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compositionComposition:CILNIDIPINE-10MG+METOPROLOL-50MG+TELMISARTAN-40MG
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Prescription Medicine
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Cilacar-TM 50 Tablet is used to treat hypertension (high blood pressure). It works by relaxing and widening the blood vessels. Besides this, it also slows down the heart rate and makes it easier for the heart to pump blood throughout the body. This medicine helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CILNIDIPINE-10MG+METOPROLOL-50MG+TELMISARTAN-40MG

Manufacturer/Marketer :

J B Chemicals & Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Cilacar-TM 50 Tablet

Cilacar-TM 50 Tablet is a prescription oral tablet used to manage high blood pressure (hypertension). By lowering elevated blood pressure, this medication helps protect your heart and reduces the risk of serious cardivascular events like heart attacks and strokes. It is typically prescribed when your blood pressure requires multiple active mechanisms to be effectively controlled.

To achieve the best results, you must take Cilacar-TM 50 Tablet consistently every day, preferably at the exact same time. You can take this tablet with or without food, but keeping your routine identical each day helps maintain stable medicine levels in your system. Making key diet and lifestyle changes, such as reducing your salt intake and staying physically active, will also significantly support your treatment goals.

While taking Cilacar-TM 50 Tablet , you may experience mild and temporary side effects such as lightheadedness, headaches, or mild ankle swelling. These symptoms usually improve as your body adjusts to the medication, but you must contact your doctor immediately if you experience severe dizziness, an unusually slow heart rate, or difficulty breathing.

Talk to your doctor before starting Cilacar-TM 50 Tablet if you have a history of liver damage, kidney issues, severe asthma, or heart valve problems. Do not take this medicine if you are pregnant, as it can cause serious harm or be fatal to an unborn baby.

This medication can interact with other substances, including certain pain relief medications, potassium supplements, and alcohol, which may cause your blood pressure to drop too low or place extra strain on your kidneys. If you are pregnant, breastfeeding, or an elderly individual, consult your doctor to ensure this treatment is safe for your specific situation.

Uses of Cilacar-TM 50 Tablet

Your doctor may prescribe Cilacar-TM 50 Tablet to help manage the following conditions:

  • High Blood Pressure (Hypertension): Cilacar-TM 50 Tablet is used to lower high blood pressure to normal ranges, reducing the overall workload on your heart and blood vessels.
  • Prevention of Heart Attacks and Strokes: By maintaining consistent control over your blood pressure, this medicine helps prevent long-term damage to your blood vessels, lowering your risk of heart attacks and strokes.

Key Benefits

When taken as prescribed, Cilacar-TM 50 Tablet may provide the following benefits:

  • Lowers High Blood Pressure: Helps lower and control high blood pressure, reducing the strain on your heart and blood vessels.
  • Reduces the Risk of Serious Cardiovascular Problems: Keeping your blood pressure under control helps lower the risk of complications such as heart attack, stroke, and kidney damage.
  • Supports Long-term Heart Health: Long-term blood pressure control helps protect important organs, including your heart, brain, kidneys, and eyes, from damage caused by uncontrolled high blood pressure.
  • Convenient Combination Treatment: Combining three blood pressure medicines in a single tablet may simplify your treatment routine and help you take your medicine regularly.
Side effects of Cilacar-TM 50 Tablet
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the steps to manage Joint Pain caused by medication usage:
  • Please inform your doctor about joint pain symptoms, as they may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Your doctor may prescribe common pain relievers if necessary to treat joint discomfort.
  • Maintaining a healthy lifestyle is key to relieving joint discomfort. Regular exercise, such as low-impact sports like walking, cycling, or swimming, should be combined with a well-balanced diet. Aim for 7-8 hours of sleep per night to assist your body in repairing and rebuilding tissue.
  • Applying heat or cold packs to the affected joint can help reduce pain and inflammation.
  • Please track when joint pain occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • If your joint pain is severe or prolonged, consult a doctor to rule out any underlying disorders that may require treatment.
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
Managing Medication-Triggered Anxiety: A Comprehensive Approach:
  • Inform your doctor about your anxiety symptoms so that you doctor may explore potential drug interactions and alter your treatment plan.
  • Work with your doctor to adjust your medication regimen or dosage to minimize anxiety symptoms.
  • Reduce anxiety symptoms by practicing relaxation techniques like meditation, deep breathing, or yoga.
  • Regular self-care activities, such as exercise, healthy food, and adequate sleep, can assist control anxiety.
  • Surround yourself with a supportive network of friends, family, or a support group to help manage anxiety and stay motivated.
  • Regularly track anxiety symptoms and report any changes to your doctor to ensure your treatment plan is effective and adjusted as needed.
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.

Directions for Use

  • Cilacar-TM 50 Tablet can be taken with or without food, as advised by your doctor
  • It is usually taken once daily, preferably at the same time each day, or as advised by your doctor.
  • Swallow Cilacar-TM 50 Tablet as a whole with a glass of water.
  • Do not break, chew, or crush it.

How Cilacar-TM 50 Tablet Works

Cilacar-TM 50 Tablet contains three active ingredients that work together to lower high blood pressure through different mechanisms. Cilnidipine is a calcium channel blocker that relaxes and widens blood vessels, allowing blood to flow more easily. Metoprolol is a beta-blocker that slows your heart rate and reduces the force with which your heart pumps blood, helping to lower blood pressure and reduce the workload on the heart. Telmisartan is an angiotensin II receptor blocker (ARB) that prevents the action of a natural substance that narrows blood vessels. This helps blood vessels remain relaxed, allowing blood to flow more easily. Together, these actions help lower blood pressure, improve blood flow, and reduce the workload on the heart.
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Alcohol

Unsafe

Avoid consuming alcohol as it might cause increased dizziness.

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Pregnancy

Consult your doctor

Please consult your doctor if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

Please consult your doctor if you are breastfeeding; your doctor will decide whether Cilacar-TM 50 Tablet can be given to breastfeeding mothers or not.

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Driving

Unsafe

Cilacar-TM 50 Tablet may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Dose adjustment may be needed. Cilacar-TM 50 Tablet should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have liver problems or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Cilacar-TM 50 Tablet should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney problems or any concerns regarding this.

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Children

Unsafe

Cilacar-TM 50 Tablet is not recommended for children as safety and effectiveness have not been established.

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Heart

Caution

Cilacar-TM 50 Tablet should be taken with caution in patients with heart problems. Please inform your doctor if you have any pre-existing heart problems before using Cilacar-TM 50 Tablet .

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Geriatrics

Caution

Cilacar-TM 50 Tablet should be given with caution to elderly patients due to an increased risk of side effects. Seek medical advice if you have any concerns.

What if I have taken an overdose of Cilacar-TM 50 Tablet

If you accidentally take more than your prescribed dose, you may experience severe dizziness, an extremely slow heart rate, or fainting. Seek immediate emergency medical attention.

Diet & Lifestyle Advise

  • Reduce your sodium intake: Limit the amount of salt you add to your food and avoid highly processed foods, as excess sodium raises blood pressure.
  • Eat a heart-healthy diet: Focus on whole grains, lean proteins, fruits, vegetables, and low-fat dairy. Talk to your doctor before using potassium-containing salt substitutes, as they can interact with your medication.
  • Engage in regular physical activity: Aim for at least 30 minutes of moderate-intensity exercise, like brisk walking, on most days of the week.
  • Limit alcohol and quit smoking: Both alcohol and tobacco can interfere with your blood pressure control and increase your risk of heart-related complications.
  • Track your blood pressure: Keep a regular log of your blood pressure readings at home to share with your doctor during your check-ups.
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How Soon It Starts Working

The time required for Cilacar-TM 50 Tablet to start to work: Cilacar-TM 50 Tablet ideally starts to show its action within 2 to 3 hours of administration. The time for which the effects of Cilacar-TM 50 Tablet last: The duration of action for Cilacar-TM 50 Tablet is clinically unknown.

What if you forget to take Cilacar-TM 50 Tablet

If you miss a dose of Cilacar-TM 50 Tablet , take it as soon as you remember. However, if your next scheduled dose is only a few hours away, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a forgotten one.

Storage

• Store the tablets at room temperature, ideally between 15°C and 30°C (59°F to 86°F).

Drug Warnings

  • Do not stop taking this medicine suddenly: Stopping abruptly can cause a dangerous rebound spike in your blood pressure or worsen heart-related chest pain. Always consult your doctor before making any changes.
  • Rise slowly to prevent falls: This medicine can cause sudden dizziness when you stand up from a sitting or lying position. Get up gradually to maintain your balance.
  • Check your pulse regularly: Because this medicine can slow your heart rate, monitor your pulse often. If your heart rate falls below 50 to 60 beats per minute, contact your doctor.
  • Protect your skin from the sun: Some people become more sensitive to sunlight while taking this medication. Wear sunscreen and protective clothing when spending time outdoors.
  • Avoid heavy machinery initially: Do not drive, operate machinery, or perform tasks requiring intense focus until you know how this medicine affects your alertness.

Drug-Drug Interactions

verifiedApollotooltip
  • Painkillers (NSAIDs): Taking medications like ibuprofen or naproxen can reduce the blood pressure-lowering effect of Cilacar-TM 50 Tablet and increase your risk of kidney damage.
  • Potassium supplements: Combining this medicine with potassium supplements or certain water pills can lead to dangerously high potassium levels in your blood.
  • Other heart or blood pressure medications: Taking this medicine alongside other heart-rate or blood pressure-lowering drugs can cause your blood pressure or heart rate to drop too low.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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  • Grapefruit and grapefruit juice: Grapefruit can change how your body processes this medicine, which may increase the risk of side effects.
  • Alcohol: Drinking alcohol can worsen the dizziness caused by Cilacar-TM 50 Tablet and lead to an unsafe, sudden drop in blood pressure.
     
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Cilacar-TM 50 Tablet is used to treat high blood pressure (hypertension). It helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.
Cilacar-TM 50 Tablet contains Cilnidipine, Telmisartan, and Metoprolol. Cilnidipine acts on the calcium channels of the blood vessels and suppresses the contraction of blood vessels, thereby helping blood flow smoothly. Telmisartan works by blocking the angiotensin II receptor, thereby relaxing the blood vessels and lowering the blood pressure. Metoprolol slows down the heart rate and makes it easier for the heart to pump blood throughout the body. Together, Cilacar-TM 50 Tablet helps treat hypertension.
Cilacar-TM 50 Tablet may cause a slow heart rate (bradycardia). A minor fluctuation should not be a worry; however, if a slow heart rate continues or you begin to feel unwell, speak with your doctor.
High blood pressure increases the workload on the arteries and heart. If untreated, it could damage the blood vessels of the heart, brain, and kidneys and might result in stroke, heart failure or kidney failure. Hypertension increases the risk of heart attacks. Therefore, anti-hypertensives such as Cilacar-TM 50 Tablet are used to lower the blood pressure to normal; this reduces the risk of developing these disorders.
Orthostatic hypotension could be a side-effect of Cilacar-TM 50 Tablet . Orthostatic hypotension is a sudden lowering of blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better. People taking Cilacar-TM 50 Tablet are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
Cilacar-TM 50 Tablet may cause swelling in the ankles or feet. If you experience oedema, raise your legs while sitting down. Talk to your doctor if the swelling persists or if you have any concerns.
No, you should not take Cilacar-TM 50 Tablet if you are pregnant or planning to become pregnant. It can cause serious harm or even be fatal to an unborn baby. If you suspect you are pregnant, stop taking the medicine and consult your doctor immediately.
Dizziness is a common side effect, especially when you first start taking the medicine. If you feel dizzy, sit or lie down immediately until the feeling passes. Rise slowly when standing up, and talk to your doctor if the dizziness persists or worsens.
No, you must not stop taking Cilacar-TM 50 Tablet without consulting your doctor. High blood pressure is a chronic condition that often has no symptoms. Stopping the medicine suddenly can cause your blood pressure to surge dangerously. Talk to your doctor before making any changes.
It is highly recommended to avoid or strictly limit alcohol while taking this medicine. Alcohol can increase the blood pressure-lowering effect of Cilacar-TM 50 Tablet , causing severe dizziness, lightheadedness, or fainting. Talk to your doctor for personalised advice.
No, Cilacar-TM 50 Tablet does not typically cause frequent urination as it does not contain a diuretic (water pill). If you experience frequent urination, it may be due to other factors or medications. Talk to your doctor to determine the cause.
You should avoid taking painkillers like ibuprofen or naproxen without consulting your healthcare provider. These medicines can reduce the effectiveness of Cilacar-TM 50 Tablet and increase your risk of kidney damage. Talk to your doctor or pharmacist for safer pain relief alternatives.
You can take Cilacar-TM 50 Tablet at either time, but it is best to take it at the exact same time every day to keep your blood pressure stable. Many doctors recommend taking it in the morning. Talk to your doctor to find the schedule that works best for you.
You should focus on a low-salt (low-sodium) diet and avoid potassium supplements or salt substitutes containing potassium unless specifically approved by your physician. Keeping a food diary and eating a balanced diet rich in vegetables and whole grains will support your heart. Talk to your doctor for specific dietary advice.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. Electronic Medicines Compendium (EMC). Pil.5345 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. Electronic Medicines Compendium (EMC). Pil.5197 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  3. Drugs.com Clinical Review Team. Metoprolol Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  4. Drugs.com Clinical Review Team. Telmisartan Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  5. Jason Morris; Alexis Dunham. Metoprolol. Stat Pearls. NIH. National Library of Medicine, National Center for Biotechnology Information. PMC. PubMed Central. October 2022. [Accessed on 13th September 2024].Check here
  6. Zentiva k.s. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on 13th September 2024]Check here

Country of origin

India

Manufacturer/Marketer address

Cnergy It Park, 3Rd Floor Appa Saheb Marathe Marg, Prabhadevi, Mumbai 400025.
Other Info - CIL0417
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