Ciplar-LA 20 Tablet is used to treat high blood pressure (hypertension), heart-related chest pain (angina), and heart rhythm disorder (arrhythmia). It may also help treat migraine headaches and tremors (fits), protect the heart after a heart attack. High blood pressure is a condition in which the blood exerts elevated pressure on blood vessel's walls, leading to various cardiovascular complications like the risk of heart attack and stroke in the future. 

Ciplar-LA 20 Tablet contains propranolol hydrochloride, which plays a vital role in relaxing and widening the blood vessels. This lowers blood pressure and helps in reducing the risk of having a stroke, heart attack, and other heart problems in the future. Ciplar-LA 20 Tablet makes it easier for the heart to pump blood throughout the body by slowing down the heart rate. Thereby, treats arrhythmia and lowering blood pressure.

Ciplar-LA 20 Tablet can be taken orally with or without food or as directed by your physician. Swallow the whole tablet with a glass of water. Do not crush, chew or break it. Ciplar-LA 20 Tablet may cause certain common side-effects like fatigue, breathlessness, nausea, vomiting, diarrhoea, and sleep disturbances. These side effects are usually mild and short-lived. However, if the side effects are persistent, reach out to your doctor.

Do not stop taking Ciplar-LA 20 Tablet without talking to your doctor. Stopping Ciplar-LA 20 Tablet may cause changes in your heart rhythm and blood pressure. Consult your doctor before taking Ciplar-LA 20 Tablet if you are pregnant. Avoid breastfeeding while taking Ciplar-LA 20 Tablet . Ciplar-LA 20 Tablet may cause dizziness, so drive with caution. Avoid alcohol consumption while taking Ciplar-LA 20 Tablet as it may cause increased dizziness. Keep your doctor informed about your health condition and medications to rule out any interactions.

Ciplar-LA 20 Tablet belongs to a group of medicines called beta-blockers used to treat high blood pressure (hypertension), heart-related chest pain (angina), and heart rhythm disorder (arrhythmia). It may also help treat migraine headaches and tremors (fits), protect the heart after a heart attack. Ciplar-LA 20 Tablet  plays a vital role in relaxing and widening the blood vessels. This lowers blood pressure and helps in reducing the risk of having a stroke, heart attack, and other heart problems in the future. Ciplar-LA 20 Tablet makes it easier for the heart to pump blood throughout the body by slowing down the heart rate. Thereby, treats arrhythmia and lowering blood pressure.

• Dizziness
• Fatigue
• Cold hands/feet
• Constipation
• Difficulty in sleeping
• Nightmares

Ciplar-LA 20 Tablet should not be used in cardiogenic shock (heart unable to pump sufficient blood) and heart failure condition. Do not stop taking Ciplar-LA 20 Tablet without talking to your doctor first. Stopping Ciplar-LA 20 Tablet may cause changes in your heart rhythm and blood pressure. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. You should not use Ciplar-LA 20 Tablet if you have a very slow heartbeat, asthma, serious heart condition (sick sinus syndrome) or any heart blockage. Before taking Ciplar-LA 20 Tablet you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problem (COPD, bronchitis, emphysema), low blood sugar level (hypoglycaemia), low blood pressure (hypotension), depression, previous heart failure, liver/kidney disease, thyroid hormone disorder, adrenal gland cancer or problems with circulation (Raynaud’s syndrome). Intake of Ciplar-LA 20 Tablet may mask symptoms of diabetes. So tell your doctor if you have type 1 or type 2 diabetes. It may also worsen your symptoms of congestive heart failure and bradycardia (slow heart rate less than 60). You should regularly monitor your prothrombin time if Ciplar-LA 20 Tablet is taken with anti-coagulants like warfarin.

Drug-Drug Interactions: Ciplar-LA 20 Tablet may interact with beta-blockers (acebutolol, atenolol, bisoprolol, carteolol, esmolol, metoprolol, nadolol, nebivolol or sotalol), blood pressure-related medicines (lisinopril, enalapril, diltiazem, prazosin, terazosin, doxazosin), asthma medications (theophylline), and pain killers. If you are using these medicines tell your doctor before taking Ciplar-LA 20 Tablet .

Drug-Food Interactions: Ciplar-LA 20 Tablet may interact with grapefruit and protein-enriched foods. Therefore, avoid consuming grapefruit and its juice while taking Ciplar-LA 20 Tablet .

Drug-Disease Interactions: Ciplar-LA 20 Tablet may have interaction with disease conditions such as 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 disease or heart failure.

• ACEBUTOLOL
• ATENOLOL
• BISOPROLOL
• CARTEOLOL
• ESMOLOL
• METOPROLOL
• NADOLOL
• NEBIVOLOL
• SOTALOL
• LISINOPRIL
• ENALAPRIL
• DILTIAZEM
• PRAZOSIN
• TERAZOSIN
• DOXAZOSIN
• THEOPHYLLINE

• 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 of Hg.

• Opt for a diet rich in whole grains, fruits, vegetables, and low-fat dairy products.

• Limit intake of sodium chloride (table salt) in your daily diet to 2300 mg per day. Less than 1500 mg is ideal for most adults.

• If you are taking alcohol then only one serving for women and two servings for men 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.

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

• 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 can help in lowering your elevated blood pressure.

• Ciplar-LA 20 Tablet may cause low blood sugar levels. Check your blood sugar levels regularly and consult a doctor if you notice any changes.

• Tell a doctor straight away if you have shortness of breath with a cough that gets worse when you exercise (like walking upstairs), swollen ankles or legs, chest pain, or an irregular heartbeat – these are signs of heart problems.

Hypertension: Hypertension is a condition in which the pressure in the blood vessels is high. The blood exerts elevated pressure on the walls of blood vessels leading to high blood pressure. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, 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 the pressure when your heart is at the resting stage between heartbeats. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.