Product introduction
Cortel LNB Tablet is a triple combination medicine bringing together cilnidipine, metoprolol succinate, and telmisartan, three drugs that lower blood pressure through different mechanisms. It is generally reserved for patients whose blood pressure remains high despite treatment with one or two medicines. Besides hypertension, it may also be used in people with stable coronary artery disease who need both blood pressure and heart rate control. Because it combines three active substances, it is typically prescribed only after other treatment options have been tried.
Storage: Store below 30°C
Uses of Cortel LNB Tablet
- High blood pressure (hypertension)
- Stable coronary artery disease
Benefits of Cortel LNB Tablet
Combining a calcium channel blocker, a beta-blocker, and an angiotensin receptor blocker in one tablet allows for blood pressure control through three separate pathways, which can help patients with difficult-to-control hypertension reach their target levels. The beta-blocker component also helps steady heart rate, which can be useful in people who additionally have coronary artery disease. A single combined tablet can also make it easier to stay consistent with treatment compared to taking three separate pills.
Side effects of Cortel LNB Tablet
Most side effects do not require medical attention and go away as your body adjusts. Consult your doctor if they persist.
- Nausea
- Altered taste
- Throat infection
- Ankle swelling
- Constipation
- Headache
- Dizziness
How to use Cortel LNB Tablet
Take Cortel LNB Tablet once daily as prescribed by your doctor, ideally at the same time each day, with or without food. Swallow the tablet whole with water; do not crush or chew it. Continue treatment for the full duration advised by your doctor, and do not discontinue it suddenly, particularly because abruptly stopping a beta-blocker can cause a rebound rise in heart rate or blood pressure.
How Cortel LNB Tablet works
Cilnidipine is a calcium channel blocker that relaxes blood vessel walls by limiting calcium entry into their muscle cells. Metoprolol succinate is a beta-blocker that slows the heart rate and reduces the force of each heartbeat, easing the workload on the heart. Telmisartan is an angiotensin receptor blocker that stops a hormone from constricting blood vessels. Together, these three actions lower blood pressure and help regulate heart rate through complementary routes.
Substitutes for Cortel LNB Tablet
No other medicine with the same composition is listed in our catalogue yet. Message us on WhatsApp and our pharmacist will help you find a suitable alternative.
Safety advice
Alcohol may add to the blood-pressure-lowering and sedative effects of this medicine, so it should be used cautiously.
This combination is not recommended during pregnancy as it may seriously harm the developing baby.
Components of this medicine may pass into breast milk, so it should be used only if a doctor decides the benefit outweighs the risk.
This tablet can cause dizziness or reduced alertness, so driving or operating machinery should be avoided until its effects are known.
People with kidney disease should use this combination only with medical supervision, as dose adjustment may be needed.
This tablet is generally best avoided in people with significant liver disease.
Quick tips
- Take the tablet at a consistent time each day, ideally alongside your other routines
- Never stop this medicine abruptly without your doctor's guidance, as sudden stoppage can affect heart rate and blood pressure
- Monitor for unusual tiredness, slow heart rate, or persistent dizziness and report them to your doctor
- Keep regular follow-up appointments to review your blood pressure and heart rate response
- Avoid excess salt intake and maintain the lifestyle changes your doctor recommends
Fact box
| Chemical class | Calcium channel blocker + beta-blocker + angiotensin II antagonist combination |
|---|---|
| Habit forming | No |
| Therapeutic class | Cardiac |
| Action class | Calcium channel blockers + Beta blockers + Angiotensin II antagonists |
Frequently asked questions
What is Cortel LNB Tablet used for?
It is used to treat high blood pressure that is not adequately controlled by simpler treatments, and it may also be used in patients with stable coronary artery disease.
Why does this tablet contain three medicines instead of one?
Each of the three components lowers blood pressure or eases heart workload through a different mechanism, so combining them can help control blood pressure that has not responded to fewer medicines.
Can I stop Cortel LNB suddenly if I feel better?
No, stopping suddenly is not advised because the beta-blocker component can cause a rebound increase in heart rate and blood pressure. Any change should be made gradually under medical guidance.
Will this tablet slow my heart rate?
Yes, the metoprolol component can lower heart rate as part of its effect. Your doctor will monitor this to ensure it stays in a safe range.
What should I do if I miss a dose?
Take the missed dose as soon as you remember, but if it is nearly time for your next dose, skip the missed one rather than taking two doses close together.