Cilvas-M Tablet ER

Introduction

Cilvas-M ER is a prescription medication that combines two active ingredients, Cilnidipine and Metoprolol Succinate. It is available under the brand name Cilvas-M ER. This medication is primarily used to manage high blood pressure (hypertension) in adult patients.

Uses

Cilvas-M ER is prescribed to help control high blood pressure. It is commonly used when a single medication is insufficient or when multiple medications are needed to achieve blood pressure control. By reducing blood pressure, Cilvas-M ER helps lower the risk of heart attacks, strokes, and other cardiovascular complications.

Dosage and Administration

The dosage of Cilvas-M ER should be determined by a healthcare professional based on individual patient characteristics and response to treatment. Follow the prescribed dosage instructions provided by your healthcare provider.

Generally, Cilvas-M ER is taken once daily, preferably in the morning, with or without food. The tablet should be swallowed whole with a glass of water, without crushing or chewing it. Take the medication at the same time each day to maintain consistent blood levels.

Mechanism of Action

Cilvas-M ER contains two active ingredients that work together to lower blood pressure:

• Cilnidipine belongs to a class of medications called calcium channel blockers. It works by blocking the entry of calcium ions into the smooth muscles of blood vessels, leading to relaxation and dilation of the vessels. This reduces peripheral resistance and lowers blood pressure.
• Metoprolol Succinate is a beta blocker. It works by blocking the effects of adrenaline on the heart, slowing down the heart rate and reducing the force of contractions. This helps to decrease the workload on the heart, resulting in lower blood pressure.

Side Effects

Common side effects may include headache, dizziness, fatigue, stomach upset, and swelling of the ankles. These side effects are usually mild and temporary.

However, some individuals may experience more serious side effects, such as shortness of breath, chest pain, irregular heartbeat, or signs of an allergic reaction (e.g., rash, itching, swelling). If you experience any of these serious side effects, seek immediate medical attention.

Drug Interactions

Cilvas-M ER may interact with other medications, including over-the-counter drugs, herbal supplements, and prescription medications. Inform your healthcare provider about all the medications you are currently taking to avoid potential interactions.

Common drug interactions with Cilvas-M ER include other blood pressure medications, medications for heart conditions, and certain antidepressants. These interactions can affect the effectiveness of the medications or increase the risk of side effects. Your healthcare provider will monitor and adjust your medication regimen accordingly.

Precautions

Before starting Cilvas-M ER, inform your healthcare provider about any pre-existing medical conditions, including heart problems, liver or kidney disease, diabetes, asthma, or allergies. Certain conditions may require special monitoring or adjustments to the medication dosage.

Additionally, avoid consuming alcohol while taking Cilvas-M ER, as it can increase the risk of side effects and further lower blood pressure.

Storage

Cilvas-M ER should be stored at room temperature, away from moisture and heat. Keep the medication out of reach of children and pets. Do not use the medication if it has expired or if the packaging is damaged.

Patient Tips

• Follow the prescribed dosage and administration instructions provided by your healthcare provider.
• If you miss a dose, take it as soon as you remember. However, if it is close to the next scheduled dose, skip the missed dose and resume the regular dosing schedule.
• Do not stop taking Cilvas-M ER without consulting your healthcare provider, as abrupt discontinuation can lead to a rapid increase in blood pressure.
• Regularly monitor your blood pressure as directed by your healthcare provider.
• Maintain a healthy lifestyle by following a balanced diet, engaging in regular exercise, and avoiding smoking and excessive alcohol consumption.
• If you have any concerns or questions about Cilvas-M ER, consult your healthcare provider for further guidance.

Please note that this description, as well as the other content on our website is for educational purposes only. We do not provide medical advice. For specific medical advices, diagnoses and treatment options you should consult with your doctor.

References

• Metoprolol: medicine for high blood pressure (hypertension) (NHS UK) [Accessed 3 Jun. 2024] (online) Available at:
• Cilnidipine (International database) (Drugs.com) [Accessed 2 Jun. 2024] (online) Available at:
• High Blood Pressure (Food and Drug Administration) [Accessed 13 Jun. 2024] (online) Available at:
• Chakraborty RN, Langade D, More S, Revandkar V, Birla A. Efficacy of Cilnidipine (L/N-type Calcium Channel Blocker) in Treatment of Hypertension: A Meta-Analysis of Randomized and Non-randomized Controlled Trials. Cureus. 2021 Nov 22;13(11):e19822. doi: 10.7759/cureus.19822. eCollection 2021 Nov. [Accessed 8 Jun. 2024] Available at: