Cilnivas 10 mg Tablet

Dual L/N-type calcium-channel blocker for:

• High blood pressure (may cause less ankle swelling than amlodipine and may help reduce protein in urine)

Adults: 5–10 mg once daily after breakfast; may be increased to 20 mg once daily if needed.

• Elderly: start with 5 mg.
• Take at the same time each day.
• Not for children.

• Allergy to cilnidipine or other dihydropyridines
• Pregnancy
• Cardiogenic shock, severe aortic stenosis, recent heart attack (within 1 month)

Common: headache, flushing, dizziness, palpitations.

Less common: ankle swelling (less than other dihydropyridines), frequent urination, raised liver enzymes, stomach upset, rash.

Rare: low blood pressure, gum overgrowth, chest pain at the start.

• Liver impairment: caution.
• Do not stop suddenly in angina or severe hypertension.
• Avoid grapefruit juice.

Contraindicated in pregnancy. Avoid breastfeeding during treatment.

• Other antihypertensives (additive)
• Ketoconazole, itraconazole, clarithromycin, cimetidine, grapefruit (raise levels)
• Rifampicin, carbamazepine (lower levels)
• Digoxin (levels may rise)

Severe low blood pressure, fast heartbeat. Emergency care.

Store below 30°C, protected from light.