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Twinblok-T 40 Tablet

Tablet
Rs.194for 1 strip(s) (15 tablets each)
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Composition FOR Twinblok-T

Cilnidipine(10mg),Telmisartan(40mg)

food interaction for Twinblok-T

alcohol interaction for Twinblok-T

pregnancy interaction for Twinblok-T

lactation interaction for Twinblok-T

food
alcohol
pregnancy
lactation
Twinblok-T 40 Tablet may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
It is unsafe to consume alcohol with Twinblok-T 40 Tablet.
UNSAFE
Twinblok-T 40 Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
CONSULT YOUR DOCTOR
Information regarding the use of Twinblok-T 40 Tablet during breastfeeding is not available. Please consult your doctor.
CONSULT YOUR DOCTOR

SALT INFORMATION FOR Twinblok-T

Cilnidipine(10mg)

Uses

Cilnidipine is used in the treatment of Hypertension (high blood pressure), Angina (heart-related chest pain), Arrhythmia, hypertensive emergency, subarachnoid haemorrhage, anal fissure, heart attack and stroke.

How it works

Cilnidipine is a calcium channel blocker. It lowers blood pressure by relaxing blood vessels, which makes the heart more efficient at pumping blood throughout the body.

Common side effects

Flushing (sense of warmth in the face, ears, neck and trunk), Headache, Dizziness, Palpitations, Abdominal pain, Peripheral edema, Gingival hyperplasia, Insomnia (difficulty in sleeping), Gastrointestinal disturbance
Telmisartan(40mg)

Uses

Telmisartan is used in the treatment of Hypertension (high blood pressure), prevention of heart attack and stroke, fever and Heart failure.

How it works

Telmisartan is an angiotensin receptor blocker (ARB). It relaxes blood vessels by blocking the action of a chemical that usually makes blood vessels tighter. This lowers the blood pressure, allowing the blood to flow more smoothly to different organs and the heart to pump more efficiently..

Common side effects

Tachycardia, Increased sweating, Flushing (sense of warmth in the face, ears, neck and trunk), Fever, Piles, Bronchitis (inflammation of the airways), Joint inflammation, Dryness in mouth, Cystitis, Nausea, Diarrhea, Asthma, Angioedema (swelling of deeper layers of skin), Increased white blood cell count (eosinophils), Low blood platelets, Impotence, Migraine, Upper respiratory tract infection, Back pain, Cough, Hypersensitivity, Sinus inflammation, Skin ulcer, Vertigo, Intermittent claudication, Ringing in ear, Decreased hemoglobin, Increased creatinine level in blood

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Expert advice FOR Twinblok-T

  • 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 Cilnidipine. 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. To reduce the swelling, raise your legs while you are sitting down. Talk to your doctor if it does not go away.
  • It may cause dizziness. Do not drive or perform any activity that requires mental focus until you know how Cilnidipine affects you. 
  • Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding. 
  • You have been prescribed Cilnidipine to improve your blood pressure and/or to reduce the number and severity of angina attacks.
  • Lowering blood pressure reduces the chance of future heart attack and stroke.
  • 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 Cilnidipine. 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. To reduce the swelling, raise your legs while you are sitting down. Talk to your doctor if it does not go away.
  • It may cause dizziness. Do not drive or perform any activity that requires mental focus until you know how Cilnidipine affects you. 
  • Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding. 

Frequently asked questions FOR Twinblok-T

Cilnidipine

Q. What is the use of Cilnidipine?
Cilnidipine is a medicine used to treat high blood pressure. It belongs to a group of medicines which block the calcium channels in the blood vessel. It works by relaxing the blood vessels in patients with high blood pressure. This widens the diameter of the blood vessels which helps the blood to pass through them more easily.
Q. Which is better amlodipine or Cilnidipine?
Both these medicines are used in the treatment of blood pressure and are equally good in effectively reducing the blood pressure. Cilnidipine has also been found to be beneficial in patients with kidney problems as compared to amlodipine. Additionally, while amlodipine may have chances of causing mild ankle swelling, Cilnidipine has been found to have lesser chances of causing ankle swelling, tachycardia and palpitations. Your doctor will suggest either of these after seeing what suits you.
Q. What are the side effects of Cilnidipine?
Cilnidipine is generally well tolerated but sometimes can also be associated with side effects like headache, dizziness, flushing, palpitations, low blood pressure, and stomach problems. It may also cause increased urination, ankle swelling, and lethargy. These side effects are not common in everyone but may occur in some individuals. Do consult your doctor if you notice any side effects after taking this medicine.
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Q. Is Cilnidipine good for patients of high blood pressure with kidney impairment?
Yes, Cilnidipine has been shown to have protective effects on the kidney cells, thereby preventing them from damage. It has also been shown to decrease protein leakage from the kidney in patients who have diabetes as well as high blood pressure.
Q. Should I take Cilnidipine in the morning or at night?
Cilnidipine can be taken anytime of the day. Usually, it is advised to be taken in the morning, but your doctor may advise to take it in the evening as well. You should take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.
Q. How long do I need to take Cilnidipine?
You should keep on taking Cilnidipine for as long as your doctor has recommended you to take it. You may need to take it lifelong. Do not stop taking it, even if you feel well or your blood pressure is well controlled. If you stop taking Cilnidipine, your blood pressure may increase again and your condition may worsen.
Q. What changes can I make to control my blood pressure better?
Lifestyle changes play a major role in keeping you healthy if you are taking Cilnidipine. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practise yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also reduces your stress and hence helps in keeping your blood pressure normal. Stop smoking and taking alcohol as this helps in lowering your blood pressure and helps to prevent heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking Cilnidipine. You should consult your doctor if you need any further help to get maximum benefit of Cilnidipine and to keep healthy.

Telmisartan

Q. Should Telmisartan be taken in the morning or at night?
Telmisartan is generally recommended to be taken once daily, either in the morning or in the evening. Consider taking it at the same time each day as it will help you to remember taking it.
Q. How long does it take for Telmisartan to work?
You may see an improvement within a few days. But, the maximum benefit can be seen within 4-8 weeks of starting treatment.
Q. My blood pressure is now controlled. Can I stop taking Telmisartan now?
No, do not stop taking Telmisartan without consulting your doctor even if your blood pressure is controlled. Stopping it suddenly may increase your blood pressure which could be detrimental for you. Telmisartan does not cure high blood pressure but controls it. So, you may have to take the medicine lifelong. Talk to your doctor if you have any concerns.
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Q. Can the use of Telmisartan cause hyperkalemia (increased potassium level in blood)?
Yes, Telmisartan can cause hyperkalemia (increased potassium level in blood). A regular monitoring of blood potassium levels may be advised by your doctor while taking this medicine.
Q. If I have some kidney problem, can I take Telmisartan? Can it further deteriorate my kidney function?
You can take Telmisartan if it has been advised by your doctor. Your doctor may ask you to get regular tests done (potassium and creatinine levels) in order to monitor your kidney function. Telmisartan may cause worsening of kidney function, therefore you should contact your doctor in case you notice swelling in your feet, ankles, or hands or unexplained weight gain.
Q. I am overweight and the doctor has prescribed me Telmisartan for blood pressure control. I am bothered that Telmisartan can increase my weight. Is it true?
No, do not worry since Telmisartan is not known to cause weight gain. In fact in animal studies Telmisartan has been found to decrease fat tissue.
Q. Does Telmisartan affect blood glucose levels in diabetics?
Telmisartan may lower blood glucose levels in patients with diabetes. Therefore, it is essential to keep a regular track of your blood glucose levels. Talk to your doctor if you are a diabetic because the dose of insulin or antidiabetic medicines may need adjustment.
Q. Do I need to follow any precautions if I take ibuprofen and Telmisartan together?
If you are taking ibuprofen and Telmisartan together, you should continuously keep a check on your blood pressure and kidney function. Telmisartan may enhance the side effects of ibuprofen which may further cause water retention, especially in patients taking Telmisartan for heart failure. Ibuprofen may interfere with the working of Telmisartan and decrease its efficiency at lowering blood pressure.
Q. Does Telmisartan work by causing excessive urination?
No, Telmisartan does not cause excessive urination and does not belong to the diuretic class of medicines. Telmisartan works by relaxing the blood vessels by blocking the effect of a substance known as angiotensin II. This substance is responsible for increasing the blood pressure by narrowing down the blood vessels.

Content on this page was last updated on 11 November, 2024, by Dr. Varun Gupta (MD Pharmacology)