Cilvas-M Tablet ER belongs to the group of anti-hypertensive medicines that are used to treat high blood pressure (hypertension). Cilvas-M Tablet ER helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke. High blood pressure is a condition where the blood exerts increased pressure on the walls of blood vessels. Symptoms include headache, dizziness, nosebleeds, changes in vision, chest pain, weakness, and dyspnea (shortness of breath). The majority of the time, there are no symptoms or indicators of hypertension.
 
Cilvas-M Tablet ER is a combination of Cilnidipine and Metoprolol succinate. Cilnidipine acts on the calcium channels of the blood vessels which suppress the contraction of blood vessels and promote smooth blood flow. Metoprolol succinate lowers heart rate and facilitates simpler blood circulation throughout the body. Thus, Cilvas-M Tablet ER helps treat hypertension.

Take as prescribed. You are advised to take Cilvas-M Tablet ER for as long as your doctor has prescribed it for you, depending on your medical condition. Sometimes, you may experience certain common side effects such as headache, nausea, dizziness, weakness, decreased blood pressure, and a slow heart rate. Most of these side effects do not require medical attention and will subside over time. However, if any of these side effects persist, consult your doctor.
 
Do not stop taking Cilvas-M Tablet ER on your own as abrupt stopping may cause a sudden increase in blood pressure. Consult your doctor before taking Cilvas-M Tablet ER if you are pregnant or breastfeeding. Cilvas-M Tablet ER is not recommended for children as efficacy and safety have not been established. Cilvas-M Tablet ER may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Inform your doctor about all the medicines you are taking and about your health condition to rule out any unpleasant side effects/interactions.

Cilvas-M Tablet ER used to treat hypertension that contains Cilnidipine and Metoprolol succinate. Cilnidipine acts on the calcium channels of the blood vessels which suppress the contraction of blood vessels and promote smooth blood flow. Metoprolol succinate lowers heart rate and facilitates simpler blood circulation throughout the body. Thus, Cilvas-M Tablet ER helps treat hypertension. Cilvas-M Tablet ER helps lower blood pressure, thereby reducing the chances of heart problems such as heart attack and stroke.

• Headache
• Nausea
• Weakness
• Slow heart rate (bradycardia)
• Dizziness

Do not take Cilvas-M Tablet ER if you are allergic to any of its contents. Inform your doctor before taking Cilvas-M Tablet ER if you have diabetes, circulation problems, asthma, thyroid disorder, adrenal gland tumour, heart, kidney, or liver problems; if you are on a low-salt diet, or if you are taking potassium supplements. Consult your doctor before taking Cilvas-M Tablet ER if you are pregnant or breastfeeding. Cilvas-M Tablet ER is not recommended for children as efficacy and safety have not been established. Cilvas-M Tablet ER may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Rise slowly from lying/sitting position as Cilvas-M Tablet ER may cause dizziness (orthostatic hypotension).

Drug-Drug Interactions: Cilvas-M Tablet ER may interact with medicines such as painkillers (aspirin), anti-convulsant (pregabalin, phenytoin), anti-depressant (duloxetine), anti-diabetic (insulin glargine), diuretics (furosemide), hormone (levothyroxine), antibiotics (erythromycin, rifampicin), anti-arrhythmic agent (quinidine), cytokines (aldesleukin).

Drug-Food Interactions: Maintain a low-salt and low-fat diet while taking Cilvas-M Tablet ER. Avoid intake of food rich in potassium, such as potassium-containing salt substitutes or over-the-counter potassium supplements. Avoid smoking and alcohol consumption.

Drug-Disease Interactions: Cilvas-M Tablet ER may have interactions with conditions such as diabetes, renal dysfunction (kidney disease), pulmonary disease, alcoholism, congestive heart failure (heart disease), hypotension (low blood pressure), and liver disease.

• ASPIRIN
• PREGABALIN
• DULOXETINE
• INSULIN GLARGINE
• FUROSEMIDE
• LEVOTHYROXINE
• ERYTHROMYCIN
• QUINIDINE
• ALDESLEUKIN

• Consume low salt and low-fat diet while taking Cilvas-M Tablet ER. 
• Regular exercise is also recommended to complement treatment with Cilvas-M Tablet ER.
• Eat a diet rich in whole grains, vegetables, and fruits.
• Avoid smoking and alcohol consumption.
• Maintain a healthy weight with proper diet and exercise.
• Manage stress with meditation, yoga, and massage.
• Avoid consuming food rich in potassium, such as bananas, broccoli, almonds, avocado, and potassium supplements.

Regular monitoring of blood pressure levels, kidney function and electrolyte levels while taking Cilvas-M Tablet ER is advised.

High blood pressure (hypertension): Hypertension or high blood pressure is a condition where the circulating blood exerts high pressure on the walls of your blood vessels. If left untreated, it can lead to various complications like stroke, chest pain (angina), and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage and kidney failure. Symptoms of high blood pressure include headache, dizziness, nose bleed, changes in vision, chest pain, weakness, and dyspnoea (shortness of breath). The majority of the time, there are no symptoms or indicators of hypertension.