Uses / Indications: Before taking Cilacar 10 Tablet, it is crucial to consult your doctor to ensure safe use, especially if you have any underlying medical conditions or are taking other medications. Here is a comprehensive list of interactions and warnings to consider:

Drug Interactions
- Other Blood Pressure Medicines: Combining Cilacar 10 with other blood pressure medications can increase the risk of very low blood pressure.
- Medications for Heart Conditions: Inform your doctor about any heart medications you are taking, as they may interact with Cilacar.
- Lab Tests: Tell your doctor if you are undergoing any lab tests, especially those for adrenal gland tumors, as Cilacar may affect the results.

Food and Lifestyle Interactions
- Grapefruit and Grapefruit Juice: Avoid consuming grapefruit or grapefruit juice, as it can increase the risk of side effects.
- Sodium, Calcium, and Magnesium-rich Foods: These foods may reduce the effectiveness of Cilacar.
- Alcohol: Avoid excessive alcohol consumption, as it can enhance the effects of dizziness and low blood pressure.
- Driving and Heavy Machinery: Do not drive or operate heavy machinery if you feel dizzy after taking the medication.

Medical Conditions and Warnings
- Pregnancy and Breastfeeding: Consult your doctor before taking Cilacar if you are pregnant or breastfeeding, as it may not be safe.
- Heart Problems: Inform your doctor if you have any heart-related issues, such as low blood pressure or heart failure.
- Severe Kidney Problems: Use Cilacar with caution if you have severe kidney problems, as it is filtered and excreted by the kidneys.
- Liver Conditions: If you have liver issues, consult your doctor before starting the medication.

Product composition:
• Cilnidipine(10.0 Mg)

Pregnancy interaction:
• Cilacar 10 Tablet-15, which contains cilnidipine used to treat high blood pressure and angina, is generally not recommended during pregnancy due to potential risks to the unborn baby. Medical supervision is essential if considering its use in pregnancy.
  
  - Safety in Pregnancy: Cilnidipine may cause harm to the fetus; therefore, it is unsafe to take Cilacar if you are pregnant or think you might be pregnant.
  
  - Purpose: It is prescribed to control hypertension (high blood pressure) and angina by relaxing blood vessels, thereby improving blood flow and reducing cardiovascular risks.
  
  - Medical Supervision Importance: Pregnant women must inform their doctor about their pregnancy status before starting Cilacar. If pregnancy occurs during treatment, discontinuation and immediate consultation with a healthcare provider are vital.
  
  - Contraceptive Advice: Effective contraception is mandatory for sexually active women taking Cilacar who do not wish to become pregnant, as pregnancy may worsen hypertension and adversely affect both mother and fetus.
  
  - Monitoring: Regular medical check-ups and blood pressure monitoring are crucial while on Cilacar, especially for those with liver, kidney, or heart conditions.
  
  - Breastfeeding: Cilacar is also unsafe during breastfeeding because it can pass into breast milk and harm the baby.
  
  In summary, Cilacar 10 Tablet-15 should only be used during pregnancy under strict medical guidance, weighing its risks versus benefits, with careful monitoring and appropriate contraception advised for women of childbearing potential.

Expert advice:
• - Take Cilacar 10 Tablet exactly as prescribed by your healthcare provider, usually once daily, at the same time each day to maintain steady blood levels. Swallow the tablet whole with a full glass of water, with or without food.
  
  - Be aware that Cilacar may cause dizziness, sleepiness, or weakness; avoid driving, operating heavy machinery, or performing tasks requiring full alertness until you know how the medication affects you.
  
  - To reduce the risk of feeling dizzy or fainting due to sudden blood pressure drops, especially when starting the medication, rise slowly from sitting or lying positions.
  
  - If you experience swelling in the ankles, feet, or legs (edema), elevate your legs while sitting to help reduce swelling, and inform your doctor if it persists.
  
  - Avoid drinking alcohol during treatment as it can intensify side effects like low blood pressure and dizziness.
  
  - Do not abruptly stop taking Cilacar without consulting your doctor, as this may worsen your blood pressure or heart condition.
  
  - Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding, to assess whether Cilacar is safe for you.
  
  - Keep your doctor informed about all your current medications to avoid potential harmful interactions.
  
  - Monitor your blood pressure regularly and attend all scheduled medical check-ups to ensure treatment efficacy and safety.
  
  - Store Cilacar tablets in a cool, dry place away from direct sunlight and out of reach of children.
  
  - If you miss a dose, take it as soon as you remember on the same day; do not double the next dose to make up.
  
  - Report any severe or persistent side effects such as severe headache, chest pain, swelling, or worsening dizziness to your healthcare provider promptly.

Side Effects:
• Cilacar 10 Tablet, containing Cilnidipine, is used to treat high blood pressure and may cause some side effects, which can range from mild to serious.
  
  Common Side Effects:
  
  - Tiredness or fatigue
  - Sleepiness
  - Dizziness
  - Headache
  - Flushing (a feeling of warmth and redness in the face, ears, neck, and trunk)
  - Nausea
  - Stomach pain or indigestion
  - Palpitations (awareness of your heartbeat)
  - Swelling in the face, hands, feet, or ankles (edema)
  - Rash or itching
  - Muscle pain
  - Increased urination, especially at night
  - Tremors
  - Low blood pressure (hypotension)
  
  Serious Side Effects That Require Medical Attention:
  
  - Very low blood pressure causing weakness or fainting
  - Signs of heart failure or poor heart functioning, such as sudden swelling, severe shortness of breath, or chest pain
  - Severe allergic reactions, like swelling of the tongue, face, or eyelids
  - Persistent or severe headaches
  - Dizziness or fainting that interferes with daily activities
  
  If you experience any serious side effects, stop taking the medication and seek medical help immediately. Also, avoid alcohol and be cautious when driving or operating machinery, as Cilacar can cause dizziness or drowsiness. Always inform your doctor about all other medications you are taking to prevent drug interactions.

How to use:
• - Take Cilacar 10 Tablet once daily at the same time each day to maintain an even level in your body.
  
  - You can take the tablet with or without food, but for best results, take it consistently in the same way each day.
  
  - Swallow the tablet whole with a full glass of water. Do not chew, break, or crush the tablet.
  
  - If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue your regular schedule. Do not double the dose.
  
  - Store the tablet in a cool, dry place away from direct sunlight, moisture, heat, children, and pets.
  
  - Do not stop taking this medicine without consulting your doctor, even if you feel well, as high blood pressure often has no symptoms and stopping suddenly can worsen your condition.
  
  - Regularly monitor your blood pressure and attend follow-up appointments as advised by your healthcare provider.

How it works:
• Cilacar 10 Tablet works by relaxing and widening your blood vessels, which helps to lower high blood pressure and reduces the strain on your heart. This makes it easier for blood to flow through your body and decreases the risk of heart attacks, strokes, and kidney problems.
  
  Its key active ingredients work together as follows:
  
  - Cilnidipine: This relaxes blood vessels by blocking calcium entry into the muscle cells of the vessels, preventing them from tightening. It also helps calm the nervous system signals that can raise blood pressure, leading to a more stable and controlled lowering of blood pressure.
  
  - Telmisartan: This blocks a hormone receptor that normally causes blood vessels to narrow. By blocking this receptor, telmisartan helps keep the vessels open and flexible, reducing resistance and allowing blood to flow more easily.
  
  Together, these ingredients complement each other by addressing different pathways that cause blood vessel constriction, leading to better blood pressure control and protecting organs like the heart and kidneys from damage.

Faq for medicine:
• What is Cilacar 10 Tablet used for?
  Cilacar 10 Tablet is mainly used to treat high blood pressure (hypertension) and to reduce the risk of heart-related problems such as heart attack, stroke, and chest pain (angina). It helps relax and widen blood vessels, improving blood flow and lowering blood pressure.
  
  How should I take Cilacar 10 Tablet?
  Take Cilacar 10 Tablet exactly as your doctor prescribes, usually once a day. Swallow the tablet whole with a glass of water. You can take it with or without food, but try to take it at the same time each day to keep the medicine working consistently.
  
  What are the common side effects of Cilacar 10 Tablet?
  Some common side effects you might experience include dizziness, flushing (warmth or redness in the face), swelling in the legs or ankles, headache, tiredness, and nausea. If these side effects persist or worsen, contact your healthcare provider.
  
  What should I do if I miss a dose of Cilacar 10 Tablet?
  If you forget to take a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed one—do not take two doses at the same time. Always follow your doctor’s instructions about missed doses.
  
  Are there any important precautions I should take while using Cilacar 10 Tablet?
  Before starting, tell your doctor if you have any liver or kidney problems, low blood pressure, swelling, or heart failure. Avoid drinking alcohol because it can increase the blood pressure-lowering effect. Do not stop taking the medication suddenly without consulting your doctor, as this may worsen your condition.
  
  Can I drive or operate machinery while taking Cilacar 10 Tablet?
  Cilacar 10 Tablet may cause dizziness or lightheadedness, especially when you first start taking it. Do not drive or operate heavy machinery until you know how the medicine affects you. If you feel dizzy, getting up slowly from sitting or lying down can help prevent falls.

Medicine interaction:
• It is very important to tell your doctor about all the medications, supplements, and herbal products you are taking before starting Cilacar 10 Tablet. This helps avoid potential interactions that can affect how the medicine works or increase side effects.
  
  Here is a list of potential interactions with Cilacar 10 Tablet explained simply:
  
  - Antihypertensive medications (other blood pressure drugs): Taking Cilacar with other blood pressure medicines can increase the risk of very low blood pressure, causing dizziness or fainting.
  
  - Antipsychotic drugs (e.g., amisulpride): These can also lower blood pressure and may enhance Cilacar’s blood pressure-lowering effects, potentially causing hypotension.
  
  - Antidiabetic medicines: Cilacar may increase the risk of low blood sugar (hypoglycemia) when taken with diabetes drugs.
  
  - Certain antibiotics (macrolides like erythromycin and troleandomycin): These can increase Cilacar levels in your body, raising the chance of side effects.
  
  - Antifungal medications (like ketoconazole): Similar to some antibiotics, antifungals can increase Cilacar concentration, enhancing side effects risk.
  
  - Ciclosporin (an immunosuppressant): May interact and cause reduced effectiveness or increased side effects.
  
  - Nonsteroidal anti-inflammatory drugs (e.g., aceclofenac): These can increase the risk of elevated potassium levels and may affect kidney function when combined with Cilacar.
  
  - Grapefruit and grapefruit juice: Consuming grapefruit products can raise Cilacar blood levels, increasing side effects and risks.
  
  Always inform your healthcare provider about your complete medication list so they can monitor or adjust treatment to keep you safe and ensure the best efficacy. Avoid grapefruit products while taking Cilacar unless your doctor says otherwise.