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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Nov 23, 2024 | 4:49 PM IST
Cilacar O 20 Tablet is used to treat hypertension (high blood pressure). It contains Olmesartan medoxomil and Cilnidipine, which relaxes blood vessels and allows the blood to flow more smoothly and the heart to pump more efficiently. In some cases, it may cause side effects such as headache, nausea, peripheral oedema (swelling of legs/hands), or dizziness. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Cilacar O 20 Tablet

Cilacar O 20 Tablet is a combination of blood pressure-lowering medicines primarily used to treat hypertension (high blood pressure). Hypertension or high blood pressure is a chronic condition in which the blood's force against the artery wall is high. As a result, it leads to heart disease, irregular heartbeat, and other complications.

Cilacar O 20 Tablet contains Olmesartan medoxomil and Cilnidipine. Olmesartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Cilnidipine blocks the activities of the calcium channels present in the blood vessels of the heart. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. 

It would be best if you take Cilacar O 20 Tablet with food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it. Your doctor will advise you on the dose and duration based on your medical condition. You may experience headache, nausea, peripheral oedema (swelling of legs/hands), or dizziness in some cases. Most of these side effects of Cilacar O 20 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine of your own. Let the doctor know if you want to stop taking Cilacar O 20 Tablet , as it may cause a rise in blood pressure and increase the risk of getting stroke and heart disease. Cilacar O 20 Tablet should be taken with caution in patients with chest pain (angina), kidney disease, heart failure, low blood pressure (hypotension), and cardiogenic shock (sudden stopping of blood flow to the heart). Consult the doctor if you are pregnant or breastfeeding. Please inform your doctor if you are taking any other medicines or are allergic to this medicine.

Uses of Cilacar O 20 Tablet

Treatment of Hypertension.

Medicinal Benefits

Cilacar O 20 Tablet contains Olmesartan medoxomil and Clindipine, which together help in lowering raised blood pressure effectively. Olmesartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Cilnidipine blocks the activities of the calcium channels present in the blood vessels of the heart. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body. Thus, it helps to lower high blood pressure, reducing the chances of heart attack or stroke. 

Directions for Use

It should be taken daily with food to allow its slow absorption and reduce the risk of sudden lowering of blood pressure. Swallow the whole tablet with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Cilacar O 20 Tablet

  • Dizziness

  • Headache

  • Peripheral oedema (swelling of legs/hands)

  • Flushing (skin reddening)

  • Rash

  • Taste change

  • Upset stomach

Drug Warnings

Do not take Cilacar O 20 Tablet if you are allergic to any of its components. Inform the doctor if you have low blood pressure (less than 90 mm of Hg), heart problems, kidney disease, liver disease, pregnant women or planning to get pregnant and breastfeeding women. This medicine is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem). Cilacar O 20 Tablet can pass into breast milk, but its effect on the baby is not known. So, it is better to tell your doctor if you are taking Cilacar O 20 Tablet and breastfeeding. Grapefruit juice and St. John's wort plant should not be consumed when taking Cilacar O 20 Tablet as it is contraindicated. Drinking alcohol while using Cilacar O 20 Tablet can cause you to have low blood pressure, so avoid intake of alcoholic beverages.

Drug Interactions

Drug-Drug Interaction: Cilacar O 20 Tablet may interact with other high blood pressure-lowering pills (benazepril, metoprolol, ramipril, hydrochlorothiazide, simvastatin, diltiazem, aliskiren, verapamil, azilsartan, benazepril, lisinopril), and can lower your blood pressure leading to severe condition. Besides this, birth control pills containing drospirenone should not be taken with Cilacar O 20 Tablet .

Drug-Food Interaction: Cilacar O 20 Tablet severely interacts with grapefruit, grapefruit juices, and St. John’s wort (a plant used to treat depression). Hence, it should not be taken with Cilacar O 20 Tablet .

Drug-Disease Interaction: Cilacar O 20 Tablet should not be given to people with chest pain (angina), cardiogenic shock (when the heart fails to pump required blood to the body), heart valve problem (stenosis), low blood pressure (hypotension), coronary heart disease, liver disease, kidney problem, or heart failure

Drug-Drug Interactions Checker List

  • DROSPIRENONE
  • RAMIPRIL
  • ASPIRIN
  • ALISKIREN
  • VERAPAMIL
  • BENAZEPRIL
  • LISINOPRIL

Habit Forming

No

Diet & Lifestyle Advise

  • Keep your weight under control with a BMI of 19.5-24.9.
  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help lower your raised blood pressure by about 5 mm Hg.
  • Opt for a diet rich in whole grains, fruits, vegetables and low-fat dairy products. 
  • Limit sodium chloride (table salt) intake in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
  • If you are taking alcohol, then only one serving for women and two servings is advisable. 
  • Quitting smoking is the best strategy to lower the risk of heart disease. 
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques. 
  • Try to include heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.

Special Advise

Monitor your blood pressure daily, and if there is too much fluctuation, immediately contact your doctor. 

Disease/Condition Glossary

High blood pressure: It is the measurement of the force that our heart uses to pump blood to all body parts. Hypertension is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Raised blood pressure can cause chest pain (angina) and heart attack (when the blood supply to the heart is blocked). High blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.

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Alcohol

Unsafe

Cilacar O 20 Tablet can lower your blood pressure causing dizziness and drowsiness. It can also cause orthostatic hypotension (sudden fall in blood pressure while standing). So try to avoid intake of Cilacar O 20 Tablet with alcoholic beverages.

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Pregnancy

Unsafe

Cilacar O 20 Tablet is pregnancy risk category D medicine which may cause harm to the fetus or unborn baby. So, when pregnancy is detected, discontinue Cilacar O 20 Tablet as soon as possible and consult the doctor.

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Breast Feeding

Caution

Cilacar O 20 Tablet passes into the breast milk. But its effect on the baby is not clear. However, contacting the doctor before intake of Cilacar O 20 Tablet is advisable.

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Driving

Unsafe

Cilacar O 20 Tablet may cause side effects that could affect your ability to drive. Taking Cilacar O 20 Tablet may lower your blood pressure

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Liver

Caution

Cilacar O 20 Tablet to be taken with caution, especially if you have a liver disease history. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Kidney

Caution

Cilacar O 20 Tablet is not recommended in patients with chronic kidney disease (severe renal impairment). Please inform your doctor if you had a history of kidney disease. Your doctor may adjust the dose if required based on your condition.

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Children

Unsafe

Cilacar O 20 Tablet is not recommended in children. The safety and efficacy of Cilacar O 20 Tablet in children have not yet been established

Country of origin

India

Manufacturer/Marketer address

Cnergy IT Park, 3rd floor Appa Saheb Marathe Marg, Prabhadevi, Mumbai 400025
Other Info - CIL0181

Author Details

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FAQs

Cilacar O 20 Tablet is used to treat hypertension (high blood pressure). It works by relaxing blood vessels. This allows the blood to flow more smoothly, reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body.
It is advised to continue your medicine even after your blood pressure is under control or becomes normal, as blood pressure can be increased at any time. If you have a persistent headache, please consult your doctor immediately.
Yes, Cilacar O 20 Tablet is known to cause ankle swelling. Please try to keep your feet up when sitting for long hours. If the problem persists still, consult your doctor and do as advised.
In case you have missed a dose of Cilacar O 20 Tablet , you are advised to take it as soon as you remember. However, try not to miss a dose in the first place; if it's time to take your next dose, then do not take both doses together. Take only one dose; a double dose of Cilacar O 20 Tablet will lead to low blood pressure.
Cilacar O 20 Tablet , a combination medication for high blood pressure, start working within 1-2 hours. It reaches its peak effect in 12-24 hours and lasts 24 hours. You may notice a significant reduction in blood pressure within 1-2 weeks, with continued improvement over 4-6 weeks. However, please note that the onset and duration of action may vary from person to person, depending on individual factors such as metabolism, age, and health status.
Generally, taking Cilacar O 20 Tablet in the morning, accompanied by a glass of water, is recommended before consuming any food. However, your healthcare provider may suggest a personalized schedule based on your unique requirements and medical background. Consistently taking the medication at the same time daily, as instructed by your doctor, is crucial to optimize its benefits and reduce the risk of adverse effects.
Yes, dizziness is a possible side effect of taking Cilacar O 20 Tablet . This is because the medication can cause a sudden drop in blood pressure, leading to lightheadedness or dizziness. However, this effect is usually mild and temporary. If the dizziness is severe, persistent, or accompanied by other symptoms like fainting or blurred vision, consult your doctor or healthcare professional for guidance.
While using Cilacar O 20 Tablet , consider making lifestyle changes to help manage your blood pressure and overall health. Maintain a healthy weight, exercise for at least 30 minutes daily, and eat a balanced diet rich in whole grains, fruits, vegetables, and low-fat dairy products. Limit your sodium intake and alcohol consumption and quit smoking if you haven't already. Manage stress through mindfulness practices and social support and monitor your blood pressure daily. Additionally, include omega-3-rich foods in your diet and use low-fat oils like olive, soybean, canola, and coconut oil for cooking. Remember to consult your doctor for personalized advice on making these lifestyle changes to ensure you take the best care of your health.
Cilacar O 20 Tablet may cause weight gain in some people. This is because the medication can cause fluid retention, increased sodium levels, and increased appetite. However, weight gain is not a common side effect; it affects people differently. If you're worried about weight gain or notice significant changes, consult your doctor for guidance.
Cilacar O 20 Tablet may rarely cause serious side effects, such as swelling of the face, lips, or tongue, breathing difficulties, chest pain or rapid heartbeat, severe dizziness or fainting, stomach pain or diarrhoea, yellowing of the skin or eyes, and kidney problems. If you experience any of these, seek medical help immediately.
Cilacar O 20 Tablet is unlikely to affect fertility or sex life in men or women. However, if you're having difficulty trying for a baby, it's recommended to speak with your doctor. They can provide guidance and address any concerns you may have.
The duration you take Cilacar O 20 Tablet depends on your health needs and blood pressure control. Typically, high blood pressure requires ongoing treatment. Your doctor will closely monitor your progress and decide how long you should continue taking the medication. It's essential not to stop taking Cilacar O 20 Tablet without consulting your doctor first, as they will adjust your treatment plan accordingly.
Take Cilacar O 20 Tablet exactly as prescribed by your doctor to manage your high blood pressure (hypertension). This is a long-term treatment, which means you'll need to take it continuously for an extended period. Regular check-ups with your doctor are crucial to monitor your blood pressure, adjust your dosage as needed, and ensure Cilacar O 20 Tablet works effectively and safely for you. Following your doctor's instructions and attending regular check-ups can effectively manage your high blood pressure and reduce the risk of related health issues.
Cilacar O 20 Tablet contains olmesartan, medoxomil, and cilnidipine. Olmesartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. Cilnidipine blocks the activities of the calcium channels present in the heart's blood vessels. This reduces the heart's workload and makes the heart more efficient at pumping blood throughout the body.
Common side effects of Cilacar O 20 Tablet include headache, nausea, peripheral oedema (swelling of legs/hands), or dizziness in some cases. Most of these side effects of Cilacar O 20 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist, contact your doctor.

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