Ciplar-LA 20 mg Tablet

Ciplar-LA 20 mg Tablet is a prescription medicine that contains 20 mg of propranolol in each tablet. Propranolol is a beta-blocker used to help prevent migraines and may also be prescribed for other heart- and circulation-related conditions when a doctor decides it is appropriate. Ciplar-LA 20 mg Tablet is not meant for immediate relief of a sudden migraine attack; it is used on a regular schedule to help reduce how often migraines happen.

How it works: Propranolol works by blocking beta receptors, which helps slow the heart rate and reduce the body’s response to stress hormones. In tablet form, Ciplar-LA 20 mg Tablet is taken by mouth and provides a measured 20 mg dose that is used over time to help prevent migraines rather than stop one right away.

Ciplar-LA 20 mg Tablet is a lower-strength option that may suit people who are starting propranolol for migraine prevention or who need a smaller, more carefully adjusted dose. Because each tablet contains 20 mg, a doctor may choose this strength when gradual dose changes are preferred, or when a lower dose is needed to balance benefit with side effects. This strength can be easier to titrate than higher-strength propranolol tablets.

• Migraine prevention
• Reducing migraine frequency
• A doctor-prescribed beta-blocker therapy
• Other uses only if specifically directed by a clinician

• Swallow Ciplar-LA 20 mg Tablet whole with water unless your doctor or pharmacist tells you otherwise.
• Take it exactly as prescribed, at the same time each day if you are using it regularly.
• You may take it with or without food, but be consistent from day to day.
• Do not stop taking it suddenly without medical advice, because stopping abruptly can worsen heart-related symptoms in some people.
• If you miss a dose, take it when you remember unless it is close to the next dose; do not double up.
• Use this tablet for prevention, not for quick relief during an active migraine attack.

Each Ciplar-LA 20 mg Tablet provides 20 mg of propranolol. How often it is taken depends on the condition being treated and your doctor’s directions; for migraine prevention, propranolol is commonly taken on a regular schedule, and the maximum daily amount is individualized based on response, heart rate, blood pressure, and tolerability. Because this is a prescription beta-blocker, your doctor decides the dose and any adjustments, including whether Ciplar-LA 20 mg Tablet should be taken once or more than once daily.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Propranolol may include:

• Tiredness or low energy
• Dizziness or lightheadedness
• Slow heartbeat
• Cold hands or feet
• Nausea or stomach upset
• Sleep changes or vivid dreams
• Mild weakness, which can be more noticeable when starting this 20 mg strength

• Tell your doctor if you have asthma, COPD, bronchospasm, heart block, slow heartbeat, or heart failure before using Ciplar-LA 20 mg Tablet.
• Use caution when standing up quickly, because this tablet can lower blood pressure and cause dizziness.
• Do not drink alcohol heavily, because it can increase dizziness and worsen side effects.
• If you have diabetes, propranolol can mask warning signs of low blood sugar such as a fast heartbeat.
• Be careful with driving or operating machinery until you know how this 20 mg tablet affects you.
• Do not stop the medicine suddenly unless your doctor tells you to do so.
• Tell your clinician if you have a history of severe allergic reactions, because beta-blockers can make treatment of anaphylaxis more difficult.

• Other blood pressure medicines, especially calcium channel blockers or clonidine
• Heart rhythm medicines or drugs that slow the heart
• Asthma medicines, because propranolol may reduce their effect
• Diabetes medicines or insulin, due to masking of low blood sugar symptoms
• NSAIDs such as ibuprofen, which may reduce blood-pressure control in some people

Store Ciplar-LA 20 mg Tablet in its original strip/box at room temperature, away from moisture, heat, and direct light, and keep it out of reach of children.