Cilnidipine, a dihydropyridine calcium-channel blocker, works by binding to dihydropyridine sites on L-type voltage-dependent calcium channels, reducing calcium ion (Ca²⁺) influx into vascular smooth muscle cells. This action relaxes vascular smooth muscle and induces vasodilation. Additionally, Cilnidipine inhibits Ca²⁺ influx via N-type voltage-dependent calcium channels in sympathetic nerve cell membranes, reducing norepinephrine release from nerve terminals. This dual action may prevent the reflexive increase in heart rate often associated with blood pressure reduction.
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Avoid consumption of alcohol while taking Duocard 5 as it could make you feel dizzier.
Duocard 5 should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.
Duocard 5 should be used with caution in breastfeeding women as it may pass through the breast milk to the nursing infant. Therefore, consult your doctor before taking it.
Do not drive or operate any heavy tools or machines if you feel dizzy after taking Duocard 5.
Duocard 5 should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.
Duocard 5 should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
Common side effects include dizziness, flushing, headache, hypotension, peripheral edema, palpitations, gastrointestinal disturbances, increased urination frequency, lethargy, eye pain, and depression.
Duocard is used to manage hypertension and offers protection to end organs. It has shown benefits in elderly patients, as well as in individuals with diabetes and albuminuria. Duocard is also increasingly recommended for patients with chronic kidney disease.
Hypertension refers to elevated blood pressure, which results from the force of blood being pumped from the heart against the walls of the blood vessels. Excessive pressure can damage the blood vessels and lead to complications.
Take medication only as advised by a registered physician.
Caution is advised when used with other antihypertensives, antipsychotics that lower blood pressure, quinidine, carbamazepine, phenytoin, rifampicin, cimetidine, or erythromycin.
Store below 30°C, protected from light and moisture. Keep out of reach of children.
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