## PRODUCT DETAILS
- **🧪 Salt Composition:** Propranolol (20mg) - **📦 Store below 30°C:** Store below 30°C - **📋 Prescription required:** Yes --- ## 📝 PRODUCT INTRODUCTION
Ciplar-LA 20 Tablet helps decrease anxiety and relieve tremors. It is also used to help prevent migraine, heart-related chest pain (angina), and bleeding in the stomach caused by high blood pressure in the liver (portal hypertension). Ciplar-LA 20 Tablet may also be used to treat high blood pressure and some types of abnormal heartbeat (arrhythmia). The dose will depend on what you are being treated for and how you respond to the medicine. You should always take it as prescribed by the doctor. It should be taken on an empty stomach and at about the same time each day. You should keep taking it even if you feel well, as you are still getting the benefits. If you stop taking it suddenly, your condition may worsen.The most common side effects are tiredness, weakness cold fingers and toes (Raynaud phenomenon), irregular or slow heartbeat, numbness in your fingers, and breathlessness. You may also experience nausea, vomiting, and diarrhea. Talk to your doctor if the side effects bother you or do not go away. Most side effects are short-lived and improve as your body gets used to the medicine.You should not use this medicine if you have asthma, very slow or uneven heartbeats, or a serious heart condition, including heart failure. Talk to your doctor before taking it if you have kidney or liver problems or chronic obstructive pulmonary disease (COPD). In terms of lifestyle, alcohol may affect the way this medicine works and should be avoided. You should not drive if this medicine makes you feel dizzy. Ask your doctor whether it is safe to take this medicine if you are pregnant or breastfeeding. --- ## 🎯 USES OF CIPLAR-LA 20 TABLET
1. Prevention of Angina (heart-related chest pain) 2. Arrhythmia 3. Heart attack 4. Hypertension (high blood pressure) 5. Anxiety 6. Tremors 7. Glaucoma 8. Heart Failure 9. Migraine 10. Prevention of migraine 11. Treatment of Pheochromocytoma
--- ## BENEFITS OF CIPLAR-LA 20 TABLET
### ✅ In Prevention of Angina (heart-related chest pain) In Prevention of Angina (heart-related chest pain)Ciplar-LA 20 Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively. ### ✅ In Prevention of migraine In Prevention of migraineCiplar-LA 20 Tablet helps improve the flow of blood in your brain and prevents abnormal activity of muscles that triggers migraines. It is a very effective medicine for preventing migraine attacks, however, it does not treat an attack that has already started. By preventing and reducing the frequency of migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life. ### ✅ In Treatment of Pheochromocytoma In Treatment of PheochromocytomaWhile carrying out surgery for the removal of pheochromocytoma, there is a risk of abnormally high blood pressure. Ciplar-LA 20 Tablet blocks the effect of some chemicals on your heart and blood vessels. This slows down the heart rate and helps the heartbeat with less force thereby lowering your blood pressure. It is used for the immediate reduction of very high blood pressure (hypertensive emergency). Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems. --- ## ⚠️ SIDE EFFECTS OF CIPLAR-LA 20 TABLET
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them 1. • Cold extremities 2. Sleep disturbance 3. Slow heart rate 4. Nightmares 5. Fatigue --- ## 📥 HOW TO USE CIPLAR-LA 20 TABLET Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Ciplar-LA 20 Tablet is to be taken empty stomach. Avoid Ciplar-LA 20 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat. --- ## ⚙️ HOW CIPLAR-LA 20 TABLET WORKS Ciplar-LA 20 Tablet contains Propranolol, a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for the heart to pump blood around the body. This prevents arrhythmias. It also widens the blood vessels in the body for better blood flow, thereby preventing angina as well as migraine. The exact mechanism by which it prevents tremors is not known, but experts believe that Ciplar-LA 20 Tablet helps block the nerve impulses to the muscles responsible for tremors. Propranolol helps block the effects of the chemical messengers namely, adrenaline and noradrenaline, that are produced by the brain and are responsible for increasing your heart rate which makes you feel anxious. This way it helps with anxiety. While treating pheochromocytoma, Ciplar-LA 20 Tablet may be given to block the action of high-adrenaline hormones, to lower the risk of developing dangerously high blood pressure during surgery for removing the tumor. --- ## 🛡️ SAFETY ADVICE
- **Alcohol:** It is unsafe to consume alcohol with Ciplar-LA 20 Tablet. - **Pregnancy:** Ciplar-LA 20 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor. - **Breast feeding:** Ciplar-LA 20 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. - **Driving:** Your ability to drive may be affected if your blood sugar is too low or too high. Do not drive if these symptoms occur. - **Kidney:** Ciplar-LA 20 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Ciplar-LA 20 Tablet may be needed. Please consult your doctor. - **Liver:** Ciplar-LA 20 Tablet should be used with caution in patients with liver disease. Dose adjustment of Ciplar-LA 20 Tablet may be needed. Please consult your doctor. --- ## ⏱️ MISSED DOSAGE
If you miss a dose of Ciplar-LA 20 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose. --- ## 💡 QUICK TIPS
- • It is not the first-choice treatment for high blood pressure according to the latest guidelines. - It may hide the symptoms of low blood sugar if you have diabetes. Monitor blood sugar levels regularly. - To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. - Use caution while driving or doing anything that requires concentration as Ciplar-LA 20 Tablet can cause dizziness and sleepiness. - Inform your doctor if you notice increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath as these may be symptoms of heart failure. - Do not stop taking the medication suddenly without talking to your doctor. --- ## ❓ FREQUENTLY ASKED QUESTIONS
**Question: My doctor has prescribed Ciplar-LA 20 Tablet even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?** **Answer:** Yes, it is possible that your doctor prescribed Ciplar-LA 20 Tablet for chest pain (angina). Ciplar-LA 20 Tablet is a beta-blocker that is used to lower high blood pressure, prevent angina, treat or prevent heart attacks or reduce your risk of heart problems following a heart attack. Ciplar-LA 20 Tablet is also used to treat irregularities in the heartbeat, including those caused by anxiety, essential tremor (shaking of the head, chin and hands). It also prevents migraine headaches, overactive thyroid (thyrotoxicosis and hyperthyroidism), and bleeding in the food pipe caused by high blood pressure. **Question: Can I stop taking Ciplar-LA 20 Tablet as my chest pain is under control?** **Answer:** No, you should not stop taking Ciplar-LA 20 Tablet suddenly because that may worsen your angina or may cause a heart attack. Tell your doctor and if there is a need to stop Ciplar-LA 20 Tablet, your doctor will reduce your dose gradually over a period of a few weeks. **Question: Does Ciplar-LA 20 Tablet relieve anxiety?** **Answer:** Yes, Ciplar-LA 20 Tablet helps relieve the symptoms of anxiety such as irritability, restlessness, excessive worry, lack of concentration, racing or unwanted thoughts, fatigue, insomnia (lack of sleep), palpitations (irregular heart rate), or trembling. The dose and duration of taking Ciplar-LA 20 Tablet will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Ciplar-LA 20 Tablet is usually given for the short-term treatment of anxiety. If you have any doubts, consult your doctor. **Question: What other lifestyle changes should I make while taking Ciplar-LA 20 Tablet?** **Answer:** Lifestyle changes play a major role in keeping you healthy if you are taking Ciplar-LA 20 Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables, and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Ciplar-LA 20 Tablet and to keep yourself healthy. **Question: Is Ciplar-LA 20 Tablet effective?** **Answer:** Ciplar-LA 20 Tablet is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Ciplar-LA 20 Tablet too early, the symptoms may return or worsen. **Question: What if I take an overdose of Ciplar-LA 20 Tablet?** **Answer:** If you take an overdose of Ciplar-LA 20 Tablet you may experience symptoms such as slow heartbeat, trembling, difficulty breathing, or dizziness. However, the response of taking too much of Ciplar-LA 20 Tablet varies from person to person. It would be best to consult a doctor if you think you have taken more than what you are prescribed. **Question: Is Ciplar-LA 20 Tablet safe?** **Answer:** Ciplar-LA 20 Tablet is safe if used in the dose and duration advised by your doctor. Take it exactly as directed and do not skip any dose. Follow your doctor's instructions carefully and let your doctor know if any of the side effects bother you. **Question: I have been on Indomethacin for several months. Will it be a problem if I start taking Ciplar-LA 20 Tablet along with it?** **Answer:** Yes, Indomethacin may interfere with the working of Ciplar-LA 20 Tablet and make it less effective. As a result, your blood pressure may increase. Speak to your doctor who will prescribe you a different medicine to control blood pressure. **Question: Can Ciplar-LA 20 Tablet cause low blood potassium levels (hypokalemia)?** **Answer:** As per recent alert issued by government, Ciplar-LA 20 Tablet may cause low blood potassium levels (hypokalemia) but intensity of this effect has not been established so far. --- ## SUBSTITUTES
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Ciplar-LA 20 Tablet Benefits Use Ingredients Risks Side Effects

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