Dilnip Tm 25 Tablet

Composition of Dilnip Tm 25 Tablet

Dilnip Tm 25 Tablet contains Cilnidipine (10mg) + Metoprolol Succinate (25mg) + Telmisartan (40mg). It belongs to the Calcium channel blocker, Beta blocker and Angiotensin receptor blocker / ACE inhibitor class of medicines.

Uses of Dilnip Tm 25 Tablet

Hypertension (high blood pressure)

Key benefits

• In Hypertension (high blood pressure) Dilnip TM 10mg/25mg/40mg Tablet ER relaxes 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. You should take it regularly as prescribed for this medicine to be most effective
• even if you feel better. This medicine is especially beneficial for patients with coexisting heart conditions like stable coronary artery disease (CAD) or those who remain uncontrolled on dual therapy.

How Dilnip Tm 25 Tablet works

Dilnip TM 10mg/25mg/40mg Tablet ER is a combination of three medicines: cilnidipine, metoprolol, and telmisartan. Cilnidipine is a calcium channel blocker (CCB), and telmisartan is an angiotensin receptor blocker (ARB). They work by widening and relaxing the blood vessels, thereby lowering blood pressure. Metoprolol is a beta-blocker that works specifically on the heart to slow down the heart rate. They work by different mechanisms to provide better control of blood pressure when single or dual therapy is not effective.

How to take Dilnip Tm 25 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. Dilnip TM 10mg/25mg/40mg Tablet ER should be taken with or after food.

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

If you miss a dose of Dilnip TM 10mg/25mg/40mg Tablet ER, 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.

If you take too much

An overdose of this medicine can cause a severe fall in blood pressure and a dangerously slow or irregular heartbeat. It can cause a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. It can cause a severe fall in blood pressure, with dizziness, fainting and a fast or slow pulse. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Dilnip Tm 25 Tablet

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

• 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

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 Dilnip Tm 25 Tablet

Warnings and precautions

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. Never stop this medicine suddenly. Stopping abruptly can cause a sharp rise in blood pressure, worsening chest pain or a heart attack — your doctor will reduce it gradually. Tell your doctor if you have asthma or long-standing lung disease; this group can tighten the airways. If you have diabetes, be aware that this medicine can mask the early warning signs of low blood sugar, apart from sweating. Report a resting pulse that is persistently very slow, or fainting. Stand up slowly for the first few days — dizziness on rising is common when you start or your dose goes up. Stop and seek urgent care if your lips, tongue, face or throat swell, or you have difficulty breathing. A persistent dry, tickly cough can be caused by the ACE inhibitor group; tell your doctor rather than stopping on your own, as an alternative exists. Your doctor will check your kidney function and potassium after starting and after any dose change. Do not use salt substitutes containing potassium without asking your doctor.

Do not take Dilnip Tm if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with very low blood pressure or with severe narrowing of the aortic valve. Not for people with a very slow heart rate, certain heart block disorders, or uncontrolled heart failure. Generally avoided in severe asthma. Must not be used in pregnancy — it can seriously harm the developing baby. Not for people with narrowing of both kidney arteries, or a history of swelling of the face and throat caused by this group of medicines.

Interactions with other medicines

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. Combining with verapamil or diltiazem can slow the heart dangerously. Tell your doctor about diabetes medicines and about any asthma inhaler. Anti-inflammatory painkillers reduce the effect and can harm the kidneys when combined. Potassium supplements, potassium-sparing water tablets and salt substitutes can push potassium too high. Lithium levels rise when taken with these medicines.

How to store Dilnip Tm 25 Tablet

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

Expert advice for Dilnip Tm 25 Tablet

Dilnip TM 10mg/25mg/40mg Tablet ER is a combination of three medicines that help lower your blood pressure. Lowering high blood pressure helps prevent stroke and heart attack. 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 this medicine. 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. Raise your legs while you are sitting down, and talk to your doctor if it does not go away. It may cause the level of potassium in the blood to go up. Avoid taking potassium supplements and potassium-rich foods such as bananas and broccoli. Do not stop taking Dilnip TM 10mg/25mg/40mg Tablet ER suddenly without talking to your doctor.

Manufacturer and class

Manufacturer:

LUPIN LAB

Therapeutic class:

CARDIAC

Drug class:

Calcium channel blocker, Beta blocker and Angiotensin receptor blocker / ACE inhibitor