Ciplar 20mg
Available Dosages
| Description | Propranolol 20mg |
|---|---|
| SKU | 838 |
| Generic For | Inderal |
| Strength | 20mg |
| Active Ingredient | Propranolol |
Out Of Stock
Ciplar 20mg (Propranolol) – Affordable Inderal Alternative
Ciplar 20 mg
Ciplar 20 mg tablets contain Propranolol, which is a synthetic nonselective beta-blocking agent with antihypertensive, antiarrhythmic, and antianginal properties. Ciplar is a blood brain barrier penetrant.
What is Ciplar 20 mg used for?
Ciplar 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 parts of the body.
- A Migraine- A recurrent throbbing headache that affects one side of the head and is often accompanied by a 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 for another reason. Ask your doctor if you have any questions about why Ciplar has been prescribed to you.
How does Ciplar 20 mg work?
Ciplar 20 mg contains Propranolol, a potent β adrenoreceptor antagonist competitively antagonizes beta-adrenergic receptors, thereby inhibiting beta-adrenergic reactions, such as negative chronotropic, vasodilation and inotropic effects.
What are the different doses of Ciplar?
Ciplar tablets are available to buy online from premiumrxdrugs.com in doses of 10 mg and 20 mg. Buy Ciplar 20 mg at lowest discount price.
What does Ciplar 20 mg contain?
Each Ciplar tablets contains the active ingredient, propranolol hydrochloride that was discovered in 1964. Propranolol is on the WHO list of essential medicines; the most important medicines required in a basic health system.
What are the adverse effects of Ciplar 20 mg?
Tell your doctor, if you do not feel well while consuming Ciplar 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.
Tell your doctor immediately, if you experience:
- General illness
- Hallucinations
- Pain in arms or shoulders
- Confusion
- Abdominal pain
- Depression
- Nausea
- Sore throat
- Fever
- Skin pale
- Jaundice
- Light-headedness
- Shortness of breath
The list of the adverse effects listed above is not complete. If you suffer from any of these or any other unwanted effects, please inform your doctor.
What medications interact with Ciplar 20 mg?
Please tell your doctor, if you are consuming any other medicines, including medicines obtained without a prescription. Your doctor or pharmacist may wish to alter your dose, if you are consuming any of the following.
- 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 or may affect how well Ciplar works. You may need a different amount of medicines, or you may need to consume different medicines. You doctor has more information on drugs to be careful with or avoid while consuming Ciplar.
When should Ciplar 20 mg not be used?
Ciplar 20 mg 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 20 mg be taken?
- For hypertension: The recommended initial dosage is 40 mg Ciplar twice daily, whether used alone or in combination with a diuretic. 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, 3-times-daily therapy, or a large dose may be given.
- For angina pectoris: The daily doses of 80 mg to 320 mg Ciplar, 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 taken as 3 to 4 times in a day. The dose should be taken before meals at bedtime.
- For myocardial infarction: The initial dose is 40 mg daily, titration after one month to 60 mg to 80 mg daily as tolerated. The recommended every day dosage is 180 mg to 240 mg Ciplar in divided dose.
- For a migraine: The initial dose is 80 mg Ciplar 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 treatment should be discontinued. It is advised to withdraw the drug slowly over a period of few weeks.
- For Essential Tremor: The initial dosage is 40 mg Ciplar 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: 20 mg to 40 mg is the preferred dosage, and it is to be taken as three or four times daily before meals 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 it whole.
- Ciplar 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 equal divided doses. The maximum daily dose is 16 mg per 2.2 pound.
- Do not skip doses or stop using Ciplar tablets suddenly. Stopping the medicine suddenly may make your condition worse.
- Your blood pressure will need to be regularly checked during the treatment with Ciplar.
- You should only take the number of tablets that you have been told. Visit your nearest medical centre immediately, if you think that you have taken too much Ciplar tablets by mistake. The symptoms of an overdose include: fatigue dizziness, and weakness, etc.
How long should you take Ciplar 20 mg?
Continue taking Ciplar for as long as your doctor recommends. Take your medicine at the same time each day as this will help you to remember to take it regularly. If you have trouble remembering your doses, ask your doctor for some tips.
Missed dose of Ciplar 20 mg
If you miss the dose take it as soon as you remember, but if it is too late, then 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 20 mg be stored?
- Keep your medicine out of the reach of children and away from pets. Avoid exposure to light, moisture, and heat.
- Do not place your tablets in the bathroom or near a sink.
What is Ciplar 20mg used for?
Ciplar 20mg contains propranolol 20 mg, a non-selective beta-adrenergic blocker used to treat hypertension, angina, cardiac arrhythmias, tremor, and migraine prevention. As a generic for Inderal, it works by blocking both beta-1 (cardiac) and beta-2 (peripheral vascular and bronchial) adrenergic receptors, reducing heart rate, myocardial contractility, and renin release. This 20 mg formulation is a step-up dose commonly used for arrhythmia control, angina, or hypertension initiation, providing reliable therapeutic control for patients requiring consistent long-term management.
How does propranolol in Ciplar 20mg work?
Propranolol works by blocking both beta-1 (cardiac) and beta-2 (peripheral vascular and bronchial) adrenergic receptors, reducing heart rate, myocardial contractility, and renin release. This pharmacological action reduces hypertension, angina, cardiac arrhythmias, tremor, and migraine prevention effectively, making it an established treatment option in its therapeutic class. At the 20 mg dose, the drug achieves meaningful therapeutic blood levels within hours of administration, with sustained effects lasting throughout a once or twice-daily dosing interval.
What is the correct dosage and schedule for Ciplar 20mg?
Ciplar 20mg (propranolol 20 mg) is taken as directed by your physician — typically once or twice daily at a consistent time. Swallow the tablet whole with water, with or without food. Do not adjust the dose or frequency without medical guidance. Consistent daily dosing maintains therapeutic drug levels that are essential for sustained blood pressure or cardiovascular management. If a dose is missed, take it as soon as possible unless the next dose is imminent.
How long does Ciplar 20mg take to control hypertension, angina, cardiac arrhythmias, tremor, and migraine prevention?
Most patients notice an initial therapeutic response to Ciplar 20mg within 1–2 weeks of consistent daily use. The full effect at the 20 mg dose typically develops over 2–4 weeks. Cardiovascular benefits — reduced heart attack, stroke, and end-organ damage risk — accrue over months to years of sustained therapy. Blood pressure or other clinical parameter monitoring during the first month helps your doctor determine if the dose is adequate or needs adjustment.
Is Ciplar 20mg safe for long-term use in adults?
Ciplar 20mg has a well-established safety profile for long-term use when monitored appropriately. Regular blood pressure checks, periodic kidney and liver function tests, and clinical assessments are recommended. Patients with pre-existing organ impairment may require dose adjustments. The risk-benefit profile of long-term propranolol therapy is strongly positive for patients with hypertension, angina, cardiac arrhythmias, tremor, and migraine prevention, given the significant cardiovascular harm of untreated disease.
Can Ciplar 20mg be combined with other blood pressure medications?
Ciplar 20mg can be used alongside complementary antihypertensives — such as diuretics or other drug classes — when monotherapy doesn't achieve blood pressure targets. However, combining multiple antihypertensives increases the risk of excessive blood pressure reduction (hypotension). Always inform your doctor and pharmacist of all medications before adding Ciplar 20mg to your regimen. Monitoring blood pressure regularly when starting combination therapy is advisable.
How does Ciplar 20mg compare to atenolol?
Propranolol (non-selective) and atenolol (beta-1 selective) are both beta-blockers. Atenolol has less effect on beta-2 receptors, making it safer in mild respiratory conditions. Propranolol, however, crosses the blood-brain barrier more readily — making it effective for tremor, anxiety, and migraine prevention, where atenolol is less useful. For pure hypertension without these indications, either may be appropriate. The choice between Ciplar 20mg and atenolol (Tenormin) depends on individual blood pressure response, other health conditions, drug tolerability, and cost. Both are established options; your prescribing physician is best placed to determine which suits your cardiovascular profile.
Is Ciplar 20mg a good generic alternative to Inderal?
Yes. Ciplar 20mg contains the same active ingredient — propranolol — at 20 mg, manufactured to bioequivalence standards that ensure identical pharmacokinetics and clinical outcomes to branded Inderal. Patients switching from Inderal to Ciplar 20mg can expect the same therapeutic control. The major advantage of the generic is cost — significantly more affordable for patients on indefinite long-term therapy.
Can I order Ciplar 20mg from PremiumRxDrugs.com with discreet delivery?
Yes. PremiumRxDrugs.com delivers Ciplar 20mg in discreet packaging to patients in the USA, UK, Australia, and many other countries worldwide. Our licensed pharmacy model, over a decade of trusted service, and genuine manufacturer-verified medicines — combined with competitive pricing and free shipping on qualifying orders — make us a preferred choice for patients seeking private, affordable access to long-term cardiovascular therapy.
What side effects does Ciplar 20mg commonly cause?
Common side effects of propranolol include fatigue, cold extremities, bradycardia, depression, sleep disturbances, dizziness, and reduced exercise tolerance. Most side effects are dose-related and mild, often resolving as the body adjusts over the first few weeks. Persistent, severe, or worsening symptoms should be reported to your prescriber, who can assess whether dose adjustment or an alternative medication is appropriate for your situation.
Who should not take Ciplar 20mg?
Ciplar 20mg is contraindicated in patients with bronchial asthma, severe COPD, second- or third-degree AV block, cardiogenic shock, severe bradycardia, uncontrolled heart failure, and Prinzmetal's angina. Pregnant women should avoid this medicine, as many cardiovascular drugs carry fetal risk. Always provide your complete medical history — including all diagnosed conditions and current medications — to your prescriber before starting Ciplar 20mg. Regular follow-up ensures safety concerns are detected and managed proactively during long-term treatment.
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