Description
CTD-C 12.5/10 Tablet is a combination medicine used for the treatment of high blood pressure. Frequent monitoring of blood pressure and electrolytes level is necessary while taking this medicine. Patients are advised to maintain a strict exercise and diet regimen along with this medicine to get the best possible effect.
Side effects
Major & minor side effects for CTD-C 12.5/10 Tablet
Low blood pressure (hypotension)
Dizziness
Fast heartbeat
Muscle pain
Shaking of hands or feet
Skin rash
Decreased sexual urge
Increased urination frequency
Stomach pain
Photosensitivity
Constipation
Diarrhea
Loss of appetite
Nausea
Vomiting
Headache
Blurred vision
Restlessness
Uses of CTD-C 12.5/10 Tablet
What is it prescribed for?
Hypertension (increased blood pressure)
This medicine may be used in the treatment of hypertension, which is an increase in the blood pressure levels that may be caused by genetic and/or environmental factors.
Related Product
CTD 12.5 Tablet
CTD 6.25 Tablet
CTD-T 6.25/20 Tablet
CTD-T 6.25/40 Tablet
CTD-T 6.25/80 Tablet
CTD-T 12.5/20 Tablet
CTD-T 12.5/40 Tablet
CTD-T 12.5/80 Tablet
CTD-T AM 12.5/40/5 Tablet
CTD-T AM 12.5/80/5 Tablet
CTD-T AM 6.25/40/5 Tablet
CTD-C 12.5/10 Tablet
CTD-C 6.25/10 Tablet
CTD-L 12.5/50 Tablet
CTD-L 6.25/25 Tablet
CTD-L 6.25/50 Tablet
CTD-M 12.5/50 Tablet
CTD-M 6.25/25 Tablet
CTD-M 6.25/50 Tablet
CTD-O 12.5/20 Tablet
CTD-O 12.5/40 Tablet
CTD-O 6.25/20 Tablet
CTD-O 6.25/40 Tablet
When not to use?
Allergy
This medicine is not recommended for use in patients with a known allergy to cilnidipine, chlorthalidone or any other inactive ingredients present in the formulation.
Heart diseases
This medicine is not recommended for use in patients having heart conditions like heart attack, rhythm disorders, angina, narrowing of blood vessels etc. due to the increased risk of worsening of the patient’s condition.
Anuria
This medicine is not recommended for use in patients with anuria (a condition where the kidney is unable to produce urine) due to the increased risk of worsening of the patient’s condition.
Severe renal impairment
This medicine is not recommended for use in patients with severe renal impairment (CrCl < 30 ml/min) due to the increased risk of serious adverse effects.
Severe liver impairment
This medicine is not recommended for use in patients with severe liver impairment due to the increased risk of serious adverse effects.
Warnings
Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings
Hypotension
This medicine should be used with caution in patients with severe aortic stenosis as it may lower the blood pressure because of the gradual onset of action. Inform the doctor if you experience any undesired effects.
Heart attack
This medicine should be used with caution while starting or increasing the dose in patients with coronary artery diseases as it may worsen the symptoms of heart attack.
Use in Children
This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.
Liver Disease
This medicine should be used with extreme caution in patient’s suffering from liver diseases due to an increase in the risk of serious adverse effects. Close monitoring of liver function is advised while taking this medicine. Report any symptoms of confusion or jaundice to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Volume and electrolyte disturbances
This medicine may alter the blood volume and electrolyte levels in some patients. This may cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in patients suffering from kidney and liver diseases. Close monitoring of blood pressure and electrolyte levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Kidney Disease
This medicine should be used with caution in patients with kidney diseases due to the increased risk of worsening of the patient’s condition. Close monitoring of kidney function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Driving or operating machinery
Use of this medicine may cause drowsiness or dizziness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating heavy machinery during treatment with this medicine if you experience any of these symptoms.
Dosage
Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
Interactions
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of dizziness, fainting, and very low blood pressure levels. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms.
Interaction with Medicine
Carbamazepine
Cisapride
Lithium
Amiodarone
Insulin
Cimetidine
Ziprasidone
Disease interactions
Hypotension or cardiogenic shock
This medicine is not recommended for use in patients suffering from a cardiogenic shock (a condition where the heart cannot pump enough blood) due to the increased risk of worsening of the patient’s condition. Replacement with a suitable alternative may be necessary based on the clinical condition.
Congestive heart failure
This medicine should be used with caution in patients who have suffered a heart attack recently due to the increased risk of worsening of the patient’s condition. Suitable dose adjustment and safety monitoring may be required in such cases. Replacement with a suitable alternative may be necessary in some cases based on the clinical condition.
Diabetes
This medicine should be used with caution in patients with diabetes mellitus due to the increased risk of altered blood glucose levels. Close monitoring of blood glucose levels is advised for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Hyperuricemia
This medicine should be used with caution in patients with hyperuricemia (increased uric acid levels in the blood) since this medicine decreases the uric acid excretion and increase the risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Hyperlipidemia
This medicine should be used with caution in patients with hyperlipidemia since it may increase the cholesterol and triglyceride levels. Close monitoring of cholesterol and triglyceride levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Consumption of grapefruit juice is not recommended during treatment with this medicine due to the increased risk of severe adverse effects such as dizziness, headache, swelling of hands and feet, etc.
Lab interactions
Urinary vanillylmandelic acid
Report the use of this medicine if you have been asked to undergo this test for the presence of adrenal gland tumor. Use of this medicine is likely to give a false value that might be higher than normal.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
General Instructions
Take this medicine exactly as advised by your doctor. Do not take in larger amounts than prescribed. Drink an adequate amount of water. Monitoring of kidney function and electrolytes levels is necessary while taking this medicine. Report any adverse effects to the doctor on priority. Do not stop the use of this medicine without consulting your doctor.
