Cilsam XL 20 mg/50 mg Tablet contains a combination of anti-hypertensive medications used to treat high blood pressure (hypertension). Cilsam XL 20 mg/50 mg Tablet is used when a single medication is ineffective in treating blood pressure. Besides this, lowering blood pressure also protects the heart from a future heart attack. Hypertension (high blood pressure) is a long-term force of the blood against the arteries that may lead to various heart diseases. High blood pressure adds to the workload of the heart and arteries.

Cilsam XL 20 mg/50 mg Tablet contains Metoprolol and Cilnidipine. Metoprolol plays a vital role in relaxing our blood vessels by blocking the action of certain natural substances in your body. It helps slow down the heart rate, making it easier to pump more blood around your body and lower blood pressure. Cilnidipine is a calcium channel blocker that blocks the heart's blood vessel's calcium channel activities. As a result, the blood vessels widen, and the heart's supply increases, lowering the elevated blood pressure and the heart's workload. Collectively, both help reduce blood pressure and reduce the chance of having any heart attack or stroke in the future.

Cilsam XL 20 mg/50 mg Tablet 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. Cilsam XL 20 mg/50 mg Tablet is preferable to take at the same time every day for better results. You may have a common side like feeling dizzy or exhausted, peripheral oedema (swelling of legs/hands), cold hands or feet, difficulty sleeping and nightmares. These side effects are usually mild and short-lived. However, if the side effects are persistent, reach out to your doctor. Monitor your blood pressure regularly. Cilsam XL 20 mg/50 mg Tablet should be taken regularly for best results.

Don't stop taking $ name without talking to your doctor first. Stopping Cilsam XL 20 mg/50 mg Tablet abruptly may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. You should not use Cilsam XL 20 mg/50 mg Tablet if you have a very slow heartbeat, asthma, serious heart condition (sick sinus syndrome), or any heart blockage. Cilsam XL 20 mg/50 mg Tablet should not be given to children less than 12 years of age. Cilsam XL 20 mg/50 mg Tablet should be taken with caution in patients with chest pain (angina), kidney disease, low blood sugar level (hypoglycaemia), heart failure, low blood pressure, liver disease, and peripheral oedema (swelling of hands/legs), depression. Also, a healthy diet and regular exercise are necessary to keep blood pressure under control.

Cilsam XL 20 mg/50 mg Tablet contains Metoprolol and Cilnidipine. Metoprolol plays a vital role in relaxing our blood vessels by blocking the action of certain natural substances in your body. It helps slow down the heart rate, making it easier to pump more blood around your body and lower blood pressure. Cilnidipine is a calcium channel blocker that blocks the heart's blood vessel's calcium channel activities. As a result, the blood vessels widen, and the heart's supply increases, lowering the elevated blood pressure and the heart's workload. Collectively, both help reduce blood pressure and reduce the chance of having any heart attack or stroke in the future.

• Feeling dizzy or exhausted

• Peripheral oedema (swelling of legs/hands)

• Cold hands or feet

• Difficulty sleeping

• Palpitations

• Nausea

• Nightmares

Don't stop taking Cilsam XL 20 mg/50 mg Tablet without talking to your doctor first. Stopping Cilsam XL 20 mg/50 mg Tablet abruptly may cause changes in your heart rhythm and blood pressure, chest pain, or a heart attack. Your doctor will gradually lower your dose over time to help prevent these symptoms. You should not use the Cilsam XL 20 mg/50 mg Tablet if you have a very slow heartbeat, serious lung condition (like asthma), serious heart condition (sick sinus syndrome) or any heart blockage. It should not be given to children less than 12 years of age. Before taking Cilsam XL 20 mg/50 mg Tablet , you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problems (COPD, bronchitis, emphysema), low blood sugar level (hypoglycemia), low blood pressure (hypotension), depression, previous heart failure, liver/kidney disease, thyroid hormone disorder like overactive thyroid (hyperthyroidism), adrenal gland cancer, or severe blood circulation problem (Raynaud’s syndrome). Cilsam XL 20 mg/50 mg Tablet should be taken with caution in patients with chest pain (angina), congestive heart failure, liver disease, and peripheral oedema (swelling of hands/legs). You should monitor your blood pressure regularly to ensure the Cilsam XL 20 mg/50 mg Tablet works efficiently. Besides this, prolonged intake of Cilsam XL 20 mg/50 mg Tablet can lower blood pressure (hypotension). So, daily monitoring of blood pressure is advisable.

Drug-Drug Interactions: Cilsam XL 20 mg/50 mg Tablet may interact with other blood pressure-lowering pills or beta-blockers (acebutolol, atenolol, bisoprolol, nadolol, nebivolol), causing a dangerous drop in the heart rate. Besides this, Cilsam XL 20 mg/50 mg Tablet should not be used with other blood pressure-related medicines (diltiazem, prazosin, terazosin), asthma medications (theophylline, aminophylline), pain killers, anti-cancer (aldesleukin), blood thinner (dipyridamole), antibiotics (rifampicin, erythromycin), medicines used to treat irregular heartbeat (amiodarone, procainamide, digoxin, lidocaine). If you are using these medicines, tell your doctor before taking the Cilsam XL 20 mg/50 mg Tablet .

Drug-Food Interactions: Cilsam XL 20 mg/50 mg Tablet severely interacts with grapefruit and protein-enriched foods. Using Cilsam XL 20 mg/50 mg Tablet together with ayurvedic, homoeopathy, Unani, herbal supplements, or any other OTC items may decrease the effects of Cilsam XL 20 mg/50 mg Tablet . Hence, it is better to maintain at least 2 hours gap between the administration of Cilsam XL 20 mg/50 mg Tablet and these products. Also, one should limit or avoid the intake of alcoholic beverages.

Drug-Disease Interactions: Cilsam XL 20 mg/50 mg Tablet should not be given to people with diabetes, thyroid disease, asthma, 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 or kidney disease, heart failure.

• ACEBUTOLOL
• ATENOLOL
• BISOPROLOL
• NADOLOL
• NEBIVOLOL
• DILTIAZEM
• PRAZOSIN
• TERAZOSIN
• THEOPHYLLINE
• AMINOPHYLLINE
• DIPYRIDAMOLE
• RIFAMPICIN
• ERYTHROMYCIN
• AMIODARONE
• PROCAINAMIDE
• DIGOXIN
• LIDOCAINE

• Create a well-balanced and healthy diet that includes vegetables, fruits, whole grains, legumes, omega-3-rich foods, and lean protein sources.

• Keep your weight under control with a BMI of 19.5-24.9.
• Avoid chronic stress as it can raise your blood pressure.
• Spend time with your loved ones to cope with stress and practice mindfulness techniques.
• Be mindful of salt; consume no more than 2,300 mg each day.
• Limit or avoid alcohol consumption.
• Quitting smoking is the best strategy to lower the risk of heart disease.

• Regularly monitor blood pressure levels to prevent low blood pressure.

Hypertension: The blood exerts increased pressure on the walls of blood vessels, leading to hypertension. High blood pressure is expressed as systolic/diastolic pressure. Systolic pressure is the pressure in the arteries when the heart beats or pumps out blood. Diastolic pressure is the pressure in the arteries between the heartbeats. Blood pressure is measured in millimetres of mercury (mmHg) by a blood pressure monitor called a sphygmomanometer. Some of the symptoms are headache, dizziness, nosebleeds, altered vision, chest pain, weakness, and shortness of breath. However, most of the time, the signs and symptoms of hypertension are none.