Introduction About CIPLAR LA 20MG TABLET
CIPLAR
LA 20MG TABLET contains Propranolol which belongs to the group of
medicines called Beta blockers. It is used to manage hypertension,
angina and arrhythmia (irregular heart rhythm). It can also be used to
control abnormal increase in blood pressure and/or heart rate caused due
to various underlying conditions such as anxiety, overactive thyroid
gland, phaeochromocytoma (tumours of adrenal gland) or Hypertrophic
Subaortic Stenosis (thickening of heart muscles).
CIPLAR LA 20MG
TABLET primarily exerts its effects on the heart and improves blood
circulation to the heart and to other parts of body. Therefore, it can
also be used to manage heart attacks and migraine headaches. It also
controls shakiness of the body by blocking abnormal nerve signals
between the brain and the muscles. Before taking CIPLAR LA 20MG TABLET
inform your doctor if you have any liver or kidney problems. You must
also inform your doctor if you have any other types of anginas (unstable
or Prinzmetal angina) or arrhythmia (such as Wolf-Parkinson-White
Syndrome), any breathing problems, or diabetes as a precaution.
CIPLAR
LA 20MG TABLET is not recommended for use in patients with severe
asthma, hypotension or shock. It is also not suitable for use in
patients with heart block, history of heart attack or heart failure. Do
not take CIPLAR LA 20MG TABLET without consulting your doctor if you are
pregnant or breastfeeding women. The most common side effects of taking
CIPLAR LA 20MG TABLET are cold fingers and toes, slow heartbeat,
tiredness, sleep disturbances and Raynaud’s syndrome (numbness and spasm
in the fingers followed by warmth and pain). Consult your doctor if any
of the side effect troubles you.
Uses Of CIPLAR LA 20MG TABLET
It is used to:
- manage hypertension (high blood pressure)
- manage angina pectoris (chest pain)
- manage arrhythmia (irregular heart rhythm)
- reduce migraine (severe headache on side of the head)
- reduce tremor (shakiness) and anxiety
- reduce gut bleeding (caused due to high blood pressure in the liver)
It can also be used to manage signs and symptoms associated with:
- overactive thyroid gland (such as palpitation, nervousness, tremor, fixed stare, severe myopathy and sweating)
- phaeochromocytoma (high blood pressure and fast heart rate caused due to tumour of adrenal glands)
- hypertrophic subaortic stenosis (thickening of heart muscles causing strain on heart while pumping blood)
How CIPLAR LA 20MG TABLET Works
CIPLAR
LA 20MG TABLET is a beta-blocker works by blocking the actions of
certain chemical messengers (such as adrenaline and noradrenaline) in
our body that controls the function of the heart, brain and kidneys and
lungs. In the heart, stopping the actions of these chemical messengers
reduces the heart rate and force of contraction. This helps to control
abnormal heart rate in patients suffering from arrhythmia. It can also
reduce the risk of abnormal heart signs (such as racing heartbeat,
nervousness and high blood pressure) associated with phaeochromocytoma
or anxiety. CIPLAR LA 20MG TABLET can relax the blood vessels supplying
the heart and the brain. This action improves blood flow and oxygen
supply to the heart and makes the heart to pump blood more efficiently
with less pressure. It also helps in managing and managing problems
caused due to poor blood circulation such as chest pain (angina), heart
attack or migraine. Additionally, CIPLAR LA 20MG TABLET reduces the
production of thyroid hormones (triiodothyronine) in patients suffering
from overactive thyroid gland. It also stops the transfer of abnormal
nerve signals between the brain and the muscles which helps in reducing
tremors.
How to use CIPLAR LA 20MG TABLET
Take
CIPLAR LA 20MG TABLET as directed by your physician. Swallow the
medicine with a glass of water. Do not crush or chew the medicine. Your
doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and health condition. Do not stop
taking CIPLAR LA 20MG TABLET unless advised by your doctor.
Side Effects Of CIPLAR LA 20MG TABLET
Common
- fingers and toes may become cold
- slow heartbeat
- signs of Raynaud’s syndrome (numbness and spasm in the fingers followed by warmth and pain)
- sleep disturbances, nightmares
- fatigue (tiredness)
Uncommon
- nausea, vomiting, diarrhoea
Rare
- dizziness while standing up
- hair loss
- changes in mood, confusion and memory loss
- signs of mind disturbances (psychosis or hallucinations)
- tingling or pricking sensation of body parts
- vision disturbances and dry eyes
Stop
taking CIPLAR LA 20MG TABLET and contact your doctor immediately if you
experience any of the following side effects such as:
- signs
of allergic reactions (such as skin rash, swelling of the face, lips,
mouth, or throat which can lead to difficulty in breathing or
swallowing) - slow heart rate and low blood pressure causing dizziness, light-headedness, fainting or blurred vision
- worsening of existing condition
How To Manage Side Effects
Dizziness Or Drowsiness
Try
to rest and relax. Get enough sleep. Avoid driving or operating any
tools or machines completely while you are feeling dizzy. Do not consume
excessive alcohol, as it could aggravate your dizziness. Consult your
doctor if your dizziness worsens.
Nausea And Vomiting
Take
CIPLAR LA 20MG TABLET with or just after a meal or a snack. Stick to
simple meals. Avoid eating rich or spicy food. Consult your doctor if
your nausea worsens.
Sleep Disturbances
Practicing
good sleep practices such as having a regular bedtime schedule,
avoiding naps in the daytime, limiting caffeine and TV before bedtime
can help you to sleep peacefully. If the symptom does not improve,
consult your doctor.
Warning & Precautions
Pregnancy
Monitoring required
CIPLAR
LA 20MG TABLET is generally not recommended for use in pregnant women
unless considered necessary by the physician, as it may harm the growing
baby. Therefore, inform your doctor before taking CIPLAR LA 20MG TABLET
if you are pregnant, think you might be pregnant or planning to have a
baby.
Breastfeeding
Use with Caution
CIPLAR
LA 20MG TABLET may excrete in breast milk. Therefore, it should be used
with caution in breastfeeding women. Consult your doctor for advice
before taking it.
Driving and Using Machines
Use with Caution
CIPLAR
LA 20MG TABLET is unlikely to affect your ability for driving or
handling any heavy tools or machines. However, if your experience any
dizziness or drowsiness, do not drive or handle any heavy tools or
machines as a precaution.
Alcohol
Consult your doctor
Avoid consumption of alcohol while taking CIPLAR LA 20MG TABLET as it might make you feel dizzier and drowsier.
Kidney
Use with Caution
CIPLAR
LA 20MG TABLET should be used with caution in patients with kidney
problems. Therefore, consult your doctor before taking it.
Liver
Use with Caution
CIPLAR
LA 20MG TABLET should be used with caution in patients with liver
problems. Therefore, consult your doctor before taking it.
Allergy
Contraindicated
Do not take CIPLAR LA 20MG TABLET if you are allergic to Propranolol or any other ingredients of this medicine.
Lungs
Consult your doctor
CIPLAR
LA 20MG TABLET is not recommended for use in patients suffering from
asthma. It should be used with caution in patients with other
respiratory problems (such as chronic bronchitis, emphysema, COPD or
bronchospasm). Therefore, consult your doctor before taking it.
Heart Disease
Consult your doctor
CIPLAR
LA 20MG TABLET is not recommended for use in patients with sinus
bradycardia (slow heart beat due to problems in SA nodes), heart block,
congestive heart failure or heart defects. It should be used with
caution in patients with a previous history of heart failure or other
heart problems. Therefore, consult your doctor before taking it.
Use In Pediatrics
Consult your doctor
The
safety and effectiveness of CIPLAR LA 20MG TABLET have not been
established in children and adolescents (aged below 18 years).
Therefore, it should be used in children only if prescribed by the
physician.
Use In Geriatrics
Use with Caution
CIPLAR
LA 20MG TABLET should be used with caution in elderly patients (aged
above 65 years). Therefore, consult your doctor before taking it.
Others
CIPLAR LA 20MG TABLET is not recommended for use if you:
- have cardiogenic shock (heart cannot pump blood suddenly)
- have hypertensive emergency crisis (abnormal increase in blood pressure which is severe)
- have very low blood pressure
- have can increased acidity of the blood (metabolic acidosis)
- are on a strict fasting diet
- suffer from other forms of angina (Prinzmetal’s angina)
Before taking CIPLAR LA 20MG TABLET, inform your doctor if you:
- have diabetes
- suffer from unstable angina (chest pain that occurs in the absence of any stressful activity)
- are going for glaucoma screening test
- have muscle weakness (myasthenia gravis)
- are planning for any major surgery
- have other types of arrhythmias (such as Wolf-Parkinson-White Syndrome)
- have any bleeding problems
- have stroke or any circulatory problems
- have swollen ankles
Interactions
A. Drug-Drug interactions:
Before taking CIPLAR LA 20MG TABLET, inform your doctor if you are taking any of the following medicine such as:
- other
medicines used in the management of hypertension and other heart
problems (Ex. nifedipine, nisoldipine, nicardipine, isradipine,
lacidipine, verapamil, diltiazem, hydralazine, clonidine, enalapril,
lisinopril, ramipril, disopyramide, quinidine, amiodarone, isoprenaline,
dobutamine, propafenone and digoxin) - alpha blockers (used to manage hypertension and BPH) Ex. prazosin, doxazosin
- reserpine
- lignocaine (used to locally numb body parts)
- adrenaline (a medicine that can stimulate the heart)
- ibuprofen and indomethacin (medicine used to relieve pain and inflammation)
- medicines used to manage migraine headaches (Ex. ergotamine, dihydroergotamine or rizatriptan)
- medicine used in the management of mental illness (Ex. chlorpromazine, thioridazine, haloperidol)
- cimetidine, aluminium hydroxide gel (medicine used for stomach problems)
- rifampicin (a medicine used to manage tuberculosis infection)
- medicines used to manage fits (Ex. phenytoin)
- theophylline (a medicine used to manage asthma)
- warfarin (a medicine that manages blood clot formation)
- fingolimod (a medicine used to manage multiple sclerosis)
- barbiturates (medicine used to reduce anxiety and to induce sleep) Ex. phenobarbitone, pentobarbitone
- medicines used to manage depression (Ex. isocarboxazid, phenelzine, Selegiline, fluvoxamine and Tranylcypromine)
- methoxyflurane and trichloroethylene (used as anaesthetic agents)
- thyroxine (a medicine used to manage thyroid deficiency)
Overdosage:
If
you or anyone else accidentally took more of CIPLAR LA 20MG TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms
of overdose might include slow heartbeat, low blood pressure, breathing
difficulties with symptoms such as fatigue, hallucinations, tremors,
confusion, nausea, vomiting, body spasms and fainting.
Synopsis
| Drug | :Â Â | Propranolol |
| Pharmacological Category | :Â Â | Beta blockers |
| Therapeutic Indication | :  | Hypertension, angina pectoris, atrial fibrillation, migraine, tremor and anxiety, thyrotoxicosis, phaeochromocytoma      |
| Dosage Forms | :Â Â | Tablet, Capsule, Injection |
More Information
Storage
- Keep CIPLAR LA 20MG TABLET out of reach of children
- Store at room temperature
FAQs About CIPLAR LA 20MG TABLET
Q: Can CIPLAR LA 20MG TABLET used in asthmatic patients?
A:
No, CIPLAR LA 20MG TABLET cannot be used in patients suffering from
asthma. This is because using it can cause breathing problems, which may
trigger an asthma attack. Always inform your doctor if you have or ever
had asthma or any kind of difficulty breathing difficulty, before
starting management with CIPLAR LA 20MG TABLET.
Q: Does CIPLAR LA 20MG TABLET make you feel sleepy?
A:
CIPLAR LA 20MG TABLET can occasionally cause dizziness or tiredness
while taking it. Don’t drive, use machinery, or perform any activities
that require alertness. If this occurs to you, consult your doctor for
opinion.
Q: Should we take CIPLAR LA 20MG TABLET before or after food?
A: CIPLAR LA 20MG TABLET should preferably be taken before meals. It should be swallowed with a drink of water.
Q: When can I expect relief in my symptoms after taking CIPLAR LA 20MG TABLET?
A:
CIPLAR LA 20MG TABLET usually starts working within a few hours of
taking it. However, to notice considerable changes in the symptoms of
high blood pressure or heart conditions, it may take a week. You will
not be able to notice any difference, but that does not mean it is not
working. However, keep taking CIPLAR LA 20MG TABLET as prescribed by
your doctor to get its full benefits.
Q: What are the uses of CIPLAR LA 20MG TABLET?
A:
CIPLAR LA 20MG TABLET It is used to manage hypertension, angina and
arrhythmia. It can also be used to manage signs and symptoms associated
with anxiety, overactive thyroid gland, phaeochromocytoma or
Hypertrophic Subaortic Stenosis. It can manage heart attacks and
migraine headaches and reduce tremors.
Q: What type of a medicine is CIPLAR LA 20MG TABLET?
A:
CIPLAR LA 20MG TABLET is a beta-blocker. It works by blocking the
actions of certain chemical messengers (such as adrenaline and
noradrenaline) in our body that controls the function of the heart,
brain and kidneys and lungs. This helps in normalizing heart functions,
migraine, anxiety and tremors. It also reduces heart signs associated
with anxiety, overactive thyroid gland, phaeochromocytoma or
Hypertrophic Subaortic Stenosis.
Q: Can CIPLAR LA 20MG TABLET reduce anxiety?
A Yes. CIPLAR LA 20MG TABLET helps to control racing heartbeat and nervousness associated with anxiety.
Q: What happens when I stop taking CIPLAR LA 20MG TABLET?
A:
Do not stop taking CIPLAR LA 20MG TABLET without consulting your doctor
as your symptoms may re-appear once again. Make sure to take CIPLAR LA
20MG TABLET for the stipulated duration recommended by your doctor to
achieve maximum results.
Q: What is the best time to take CIPLAR LA 20MG TABLET?
A:
CIPLAR LA 20MG TABLET is preferably taken before meals. Your doctor
will decide the best time for you to take CIPLAR LA 20MG TABLET based on
your age, body weight and disease condition.
Q: What to do if I forgot to take a dose of CIPLAR LA 20MG TABLET?
A:
If you forgot to take a dose of CIPLAR LA 20MG TABLET, take it as soon
as you remember. However, if it is time for the next dose of CIPLAR LA
20MG TABLET, skip the missed dose and take the next one regularly. Do
not take a double dose of CIPLAR LA 20MG TABLET to compensate the missed
ones.
| Weight | 25 g |
|---|
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