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Will Cilnidipine be better at controlling BP?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Currently, I am on Telmisartan along with Amlodipine, and my blood pressure is well-controlled. My question is whether I can switch to Cilnidipine instead of Amlodipine. I have heard from many patients and clinical trials that Cilnidipine is beneficial for sympathetic nervous system hyperactivity, as it is a dual-type calcium channel blocker (CCB). I experience this issue. Would Cilnidipine be a good alternative to Amlodipine? Would Cilnidipine be equally effective in controlling blood pressure compared to Amlodipine? Is there any difference in efficacy if I take separate tablets of Telmisartan 40 mg and Cilnidipine 10 mg, or is a single-pill combination preferred? Can I take them separately?

Please advise.

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

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Hello,

Welcome to icliniq.com.

Regarding your concern, I would like to explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or those who have had a stroke. It may be more effective than Amlodipine and cause fewer adverse effects (such as less edema). You can use Telmisartan and Cilnidipine separately or in the same pill, depending on which option is more convenient for you. However, you should discuss the maintenance plan and periodic follow-ups with your attending physician.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At September 7, 2019
Reviewed At November 25, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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