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Written By Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About CILNIKEM BETA 5MG TABLET

CILNIKEM BETA 5MG TABLET is a prescription medication used to treat high blood pressure (hypertension). It combines two active ingredients that work together to lower blood pressure, helping to reduce the workload on your heart. By keeping your blood pressure within a healthy range, this medication helps prevent serious long-term complications such as heart attacks, strokes, and kidney problems.

For the best results, you must take CILNIKEM BETA 5MG TABLET consistently every day, exactly as prescribed by your doctor. It is typically taken once daily and can be taken with or without food. To get the maximum benefit from your treatment, it is highly recommended to combine this medicine with healthy lifestyle choices, such as eating a low-salt diet, maintaining a healthy weight, and staying physically active.

Like many blood pressure medicines, CILNIKEM BETA 5MG TABLET can cause some mild side effects, such as headaches, mild swelling in the ankles, or feeling unusually tired. Most of these effects improve as your body adjusts to the medication. However, if you experience more serious symptoms like an extremely slow heart rate, severe dizziness, or chest pain, you should contact your doctor immediately.

Before you start taking this medicine, it is important to discuss your medical history with your doctor. Do not take this if you have severe liver damage, a very slow heart rate, serious heart block, or cardiogenic shock. It is also crucial to tell your doctor if you have a history of asthma, lung disease, or blood circulation problems in your limbs.

CILNIKEM BETA 5MG TABLET can interact with other substances, including alcohol, which can cause your blood pressure to drop too low and make you feel dizzy or faint. Let your doctor know about all other medicines you are taking, especially other heart drugs, water pills, or antidepressants. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly patient, consult your healthcare provider to ensure this treatment is safe for you.

Uses of CILNIKEM BETA 5MG TABLET

CILNIKEM BETA 5MG TABLET may be prescribed for the following conditions: 

  • Hypertension (High Blood Pressure): CILNIKEM BETA 5MG TABLET is primarily prescribed to lower elevated blood pressure, reducing the strain on your cardiovascular system and lowering your risk of long-term complications.
  • Prevention of Stroke and Heart Attack: By consistently keeping your blood pressure within a normal, controlled range, CILNIKEM BETA 5MG TABLET helps protect your blood vessels and heart from damage.

Key Benefits

CILNIKEM BETA 5MG TABLET combines two blood pressure-lowering medicines that work together to provide effective cardiovascular protection and support long-term heart health.

  • Lowers Blood Pressure Effectively: Helps control high blood pressure through complementary mechanisms, providing stable blood pressure management.
  • Protects the Heart and Blood Vessels: Reduces strain on the cardiovascular system and helps lower the risk of complications associated with uncontrolled hypertension.
  • Supports Kidney Health: May help protect kidney function, particularly in individuals with hypertension and certain underlying conditions such as diabetes.
  • Promotes Comfortable Blood Flow: Helps relax and widen blood vessels, improving circulation without causing a significant increase in heart rate.
  • Simplifies Treatment: Combining two medicines in one tablet may improve treatment convenience and adherence.
Side effects of Cilnikem Beta 5 Tablet
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.
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.
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 cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
  • Change positions or take a break from activity to relieve symptoms.
  • Avoid postures that put a lot of pressure on just one area of the body.
  • If you have vitamin deficiency, take supplements or change your diet.
  • Exercise regularly like cycling, walking or swimming.
  • Avoid sitting with your legs crossed.
  • Clench and unclench your fists and wiggle your toes.
  • Massage the affected area.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

Directions for Use

  • CILNIKEM BETA 5MG TABLET can be taken with or without food, as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow CILNIKEM BETA 5MG TABLET as a whole with a glass of water.
  • Do not crush, break, or chew it.

How CILNIKEM BETA 5MG TABLET Works

CILNIKEM BETA 5MG TABLET contains cilnidipine and nebivolol, which work together to help lower blood pressure through complementary mechanisms. Cilnidipine is a calcium channel blocker that relaxes and widens blood vessels by reducing the entry of calcium into the muscle cells of blood vessel walls. It also acts on nerve endings, helping to reduce the release of substances that can cause blood vessels to narrow and the heart to work harder. Nebivolol is a selective beta-blocker that helps slow the heart rate and reduces the force with which the heart pumps blood. It also promotes the release of nitric oxide, a natural substance that helps relax and widen blood vessels, further improving blood flow. Together, these actions help lower blood pressure, reduce the workload on the heart, and support overall cardiovascular health.
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Alcohol

Unsafe

Taking this medicine with alcohol may lead to decreased blood pressure. Therefore, avoid alcohol consumption.

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Pregnancy

Consult your doctor

It should not be used during pregnancy unless clearly necessary. Consult a doctor before taking the medicine.

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Breast Feeding

Consult your doctor

Doctors consultation is recommended as there is no data available on whether this drug is passed through the mother's milk to the infant.

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Driving

Caution

It may cause sleepiness and drowsiness. Drive only if you are alert.

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Liver

Consult your doctor

Please consult the doctor if you have any concerns regarding the usage of CILNIKEM BETA 5MG TABLET in patients with liver problems.

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Kidney

Consult your doctor

Please consult the doctor if you have any concerns about using CILNIKEM BETA 5MG TABLET in patients with kidney problems.

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Children

Unsafe

It is not to be used in children below 12 years as there have been cases of harmful interactions.

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Heart

Safe if prescribed

CILNIKEM BETA 5MG TABLET is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

CILNIKEM BETA 5MG TABLET should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of CILNIKEM BETA 5MG TABLET

If you suspect an overdose, seek immediate medical attention or visit the nearest emergency room. Symptoms of an overdose can include severe dizziness, fainting, an extremely slow heartbeat, or feeling unusually weak.

Diet & Lifestyle Advise

  • Reduce Salt Intake: Limit your consumption of processed and salty foods, as excess sodium directly raises blood pressure and can make your medication less effective.
  • Stay Active: Aim for at least 150 minutes of moderate-intensity exercise, such as brisk walking, every week. Always discuss new exercise routines with your doctor first.
  • Limit Alcohol: Keep alcohol consumption to a minimum, as drinking alcohol can cause a sudden, unsafe drop in blood pressure when combined with this medicine.
  • Avoid Smoking: Quit smoking, as nicotine constricts your blood vessels, raises your heart rate, and counteracts the beneficial cardiovascular effects of CILNIKEM BETA 5MG TABLET .
  • Manage Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga to help keep your stress levels and blood pressure low.

Have a query?

How Soon It Starts Working

  • The time required for CILNIKEM BETA 5MG TABLET to start to work: The time required for CILNIKEM BETA 5MG TABLET to show its action is unknown.
  • The time for which the effects of CILNIKEM BETA 5MG TABLET last: The duration of action for CILNIKEM BETA 5MG TABLET is unknown.

What if you forget to take CILNIKEM BETA 5MG TABLET

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for the missed one.

Storage

• Store CILNIKEM BETA 5MG TABLET tablets at room temperature, ideally between 20°C and 25°C (68°F to 77°F). • Keep the medication in its original blister pack or container to protect it from moisture and direct sunlight.

Drug Warnings

  • Monitor Blood Pressure and Heart Rate: Check your blood pressure and pulse regularly and maintain a record to share with your healthcare provider.
  • Do Not Stop Treatment Suddenly: Abrupt discontinuation may cause a rebound increase in blood pressure, chest pain, or a rapid heart rate. Follow your doctor's instructions if treatment needs to be stopped.
  • Stand Up Slowly: Rise gradually from sitting or lying positions to help reduce dizziness and prevent falls.
  • Monitor Blood Sugar if You Have Diabetes: This medicine may mask some symptoms of low blood sugar, such as a rapid heartbeat.
  • Inform Healthcare Providers: Tell your doctor, dentist, surgeon, or anaesthesiologist that you are taking CILNIKEM BETA 5MG TABLET before any medical or surgical procedure.

Drug-Drug Interactions

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Drug-Drug Interactions

Inform your doctor if you are taking any of the following medicines, as they may interact with CILNIKEM BETA 5MG TABLET : 

  • Other Blood Pressure Drugs: Taking other medications that lower blood pressure at the same time may cause your blood pressure to drop too low, leading to severe dizziness or fainting.
  • Heart Rhythm Medicines: Medicines like amiodarone or digoxin can cause your heart rate to slow down to dangerous levels when taken with CILNIKEM BETA 5MG TABLET .
  • Pain Relievers (NSAIDs): Regularly taking non-steroidal anti-inflammatory drugs like ibuprofen or naproxen can reduce the blood-pressure-lowering effectiveness of this medicine.
  • Certain Antidepressants: Medications like fluoxetine or paroxetine can increase the levels of nebivolol in your blood, making side effects more likely.


Drug-Food Interactions

Certain foods and beverages may affect how CILNIKEM BETA 5MG TABLET works or increase the likelihood of side effects: 

  • Grapefruit and Grapefruit Juice: Grapefruit can significantly increase the levels of cilnidipine in your body, which may cause your blood pressure to drop unexpectedly low.


Drug-Disease Interactions

Inform your doctor if you have any of the following medical conditions before taking CILNIKEM BETA 5MG TABLET , as dose adjustments or additional monitoring may be required: 

  • Asthma and Breathing Disorders: Nebivolol can narrow your airways, potentially worsening conditions like asthma or chronic obstructive pulmonary disease (COPD).
  • Heart Block and Slow Heart Rate: This medicine can worsen pre-existing heart rhythm problems or severe bradycardia (slow heart rate).
  • Severe Liver Damage: If your liver is not working properly, the body cannot break down this medicine effectively, leading to a buildup of the drug in your system.

Drug-Drug Interactions

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How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Atenolol and Nebivolol may increase the high blood pressure.

How to manage the interaction:
Taking Atenolol and Nebivolol together can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Clonidine and Nebivolol together can slow your heart rate and increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Clonidine and Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Nebivolol and Ritodrine may decrease the effect of Nebivolol.

How to manage the interaction:
Taking Nebivolol and Ritodrine together can possibly result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Verapamil together with Nebivolol can lower the blood pressure and slow your heart rate.

How to manage the interaction:
Taking Verapamil together with N0ebivolol can result in an interaction, it can be taken if a doctor has advised it. However, if you experience fatigue, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. contact a doctor. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Nebivolol with Theophylline may reduce the effect of Nebivolol.

How to manage the interaction:
Taking Nebivolol with Theophylline together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as nausea, vomiting, insomnia, tremors, restlessness, uneven heartbeats, or difficulty breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cilnikem Beta 5 Tablet:
Taking Disopyramide and Nebivolol can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Disopyramide and Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, shortness of breath, chest pain, or rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Severe
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Saquinavir together with Nebivolol can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Saquinavir together with Nebivolol can possibly result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor if you experience dizziness, lightheadedness, fainting, slow pulse, or irregular heartbeat. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Fingolimod and Nebivolol can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Fingolimod and Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, shortness of breath, chest pain, or rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration Ceritinib with Nebivolol can slow your heart rate and increase the risk of irregular heart rhythm.

How to manage the interaction:
Taking Ceritinib with Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cilnikem Beta 5 Tablet:
Co-administration of Atazanavir with Nebivolol can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Atazanavir with Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness, lightheadedness, fainting, or irregular heartbeat consult a doctor. Do not discontinue any medications without a doctor's advice.

Drug-Food Interactions

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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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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

CILNIKEM BETA 5MG TABLET is used to treat high blood pressure. It helps lower blood pressure by relaxing the blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently.

If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take a double dose to make up for a forgotten dose.

CILNIKEM BETA 5MG TABLET and contraceptives as such are safe to use as no interaction between them has been reported, yet doctor consultation is recommended.

It may contain ingredients derived from animal sources, such as glucosamine and chondroitin, which are typically sourced from shellfish and animal cartilage. Please check with your healthcare professional for if you have any questions.

CILNIKEM BETA 5MG TABLET is generally well-tolerated and may cause some mild side effects, such as headache, tiredness, nausea, abdominal pain, indigestion, diarrhoea, and constipation. The good news is that these side effects are usually temporary and will resolve on their own over time. If you experience any persistent discomfort, it's always a good idea to consult with your doctor for personalized guidance.

Storage: CILNIKEM BETA 5MG TABLET should be stored in a cool, dry place away from direct sunlight, ideally at temperatures between 10°C to 25°C. Keep the medication in its original container, tightly closed, and out of reach of children and pets. Disposal: Do not flush the medication down the toilet or pour it into a drain unless instructed to do so. Instead, follow any specific disposal instructions provided by your healthcare provider or local waste disposal company.

$Name is generally well-tolerated. However, as with any supplement, indigestion may occur. To help manage indigestion, try taking CILNIKEM BETA 5MG TABLET with food to reduce stomach upset, avoid lying down after taking it, stay hydrated by drinking plenty of water, and avoid spicy or fatty foods that can exacerbate indigestion. If your symptoms persist or worsen, seek medical attention.

It is highly recommended to limit or avoid alcohol while taking this medicine. Alcohol can cause your blood pressure to drop too low, making you feel excessively dizzy, lightheaded, or sleepy. Talk to your doctor or pharmacist about safe alcohol limits for you.

If you feel dizzy, sit or lie down immediately until the feeling passes. To prevent this, avoid standing up too quickly from a lying or sitting position. If the dizziness is severe or does not go away, talk to your doctor.

CILNIKEM BETA 5MG TABLET is generally not recommended during pregnancy or while breastfeeding, as it may affect blood flow to the baby. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor to discuss safer alternative treatments.

CILNIKEM BETA 5MG TABLET does not usually affect blood sugar levels directly, but the beta-blocker component (nebivolol) can hide the physical symptoms of low blood sugar, such as a fast heart rate or shakiness. If you have diabetes, check your blood sugar regularly and talk to your doctor.

CILNIKEM BETA 5MG TABLET starts to lower your blood pressure within a few hours of taking your first dose. However, it may take several weeks of consistent use to see the full benefits and achieve stable blood pressure control. Talk to your doctor if you have concerns about your blood pressure readings.

No, you should not stop taking this medicine even if you feel completely well. High blood pressure often has no symptoms, and stopping the medicine abruptly can cause your blood pressure to rise rapidly, increasing your risk of a heart attack or stroke. Always consult your doctor before making any changes.

Ankle swelling can occur because cilnidipine relaxes and widens the small blood vessels in your lower limbs, which can occasionally cause fluid to pool in your ankles. If you experience severe or painful swelling, talk to your doctor.

Some beta-blockers can occasionally cause sexual side effects, such as erectile dysfunction, in a small number of people. However, nebivolol is generally known to have a lower risk of these side effects compared to older beta-blockers due to its nitric oxide-releasing properties. If you experience any persistent side effects, talk to your doctor.

Disclaimer

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Country of origin

India

Manufacturer/Marketer address

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - CIL0192
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