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Twincal 10 Tablet

Prescription Required
Manufacturer
SALT COMPOSITION
Storage
Store at room temperature (10-30°C)
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Overview

Introduction

Twincal 10 Tablet is a medicine used to treat high blood pressure (hypertension). It belongs to a class of medicines known as a calcium channel blocker which helps to lower blood pressure. This helps prevent heart attacks and strokes. It may also be prescribed to prevent angina (heart-related chest pain).

Twincal 10 Tablet may be prescribed alone or along with other medicines. The dose depends on the severity of your condition. You can take it at any time of day, with or without food, but it is best to take it at the same time each day.  Keep taking it for as long as advised by your doctor. Do not stop this medicine on your own, even if you feel well because high blood pressure often has no symptoms. This makes it hard to identify any sudden spike and if you stop taking it, your condition may get worse.

Keeping active with regular exercise, reducing your weight, and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.

The most common side effects include fatigue, edema (swelling in the feet), sleepiness, dizziness, flushing, the unusual beating of the heart (palpitations), and headache. Consult your doctor if any of these bother you, or do not go away. Side effects like swelling in the feet or ankles and palpitations are lesser in severity than other similar medicines of the group. Studies have shown that it also has a protective effect on the kidneys.

Before taking it, let your doctor know if you have any liver, kidney or heart problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking, especially those used to treat high blood pressure or heart conditions. You should have your blood pressure checked regularly to make sure that this medicine is working properly.

Benefits of Twincal Tablet

In Hypertension (high blood pressure)

Twincal 10 Tablet is a calcium channel blocker. It works by relaxing the blood vessels so that blood can flow more easily around your body. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. Take regularly, as prescribed for this medicine to be most effective, even if you feel better.

In Prevention of Angina (heart-related chest pain)

Twincal 10 Tablet belongs to a class of medicines known as a calcium channel blockers. It works by relaxing blood vessels so that blood can flow more easily around your body. This means that more oxygen gets to your heart and reduces the risk of getting chest pain (angina). This medicine should not be used to treat chest pain which is already happening. It is used to prevent or reduce the frequency of angina attacks. This medicine needs to be taken regularly as prescribed for it to work effectively. So, it is important to keep taking it even if you feel well and have no symptoms.

Side effects of Twincal 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 Twincal

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

How to use Twincal 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. Twincal 10 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Twincal Tablet works

Twincal 10 Tablet is a calcium channel blocker. It lowers blood pressure by relaxing blood vessels, which makes the heart more efficient at pumping blood throughout the body.

Safety Advice

Alcohol
CAUTION
Caution is advised when consuming alcohol with Twincal 10 Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Information regarding the use of Twincal 10 Tablet during pregnancy is not available. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Twincal 10 Tablet during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Twincal 10 Tablet may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Twincal 10 Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Twincal 10 Tablet may not be needed in these patients. Please consult your doctor.
Liver
CONSULT YOUR DOCTOR
There is limited information available on the use of Twincal 10 Tablet in patients with liver disease. Please consult your doctor.

What if you forget to take Twincal Tablet?

If you miss a dose of Twincal 10 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Twincal 10 Tablet
₹11.38/Tablet
Cilaheart 10 Tablet
Mankind Pharma Ltd
₹8.46/Tablet
save 26%
Lnbloc 10 Tablet
Eris Lifesciences Ltd
₹9.08/Tablet
save 20%
Nexovas 10 Tablet
Macleods Pharmaceuticals Pvt Ltd
₹9.4/Tablet
save 17%
Cilacar 10 Tablet
J B Chemicals and Pharmaceuticals Ltd
₹9.89/Tablet
save 13%
₹10.43/Tablet
save 8%

Quick Tips

  • Take it at the same time every day to help you remember to take it.
  • A sudden drop in your blood pressure may occur, especially when you first start taking Twincal 10 Tablet. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • It can cause ankle or foot swelling. To reduce the swelling, raise your legs while you are sitting down. Talk to your doctor if it does not go away.
  • It may cause dizziness. Do not drive or perform any activity that requires mental focus until you know how Twincal 10 Tablet affects you. 
  • Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding. 

Fact Box

Chemical Class
Dihydropyridinecarboxylic acids derivatives
Habit Forming
No

Interaction with Drugs

Taking Twincal with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Samlodon, Amodep, Amleod
SERIOUS
Brand(s): Aprepit, Aprepep, Fos-Aprepitant
SERIOUS
Brand(s): Atazor, Atavir, Virataz
SERIOUS

Patient Concerns

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What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Cardiology
Related to chest pain angina commonly
Heart pain blood pressure high blood sugar high
Dr. Saurabh Arora
Cardiology
Consult physician near u for proper examination and blood work up
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Do you have any questions related to Twincal 10 Tablet ?

User Feedback


FAQs

Q. What is the use of Twincal?

Twincal is a medicine used to treat high blood pressure. It belongs to a group of medicines which block the calcium channels in the blood vessel. It works by relaxing the blood vessels in patients with high blood pressure. This widens the diameter of the blood vessels which helps the blood to pass through them more easily.

Q. Which is better amlodipine or Twincal?

Both these medicines are used in the treatment of blood pressure and are equally good in effectively reducing the blood pressure. Twincal has also been found to be beneficial in patients with kidney problems as compared to amlodipine. Additionally, while amlodipine may have chances of causing mild ankle swelling, Twincal has been found to have lesser chances of causing ankle swelling, tachycardia and palpitations. Your doctor will suggest either of these after seeing what suits you.

Q. What are the side effects of Twincal?

Twincal is generally well tolerated but sometimes can also be associated with side effects like headache, dizziness, flushing, palpitations, low blood pressure, and stomach problems. It may also cause increased urination, ankle swelling, and lethargy. These side effects are not common in everyone but may occur in some individuals. Do consult your doctor if you notice any side effects after taking this medicine.

Q. Is Twincal good for patients of high blood pressure with kidney impairment?

Yes, Twincal has been shown to have protective effects on the kidney cells, thereby preventing them from damage. It has also been shown to decrease protein leakage from the kidney in patients who have diabetes as well as high blood pressure.

Q. Should I take Twincal in the morning or at night?

Twincal can be taken anytime of the day. Usually, it is advised to be taken in the morning, but your doctor may advise to take it in the evening as well. You should take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.

Q. How long do I need to take Twincal?

You should keep on taking Twincal for as long as your doctor has recommended you to take it. You may need to take it lifelong. Do not stop taking it, even if you feel well or your blood pressure is well controlled. If you stop taking Twincal, your blood pressure may increase again and your condition may worsen.

Q. What changes can I make to control my blood pressure better?

Lifestyle changes play a major role in keeping you healthy if you are taking Twincal. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practise yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also reduces your stress and hence helps in keeping your blood pressure normal. Stop smoking and taking alcohol as this helps in lowering your blood pressure and helps to prevent heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking Twincal. You should consult your doctor if you need any further help to get maximum benefit of Twincal and to keep healthy.

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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 all possible side effects, drug interactions or warnings or alerts. 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.

References

  1. MedIndia. Cilnidipine. [Accessed 01 Jul. 2019] (online) Available from:External Link
  2. Central Drugs Standard Control Organisation (CDSCO). Cilnidipine. [Accessed 15 Mar. 2019] (online) Available from:External Link
  3. Chen BL, Zhang YZ, Luo JQ, et al. Clinical use of azelnidipine in the treatment of hypertension in Chinese patients. Ther Clin Risk Manag. 2015;11:309-18. [Accessed 23 Apr. 2020] (online) Available from:External Link

Manufacturer/Marketer Address

Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
A licensed vendor partner from your nearest location will deliver Twincal 10 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.
MRP
113.8
10 tablets in 1 strip
Add To Cart
Estimated delivery by Monday, Aug 17
The order should be placed with a valid prescription

Delivery time includes added precautions taken across warehouses for your safety
Delivering to
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Paytm: Pay with Paytm and get cashback up to ₹500. Minimum cashback to be won is ₹50. Valid only for new Paytm customers with minimum order value of ₹1000 from 1st August to 31st August, 2020.
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