Ciplar LA 40mg

Ciplar-LA 40 mg is a long-acting tablet containing Propranolol Hydrochloride, a beta-blocker, a synthetic nonselective beta-blocking agent with antihypertensive, antiarrhythmic, and antianginal properties. It’s commonly prescribed to manage several heart- and brain-related conditions by slowing the heart rate and reducing blood pressure.

What is Ciplar LA-40 mg used for?

Ciplar LA is indicated for:

• High blood pressure (hypertension) - To treat hypertension, the medicine is used alone or in combination with other hypertensive drugs, particularly a thiazide diuretic.
• Atrial Fibrillation- An abnormal heart rhythm characterized by fast or irregular beating.
• Angina pectoris (severe chest pain).
• Myocardial Infarction (a heart attack).
• Essential tremor- A nerve disorder marked by uncontrollable shaking or tremors in different body parts.
• A Migraine- A recurrent throbbing headache that affects one side of the head and is often accompanied by disturbed vision and nausea.
• Pheochromocytoma (a rare tumor of adrenal gland tissue).
• Hypertrophic Subaortic Stenosis- A condition in which the left ventricle is hypertrophied and the cavity is small; it is characterized by obstruction to left ventricular flow in the heart.

Your doctor may, however, prescribe Ciplar LA or another reason. Ask your doctor if you have any questions about why Ciplar LA has been prescribed.

How does Ciplar LA-40 mg work?    

Ciplar LA-40 mg contains Propranolol, a potent β adrenoreceptor antagonist that competitively antagonizes beta-adrenergic receptors, thereby inhibiting beta-adrenergic reactions, such as negative chronotropic, vasodilation, and inotropic effects.

What medications interact with Ciplar LA-40mg?

Please tell your doctor if you are consuming other medicines, including those obtained without a prescription. If you are consuming any of the following, your doctor or pharmacist may wish to alter your dose.

• Isoproterenol
• Indomethacin
• Isoproterenol
• Warfarin
• Aspirin
• Cimetidine
• Amitriptyline
• Furazolidone
• Selegiline
• Clonidine
• Doxazosin
• Reserpine
• Benazepril
• Amiodarone
• Ramipril
• Terazosin
• Diltiazem
• Quinapril
• Captopril
• Reserpine
• Trandolapril

These drugs may be affected by Ciplar LA or may affect how well Ciplar LA works. You may need a different amount of medicines, or you may need to consume different medicines. Your doctor has more information on drugs to be careful with or avoid while consuming Ciplar LA.

When should Ciplar LA-40 mg not be used?

Ciplar LA 40mg is contraindicated in patients with:

• Bronchial asthma
• With known hypersensitivity to any of the ingredients of Ciplar tablets
• Sinus bradycardia
• Cardiogenic shock

How should Ciplar LA be taken?

• For hypertension: The recommended initial dosage is 40 mg of Ciplar LA twice daily, whether used alone or in combination with a diuretic. The dosage may be raised slowly until adequate blood pressure is attained. The maintenance dosage is 120 or 240 mg daily. In some cases, a dosage of 640 mg per day is required. If adequate control is not achieved, three-times-daily therapy or a large dose may be given.
• For angina pectoris: The daily doses of 80 mg to 320 mg Ciplar LA, when administered orally, twice daily, thrice daily, or four times a day, have been shown to reduce ischemic changes in ECG and to increase exercise tolerance in patients with angina pectoris.
• Atrial fibrillation: The usual recommended dose is 10 mg to 30 mg Ciplar LA, taken 3 to 4 times a day. The dose should be taken before meals and at bedtime.
• For myocardial infarction: The initial dose is 40 mg daily, titrated after one month to 60 mg to 80 mg daily as tolerated. The recommended daily dosage is 180 mg to 240 mg of Ciplar LA in divided doses.
• For migraines: The initial dose is 80 mg Ciplar LA daily in divided doses. The recommended effective dose range is 160 to 240 mg daily. The dosage may be raised slowly to attain optimum migraine prevention. If a satisfactory response is not achieved within four to six weeks after reaching the maximum dose, Ciplar LA treatment should be discontinued. It is advised to withdraw the drug slowly over a period of several weeks.
• For Essential Tremor: The initial dosage is 40 mg Ciplar LA twice daily. Reduction in essential tremor is usually attained with a dose of 120 mg daily. Occasionally, it may be essential to administer 240 mg to 220 mg daily.
• For Hypertrophic Subaortic Stenosis, the preferred dosage is 20 mg to 40 mg, taken three or four times daily before meals and at bedtime.
• For Pheochromocytoma, 60 mg is the recommended dose taken in divided doses for three days before surgery as a combination therapy to alpha-adrenergic blockade. For the treatment of inoperable tumors, 30 mg is the usual dosage given daily in divided doses as a combination therapy to alpha-adrenergic blockade.
• Try to take it at the same time each day. Do not crush or chew the tablets; swallow them whole.
• Ciplar LA will be carefully individualized for use in children. Doses in children are calculated by body weight and range from 2 mg to 4 mg per 2.2 pounds daily, given in two equally divided doses. The maximum daily dose is 16 mg per 2.2 pounds.
• Do not skip doses or stop using Ciplar LA tablets suddenly. Stopping the medicine suddenly may make your condition worse.
• Your blood pressure must be regularly checked during the treatment with Ciplar LA.
• You should only take the number of tablets that you have been told. Visit your nearest medical center immediately if you think that you have taken too many Ciplar LA tablets by mistake. The symptoms of an overdose include fatigue, dizziness, weakness, etc.
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How long should you take Ciplar LA-40 mg?

Continue taking Ciplar LA for as long as your doctor recommends. Take your medicine at the same time each day, which will help you remember to take it regularly. If you have trouble remembering your doses, ask your doctor for tips.

Missed dose of Ciplar LA-40 mg

If you miss the dose, take it as soon as you remember. If it is too late, skip the missed dose and take the next dose at the correct scheduled time. Do not take two doses at the same time.

How should Ciplar LA-40 mg be stored?

• Keep it out of the reach of children and away from pets. Avoid exposure to light, moisture, and heat.
• Do not place these tablets in the bathroom or near a sink.

What are the adverse effects of Ciplar LA-40 mg?

Tell your doctor, if you do not feel well while consuming Ciplar LA tablets. All drugs can have undesired side effects. Sometimes they are severe, most of the time they are not. You may require medical help, if you get some of the adverse reactions. Inform your doctor, if you notice any of the following and they worry you.

• Impotence or decreased libido
• Weakness and tired feeling
• Anxiety
• Insomnia
• Nervousness
• Pain in the abdomen

These are the most common adverse effects of Ciplar LA.

Tell your doctor immediately if you experience the following:

• General illness
• Hallucinations
• Pain in arms or shoulders
• Confusion
• Abdominal pain
• Light-headedness
• Depression
• Nausea
• Sore throat
• Fever
• Skin pale
• Jaundice
• Shortness of breath

The list of adverse effects is not complete. Please inform your doctor if you suffer from any of these or any other unwanted effects.