TWINBLOK M 50MG TABLET

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Primarily used for

Potentiallyunsafewith
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Alcohol
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Pregnancy
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₹10.8/tablet
10 tablets in 1 strip
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Substitutes for TWINBLOK M 50MG TABLET

CILACAR-M 10MG/25MG TABLET
J B Chemicals and Pharmaceuticals Ltd
₹7.5/tablet
save 31%
LN MET 10MG/25MG TABLET
Eris Life Sciences Pvt Ltd
₹7.5/tablet
save 31%
TWINBLOK M 25MG TABLET
Aprica Pharmaceuticals Pvt Ltd
₹8.9/tablet
save 18%

Medicine Overview of TWINBLOK M 50MG TABLET

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Uses of Cilnidipine

Cilnidipine is used in the treatment of hypertension.
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Side effects of Cilnidipine

Common

Fatigue, Ankle swelling, Sleepiness, Flushing (sense of warmth in the face, ears, neck and trunk), Headache, Nausea, Dizziness, Palpitations, Edema, Abdominal pain.

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How to use Cilnidipine

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. It can be taken with or without food, but it is better to take Twinblok m 50mg tablet at a fixed time.
Avoid Twinblok m 50mg tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How TWINBLOK M 50MG TABLET works

Cilnidipine is a calcium channel blocker. It blocks the action of calcium on the heart and blood vessels. This lowers the blood pressure, abnormally fast heartbeat and reduces strain on the heart following a heart attack.
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Uses of Metoprolol

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Side effects of Metoprolol

Common

Nausea, Headache, Fatigue, Dizziness, Palpitations, Abdominal pain, Constipation, Diarrhoea, Breathlessness, Slow heart rate.

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How to use Metoprolol

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. It can be taken with or without food, but it is better to take Twinblok m 50mg tablet at a fixed time.
Avoid Twinblok m 50mg tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How TWINBLOK M 50MG TABLET works

Metoprolol blocks the action of certain chemical messengers on the heart and blood vessels. This effect reduces heartbeat, blood pressure, and strain on the heart following a heart attack.

In Depth Information on TWINBLOK M 50MG TABLET

Expert advice for Cilnidipine

  • It is very common to have dizziness, lightheadedness, swelling ankles/feet, flushing, or a headache as a side effect.
  • To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
  • Inform your doctor if your symptoms do not improve or if it worsens (for example, your blood pressure readings remain high or increase, chest pain continues or worsens). 
  • Inform your doctor immediately if any of these serious side effects occur: fast/irregular/pounding heartbeat, fainting.
  • Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. It is important to continue taking this medication even if you feel well.
  • If you miss a dose, take it as soon as you remember. If it is near the time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose.

Expert advice for Metoprolol

  • Metoprolol may cause dizziness and lightheadedness. To avoid this, get up slowly after sitting or lying down.
  • The Metoprolol may affect your blood sugar and cover up the symptoms of low blood sugar if you have diabetes.
  • Metoprolol may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid the use of tobacco.
  • Consult your doctor whether to continue Metoprolol before any scheduled surgery.
  • It is not the first-choice treatment for high blood pressure according to the latest guidelines, except if you have a heart failure or heart disease.
  • Adults over the age of 65 may be at greater risk for the side-effects.
Warnings
Special precautions for TWINBLOK M 50MG TABLET
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Alcohol
CAUTION
Taking Metoprolol with alcohol may have additive effects in
lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
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Pregnancy
WEIGH RISKS VS BENEFITS
Twinblok m 50mg tablet may be unsafe to use during pregnancy.

Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
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Lactation
Unknown. Human and animal studies are not available. Please consult your doctor.
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Driving
CAUTION
Caution is advised when driving or operating machinery.
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Kidney
There is no data available. Please consult doctor before consuming the drug.
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Liver
There is no data available. Please consult doctor before consuming the drug.

Patient Concerns

Frequently asked questions for TWINBLOK M 50MG TABLET

Frequently asked questions for Cilnidipine

Q. Is Cilnidipine used for hypertension?
Yes. Cilnidipine is used for hypertension.
Q. Is Cilnidipine better than benidipine?
Both of them reduces the blood pressure to a great extent but benidipine seems to be better in cases of kidney disease as it decreases the urinary protein loss better than Cilnidipine.
Q. What if Cilnidipine is taken with telmisartan?
A combination of two medicines which helps to control high blood pressure by widening the peripheral blood vessels so as to improve the flow of blood.Telmisartan is a type of angiotensin II receptor blocker and it inhibits the effects of angiotensin II, a hormone which results in narrowing of blood vessels.
Q. What are pleiotropic effects of Cilnidipine in patients with hypertension?
Apart from reducing the blood pressure they have a heart protective effect, kidney protective effect and reduces the protein leakage and also maintains the blood flow to the brain in cases of stroke.
Q. What is the dose of Cilnidipine?
The recommended adult oral dosage of Cilnidipine is 5-10 mg once daily. You should take the dose as suggested by your doctor.
Q. Is Cilnidipine better than nifedipine?
Yes. Cilnidipine is better than nifedipine as it has a smoother effect on blood pressure and heart rate as compared to nifedipine which causes a greater fluctuation.
Q. What if Cilnidipine is taken with chlorthalidone?
Chlorthalidone acts by increasing the urinary output. These two in a combination have an additive effect in reducing the blood pressure.
Q. What is Cilnidipine10?
This is Cilnidipine 10 mg tablet.
Q. What are the gastrointestinal side effects of Cilnidipine?
Nausea, vomiting, abdominal pain, constipation, dry mouth.
Q. How does Cilnidipine works?
Cilnidipine blocks the calcium channels in the blood vessel and cause dilatation of blood vessels leading to decrease in blood pressure.
Q. How similar Cilnidipine and losartan?
Apart from reducing the blood pressure they both equally maintain the blood flow to the brain in cases of stroke.
Q. What if Cilnidipine is taken with olmesartan?
These two acts synergistically and have an additive effect in reducing the blood pressure also there is a decrease in the urinary albumin excretion seen in the kidney failure patients.
Q. What if Cilnidipine is taken with nebivolol?
Both are blood pressure lowering medications and have additive effects in combination. Nebivolol also decreases the work of the heart and reduces heart rate.
Q. What is J Circle study cilnidipine?
J circle study is -Effects of the N/L-type calcium channel blocker Cilnidipine nephropathy (assessment of the urinary albumin/creatinine ratio and uric acid metabolism in hypertensive patients with chronic kidney disease. It proved that there is a significant decrease in Albumin creatinine ratio with Cilnidipine as compared to other drugs like amlodipine.
Q. What is the half life of Cilnidipine?
A half life of Cilnidipine is 2.5 hr.
Q. What is the difference between Cilnidipine and azelnidipine?
There is no difference in the reduction of blood pressure between Cilnidipine and azelnidipine, but Cilnidipine has shown a greater reduction in urinary albumin & creatinine ratio than azelnidipine. So Cilnidipine is more efficient in reducing leakage of albumin in urine than azelnidipine in type 2 diabetic patients with hypertension.
Q. How is Cilnidipine compared with amlodipine?
Both amlodipine and Cilnidipine are equally good in reducing blood pressure but Cilnidipine has fewer chances of pedal edema and also better in patients with renal dysfunction as compared to amlodipine.
Q. What if Cilnidipine is taken with valsartan?
By combining Cilnidipine with valsartan it shows an additive effect in reducing blood pressure. Apart from that this combination has shown to decrease the blood vessel and cardiac damage due to high blood pressure.
Q. Is Cilnidipine a novel dihydropyridine?
Yes. Cilnidipine is a novel dihydropyridine, it has dual action on calcium channels.
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Frequently asked questions for Metoprolol

Q. Is metoprolol safe?
Metoprolol (also available as metolar XR 50/ met Xl/ metolar/ embeta XR) is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is metoprolol a diuretic/ beta blocker/statin/ MAOI/ ACE inhibitor or ARB/ calcium channel blocker?
Metoprolol belongs to the class of beta-blocker drug. It is not a diuretic, statin, MAOI, ACE inhibitor or calcium channel blocker
Q. Is metoprolol tartrate the same as toprol XL?
Metoprolol tartrate and toprol XL are same and Toprol xl is the brand name of the generic drug metoprolol
Q. Can I take metoprolol with amlodipine/ Nyquil /Xanax/ Aspirin/ Ibuprofen/ Benadryl/ Zoloft/ Lisinopril?
Metoprolol can be taken with amlodipine, Lisinopril, Xanax and Aspirin. It is advised to take Nyquil and Metoprolol with doctor’s advice, because Nyquil contains antihistamines which might elevate blood pressure. Ibuprofen is NSAID, which interacts with metoprolol and should be avoided. Metoprolol may slow down the heart rate, and diphenhydramine can cause drowsiness, so Benadryl should be taken only if needed and under doctor’s advice. Metoprolol tartrate oral will increase the level or effect of Zoloft (sertraline) by altering drug metabolism
Q. Does metoprolol cause hair loss/ headache/ lower heart rate/ lower blood pressure/ weight gain/ memory loss/ itching/ cough/ itching/ gas?
Metoprolol may cause some of these effects. Always consult your doctor if you experience such side effects.
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