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compositionComposition:CILNIDIPINE-20MG
prescriptionPrescription Medicine
Rancil 20 Tablet 10's
Rancil 20 Tablet 10's
Rancil 20 Tablet 10's

Rancil 20 Tablet is used to treat high blood pressure. It contains Cilnidipine, which acts by relaxing the blood vessels and improving blood flow. This medicine may cause common side effects, such as headache, dizziness, and flushing. Before taking this medicine, tell your doctor if you are pregnant/breastfeeding, about your medications and your pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CILNIDIPINE-20MG

Manufacturer/Marketer :

Sun Pharmaceutical Industries Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Rancil 20 Tablet

Rancil 20 Tablet is a prescription medication used to treat high blood pressure (hypertension). It is approved for use in India and several Asian countries and is commonly prescribed for long-term blood pressure control. It helps lower blood pressure, which reduces the risk of serious cardiovascular events like strokes and heart attacks. Relaxing your blood vessels allows blood to flow more smoothly throughout your body.
This medication is typically taken once daily at the same time every day to maintain a steady level in your body. You can take it with or without food, but keeping your routine consistent is key. Coupling this treatment with a low-salt diet and regular physical activity can significantly improve your results.
Some people taking Rancil 20 Tablet may experience mild side effects, such as headaches, flushing, or slight dizziness. If you experience severe chest pain, a rapidly pounding heartbeat, or difficulty breathing, you must contact your doctor immediately.
Before starting this medicine, tell your doctor if you have severe heart problems, severe narrowing of the aortic valve (aortic stenosis), cardiogenic shock, kidney disease, or liver damage. Do not take this medicine if you have had a severe allergic reaction to Rancil 20 Tablet or other similar calcium channel blocker medicines in the past. If you are unsure whether any of these conditions apply to you, speak with your doctor before starting treatment. 
This medicine can interact with alcohol, which may cause your blood pressure to drop too low, making you feel dizzy or faint. If you are pregnant, breastfeeding, an older adult, or have kidney disease, consult your doctor before starting this medication to ensure it is safe for you. Although Rancil 20 Tablet may help protect kidney function in some people with high blood pressure and diabetes, patients with existing kidney disease should be monitored regularly during treatment. 
 

Uses of Rancil 20 Tablet

Rancil 20 Tablet is commonly prescribed to help manage high blood pressure and protect vital organs from damage caused by long-term hypertension. Your doctor may recommend this medicine for the following uses: 

  • High blood pressure (hypertension): Rancil 20 Tablet relaxes and widens the blood vessels, allowing blood to flow more smoothly and lowering the pressure your heart must pump against.
  • Kidney protection in diabetic hypertension: By reducing pressure in the delicate vessels of the kidneys, this medicine helps prevent long-term kidney damage in people with high blood pressure and diabetes.

Key Benefits

When taken regularly as prescribed, Rancil 20 Tablet offers several important benefits, including:

  • Helps control blood pressure consistently throughout the day.
  • Reduces the risk of complications associated with uncontrolled high blood pressure, such as heart attack, stroke, and kidney damage.
  • Works on both blood vessels and nerve pathways to help prevent sudden spikes in blood pressure.
  • Supports long-term cardiovascular health by reducing strain on the heart and blood vessels.
  • Helps protect kidney function in people with high blood pressure and diabetes.
  • Is less likely to cause troublesome ankle swelling or a racing heartbeat compared with some older blood pressure medicines.
  • Makes it easier to stay on treatment and maintain normal daily activities comfortably.
Side effects of Rancil 20 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.
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.
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.
Managing Low Blood Pressure Triggered by Medication: Expert Advice:
  • If you experience low blood pressure symptoms like dizziness, lightheadedness, or fainting while taking medication, seek immediate medical attention.
  • Make lifestyle modifications and adjust your medication regimen under medical guidance to manage low blood pressure.
  • As your doctor advises, regularly check your blood pressure at home. Record your readings to detect any changes and share them with your doctor.
  • Fluid intake plays a vital role in managing blood pressure by maintaining blood volume, regulating blood pressure, and supporting blood vessel function. Drinking enough fluids helps prevent dehydration, maintain electrolyte balance, and regulate fluid balance.
  • Take regular breaks to sit or lie down if you need to stand for long periods.
  • When lying down, elevate your head with extra pillows to help improve blood flow.
  • Avoid heavy exercise or strenuous activities that can worsen low blood pressure.
  • Wear compression socks as your doctor advises to enhance blood flow, reduce oedema, and control blood pressure.
  • If symptoms persist or worsen, or if you have concerns about your condition, seek medical attention for personalized guidance and care.
  • Wear compression garments like stockings, sleeves, or gloves to apply pressure and help stop fluid from building up, especially after the swelling goes down.
  • Move around and do exercises to help the fluid circulate, especially in swollen limbs. Ask your doctor for specific exercises.
  • Raise the swollen area above your heart level several times a day, even while sleeping, to help reduce swelling.
  • Gently massage the swollen area with firm but not painful pressure.
  • Keep the swollen area clean and moisturized to prevent injury and infection.
  • Reduce salt intake to help prevent fluid from building up and worsening the swelling, as advised by a doctor.
  • If the swelling does not get better after a few days of home treatment or worsens, consult your doctor right away.
Here are the steps to manage the medication-triggered Tachycardia (Fast Heart Rate):
  • Contact your doctor immediately if you're experiencing a fast heart rate, palpitations, or other heart-related symptoms. This is crucial to determine whether the symptoms are related to your medication.
  • Your doctor may need to adjust your medication regimen to alleviate the fast heart rate symptoms. This could involve changing the medication, reducing the dosage, or adding new medications to counteract the side effects.
  • Follow your doctor's advice on monitoring your heart rate and blood pressure. This will help track any changes and ensure your heart rate returns normal.
  • If you experience severe symptoms such as chest pain, dizziness, or shortness of breath, seek immediate medical attention. These symptoms can indicate a more serious condition that requires prompt 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.

Directions for Use

To get the best results from your treatment and minimise the risk of side effects, follow these instructions carefully when taking this medicine:

  • Swallow the tablet whole with a full glass of water.
  • Do not crush, chew, or break the tablet, as this can change how the medicine is released into your body.
  • You can take this medication with or without food.
  • Try to take it at the same time each day to build a consistent habit.
  • Always follow your doctor's exact instructions regarding how and when to take your medication.
  • Do not alter your dose or stop taking it without consulting your healthcare provider first.
     

How Rancil 20 Tablet Works

Rancil 20 Tablet belongs to a group of medicines known as calcium channel blockers. It works by blocking calcium from entering the muscle cells of your blood vessels and nerve endings. When calcium is blocked, the blood vessels relax and widen, which naturally lowers your blood pressure. Because it also blocks calcium channels at nerve endings, it prevents the body from releasing stress chemicals that can make your heart beat too fast. This dual action provides a balanced way to control blood pressure while protecting your vital organs, such as your kidneys and heart, from strain.
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Alcohol

Caution

Avoid alcohol consumption to prevent increased dizziness.

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Pregnancy

Caution

There are no clinical data on the safety of Rancil 20 Tablet during pregnancy. So, please consult your doctor regarding the use of Rancil 20 Tablet if your pregnant or are planning to get pregnant.

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Breast Feeding

Caution

There is not enough clinical data on the safety of Rancil 20 Tablet during nursing. So, please consult your doctor regarding the use of Rancil 20 Tablet if you are breastfeeding.

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Driving

Caution

Rancil 20 Tablet may cause dizziness, which could affect your ability to drive. Hence, drive only if you are alert.

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Liver

Caution

There is limited information available on the use of Rancil 20 Tablet in patients with liver disease. So, please consult the doctor if you have liver problems.

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Kidney

Caution

There is limited information available on the use of Rancil 20 Tablet in patients with kidney disease. So, please consult the doctor if you have kidney problems.

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Children

Caution

The safety and effectiveness of Rancil 20 Tablet have not been established in children. Please consult the doctor.

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Heart

Safe if prescribed

Rancil 20 Tablet is often prescribed to patients with heart problems to treat hypertension. However, it must be taken strictly under medical supervision

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Geriatrics

Caution

Exercise caution before using Rancil 20 Tablet in older patients. Please consult your doctor if you have any concerns.

What if I have taken an overdose of Rancil 20 Tablet

Do not take more than the prescribed dose of Rancil 20 Tablet as it may cause an overdose. An overdose may cause an excessive reduction in blood pressure. If you suspect you have taken an overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Limit sodium intake: Reduce your salt consumption to help your medicine work more effectively in lowering your blood pressure.
  • Avoid grapefruit: Do not eat grapefruit or drink grapefruit juice while taking this medicine, as it can cause the medication to build up in your body to unsafe levels.
  • Monitor your blood pressure: Keep a daily log of your blood pressure readings at home to share with your doctor during check-ups.
  • Engage in moderate exercise: Incorporate light activities like walking or swimming into your routine, as approved by your doctor, to support cardiovascular health.

Have a query?

How Soon It Starts Working

The time required for Rancil 20 Tablet to start to work: The time required for Rancil 20 Tablet to show its action is unknown. The time for which the effects of Rancil 20 Tablet last: The effect of Rancil 20 Tablet lasts for 24 hours.

What if you forget to take Rancil 20 Tablet

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and take the next dose at the scheduled time. Do not take a double dose.

Storage

Store Rancil 20 Tablet tablets in their original packaging at room temperature, ideally below 30°C (86°F). Keep the medicine in a dry place away from direct sunlight, moisture, and extreme heat.

Drug Warnings

  • Always check the blister pack to ensure the tablets are intact and dry before taking your dose.
    Stand up slowly from a sitting or lying position, as this medicine can cause temporary dizziness when you change postures quickly.
  • Avoid driving or operating heavy machinery if you feel dizzy, sleepy, or lightheaded after taking your medication.
  • Monitor your blood pressure regularly as advised by your doctor and keep a record of your readings. Regular follow-up appointments help ensure that your treatment is working effectively.
  • People with liver disease or kidney disease may require closer monitoring while taking this medicine.
  • Inform any doctor, dentist, or surgeon that you are taking Rancil 20 Tablet before you undergo any medical procedures or start new treatments.
  • Attend regular follow-up appointments so your doctor can review your blood pressure control and monitor for any treatment-related concerns, particularly if you have liver disease. 
     

Drug-Drug Interactions

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Drug-Drug Interactions

  • Other blood pressure medications: Combining this medicine with other blood pressure treatments or water tablets (diuretics) may increase the risk of your blood pressure dropping too low.
  • Anti-seizure drugs: Medications like phenytoin or carbamazepine may lower the effectiveness of Rancil 20 Tablet in your body.
  • Certain antibiotics: Rifampicin can speed up how your body processes this medicine, making it less effective. Other antibiotics, such as erythromycin and clarithromycin, may increase Rancil 20 Tablet levels in the body and raise the risk of side effects.
  • Certain antifungal medicines: Azole antifungals such as ketoconazole or itraconazole may increase Rancil 20 Tablet levels in the bloodstream and increase the risk of side effects. Your doctor may recommend closer monitoring or treatment adjustments. 

Drug-Food Interactions

  • Grapefruit and grapefruit juice: This food group interferes with how your body breaks down the medicine, which may significantly increase its concentration in your blood and lead to severe side effects.
  • Alcohol: Drinking alcohol while taking this medicine can cause your blood vessels to relax excessively, leading to severe dizziness or fainting.

Drug-Disease Interactions

  • Severe liver damage: Since your liver processes this medication, impaired liver function can cause the drug to accumulate in your body, increasing the risk of side effects.
  • Kidney disease: Patients with kidney disease should use this medicine under medical supervision and attend regular follow-up appointments to monitor blood pressure and kidney function.
  • Unstable angina or recent heart attack: Use with caution, as sudden changes in blood pressure can worsen certain severe heart conditions.
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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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

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FAQs

Rancil 20 Tablet used to treat high blood pressure (hypertension).

If you have missed a dose of Rancil 20 Tablet , you are advised to take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Rancil 20 Tablet contains Cilnidipine, which works by relaxing the blood vessels. This reduces the workload on the heart and makes the heart more efficient at pumping blood throughout the body. Thereby, it helps to lower high blood pressure.

You can take Rancil 20 Tablet at any time of day, but it is best to take it at the same time every day to maintain steady blood pressure levels. Many people find it easiest to take it in the morning. Talk to your doctor or pharmacist for personalized advice.

High blood pressure during pregnancy is called Pregnancy-induced hypertension (PIH). It is harmful to both the baby and the mother. In the mother, very high blood pressure can cause seizures (fits), headache, swelling of feet, kidney damage and a higher risk of bleeding during pregnancy and during delivery. This can also affect the baby by causing abnormal fetal heart rate, risk of stillbirth and a small baby. So, during the pregnancy, you should have regular blood pressure monitoring. Visit your Obstetrician if you have any concerns related to blood pressure during pregnancy.

No, you should not stop taking Rancil 20 Tablet without consulting your doctor. High blood pressure often has no visible symptoms, and stopping the medicine suddenly can cause your blood pressure to spike dangerously. Talk to your doctor before making any changes.

Both medicines are used to treat high blood pressure. Studies have shown that there is a lower incidence of pedal oedema (swelling in the feet) with Rancil 20 Tablet compared to amlodipine. However, your doctor will prescribe the medicine suitable for your condition.

Side effects of Rancil 20 Tablet include nausea, stomach pain, dizziness, headache, oedema (swelling), and flushing. Most of these side effects may not require medical attention and resolve over time. Consult the doctor if the side effects persist or worsen.

Rancil 20 Tablet might be safe for patients with high blood pressure and kidney impairment. However, it is advised to consult the doctor if you have kidney problems before starting Rancil 20 Tablet .

Rancil 20 Tablet should be taken for as long as it has been prescribed by the doctor.

Maintain a healthy diet and exercise regularly. Limit salt intake and avoid smoking & alcohol consumption. Manage stress by doing meditation or yoga.

Rancil 20 Tablet should be swallowed as a whole with water; do not crush or chew it.

Rancil 20 Tablet is generally not recommended during pregnancy or breastfeeding due to a lack of safety data. If you are pregnant, planning to become pregnant, or are currently breastfeeding, talk to your doctor to discuss safer alternatives.

Limit salt and foods containing saturated fats. Choose whole grains, fresh fruits and vegetables. Include nuts, legumes and seeds in your diet.

It is highly recommended to avoid alcohol while taking Rancil 20 Tablet . Alcohol can increase the blood pressure-lowering effect of the medicine, which may cause severe dizziness, lightheadedness, or fainting. Talk to your doctor if you have concerns.

Rancil 20 Tablet is contraindicated in conditions such as cardiogenic shock (the heart cannot pump sufficient blood), severe aortic stenosis (heart valve disease), and a recent history of unstable angina or acute myocardial infarction (heart attack), heart failure, and hypotension (low blood pressure). Inform the doctor if you have any of these conditions.

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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.

Country of origin

India

Manufacturer/Marketer address

90, Delhi - Jaipur Road, Sector 32, Gurugram, Haryana 122001
Other Info - RAN0199

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