Hello doctor, Currently, I am on Telvas AM and BP is well controlled. My question is: 1. I want to shift to Cilnidipine instead of Amlodipine. Heard from many patients and clinical trials that Cilnidipine is useful in sympathetic nervous system hyperactivity as it is dual type CCB. I have that. Will it be a good alternative to Amlodipine? Will Cilnidipine be equally efficacious in terms of BP control when compared with Amlodipine? 2. Is there any difference in efficiency if I go for seperate tablets of Telmisartan 40 and Cilnidipine 10 mg or single pill consisting of both is preferred? Can I take separately?
Hello. Regarding your concern, I would explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or after a stroke. It may be more effective that Amlodipine and with fewer adverse effects (less edema). You may use them (Telmisartan and Cilnidipine) separately or even in the same pill depending on how it is more convenient to you. Anyway, you need to discuss with your attending physician on the maintenance scheme and periodic follow ups.