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compositionComposition:CILNIDIPINE-10MG+OLMESARTAN MEDOXOMIL-20MG
prescriptionPrescription Medicine
Cilacar O 20 Tablet 10's

Cilacar O 20 Tablet is used to treat high blood pressure (hypertension). It effectively lowers elevated blood pressure and supports better heart function. It is especially helpful for individuals with moderate to severe hypertension or those at high cardiovascular risk since it keeps blood pressure levels within normal ranges, lowering the risk of major problems like heart attack, stroke, heart failure, and kidney damage.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CILNIDIPINE-10MG+OLMESARTAN MEDOXOMIL-20MG

Manufacturer/Marketer :

J B Chemicals & Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Cilacar O 20 Tablet

Cilacar O 20 Tablet is used to treat high blood pressure (hypertension). Hypertension is a medical condition in which blood pressure is elevated persistently in the arteries. It is considered an essential risk factor for cardiovascular diseases.

Cilacar O 20 Tablet consists of Amlodipine and Olmesartan medoxomil. It lowers blood pressure and increases blood flow by preventing vascular narrowing.

Take Cilacar O 20 Tablet as prescribed by your doctor. Cilacar O 20 Tablet may cause side effects such as sleepiness, changes in taste, ankle swelling, headache, dizziness, fatigue, and upset stomach. Most of these side effects do not require medical attention and gradually resolve over time. However, if these side effects persist, please consult your doctor.

If you are known to be allergic to Cilacar O 20 Tablet or any other medicines, please inform your doctor. Pregnant or breastfeeding women should also consult their doctor before taking Cilacar O 20 Tablet . Inform your doctor if you are suffering from kidney, liver, or heart disease, or diabetes. It is advised to complete the prescribed course, even if you feel better.

Uses of Cilacar O 20 Tablet

Cilacar O 20 Tablet is used in the treatment of high blood pressure (hypertension). The detailed uses of Cilacar O 20 Tablet are as follows:

  • Lowers blood pressure effectively: Cilacar O 20 Tablet works by relaxing blood vessels to allow smoother blood flow and reduce pressure.

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Directions for Use

  • Take Cilacar O 20 Tablet with or without food or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with glass of water.
  • Do not crush, break, or chew it.

Key Benefits

  • Reduces blood pressure effectively, particularly in cases of moderate to severe hypertension.
  • Lowers the chance of cardiovascular problems such as heart attacks and strokes.
  • Widens and relaxes blood arteries, improving blood flow.
  • Prevents damage from uncontrolled blood pressure to key organs such as the kidneys, heart, and brain.
  • Has long-lasting effects and helps regulate blood pressure throughout the day.
  • Beneficial for those who don't react well to one antihypertensive medication.
  • May reduce high blood pressure symptoms such as headache, lightheadedness, and exhaustion.

How Cilacar O 20 Tablet Works

Cilacar O 20 Tablet contains olmesartan (angiotensin receptor blocker) and Cilnidipine (calcium channel blocker). • Olmesartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. • Cilnidipine acts by relaxing the blood vessels. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. • Thus, collectively, both help lower high blood pressure, reducing heart attack or stroke chances.

Storage

Store in a cool and dry place away from sunlight
Side effects of Cilacar O 20 Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

What if I have taken an overdose of Cilacar O 20 Tablet

Do not take more than the prescribed dose of Cilacar O 20 Tablet as it may cause overdose. The symptoms of overdose include fainting, severe dizziness, or an unusually fast or slow heartbeat. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

  • Cilacar O 20 Tablet should be taken with caution in patients with liver disease, kidney problems, heart failure, and problems with adrenal glands.
  • You should monitor your blood pressure regularly to make sure the Cilacar O 20 Tablet is working efficiently.
  • Besides this prolonged intake of Cilacar O 20 Tablet can lead to lowering of blood pressure (hypotension). So, daily monitoring of blood pressure is advisable.
  • Speak to your doctor if you experience persistent diarrhoea while on this medication.
  • Inform your doctor about all your ongoing medications, especially if you are taking medicines like Lithium, antacids, medicines used to relieve pain.
  • Also, inform your doctor if you are more than 3 months pregnant.

Drug-Drug Interactions

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Olmesartan medoxomilAliskiren
Critical
Olmesartan medoxomilTriamterene
Severe

Drug-Drug Interactions

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Olmesartan medoxomilAliskiren
Critical
How does the drug interact with Cilacar O 20 Tablet:
Using aliskiren together with olmesartan may increase the risk of serious side effects (kidney problems, low blood pressure, and high potassium levels in the blood).

How to manage the interaction:
Taking Cilacar O 20 Tablet with Aliskiren is not recommended as it can cause an interaction, they can be taken if advised by a doctor. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat.It is crucial that you continue to consume enough fluids while taking these medications. Do not stop using any medications without consulting a doctor.
Olmesartan medoxomilTriamterene
Severe
How does the drug interact with Cilacar O 20 Tablet:
Taking Cilacar O 20 Tablet with triamterene may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm, and cardiac arrest in extreme cases).

How to manage the interaction:
Although taking Cilacar O 20 Tablet with triamterene may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilPerindopril
Severe
How does the drug interact with Cilacar O 20 Tablet:
Coadministration of Cilacar O 20 Tablet with perindopril may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Cilacar O 20 Tablet together with perindopril may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilCaptopril
Severe
How does the drug interact with Cilacar O 20 Tablet:
When Cilacar O 20 Tablet is taken with captopril, it may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Cilacar O 20 Tablet with captopril may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilPotassium iodide
Severe
How does the drug interact with Cilacar O 20 Tablet:
Coadministration of Cilacar O 20 Tablet with potassium iodide may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm, and cardiac arrest in extreme cases).

How to manage the interaction:
Although taking Cilacar O 20 Tablet together with potassium iodide may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is important to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilLisinopril
Severe
How does the drug interact with Cilacar O 20 Tablet:
Coadministration of Cilacar O 20 Tablet with lisinopril may increase potassium levels in the blood.

How to manage the interaction:
Although taking Cilacar O 20 Tablet together with lisinopril may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilEnalapril
Severe
How does the drug interact with Cilacar O 20 Tablet:
Coadministration of Cilacar O 20 Tablet with enalapril can elevate the risk of adverse effects such as low blood pressure, kidney impairment, and hyperkalemia (high blood potassium). Hyperkalemia can cause kidney failure, strong paralysis, abnormal heart rhythm, and cardiac arrest in extreme instances. If you are elderly, dehydrated, or have renal disease, diabetes, or severe heart failure, you are more prone to develop hyperkalemia while taking these medications.

How to manage the interaction:
Although taking Cilacar O 20 Tablet together with enalapril may result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
Olmesartan medoxomilRamipril
Severe
How does the drug interact with Cilacar O 20 Tablet:
Taking ramipril together with olmesartan may increase the risk of side effects (blood pressure, kidney function impairment, and a condition called Hyperkalemia - high blood potassium).

How to manage the interaction:
Although taking Cilacar O 20 Tablet with ramipril may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilTrimethoprim
Severe
How does the drug interact with Cilacar O 20 Tablet:
Taking Cilacar O 20 Tablet with trimethoprim may increase potassium levels in the blood.

How to manage the interaction:
Although taking Cilacar O 20 Tablet with trimethoprim may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilLithium
Severe
How does the drug interact with Cilacar O 20 Tablet:
Taking lithium with Cilacar O 20 Tablet may significantly increase the blood levels of lithium .

How to manage the interaction:
Although taking Cilacar O 20 Tablet alongside lithium can lead to interaction, they can be taken if prescribed by a doctor. However, if you develop sleepiness, dizziness, confusion, loose stools, vomiting, muscular weakness, muscle incoordination, a shaking sensation, blurred vision, ringing in the ears, excessive thirst, and/or increased urination, consult a doctor. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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CILNIDIPINE-10MG+OLMESARTAN MEDOXOMIL-20MGPotassium rich foods
Moderate

Drug-Food Interactions

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CILNIDIPINE-10MG+OLMESARTAN MEDOXOMIL-20MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Tomatoes, Sweet Potatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Coadministration of potassium-containing salt substitutes with Olmesartan medoxomil and Cilnidipine may cause high levels of potassium in blood. Avoid potassium-containing salt substitutes while being treated with Olmesartan medoxomil and Cilnidipine.

Diet & Lifestyle Advise

Healthy eating habits:

  • Reduce your intake of packaged, processed, and fried foods, as they are high in salt.
  • Avoid refined carbs and sweets to support cardiovascular health.

Weight management

  • Increase your intake of fruits, vegetables, healthy grains, and lean proteins while maintaining a calorie-restricted, balanced diet.
  • Most days of the week, partake in regular physical activities like yoga, swimming, cycling, or brisk walking.

Lifestyle changes

  • Reduce tension by using relaxation techniques, deep breathing, or meditation.
  • Avoid alcohol, tobacco, and smoking since they raise your risk of cardiovascular disease.
  • Maintain a consistent sleep pattern and make sure you get enough sleep.

Salt Intake:

  • Control salt intake to no more than 2300 mg per day.

Stress Management:

  • Avoid chronic stress, as it can increase blood pressure levels.
  • Spend quality time with loved ones to promote emotional well-being.
  • Practice mindfulness techniques to help manage daily stress.

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

All Substitutes & Brand Comparisons

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Alcohol

Unsafe

Cilacar O 20 Tablet can lower your blood pressure causing dizziness and drowsiness. It can also cause orthostatic hypotension (sudden fall in blood pressure while standing). So try to avoid intake of Cilacar O 20 Tablet with alcoholic beverages.

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Pregnancy

Unsafe

Cilacar O 20 Tablet is pregnancy risk category D medicine which may cause harm to the fetus or unborn baby. So, when pregnancy is detected, discontinue Cilacar O 20 Tablet as soon as possible and consult the doctor.

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Breast Feeding

Consult your doctor

Cilacar O 20 Tablet passes into the breast milk. But its effect on the baby is not clear. However, contacting the doctor before intake of Cilacar O 20 Tablet is advisable.

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Driving

Unsafe

Cilacar O 20 Tablet may cause side effects that could affect your ability to drive. Taking Cilacar O 20 Tablet may lower your blood pressure

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Liver

Caution

Cilacar O 20 Tablet to be taken with caution, especially if you have a liver disease history. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Kidney

Consult your doctor

Cilacar O 20 Tablet is not recommended in patients with chronic kidney disease (severe renal impairment). Please inform your doctor if you had a history of kidney disease. Your doctor may adjust the dose if required based on your condition.

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Children

Unsafe

Cilacar O 20 Tablet is not recommended in children. The safety and efficacy of Cilacar O 20 Tablet in children have not yet been established

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Heart

Caution

Cilacar O 20 Tablet is often prescribed to patients with heart problems to treat hypertension. However, it must be taken strictly under medical supervision, as it can affect liver and kidney function and may interact with other heart medications.

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Geriatrics

Caution

Cilacar O 20 Tablet should be taken with caution in geriatric patients. Please inform your doctor before using Cilacar O 20 Tablet .

FAQs

Cilacar O 20 Tablet is used to treat hypertension (high blood pressure). It works by relaxing blood vessels. This allows the blood to flow more smoothly, reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body.

It is advised to continue your medicine even after your blood pressure is under control or becomes normal, as blood pressure can be increased at any time. If you have a persistent headache, please consult your doctor immediately.

Yes, Cilacar O 20 Tablet is known to cause ankle swelling. Please try to keep your feet up when sitting for long hours. If the problem persists still, consult your doctor and do as advised.

In case you have missed a dose of Cilacar O 20 Tablet , you are advised to take it as soon as you remember. However, try not to miss a dose in the first place; if it's time to take your next dose, then do not take both doses together. Take only one dose; a double dose of Cilacar O 20 Tablet will lead to low blood pressure.

Cilacar O 20 Tablet , a combination medication for high blood pressure, start working within 1-2 hours. It reaches its peak effect in 12-24 hours and lasts 24 hours. You may notice a significant reduction in blood pressure within 1-2 weeks, with continued improvement over 4-6 weeks. However, please note that the onset and duration of action may vary from person to person, depending on individual factors such as metabolism, age, and health status.

Generally, taking Cilacar O 20 Tablet in the morning, accompanied by a glass of water, is recommended before consuming any food. However, your healthcare provider may suggest a personalized schedule based on your unique requirements and medical background. Consistently taking the medication at the same time daily, as instructed by your doctor, is crucial to optimize its benefits and reduce the risk of adverse effects.

Yes, dizziness is a possible side effect of taking Cilacar O 20 Tablet . This is because the medication can cause a sudden drop in blood pressure, leading to lightheadedness or dizziness. However, this effect is usually mild and temporary. If the dizziness is severe, persistent, or accompanied by other symptoms like fainting or blurred vision, consult your doctor or healthcare professional for guidance.

Cilacar O 20 Tablet may cause weight gain in some people. This is because the medication can cause fluid retention, increased sodium levels, and increased appetite. However, weight gain is not a common side effect; it affects people differently. If you're worried about weight gain or notice significant changes, consult your doctor for guidance.

Cilacar O 20 Tablet is unlikely to affect fertility or sex life in men or women. However, if you're having difficulty trying for a baby, it's recommended to speak with your doctor. They can provide guidance and address any concerns you may have.

Cilacar O 20 Tablet contains olmesartan, medoxomil, and cilnidipine. Olmesartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Cilnidipine blocks the activities of the calcium channels present in the heart's blood vessels. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body.

Common side effects of Cilacar O 20 Tablet include headache, nausea, peripheral oedema (swelling of legs/hands), or dizziness in some cases. Most of these side effects of Cilacar O 20 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist, contact your doctor.

Country of origin

India

Manufacturer/Marketer address

Cnergy IT Park, 3rd floor Appa Saheb Marathe Marg, Prabhadevi, Mumbai 400025
Other Info - CIL0181

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Author Details

Veda MaddalaDoctor badge

Written By

Veda Maddala

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Feb 24, 2026 | 9:20 AM IST

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