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At a glance

Cilnidipine is a calcium channel blocker used for the treatment of hypertension (high blood pressure) and angina.

Indications
  • Hypertension (high blood pressure)
  • Angina (heart-related chest pain)
  • End-organ protection in chronic kidney disease
Pharmacology

Cilnidipine is a dihydropyridine calcium-channel blocker. Cilnidipine binds to the dihydropyridine binding sites of the L-type voltage dependent calcium channel and inhibits Ca2+ influx across the cell membranes of vascular smooth muscle cells via this channel, consequently vascular smooth muscle is relaxed, causing vasodilation. Cilnidipine inhibits Ca2+ influx via N-type voltage dependent calcium channels in the sympathetic nerve cell membrane. Cilnidipine is considered to suppress the reflex increase in heart rate after blood pressure reduction.

Dosage

Adult Dose (Oral): 5-10 mg once daily; may increase to 20 mg once daily if necessary.

Elderly: May be more susceptible to hypotension, initiate with the lowest possible dose (5 mg).

Side effects

Common Side Effects:

  • Fatigue
  • Ankle or foot swelling (peripheral edema)
  • Sleepiness
  • Flushing (sense of warmth in the face, ears, neck and trunk)
  • Headache
  • Nausea
  • Dizziness
  • Palpitations
  • Abdominal pain
  • GI disturbances
  • Increased micturition frequency
  • Lethargy
  • Eye pain
  • Depression
Use in pregnancy

[CONSULT YOUR DOCTOR] Information regarding the use of Cilnidipine during pregnancy is not available. Should not be administered in pregnant women or women having possibilities of being pregnant. Please consult your doctor.

Precautions & warnings
  • [UNSAFE] Cilnidipine may cause side effects which could affect your ability to drive.
  • Take it at the same time every day to help you remember.
  • Rise slowly if you have been sitting or lying down to avoid dizziness or fainting.
  • To reduce ankle or foot swelling, raise your legs while sitting.
  • Avoid driving or activities requiring mental focus until you know how it affects you.
  • Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding.
  • Do not stop suddenly; dosage should be gradually decreased under close observation.
Overdose effects

Information on Cilnidipine overdosage is not available. Consult a physician if overdose is suspected.

Storage conditions

Store below 30°C, protected from light and moisture. Keep out of reach of children.

Cilnidipine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.