suffering from conditions such as:
• Asthma,
• Diabetes mellitus,
• Psoriasis,
• Liver or kidney problems,
• Severe heart condition.

The medicine must be taken according to the doctor’s prescription. The doctor might recommend taking it two, three or even four times a day. You must complete the course of this medication otherwise it can cause you to develop withdrawal symptoms.

• Hypertension

• Angina Pectoris

• Migraine

• Anxiety

• Allergy

• Sinus Bradycardia

• Cardiogenic Shock

• Pregnancy

• Chest Pain

• Hypotension

• Cardiogenic Shock

• Light Headedness

• Confusion

• Dizziness

• Insomnia

• Fatigue

• Lethargy

• Cold Extremities

• Vertigo

• Syncope

• Hallucination

• Rash

• Alopecia

• Pruritus

• Urticaria

• How long is the duration of effect?

  The effect of this medicine lasts for about 9 hours of duration.

• What is the onset of action?

  The effect of this medicine can be observed within an hour of administration.

• Are there any pregnancy warnings?

  Use of this medicine is not recommended for use in pregnant women as there is a lack of conclusive evidence from clinical studies. However, the potential benefits might warrant the use of this medication inspite of the risks involved. You should consult a doctor before using this medicine.

• Is it habit forming?

  Mild to moderate habit forming tendencies have been reported and hence requires careful administration and withdrawal.

• Are there any breast-feeding warnings?

  This medicine is not likely to be present in the breastmilk in alarming quantities. However, the risk of adverse effects on the nursing infant can not be ruled out and hence it is not recommended for use. You should consult your doctor and discuss the potential benefits and risks before deciding to take this medicine.

• Is It safe with alcohol?

  Consumption of alcohol along with Propranolol is found to be unsafe. Thus it should be avoided.

• Is it safe to drive while on this medicine?

  This medicine might affect the alertness of the patient. Thus driving must be avoided if you face any symptoms related to it.

• Does this affect kidney function?

  This medicine is found to be safe to use in patient with kidney disease. Adjustment of dose is not needed.

• Does this affect liver function?

  Caution must be taken in patient with liver disease. Adjustment of dose might be needed. Kindly consult your doctor before taking it.

Below is the list of medicines, which have the same composition, strength and form as Ciplar 40 MG Tablet , and hence can be used as its substitute.

• Manoprolol 40 MG Tablet

  Orchid Chemicals & Pharmaceuticals Ltd

• Cardimol 40 MG Tablet

  Mankind Pharmaceuticals Ltd

• Inderal La 40 MG Tablet

  Abbott India Ltd

• Inderal 40 MG Tablet

  Abbott India Ltd

• Nigrain 40 MG Tablet

  Unichem Laboratories Ltd

• Are there any missed dose instructions?

  Take the missed dose as soon as you remember. The missed dose can be skipped if it is almost time for the next scheduled dose. Try not to miss any dose as the quantity and timings are very specific and non-adherence could cause some side effects.

• Are there any overdose instructions?

  Report any incidence of overdose to the doctor immediately as the symptoms can be fatal especially if it is consumed by a child or a person using it without prescription. Symptoms of overdose may include slow rate of breathing, decreased heartbeat rate, severe drowsiness, and fainting. Immediate medical attention may be required if the symptoms are severe.

The exact mechanism of action of Ciplar 40 MG Tablet for all the indications is not established. However, this medicine non-selectively blocks beta receptors sites in the heart, blood vessels, lungs and other organs. Thus pressure is lowered and blood flow in the heart and other organs is improved

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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• Interaction with Alcohol

  Ethanol

  Avoid or limit the use of alcohol while you are taking this medicine. Any activity requiring a high level of mental alertness like operating heavy machinery or driving should be avoided.

• Interaction with Lab Test

  Lab

  Information not available.

• Interaction with Medicine

  • Alpha-blockers (prazosin, terazosin): Concurrent use of beta-blockers may increase risk of orthostasis.
  • Antipyrine's clearance is reduced by 30% to 40%.
  • Cimetidine increases the plasma concentration of Ciplar 40 MG Tablet and its pharmacodynamic effects may be increased.
  • Clonidine: Hypertensive crisis after or during withdrawal of either agent.
  • Drugs which slow AV conduction (digoxin): Effects may be additive with beta-blockers.
  • Epinephrine (including local anesthetics with epinephrine): Ciplar 40 MG Tablet may cause hypertension.
  • Flecainide: Pharmacological activity of both agents may be increased when used concurrently.
  • Fluoxetine may inhibit the metabolism of Ciplar 40 MG Tablet, resulting in cardiac toxicity.
  • Glucagon: Ciplar 40 MG Tablet may blunt hyperglycemic action.
  • Haloperidol: Hypotensive effects may be potentiated.
  • Hydralazine: The bioavailability propranolol (rapid release) and hydralazine may be enhanced with concurrent dosing.
  • Insulin: Ciplar 40 MG Tablet inhibits recovery and may cause hypertension and bradycardia following insulin-induced hypoglycemia. Also masks the tachycardia that usually accompanies insulin-induced hypoglycemia.
  • NSAIDs (ibuprofen, indomethacin, naproxen, piroxicam) may reduce the antihypertensive effects of beta-blockers.
  • Salicylates may reduce the antihypertensive effects of beta-blockers.
  • Sulfonylureas: Beta-blockers may alter response to hypoglycemic agents.
  • Verapamil or diltiazem may have synergistic or additive pharmacological effects when taken concurrently with beta-blockers; avoid concurrent I.V. use of both.

• Interaction with Food

  Food

  Information not available.

• Interaction with Disease

  • Administer cautiously in compensated heart failure and monitor for a worsening of the condition (efficacy of propranolol in CHF has not been demonstrated).
  • Avoid abrupt discontinuation in patients with a history of CAD; slowly wean while monitoring for signs and symptoms of ischemia.
  • Use caution in patient with PVD.
  • Use cautiously in diabetics because it can mask prominent hypoglycemic symptoms.
  • Can mask signs of thyrotoxicosis.
  • Can cause fetal harm when administered in pregnancy.
  • Use cautiously in hepatic dysfunction (dosage adjustment required).
  • Use care with anesthetic agents which decrease myocardial function.

• Ques : What is Ciplar 40 MG Tablet?

  Ans : Ciplar 40 MG Tablet is a medication which has Propranolol as an active element present in it. This medicine performs its action by obstructing the action of histamine.Ciplar 40 MG Tablet is used to treat conditions such as Hypertension, Angina pectoris, Migraine prevention, Hypertrophic subaortic stenosis, Heart rhythm disorders, etc.

• Ques : What are the uses of Ciplar 40 MG Tablet?

  Ans : Ciplar 40 MG Tablet is a medication, which is used for the treatment and prevention from conditions such as Hypertension, Angina pectoris, Migraine prevention, Hypertrophic subaortic stenosis, and Heart rhythm disorders. Apart from these, it can also be used to treat conditions like Heart Attack, Essential tremor, and Pheochromocytoma. The patient should inform the doctor about any ongoing medications and treatment before using Ciplar 40 MG Tablet to avoid undesirable effects.

• Ques : What are the Side Effects of Ciplar 40 MG Tablet?

  Ans : Ciplar 40 MG Tablet is a medication which has some commonly reported side effects. These side effects may or may not occur always and some of them are rare but severe. This is not a complete list and if you experience any of the below-mentioned side effects, contact your doctor immediately. Here are some side effects of Ciplar 40 MG Tablet which are as follows: Dizziness, Diarrhea, Difficulty in breathing, Skin blistering, Swelling of face, lips, eyelids, tongue, hands and feet, Irregular heartbeat, Weight gain, Hypotension, and Chest pain and discomfort. It is a list of possible side-effects which may occur due to the constituting ingredients of Ciplar 40 MG Tablet.

• Ques : What are the instructions for storage and disposal Ciplar 40 MG Tablet?

  Ans : Ciplar 40 MG Tablet should be kept in a cool dry place and in its original pack. Make sure this medication remains unreachable to children and pets. The patient should consult a doctor for its further uses and side effects and should inform the doctor about any ongoing medications and treatment before using to avoid undesirable effects. It is a prescribed medication.

• Ques : Should I use Ciplar 40 MG Tablet empty stomach, before food or after food?

  Ans : This medication is to be taken on an empty stomach as any additional nutrient can alter its mechanism of action. Moreover, taking it with the food may cause abdominal discomfort as well. It is advised to consume this medication 1 hour before having food and at least 2 hours after having food. Consult your doctor before using this medication.

• Ques : How long do I need to use Ciplar 40 MG Tablet before I see improvement of my conditions?

  Ans : This medication will take around 3 months of duration to improve patients condition. The time will vary according to the severity of the condition. It is advised to follow the time period directed by your doctor to use this medication.

• Ques : Is there any food or drink I need to avoid?

  Ans : If you are under the usage of this medication, It is recommended to avoid high-fat meals such as nuts & seeds, butter, dark chocolate and meat as it may cause some side effects. However, eating healthy, doing physical exercises and avoiding any kind of harmful practices like smoking or drinking can uplift your health.

• Ques : Will Ciplar 40 MG Tablet be more effective if taken in more than the recommended dose?

  Ans : Excess of usage of this medication can trigger side effects. The salts involved may cause inadequate effects to your health if Candibiotic ear drop is taken more than its prescribed dosage or taken more times then its prescribed frequency.