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Ciplar 40 Tablet

Propranolol (40mg)

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Ciplar 40 Tablet is a medicine used to prevent angina (chest pain) and migraine, and manage pheochromocytoma (a rare adrenal gland tumor). It works by slowing the heart rate and relaxing blood vessels, helping to reduce strain on the heart and improve blood flow.

Written By Dr. Lipika Khurana, PGDHHM, BDS,
Reviewed By Dr. Mekhala Chandra, MD, MBBS,
Last updated on 07 Apr 2026 | 03:01 PM (IST)

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General Information

Contains

Propranolol (40mg)

Marketer

Cipla Ltd

Storage

Store below 25°C

The content is shown in English

Product introduction

Take Ciplar 40 Tablet in the dose and duration prescribed by your doctor. It will depend on what you are being treated for and how you respond to the medicine. You should always take it as prescribed by the doctor. It can be taken with or without food. You should keep taking it even if you feel well, as you are still getting the benefits. If you stop taking it suddenly, your condition may worsen.

The most common side effects of Ciplar 40 Tablet include tiredness, dizziness, weakness, cold fingers or toes, and stomach pain. You may also experience nausea, vomiting, and diarrhea. Talk to your doctor if the side effects bother you or do not go away. Most side effects are short-lived and improve as your body gets used to the medicine.

You should not use Ciplar 40 Tablet if you have asthma, very slow or uneven heartbeats, or a serious heart condition, including heart failure. Talk to your doctor before taking it if you have kidney or liver problems or chronic obstructive pulmonary disease (COPD). In terms of lifestyle, alcohol may affect the way this medicine works and should be avoided. You should not drive if this medicine makes you feel dizzy. Ask your doctor whether it is safe to take this medicine if you are pregnant or breastfeeding.

Uses of Ciplar Tablet

Prevention of Angina (heart-related chest pain)
Migraine
Treatment of Pheochromocytoma
Arrhythmia
Heart attack
Hypertension (high blood pressure)
Anxiety
Tremors
Glaucoma
Heart Failure
Prevention of migraine

Benefits of Ciplar Tablet

Prevention of Angina (heart-related chest pain)
Ciplar 40 Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively.

Treatment of Pheochromocytoma
While carrying out surgery for the removal of pheochromocytoma, there is a risk of abnormally high blood pressure. Ciplar 40 Tablet blocks the effect of some chemicals on your heart and blood vessels. This slows down the heart rate and helps the heartbeat with less force thereby lowering your blood pressure. It is used for the immediate reduction of very high blood pressure (hypertensive emergency). Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems.

Prevention of migraine
Ciplar 40 Tablet helps improve the flow of blood in your brain and prevents abnormal activity of muscles that triggers migraines. It is a very effective medicine for preventing migraine attacks, however, it does not treat an attack that has already started. By preventing and reducing the frequency of migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life.

Side effects of Ciplar 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 Ciplar

Tiredness
Weakness
Cold extremities
Headache
Dizziness
Nausea
Vomiting
Diarrhea
Abdominal pain

How to use Ciplar 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. Ciplar 40 Tablet may be taken with or without food.
Avoid Ciplar 40 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How Ciplar Tablet works

Ciplar 40 Tablet contains propranolol, a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for the heart to pump blood around the body. This prevents arrhythmias. It also widens the blood vessels in the body for better blood flow, thereby preventing angina as well as migraine. Propranolol helps block the effects of the chemical messengers, namely, adrenaline and noradrenaline, that are produced by the brain and are responsible for increasing your heart rate, which makes you feel anxious. This way it helps with anxiety. While treating pheochromocytoma, Ciplar 40 Tablet may be given to block the action of high-adrenaline hormones, to lower the risk of developing dangerously high blood pressure during surgery for removing the tumor.

All substitutes for Ciplar 40 Tablet

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

Ciplar 40 Tablet may hide the symptoms of low blood sugar if you have diabetes. Monitor blood sugar levels regularly.
To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Use caution while driving or doing anything that requires concentration, as Ciplar 40 Tablet can cause dizziness and sleepiness.
Inform your doctor if you notice increased swelling around your legs or ankles, sudden weight gain, or sudden shortness of breath, as these may be symptoms of heart failure.
Do not stop taking the medication suddenly without talking to your doctor.

Safety advice

Alcohol

CAUTION

Alcohol should be used with caution while taking Ciplar 40 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

The safety of Ciplar 40 Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding

CAUTION

Ciplar 40 Tablet should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.

Driving

UNSAFE

Ciplar 40 Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

SAFE IF PRESCRIBED

Ciplar 40 Tablet is safe to use in patients with kidney disease. No dose adjustment is recommended.

Liver

CAUTION

Ciplar 40 Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

Interaction with drugs

Taking Ciplar with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Life-threatening

Aminophylline (Oral Route)

Do not consume Aminophylline with Propranolol.

Life-threatening

Theophylline (Oral Route)

Do not use Propranolol with Theophylline in any form if you have asthma or breathing issues, as it may result in excessive breathlessness or coughing.

Life-threatening

Theophylline (Injection Route)

Do not use Propranolol with Theophylline in any form if you have asthma or breathing issues, as it may result in excessive breathlessness or coughing.

Severe

Adrenaline (Injection Route)

watch out for symptoms such as breathlessness, fatigue, drowsiness, sedation or faintness or vomiting and consult your doctor if you experience them. Propranolol may reduce efficacy of Adrenaline.

Severe

Arformoterol (Inhalation Route)

Do not use Propranolol with Arformoterol if you have asthma or COPD. Propranolol may reduce efficacy of Arformoterol.

Frequently asked questions

My doctor has prescribed Ciplar 40 Tablet even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

Yes, it is possible that your doctor prescribed Ciplar 40 Tablet for chest pain (angina). Ciplar 40 Tablet is a beta-blocker that is used to lower high blood pressure, prevent angina, treat or prevent heart attacks, or reduce your risk of heart problems following a heart attack.

Can Ciplar 40 Tablet be used in asthmatics?

No, Ciplar 40 Tablet cannot be used in asthmatics. This is because using Ciplar 40 Tablet in asthma patients can cause breathing problems, which may trigger an asthma attack. Always inform your doctor if you have or ever had asthma or any episodes of difficulty breathing, before starting treatment with Ciplar 40 Tablet.

Can I stop taking Ciplar 40 Tablet as my chest pain is under control?

No, you should not stop taking Ciplar 40 Tablet suddenly because that may worsen your angina or may cause a heart attack. Tell your doctor, and if there is a need to stop Ciplar 40 Tablet, your doctor will reduce your dose gradually over a few weeks.

Does Ciplar 40 Tablet relieve anxiety?

Yes, Ciplar 40 Tablet helps relieve the symptoms of anxiety such as irritability, restlessness, excessive worry, lack of concentration, racing or unwanted thoughts, fatigue, insomnia (lack of sleep), palpitations (irregular heart rate), or trembling. The dose and duration of taking Ciplar 40 Tablet will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Ciplar 40 Tablet is usually given for the short-term treatment of anxiety. If you have any doubts, consult your doctor.

What other lifestyle changes should I make while taking Ciplar 40 Tablet?

Lifestyle changes play a major role in keeping you healthy if you are taking Ciplar 40 Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation, or take up a hobby. Ensure that you have a sound sleep every night, as this also helps reduce stress levels and helps keep your blood pressure normal.<br><br>Stop smoking and alcohol consumption, as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and eat a balanced diet that includes whole grains, fresh fruits, vegetables, and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Ciplar 40 Tablet and to keep yourself healthy.

I have been on Indomethacin for several months. Will it be a problem if I start taking Ciplar 40 Tablet along with it?

Yes, indomethacin may interfere with the working of Ciplar 40 Tablet and make it less effective. As a result, your blood pressure may increase. Speak to your doctor, who will prescribe you a different medicine to control blood pressure.

Fact Box

Chemical Class

Naphthalene derivative

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Non-Selective Beta-Blockers (NSBBs)

Related lab tests

Kidney Function Test

References

Westfall TC, WestfallIn DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 320.
Opie LH. β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 28-29.
Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 175-76.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1162-63.
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:
National Health Service: Propranolol [Drug Information]. 2024. [Accessed 17 Mar. 2025] (online) Available from:

User feedback

Patients taking Ciplar 40 Tablet

Twice A Day

60%

Once A Day

40%

What are you using Ciplar Tablet for?

Anxiety

39%

Hypertension (high blood pressure)

23%

Others

18%

Arrhythmia

Migraine

How much was the improvement?

Average

55%

Poor

30%

Excellent

15%

What were the side-effects while using Ciplar 40 Tablet?

No Side Effect

34%

Dizziness

20%

Headache

11%

Weakness

Slow heart rate

How do you take Ciplar Tablet?

With food

73%

With or without food

18%

Empty stomach

Please rate Ciplar 40 Tablet on price

Average

48%

Not Expensive

37%

Expensive

15%

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Cipla Ltd
Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Ciplar 40 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

Lab tests offered by us

Why we need a prescription?

Provide right medicines

Prescriptions are complex documents. We proof read and recheck at various steps to provide you the right medication in the correct form and dose

In accordance with the law

Most medicines cannot be sold without a valid prescription, as per the Drugs and Cosmetics Act, 1940 and Rules, 1945

Ciplar 40 Tablet

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General Information

Contains

Marketer

Storage

Product introduction

Uses of Ciplar Tablet

Benefits of Ciplar Tablet

Side effects of Ciplar Tablet

How to use Ciplar Tablet

How Ciplar Tablet works

All substitutes for Ciplar 40 Tablet

Ciplar-LA 40 Tablet

IndERAL 40 Tablet

Arminol 40mg Tablet

Provanol 40mg Tablet

Ranox 40mg Tablet

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Aminophylline (Oral Route)

Theophylline (Oral Route)

Theophylline (Injection Route)

Adrenaline (Injection Route)

Arformoterol (Inhalation Route)

Frequently asked questions

My doctor has prescribed Ciplar 40 Tablet even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

Can Ciplar 40 Tablet be used in asthmatics?

Can I stop taking Ciplar 40 Tablet as my chest pain is under control?

Does Ciplar 40 Tablet relieve anxiety?

What other lifestyle changes should I make while taking Ciplar 40 Tablet?

I have been on Indomethacin for several months. Will it be a problem if I start taking Ciplar 40 Tablet along with it?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Kidney Function Test

References

User feedback

Patients taking Ciplar 40 Tablet

What are you using Ciplar Tablet for?

How much was the improvement?

What were the side-effects while using Ciplar 40 Tablet?

How do you take Ciplar Tablet?

Please rate Ciplar 40 Tablet on price

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

In case of any issues, contact us

Lab tests offered by us

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