Twincal 20 MG Tablet
Twincal 20 MG Tablet is known to be channel blocker of calcium. It aids in treating high blood pressure. Twincal 20 MG Tablet stops the calcium activity on the blood vessels and the heart. As a result there is an increase in the supply of blood to the heart. This in turn helps lower blood pressure as well as slows down the heart rate. Moreover, Twincal 20 MG Tablet effectively helps to reduce strain on the heart in case of a heart attack. The drug is meant to be taken orally and its dosage may vary from 5 mg to 10 mg. In case of some individuals a dosage as high as 20 mg may also be prescribed. Twincal 20 MG Tablet should be consumed once or even twice daily depending on the dosage and intensity of the condition. Although the consumption of Twincal 20 MG Tablet tablets may not lead to any side effects in some patients, other can suffer from side effects like-
- Eye Pain
- Pain in the chest area
- Nausea and dizziness
- flushing of the face, neck and even ears
In case of any severe reaction or side effect to Twincal 20 MG Tablet it is best that one should consult their doctor as soon as possible. This drug should not be taken unless it is prescribed by a doctor. Before taking Twincal 20 MG Tablet, one should inform their doctor about the medication that they are currently under. Detailed information on allergies, other health issues and conditions should also be thoroughly discussed. Certain factors that should be kept in mind by patients who are taking this drug regularly include-
- Do not consume grapefruit juice when on Twincal 20 MG Tablet
- Driving should be avoided as dizziness is one of the side effects of the medicine.
- Do not stop taking Twincal 20 MG Tablet suddenly. It may result in worsening of hypertension
Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Internal Medicine Specialist before using this medicine.
Heart DiseasesTwincal 20 MG Tablet is not recommended for use in patients having heart conditions like heart attack, rhythm disorders, angina, narrowing of blood vessels etc.
How long is the duration of effect?The duration of action of this medicine is not clinically established.
What is the onset of action?There are no established clinical studies regarding the onset of action of this medicine. However, it is reported to have a delayed onset in the range of 7-8 hours.
Are there any pregnancy warnings?This medicine is not recommended for use if you are pregnant or planning a pregnancy in near future.
Is it habit forming?No habit forming tendencies were reported.
Are there any breast-feeding warnings?This medicine is not recommended for use if you are breastfeeding.
Below is the list of medicines, which have the same composition, strength and form as Twincal 20 MG Tablet , and hence can be used as its substitute.
Missed Dose instructionsTake the missed dose as soon as you remember. However, if it is almost time for the next scheduled dose, then the missed dose can be skipped.
Overdose instructionsContact your doctor immediately if an overdose is suspected. You may require immediate medical intervention if the overdose symptoms are severe.
Twincal 20 MG Tablet is a calcium channel blocker. It works by inhibiting the entry of calcium into the cardiac and vascular smooth muscles and prevents the contraction of the muscles and thereby reduces the blood pressure.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Disease
HypotensionTwincal 20 MG Tablet is not recommended in patients suffering from low blood pressure or cardiogenic shock as it may further lower the blood pressure causing severe adverse effects.
Congestive Heart FailureTwincal 20 MG Tablet should be used with caution in patients who have suffered a heart attack recently. Suitable dose adjustment and safety monitoring may be required in such cases.
Interaction with Alcohol
AlcoholInteraction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Lab Test
Urinary vanillylmandelic acidReport the use of this medicine if you have been asked to undergo this test for the presence of adrenal gland tumor. Use of this medicine is likely to give false value that might be higher than normal.
Interaction with Food
Grapefruit juiceConsumption of grapefruit juice is not recommended as it increases the concentration of Twincal 20 MG Tablet. Symptoms like dizziness, headache, swelling of hands and feet should be reported to the doctor on priority.
Interaction with Medicine
CarbamazepineReport the use of either of the medicine to the doctor. You may require an adjusted dose and frequent monitoring of blood pressure levels while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
RifampicinReport the use of either of the medicine to the doctor. You may require an adjustment in dose and safety monitoring while these medicines are taken together. Do not stop the use of any medication without consulting your doctor.
CimetidineReport the use of either of the medicine to the doctor. You may require an adjusted dose and frequent monitoring of blood pressure levels while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.
Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.