Ciplar 40 Tablet

Written By Dr. Betina Chandolia, MDS, BDS

Reviewed By Dr. Ashish Ranjan, MD (Pharmacology), MBBS

Last updated on 12 Nov 2024 | 01:09 AM (IST)

Ciplar 40 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).

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1/2

15 tablets

General Information

Contains

Propranolol (40mg)

Marketer

Cipla Ltd

Storage

Store below 30°C

The content is shown in English

Product introduction

Ciplar 40 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 Tablet

Hypertension (high blood pressure)
Prevention of Angina (heart-related chest pain)
Arrhythmia
Heart attack
Anxiety
Tremors
Glaucoma
Prevention of migraine
Heart failure
Treatment of Pheochromocytoma
Migraine

Benefits of Ciplar Tablet

Prevention of Angina (heart-related chest pain)
Ciplar 40 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.

Prevention of migraine
Ciplar 40 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.

Treatment of Pheochromocytoma
While carrying out surgery for the removal of pheochromocytoma, there is a risk of abnormally high blood pressure. Ciplar 40 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 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

Common side effects of Ciplar

Cold extremities
Sleep disturbance
Fatigue
Slow heart rate
Nightmares

How to use Ciplar 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 40 Tablet is to be taken empty stomach.
Avoid Ciplar 40 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How Ciplar Tablet works

Ciplar 40 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 40 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 40 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.

All substitutes for Ciplar 40 Tablet

For information purposes only. Consult a doctor before taking any medicine.

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 40 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.
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 40 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.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Ciplar 40 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Ciplar 40 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

CONSULT YOUR DOCTOR

Ciplar 40 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

CAUTION

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

CAUTION

Ciplar 40 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Ciplar 40 Tablet may be needed. Please consult your doctor.

Liver

CAUTION

Ciplar 40 Tablet should be used with caution in patients with liver disease. Dose adjustment of Ciplar 40 Tablet may be needed. Please consult your doctor.

Frequently asked questions

My doctor has prescribed Ciplar 40 Tablet even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

Yes, it is possible that your doctor prescribed Ciplar 40 Tablet for chest pain (angina). Ciplar 40 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 40 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.

When can I expect relief in my symptoms after starting Ciplar 40 Tablet for high blood pressure?

Ciplar 40 Tablet usually starts working within a few hours of taking it. However, it may take up to a week to see the full benefits of the symptoms of high blood pressure or heart conditions. You may not notice any difference, but that does not mean it is not working. However, keep taking this medicine as prescribed by your doctor because you will still be getting its full benefits.

Can Ciplar 40 Tablet be used in asthmatics?

No, Ciplar 40 Tablet cannot be used in asthmatics. This is because using Ciplar 40 Tablet in asthma patients can cause breathing problems, which may trigger an asthma attack. Always inform your doctor if you have or ever had asthma or any episodes of difficulty breathing, before starting treatment with Ciplar 40 Tablet.

What if I forget to take a dose of Ciplar 40 Tablet?

If you forget a dose of Ciplar 40 Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose at the prescribed time. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.

Can I stop taking Ciplar 40 Tablet as my chest pain is under control?

No, you should not stop taking Ciplar 40 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 40 Tablet, your doctor will reduce your dose gradually over a period of a few weeks.

Does Ciplar 40 Tablet relieve anxiety?

Yes, Ciplar 40 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 40 Tablet will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Ciplar 40 Tablet is usually given for the short-term treatment of anxiety. If you have any doubts, consult your doctor.

What other lifestyle changes should I make while taking Ciplar 40 Tablet?

Lifestyle changes play a major role in keeping you healthy if you are taking Ciplar 40 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 40 Tablet and to keep yourself healthy.

Is Ciplar 40 Tablet effective?

Ciplar 40 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 40 Tablet too early, the symptoms may return or worsen.

What if I take an overdose of Ciplar 40 Tablet?

If you take an overdose of Ciplar 40 Tablet you may experience symptoms such as slow heartbeat, trembling, difficulty breathing, or dizziness. However, the response of taking too much of Ciplar 40 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.

Is Ciplar 40 Tablet safe?

Ciplar 40 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.

I have been on Indomethacin for several months. Will it be a problem if I start taking Ciplar 40 Tablet along with it?

Yes, Indomethacin may interfere with the working of Ciplar 40 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.

Fact Box

Chemical Class

Naphthalenes derivatives

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Non-Selective Beta-Blockers (NSBBs)

Related lab tests

Kidney Function Test

References

Westfall TC, WestfallIn DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 320.
Opie LH. β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 28-29.
Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 175-76.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1162-63.
Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings. [Accessed 20 Mar. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:

User feedback

Patients taking Ciplar 40 Tablet

Once A Day

54%

Twice A Day

40%

Thrice A Day

Alternate Day

What are you using Ciplar Tablet for?

Anxiety

48%

Others

20%

High blood pressure

Chest pain (Angina)

Arrhythmias

How much was the improvement?

Average

58%

Poor

29%

Excellent

13%

What were the side-effects while using Ciplar 40 Tablet?

Dizziness

45%

Headache

18%

Nausea

18%

Fatigue

Palpitations

How do you take Ciplar Tablet?

With food

100%

Please rate Ciplar 40 Tablet on price

Not Expensive

73%

Average

27%

Patient concerns

What is heart attack? When heart attack coming?

Dr. Nabajit Talukdar

Interventional Cardiology

Related to chest pain angina commonly

Generally I have anxiety panic attack. I afraid of getting heart attack. I take ciplar LA 20.

Dr. Nabajit Talukdar

Interventional Cardiology

R u better WD this medicine

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Cipla Ltd
Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Ciplar 40 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

Lab tests offered by us

Why we need a prescription?

Ciplar 40 Tablet

General Information

Contains

Marketer

Storage

Product introduction

Uses of Ciplar Tablet

Benefits of Ciplar Tablet

Side effects of Ciplar Tablet

How to use Ciplar Tablet

How Ciplar Tablet works

All substitutes for Ciplar 40 Tablet

Pronol 40mg Tablet

Prolol 40mg Tablet

Svzoral 40 Tablet

Movalol 40mg Tablet

Arkaprop 40mg Tablet

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Frequently asked questions

My doctor has prescribed Ciplar 40 Tablet even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

When can I expect relief in my symptoms after starting Ciplar 40 Tablet for high blood pressure?

Can Ciplar 40 Tablet be used in asthmatics?

What if I forget to take a dose of Ciplar 40 Tablet?

Can I stop taking Ciplar 40 Tablet as my chest pain is under control?

Does Ciplar 40 Tablet relieve anxiety?

What other lifestyle changes should I make while taking Ciplar 40 Tablet?

Is Ciplar 40 Tablet effective?

What if I take an overdose of Ciplar 40 Tablet?

Is Ciplar 40 Tablet safe?

I have been on Indomethacin for several months. Will it be a problem if I start taking Ciplar 40 Tablet along with it?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Kidney Function Test

References

User feedback

Patients taking Ciplar 40 Tablet

What are you using Ciplar Tablet for?

How much was the improvement?

What were the side-effects while using Ciplar 40 Tablet?

How do you take Ciplar Tablet?

Please rate Ciplar 40 Tablet on price

Patient concerns

What is heart attack? When heart attack coming?

Generally I have anxiety panic attack. I afraid of getting heart attack. I take ciplar LA 20.

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

In case of any issues, contact us

Lab tests offered by us

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