INTRODUCTION ABOUT CIPLAR LA 20MG TABLET

CIPLAR LA 20MG TABLET contains Propranolol which belongs to the group of medicines called Beta blockers. It is used to manage hypertension, angina and arrhythmia (irregular heart rhythm). It can also be used to control abnormal increase in blood pressure and/or heart rate caused due to various underlying conditions such as anxiety, overactive thyroid gland, phaeochromocytoma (tumours of adrenal gland) or Hypertrophic Subaortic Stenosis (thickening of heart muscles).

CIPLAR LA 20MG TABLET primarily exerts its effects on the heart and improves blood circulation to the heart and to other parts of body. Therefore, it can also be used to manage heart attacks and migraine headaches. It also controls shakiness of the body by blocking abnormal nerve signals between the brain and the muscles. Before taking CIPLAR LA 20MG TABLET inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you have any other types of anginas (unstable or Prinzmetal angina) or arrhythmia (such as Wolf-Parkinson-White Syndrome), any breathing problems, or diabetes as a precaution.

CIPLAR LA 20MG TABLET is not recommended for use in patients with severe asthma, hypotension or shock. It is also not suitable for use in patients with heart block, history of heart attack or heart failure. Do not take CIPLAR LA 20MG TABLET without consulting your doctor if you are pregnant or breastfeeding women. The most common side effects of taking CIPLAR LA 20MG TABLET are cold fingers and toes, slow heartbeat, tiredness, sleep disturbances and Raynaud’s syndrome (numbness and spasm in the fingers followed by warmth and pain). Consult your doctor if any of the side effect troubles you.

USES OF CIPLAR LA 20MG TABLET

It is used to:

• manage hypertension (high blood pressure)
• manage angina pectoris (chest pain)
• manage arrhythmia (irregular heart rhythm)
• reduce migraine (severe headache on side of the head)
• reduce tremor (shakiness) and anxiety
• reduce gut bleeding (caused due to high blood pressure in the liver)

It can also be used to manage signs and symptoms associated with:

• overactive thyroid gland (such as palpitation, nervousness, tremor, fixed stare, severe myopathy and sweating)
• phaeochromocytoma (high blood pressure and fast heart rate caused due to tumour of adrenal glands)
• hypertrophic subaortic stenosis (thickening of heart muscles causing strain on heart while pumping blood)

HOW CIPLAR LA 20MG TABLET WORKS

CIPLAR LA 20MG TABLET is a beta-blocker works by blocking the actions of certain chemical messengers (such as adrenaline and noradrenaline) in our body that controls the function of the heart, brain and kidneys and lungs. In the heart, stopping the actions of these chemical messengers reduces the heart rate and force of contraction. This helps to control abnormal heart rate in patients suffering from arrhythmia. It can also reduce the risk of abnormal heart signs (such as racing heartbeat, nervousness and high blood pressure) associated with phaeochromocytoma or anxiety. CIPLAR LA 20MG TABLET can relax the blood vessels supplying the heart and the brain. This action improves blood flow and oxygen supply to the heart and makes the heart to pump blood more efficiently with less pressure. It also helps in managing and managing problems caused due to poor blood circulation such as chest pain (angina), heart attack or migraine. Additionally, CIPLAR LA 20MG TABLET reduces the production of thyroid hormones (triiodothyronine) in patients suffering from overactive thyroid gland. It also stops the transfer of abnormal nerve signals between the brain and the muscles which helps in reducing tremors.

DIRECTIONS FOR USE

Take CIPLAR LA 20MG TABLET as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Do not stop taking CIPLAR LA 20MG TABLET unless advised by your doctor.

SIDE EFFECTS OF CIPLAR LA 20MG TABLET

HOW TO MANAGE SIDE EFFECTS

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug interactions:

Before taking CIPLAR LA 20MG TABLET, inform your doctor if you are taking any of the following medicine such as:

• other medicines used in the management of hypertension and other heart problems (Ex. nifedipine, nisoldipine, nicardipine, isradipine, lacidipine, verapamil, diltiazem, hydralazine, clonidine, enalapril, lisinopril, ramipril, disopyramide, quinidine, amiodarone, isoprenaline, dobutamine, propafenone and digoxin)
• alpha blockers (used to manage hypertension and BPH) Ex. prazosin, doxazosin
• reserpine
• lignocaine (used to locally numb body parts)
• adrenaline (a medicine that can stimulate the heart)
• ibuprofen and indomethacin (medicine used to relieve pain and inflammation)
• medicines used to manage migraine headaches (Ex. ergotamine, dihydroergotamine or rizatriptan)
• medicine used in the management of mental illness (Ex. chlorpromazine, thioridazine, haloperidol)
• cimetidine, aluminium hydroxide gel (medicine used for stomach problems)
• rifampicin (a medicine used to manage tuberculosis infection)
• medicines used to manage fits (Ex. phenytoin)
• theophylline (a medicine used to manage asthma)
• warfarin (a medicine that manages blood clot formation)
• fingolimod (a medicine used to manage multiple sclerosis)
• barbiturates (medicine used to reduce anxiety and to induce sleep) Ex. phenobarbitone, pentobarbitone
• medicines used to manage depression (Ex. isocarboxazid, phenelzine, Selegiline, fluvoxamine and Tranylcypromine)
• methoxyflurane and trichloroethylene (used as anaesthetic agents)
• thyroxine (a medicine used to manage thyroid deficiency)

Overdosage:

If you or anyone else accidentally took more of CIPLAR LA 20MG TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose might include slow heartbeat, low blood pressure, breathing difficulties with symptoms such as fatigue, hallucinations, tremors, confusion, nausea, vomiting, body spasms and fainting.

SYNOPSIS