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Twincal 5 MG Tablet
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Twincal 5 MG Tablet

Manufactured byZydus Cadila
ContainsCilnidipine
Description
Twincal 5 MG Tablet is a medicine used for the treatment of high blood pressure. This medicine works by relaxing your blood vessels, and improving free blood flow, thus lowering your blood pressure. This will reduce the risk of heart attack or a stroke. Twincal 5 MG Tablet shows side effects like swelling in your ankles or feet, headache, sleepiness, dizziness, tiredness, nausea, and stomach upset. Most of these side effects are temporary and usually resolve with time. Consult your doctor if any of these symptoms persist or worsen. Avoid consuming grapefruit juice with this medicine as it can cause serious side effects. Twincal 5 MG Tablet can be taken with or without food. The dose will be decided by your doctor depending on your condition. Take this medicine at the same time every day to maintain a constant level in the blood. It is a long-term treatment hence, do not stop using this medicine without consulting your doctor. Abrupt stopping can cause unwanted side effects or a sudden increase in your blood pressure. Twincal 5 MG Tablet is not recommended to be used in children under 18 years unless prescribed by your doctor. Inform your doctor about all the medicines and supplements you are taking as this medicine can interact with them and result in side effects. Also, inform your doctor if you have kidney or liver problems before taking this medicine. If you are pregnant or are breastfeeding, consult your doctor before taking Twincal 5 MG Tablet.
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Side effectsConcernsUsageRelated products

Substitutes

List of substitutes for Twincal 5 MG Tablet

Cetanil 5 MG Tablet
Alembic Ltd.
Cilaheart 5 MG Tablet
Mankind Pharmaceuticals Ltd.
Cilnidipine 5 MG Tablet
Cipla Ltd.
Cilogard 5 MG Tablet
Cipla Ltd.
Nelovin Forte 5 MG Tablet
Pfizer Ltd.

Side effects

Major & minor side effects for Twincal 5 MG Tablet

  • Dizziness
  • Flushing or redness of skin
  • Swelling of hands and feet
  • Irregular heartbeat
  • Skin rash
  • Stomach pain
  • Headache
  • Hypotension
  • Tiredness

Uses of Twincal 5 MG Tablet

What is it prescribed for?

  • Hypertension
Read More
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The time required for Twincal 5 MG Tablet to start showing its effect is not known.
  • How long do the effects of this medicine last?
    The amount of time for which Twincal 5 MG Tablet may remain active in the body is about 24 hours.
  • Is it safe to consume alcohol while taking this medicine?
    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is this a habit forming medicine?
    No habit-forming tendency was reported for Twincal 5 MG Tablet.
  • Can this medicine be taken during pregnancy?
    Twincal 5 MG Tablet is not recommended for use in pregnancy as it may harm your foetus. Consult your doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    Twincal 5 MG Tablet is not recommended for use while breastfeeding. If you are breastfeeding, consult your doctor before taking this medicine.

Allergy

Twincal 5 MG Tablet is not recommended for use if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, swelling and/or itching (especially in the face, lips, throat, etc.), dizziness, breathing difficulty, etc.
Warnings for special population

Pregnancy

Twincal 5 MG Tablet is not recommended for use in pregnancy as it may harm your foetus. Consult your doctor before taking this medicine.

Breast-feeding

Twincal 5 MG Tablet is not recommended for use while breastfeeding. If you are breastfeeding, consult your doctor before taking this medicine.
General warnings

Aortic stenosis

Aortic stenosis is narrowing or blockage of the aortic valve (it is a branch of a larger blood vessel in your heart) that regulates blood flow in the chambers of your heart. This medicine slows down the blood flow which may increase the risk of very low blood pressure. Your doctor may monitor your blood pressure while on treatment with medicine. Your doctor may also adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

Liver disease

Use Twincal 5 MG Tablet with caution if you have liver problems as this medicine is broken down and absorbed in your liver. An impaired liver can lead to the accumulation of this medicine and cause serious side effects. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

Kidney diseases

Use Twincal 5 MG Tablet with caution if you have severe kidney problems as this medicine is filtered and excreted through your kidneys. It may lead to the accumulation of this medicine in your blood and increase the risk of side effects. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

Withdrawal

Do not stop taking Twincal 5 MG Tablet without consulting your doctor as abrupt stop may worsen your condition such as angina (chest pain). Your doctor may gradually reduce the dose based on your condition to avoid undesirable effects.

Use in children

Twincal 5 MG Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data are not available.

Missed Dose

Take the missed dose of Twincal 5 MG Tablet as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Never take more than the prescribed dose. Contact your doctor immediately if you suspect that you might have taken an overdose of Twincal 5 MG Tablet.
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

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine

Carbamazepine

Primaquine

Cimetidine

Disease interactions

Hypotension

Twincal 5 MG Tablet is not recommended for use if you have hypotension (low blood pressure) as this medicine may further lower your blood pressure and worsen your condition. Your doctor may monitor your blood pressure while on treatment with medicine.

Congestive heart failure

Heart failure occurs when your heart is not able to pump blood normally. Use Twincal 5 MG Tablet with caution if you have such a condition because this medicine may worsen your condition. Your doctor may suggest tests to closely monitor your functioning while you are on treatment with this medicine.
Food interactions
Avoid consumption of grapefruit juice while taking Twincal 5 MG Tablet as it can increase the absorption of this medicine in your body. This could lead to excessive lowering of your blood pressure and side effects.
Lab interactions

Urinary vanillylmandelic acid

A urinary vanillylmandelic acid test is performed to determine the presence of tumours. Inform your doctor or the lab technician about the use of Twincal 5 MG Tablet as this medicine is likely to give a false-positive result.
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.
Take Twincal 5 MG Tablet as instructed by your doctor. Do not break, crush, or chew the tablet. Take this medicine at the same time every day for the ease of remembering. Do not stop taking this tablet without consulting your doctor. Exercise regularly and eat a healthy diet to improve your condition. Avoid taking grapefruit juice along with this medicine as it may increase the risk of side effects. This medication may cause dizziness in some people. Be careful while standing up from a sitting or lying position. Avoid performing activities such as driving vehicles and operating machines if you feel dizzy after taking this medicine. Keep out of the reach of children and pets. Ensure that unused medicine is disposed of properly.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Twincal 5 MG Tablet works by relaxing your blood vessels and easing blood flow. Thus, it lowers your blood pressure.
Legal Status

Approved

Unknown

Unknown

Approved

Classification

Category

Calcium channel blocking agents, Anti-hypertensive Agents

Schedule

Schedule H

Pubchem.ncbi.nlm.nih.gov. 2021. Cilnidipine. [online] Available at: < [Accessed 31 August 2021].

https://pubchem.ncbi.nlm.nih.gov/compound/cilnidipine#section=Top>

Centaurpharma.com. 2021. [online] Available at: < [Accessed 31 August 2021].

https://www.centaurpharma.com/downloads/CENTAPRES.pdf>

Medicaldialogues.in. 2021. [online] Available at: < [Accessed 9 September 2021].

https://medicaldialogues.in/uploads/2020/05/20/file_upload-129064.pdf>
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Information on this page was last updated on 2 Dec 2021

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We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.