Ciplar 20mg Tablet

Basic Information

• Brand Name: Ciplar 20mg Tablet

• Generic Name: Propranolol Hydrochloride

• Strength: 20 mg

• Category: Beta-Blocker (Non-Selective) / Antihypertensive

• Manufacturer: Cipla Ltd.

• Prescription Required: Yes (Rx)

Composition

Each tablet contains:

• Propranolol Hydrochloride 20 mg

Uses / Indications

Ciplar 20mg Tablet is prescribed for:

• Hypertension (High Blood Pressure)

• Angina (chest pain due to heart disease)

• Arrhythmias (irregular heart rhythms)

• Prevention of Migraine headaches

• Anxiety management (performance anxiety, palpitations, tremors)

• Thyrotoxicosis (overactive thyroid symptoms)

• Post-heart attack care – lowers risk of recurrence and improves survival

Mechanism of Action

• Propranolol is a Non-selective Beta-Blocker.

• Blocks Beta-1 (heart) and Beta-2 (lungs, blood vessels) receptors.

• Lowers heart rate & contractility → reduces BP and chest pain.

• Controls abnormal heart rhythms.

• Prevents adrenaline-related symptoms like tremors, palpitations, and anxiety.

Dosage & Administration

• Usual adult dose: 20–40 mg, 2–3 times daily (varies with condition).

• 20 mg is a standard strength for hypertension, angina, and anxiety.

• Take with or immediately after food (improves absorption & reduces stomach upset).

• Swallow whole with water.

• Do not stop suddenly – may cause rebound high BP, chest pain, or arrhythmia.

Side Effects

Common side effects:

• Dizziness, tiredness

• Slow heartbeat (bradycardia)

• Cold hands and feet

• Nausea, stomach upset

• Sleep disturbance, vivid dreams

Serious but rare:

• Breathing difficulty (especially in asthma/COPD)

• Severe low BP or heart rate

• Worsening of heart failure

• Low blood sugar masking (in diabetics)

Precautions & Warnings

• Use cautiously in patients with:

  • Asthma/COPD

  • Diabetes (masks low sugar symptoms)

  • Heart block, severe bradycardia, or heart failure

  • Kidney or liver disease

• Not safe during pregnancy or breastfeeding unless prescribed.

• Avoid alcohol (can worsen dizziness and drowsiness).

• Regular monitoring of BP and heart rate is required.

Drug Interactions

• Other antihypertensive drugs (extra BP lowering)

• Antiarrhythmics (digoxin, amiodarone – risk of bradycardia)

• Insulin/antidiabetic medicines (mask low sugar symptoms)

• NSAIDs (reduce BP-lowering effect)

• Thyroid medicines (interaction with thyroxine)

Storage

• Store below 30°C in a cool, dry place.

• Protect from light & moisture.

• Keep out of children’s reach.