CIPLAR 40 MG TABLET
Generic : Propranolol (40mg)
Treatment : Pheochromocytoma , Hypertension ( High Blood Pressure) Prevention Of Migraine , Anxiety , Arrhythmia Prevention Of Heart Attack , Prevention Of Angina (heart-related Chest Pain) ,tremors
Pack size : 15 (Tablet)
Manufacturer : Cipla Ltd
Made In : INDIA
PRODUCT INTRODUCTION
Ciplar 40 Tablet helps decrease anxiety and relieve tremors. It is also used to help prevent migraine, heart-related chest pain (angina), and bleeding in the stomach caused by high blood pressure in the liver (portal hypertension).
Ciplar 40 Tablet may also be used to treat high blood pressure and some types of abnormal heartbeat (arrhythmia). The dose will depend on what you are being treated for and how you respond to the medicine. You should always take it as prescribed by the doctor. It should be taken on an empty stomach and at about the same time each day. You should keep taking it even if you feel well, as you are still getting the benefits. If you stop taking it suddenly, your condition may worsen.
You should not use this medicine if you have asthma, very slow or uneven heartbeats, or a serious heart condition, including heart failure. Talk to your doctor before taking it if you have kidney or liver problems or chronic obstructive pulmonary disease (COPD). In terms of lifestyle, alcohol may affect the way this medicine works and should be avoided. You should not drive if this medicine makes you feel dizzy. Ask your doctor whether it is safe to take this medicine if you are pregnant or breastfeeding.
BENEFITS OF CIPLAR TABLET
In Treatment of Pheochromocytoma
While carrying out surgery for the removal of pheochromocytoma, there is a risk of abnormally high blood pressure. Ciplar 40 Tablet blocks the effect of some chemicals on your heart and blood vessels. This slows down the heart rate and helps the heartbeat with less force thereby lowering your blood pressure. It is used for the immediate reduction of very high blood pressure (hypertensive emergency). Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems.
In Treatment of Hypertension (high blood pressure)
Ciplar 40 Tablet 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.
In Prevention of migraine
Ciplar 40 Tablet helps improve the flow of blood in your brain and prevents abnormal activity of muscles that triggers migraines. It is a very effective medicine for preventing migraine attacks, however, it does not treat an attack that has already started. By preventing and reducing the frequency of migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life.
In Treatment of Anxiety
Ciplar 40 Tablet stops your brain from releasing the chemicals that make you feel anxious so it can reduce the symptoms of excessive anxiety and worry. It can also reduce feelings of restlessness, tiredness, difficulty concentrating, feeling irritable and sleep problems that often come with Anxiety Disorder. Ciplar 40 Tablet will therefore help you go about your daily activities more easily and be more productive. Keep taking this medicine even if you feel well. Stopping suddenly can cause serious problems.
In Treatment of Arrhythmia
Ciplar 40 Tablet is used to stabilize heart rate. It helps in normalizing an abnormal heart rhythm, preventing it occurring in the first place or slowing down the heart rate during an episode.
In Prevention of Heart attack
Ciplar 40 Tablet helps lower your blood pressure and make it easier for your heart to pump blood around your body. This reduces the chances of you having a heart attack. It can also reduce the risk of dying if it is given immediately after a heart attack. This medicine needs to be taken regularly to be effective, so keep taking it even if you feel well. Do not stop without talking to your doctor.
In Prevention of Angina (heart-related chest pain)
Ciplar 40 Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively.
In Treatment of Tremors
Ciplar 40 Tablet helps improve the flow of blood and prevents abnormal activity of muscles that trigger tremors. This medicine can therefore enhance the quality of life by improving the ability to carry out daily functions in a better manner.
HOW TO USE CIPLAR 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. Ciplar 40 Tablet is to be taken empty stomach.
Avoid Ciplar 40 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.
Avoid Ciplar 40 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.
HOW CIPLAR TABLET WORKS
Ciplar 40 Tablet contains Propranolol, a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for the heart to pump blood around the body. This prevents arrhythmias. It also widens the blood vessels in the body for better blood flow, thereby preventing angina as well as migraine. The exact mechanism by which it prevents tremors is not known, but experts believe that Ciplar 40 Tablet helps block the nerve impulses to the muscles responsible for tremors. Propranolol helps block the effects of the chemical messengers namely, adrenaline and noradrenaline, that are produced by the brain and are responsible for increasing your heart rate which makes you feel anxious. This way it helps with anxiety. While treating pheochromocytoma, Ciplar 40 Tablet may be given to block the action of high-adrenaline hormones, to lower the risk of developing dangerously high blood pressure during surgery for removing the tumor.
SAFETY ADVICE
Alcohol
UNSAFE
It is unsafe to consume alcohol with Ciplar 40 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Ciplar 40 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Ciplar 40 Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Ciplar 40 Tablet may cause side effects which could affect your ability to drive.
Ciplar 40 Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Ciplar 40 Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
Ciplar 40 Tablet is safe to use in patients with kidney disease. No dose adjustment of Ciplar 40 Tablet is recommended.
However, inform your doctor if you have any kidney disease. Ciplar 40 Tablet may be started with a low dose and then increased further. Regular monitoring of blood pressure is advisable for dose adjustment.
However, inform your doctor if you have any kidney disease. Ciplar 40 Tablet may be started with a low dose and then increased further. Regular monitoring of blood pressure is advisable for dose adjustment.
Liver
CAUTION
Ciplar 40 Tablet should be used with caution in patients with liver disease. Dose adjustment of Ciplar 40 Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.
Regular monitoring of blood pressure is advisable for dose adjustment.
Interaction with drugs
Using the below medicines along with Ciplar Tablet may reduce the efficacy or cause side effects.
- Teneligliptin : (SERIOUS)
- Paroxetine : (SERIOUS)
- Voglibose : (SERIOUS)
- Gliclazide : (SERIOUS)
- Metformin : (SERIOUS)
- Haloperidol : (SERIOUS)
- Loxapine : (SERIOUS)
- Glimepiride : (SERIOUS)
- Pimozide : (SERIOUS)
- Acarbose : (SERIOUS)
WHAT IF YOU FORGET TO TAKE CIPLAR TABLET?
If you miss a dose of Ciplar 40 Tablet, 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.
SIDE EFFECTS
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
Common side effects of Ciplar
- Tiredness
- Weakness
- Raynaud’s phenomenon
- Arrhythmia (irregular heartbeats)
- Nausea
- Vomiting
- Diarrhea
FAQ's
Q. My doctor has prescribed Ciplar 40 Tablet even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?
Yes, it is possible that your doctor prescribed Ciplar 40 Tablet for chest pain (angina). Ciplar 40 Tablet is a beta-blocker that is used to lower high blood pressure, prevent angina, treat or prevent heart attacks or reduce your risk of heart problems following a heart attack. Ciplar 40 Tablet is also used to treat irregularities in the heartbeat, including those caused by anxiety, essential tremor (shaking of the head, chin and hands). It also prevents migraine headaches, overactive thyroid (thyrotoxicosis and hyperthyroidism), and bleeding in the food pipe caused by high blood pressure.
Q. When can I expect relief in my symptoms after starting Ciplar 40 Tablet for high blood pressure?
Ciplar 40 Tablet usually starts working within a few hours of taking it. However, it may take up to a week to see the full benefits of the symptoms of high blood pressure or heart conditions. You may not notice any difference, but that does not mean it is not working. However, keep taking this medicine as prescribed by your doctor because you will still be getting its full benefits.
Q. Can Ciplar 40 Tablet be used in asthmatics?
No, Ciplar 40 Tablet cannot be used in asthmatics. This is because using Ciplar 40 Tablet in asthma patients can cause breathing problems, which may trigger an asthma attack. Always inform your doctor if you have or ever had asthma or any episodes of difficulty breathing, before starting treatment with Ciplar 40 Tablet.
Q. What if I take an overdose of Ciplar 40 Tablet?
If you take an overdose of Ciplar 40 Tablet you may experience symptoms such as slow heartbeat, trembling, difficulty breathing, or dizziness. However, the response of taking too much of Ciplar 40 Tablet varies from person to person. It would be best to consult a doctor if you think you have taken more than what you are prescribed.
Q. Can I stop taking Ciplar 40 Tablet as my chest pain is under control?
No, you should not stop taking Ciplar 40 Tablet suddenly because that may worsen your angina or may cause a heart attack. Tell your doctor and if there is a need to stop Ciplar 40 Tablet, your doctor will reduce your dose gradually over a period of a few weeks.
Q. Does Ciplar 40 Tablet relieve anxiety?
Yes, Ciplar 40 Tablet helps relieve the symptoms of anxiety such as irritability, restlessness, excessive worry, lack of concentration, racing or unwanted thoughts, fatigue, insomnia (lack of sleep), palpitations (irregular heart rate), or trembling. The dose and duration of taking Ciplar 40 Tablet will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Ciplar 40 Tablet is usually given for the short-term treatment of anxiety. If you have any doubts, consult your doctor.
Q. What other lifestyle changes should I make while taking Ciplar 40 Tablet?
Lifestyle changes play a major role in keeping you healthy if you are taking Ciplar 40 Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables, and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Ciplar 40 Tablet and to keep yourself healthy.
Q. Is Ciplar 40 Tablet effective?
Ciplar 40 Tablet is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Ciplar 40 Tablet too early, the symptoms may return or worsen.
Q. What if I forget to take a dose of Ciplar 40 Tablet?
If you forget a dose of Ciplar 40 Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose at the prescribed time. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.
Q. Is Ciplar 40 Tablet safe?
Ciplar 40 Tablet is safe if used in the dose and duration advised by your doctor. Take it exactly as directed and do not skip any dose. Follow your doctor’s instructions carefully and let your doctor know if any of the side effects bother you.
Q. I have been on Indomethacin for several months. Will it be a problem if I start taking Ciplar 40 Tablet along with it?
Yes, Indomethacin may interfere with the working of Ciplar 40 Tablet and make it less effective. As a result, your blood pressure may increase. Speak to your doctor who will prescribe you a different medicine to control blood pressure.
ADDITIONAL INFORMATION
Pack size – 15
Pack form – tablet
Weight – 12 (gms)
Dimensions – 2.5 (cm) x 2.5 (cm) x 3.5 (cm)
MORE INFORMATION
Information Leaflet
Always read the patient information leaflet before commencing treatment.
Important: We advise you to always read the patient information leaflet inside the medication box, as the generic medication may not always entirely match the patient information leaflet listed. Please contact us if you have any questions.
