HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For High Blood Pressure

Sir, I am 47 yr old and was taking amcard5 for my blood pressure since last one year and my bp was stable .Recently I got my routine check up done and my bp was 140/100 and my doctor prescribed another medicine cilacar 10 .after taking the new medicine for 10 days my bp is still 140/100 . Pl advice
Tue, 3 Jun 2014
Report Abuse
Internal Medicine Specialist 's  Response
Hi
Welcome to HCM
as per your history you are a hypertensive and was on amlodipine 5mg (a calcium channel blocker drug ) for last one year and recently your bp again began to rise and you were shifted to cilacar but no one improvement in bp.
Cilacar is cilnidipine a newer calcium channel blocker ( a newer congener of amlodipine) which has got some additional benefits than amlodipine.
But the dose equalance of cilnidipine is less, that is 10 mg of cilnidipine is equal to 5 mg of amlodipine.
That means you are taking a new drug with some additional features when compared to older drug amlodipine with same antihypertensive strength.
So in my opinion you may require dose escalation of cilnidipine or addition of another agent. ( both approach is equally effective).
Also ensure your diet contains less salt and saturated fatty acids and you exercise regularly.

Best of luck

Thank you
I find this answer helpful

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on NTC


Loading Online Doctors....
Suggest Treatment For High Blood Pressure

Hi Welcome to HCM as per your history you are a hypertensive and was on amlodipine 5mg (a calcium channel blocker drug ) for last one year and recently your bp again began to rise and you were shifted to cilacar but no one improvement in bp. Cilacar is cilnidipine a newer calcium channel blocker ( a newer congener of amlodipine) which has got some additional benefits than amlodipine. But the dose equalance of cilnidipine is less, that is 10 mg of cilnidipine is equal to 5 mg of amlodipine. That means you are taking a new drug with some additional features when compared to older drug amlodipine with same antihypertensive strength. So in my opinion you may require dose escalation of cilnidipine or addition of another agent. ( both approach is equally effective). Also ensure your diet contains less salt and saturated fatty acids and you exercise regularly. Best of luck Thank you