Cilnikem Ct 12.5

Composition of Cilnikem Ct 12.5

Cilnikem Ct 12.5 contains Chlorthalidone + Cilnidipine. It belongs to the Water tablet and Calcium channel blocker class of medicines.

Uses of Cilnikem Ct 12.5

• This medicine is used in the treatment of high blood pressure
• heart failure
• fluid retention and angina.

Key benefits

• Relieves swelling and breathlessness caused by fluid
• Long-established blood pressure treatment
• Inexpensive and once daily
• Effective and well tolerated for long-term blood pressure control
• Useful in angina as well as hypertension
• Usually taken once a day

How Cilnikem Ct 12.5 works

This medicine combines 2 active ingredients: Chlorthalidone and Cilnidipine. Chlorthalidone helps your kidneys remove surplus salt and water, which reduces swelling and lowers blood pressure. Cilnidipine relaxes the muscle in the walls of your blood vessels so they widen, which lowers blood pressure and eases the work of the heart.

How to take Cilnikem Ct 12.5

Use this medicine as your doctor has directed. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause severe dehydration, a sharp fall in blood pressure and dangerous salt imbalances. It can cause a severe fall in blood pressure and a dangerously slow or irregular heartbeat. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Cilnikem Ct 12.5

Most side effects of Cilnikem Ct are mild and settle as the body adjusts. Reported side effects include:

• Passing urine more often
• Dizziness on standing up
• Low potassium or sodium
• Muscle cramps
• Raised uric acid
• Thirst
• Swelling of the ankles and feet
• Flushing
• Headache
• Palpitations
• Dizziness
• Tiredness

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Cilnikem Ct 12.5

Warnings and precautions

Take it in the morning so that passing urine does not disturb your sleep. Your doctor will check your salts and kidney function with blood tests — do not skip them. Report muscle cramps, marked weakness, confusion or an irregular heartbeat; these can be signs your potassium or sodium has fallen. In hot weather or during an illness with vomiting or loose motions, tell your doctor — you may become dehydrated quickly. Ankle swelling is the commonest reason people stop this medicine — tell your doctor, as there are ways to manage it. Tell your doctor if your chest pain becomes more frequent or more severe after starting. Swollen, tender or overgrown gums should be reported; good brushing and regular dental care reduce the risk.

Do not take Cilnikem Ct if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people who are unable to pass urine, or who are severely dehydrated. Not for people with very low blood pressure or with severe narrowing of the aortic valve.

Interactions with other medicines

Anti-inflammatory painkillers blunt the effect and can strain the kidneys. Lithium and digoxin levels are affected; tell your doctor if you take either. Potassium-sparing types must not be combined with potassium supplements without supervision. Grapefruit juice raises the level of some of these medicines in the blood — avoid it. Tell your doctor about other blood pressure medicines, and about simvastatin in particular.

How to store Cilnikem Ct 12.5

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Cilnikem Ct 12.5

Weigh yourself at the same time each day if you have heart failure, and report a rapid gain. Do not add extra salt, and ask before using a potassium-based salt substitute. Raising your legs when sitting, and reducing salt, helps with ankle swelling. Do not stop suddenly without asking your doctor.

Manufacturer and class

Manufacturer:

ALKEM LAB

Therapeutic class:

Diuretic and Anti-hypertensive

Drug class:

Water tablet and Calcium channel blocker