Ciplar LA 20mg Tablet

WHAT IS PROPRANOLOL?

Propranolol is a beta-blocker drug that affects the heart and circulation (blood flow through arteries and veins). It is prescribed primarily for the treatment hypertension (high blood pressure), angina (chest pain), heart rhythm disorders, and other heart or circulatory conditions. It is also used after a heart attack to increase the chances of survival and may be used in other conditions not listed here.

Propranolol is sold under various trade names, a couple of which are Inderal and Cipral, Ciplar (made by Cipla).

IMPORTANT INFORMATION ABOUT PROPRANOLOL:

Do not take Propranolol (Inderal, Cipral) if you have a known allergy to it, or if you have asthma, bronchitis, emphysema, severe liver disease, or a serious heart conditions such as a heart block, sick sinus syndrome, or AV block (unless you have a pacemaker).

If you are scheduled for a surgery, inform your surgeon well in advance that you are using Propranolol. You may be required to suspend taking this medicine for a short time. Also do not stop taking Propranolol without your doctor?s advice. If you stop taking this medicine suddenly, your condition will deteriorate for the worse.

Do not consume alcohol (even products or other drugs containing alcohol) within 2 hours before or after taking an extended release Propranolol. Alcohol can cause Propranolol to be released too quickly into the body which is not the aim of an extended release medicine. If you are being treated for high blood pressure, continue taking Propranolol even if you don?t have any symptoms. High blood pressure doesn?t have any outwardly signs. You may have to take this medicine for the rest of your life.

Propranolol is an FDA pregnancy category C drug. It is not known whether this medicine can harm an unborn baby if taken during pregnancy. It is also not known whether Propranolol can pass into breast milk and harm a nursing baby. Consult your doctor before taking Propranolol if any of these cases apply to you.

BEFORE TAKING PROPRANOLOL:

Before taking Propranolol (Inderal, Cipral), take care of all precautions mentioned above. Discuss them with your doctor and clear all doubts which you may have about this drug.

To ensure that this drug is safe for you, inform your doctor before taking Propranolol if you have any of the following conditions: diabetes (taking Propranolol can make it difficult for you to judge when you have low blood sugar), angina, low blood pressure, kidney or liver disease, a thyroid disorder, pheochromocytoma (tumor of the adrenal gland), circulation problems (such as Raynaud?s syndrome), or a history of allergies.

HOW SHOULD I TAKE PROPRANOLOL?

Take Propranolol strictly according to your doctor?s direction or according to the instructions on the medication label. Do not alter the dosage unless your doctor advises you to do so. Also, do not take this medication after the prescribed period is over. All medications come with a patient leaflet. Refer the instructions in them for detailed information on that particular medication. Propranolol works best when taken with food. Always store this medicine in a cool and dry place.

Propranolol can impact your pupils during a cataract surgery. Let your eye surgeon know in advance that you are using this medicine. Follow your doctor?s advice carefully. Propranolol is a part of a full line of treatment for blood pressure which includes diet restrictions, exercises, and other medicines. Follow a proper regimen of these as directed by your doctor to keep your blood pressure in control.

WHAT IF I MISS A DOSE?

If you miss a dose of Propranolol, take it as soon as you remember. Don?t take the missed dose if the time to take the next dose is almost up. Taking multiple doses near to each other can lead to excess medication in your body which can be harmful.

WHAT IF I OVERDOSE?

In case of an overdose of Propranolol, get emergency medical attention or call the Doctor immediately. Overdose may result in uneven heartbeat, breathlessness, bluish colored fingernails, dizziness, weakness, seizure, or fainting.

THINGS AND ACTIVITIES TO AVOID WHILE TAKING PROPRANOLOL:

Propranolol may impact your thinking capability and reflexes. Take extra care while driving or other such activities that require a high level of mental awareness and alertness. Do not consume alcohol (even products or other drugs containing alcohol) within 2 hours before or after taking an extended release Propranolol. Alcohol can cause Propranolol to be released too quickly into the body which is not the aim of an extended release medicine. Ask your doctor or pharmacist for any other restrictions while using this medicine. Avoid getting up quickly from a lying or sitting position otherwise you may feel dizzy.

SIDE EFFECTS OF CIPLAR LA 20MG:

COMMON

Dizziness
Drowsiness
Light Headedness
Diarrhea
Fatigue

SERIOUS

Rash
Itching
Swelling Of Face
Tongue
Throat
Breathing Trouble
Unusual Fatigue
Sudden Or Unexplained Weight Gain
Severe Dizziness
Severe Stomach Or Abdominal Pain
Dark Urine
Yellowing Of Eyes And Skin
Persistent Nausea Or Vomiting
Seek Medical Attention Immediately

PROPRANOLOL DOSING INFORMATION:

Propranolol dosage may depend on a range of factors like age, sex, drug allergies, or seriousness of the condition among several other factors. Your dosage will be determined by your doctor after examining you properly. Remember to follow your doctor?s advice properly for best results.

INTERACTION WITH OTHER DRUGS:

Other drugs can interact with Propranolol. Some of them include allergy drugs, cimetidine, clonidine, digitalis, dobutamine, haloperidol, isoproterenol, blood thinner such as warfarin, doxazosin, prazosin, terazosin, amiadarone, propafenone, quinidine, fluconazole, insulin or oral diabetes medicines, antidepressants, other heart or blood pressure medicine, HIV medicines, MAO inhibitors, anti emetics, or narcotic pain killers. However, these are not the only drugs that can interact with Propranolol. Inform your doctor in advance if you use any other medicines or related products. Never start a new medicine without proper medical advice.

PRODUCT INTRODUCTION

USES OF CIPLAR-LA TABLET

• Treatment of Pheochromocytoma
• Treatment of Hypertension (high blood pressure)
• Prevention of migraine
• Treatment of Anxiety
• Treatment of Arrhythmia
• Prevention of Heart attack
• Prevention of Angina (heart-related chest pain)
• Treatment of Tremors

BENEFITS OF CIPLAR-LA TABLET

In Treatment of Pheochromocytoma

While carrying out surgery for the removal of pheochromocytoma, there is a risk of abnormally high blood pressure. Ciplar-LA 20 Tablet blocks the effect of some chemicals on your heart and blood vessels. This slows down the heart rate and helps the heartbeat with less force thereby lowering your blood pressure. It is used for the immediate reduction of very high blood pressure (hypertensive emergency). Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems.

In Treatment of Hypertension (high blood pressure)

Ciplar-LA 20 Tablet relaxes the blood vessels so that blood can flow more easily around your body. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.

In Prevention of migraine

Ciplar LA 20 Tablet helps improve the flow of blood in your brain and prevents abnormal activity of muscles that triggers migraines. It is a very effective medicine for preventing migraine attacks, however, it does not treat an attack that has already started. By preventing and reducing the frequency of migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life.

In Treatment of Anxiety

Ciplar LA 20 Tablet stops your brain from releasing the chemicals that make you feel anxious so it can reduce the symptoms of excessive anxiety and worry. It can also reduce feelings of restlessness, tiredness, difficulty concentrating, feeling irritable and sleep problems that often come with Anxiety Disorder. Ciplar LA 20 Tablet will therefore help you go about your daily activities more easily and be more productive. Keep taking this medicine even if you feel well. Stopping suddenly can cause serious problems.

In Treatment of Arrhythmia

Ciplar LA 20 Tablet is used to stabilize heart rate. It helps in normalizing an abnormal heart rhythm, preventing it occurring in the first place or slowing down the heart rate during an episode.

In Prevention of Heart attack

Ciplar LA 20 Tablet helps lower your blood pressure and make it easier for your heart to pump blood around your body. This reduces the chances of you having a heart attack. It can also reduce the risk of dying if it is given immediately after a heart attack. This medicine needs to be taken regularly to be effective, so keep taking it even if you feel well. Do not stop without talking to your doctor.

In Prevention of Angina (heart-related chest pain)

Ciplar LA 20 Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively.

In Treatment of Tremors

Ciplar LA 20 Tablet helps improve the flow of blood and prevents abnormal activity of muscles that trigger tremors. This medicine can therefore enhance the quality of life by improving the ability to carry out daily functions in a better manner.

SIDE EFFECTS OF CIPLAR-LA TABLET

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Ciplar-LA

• Tiredness
• Weakness
• Raynaud’s phenomenon
• Arrhythmia (irregular heartbeats)
• Nausea
• Vomiting
• Diarrhea

HOW TO USE CIPLAR-LA TABLET

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.
Ciplar LA 20 Tablet is to be taken empty stomach.
Avoid Ciplar LA 20 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

HOW CIPLAR-LA TABLET WORKS

Ciplar LA 20 Tablet contains Propranolol, a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart.

It slows down your heart rate and makes it easier for the heart to pump blood around the body. This prevents arrhythmias.

It also widens the blood vessels in the body for better blood flow, thereby preventing angina as well as migraine.

The exact mechanism by which it prevents tremors is not known, but experts believe that Ciplar LA 20 Tablet helps block the nerve impulses to the muscles responsible for tremors.

Propranolol helps block the effects of the chemical messengers namely, adrenaline and noradrenaline, that are produced by the brain and are responsible for increasing your heart rate which makes you feel anxious. This way it helps with anxiety.

While treating pheochromocytoma, Ciplar LA 20 Tablet may be given to block the action of high-adrenaline hormones, to lower the risk of developing dangerously high blood pressure during surgery for removing the tumor.

SAFETY ADVICE

Alcohol

UNSAFE

It is unsafe to consume alcohol with Ciplar LA 20 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Ciplar LA 20 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Ciplar LA 20 Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Driving

UNSAFE

Ciplar LA 20 Tablet may cause side effects which could affect your ability to drive.
Ciplar LA 20 Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.

Kidney

SAFE IF PRESCRIBED

Ciplar LA 20 Tablet is safe to use in patients with kidney disease. No dose adjustment of Ciplar LA 20 Tablet is recommended.
However, inform your doctor if you have any kidney disease. Ciplar LA 20 Tablet may be started with a low dose and then increased further. Regular monitoring of blood pressure is advisable for dose adjustment.

Liver

CAUTION

Ciplar LA 20 Tablet should be used with caution in patients with liver disease. Dose adjustment of Ciplar LA 20 Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.

WHAT IF YOU FORGET TO TAKE CIPLAR-LA TABLET?

If you miss a dose of Ciplar LA 20 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.