Twincal 40mg Tablet is a medicine used to treat high blood pressure (hypertension). It belongs to a class of medicines known as a calcium channel blocker which helps to lower blood pressure. This helps prevent heart attacks and strokes. It may also be prescribed to prevent angina (heart-related chest pain). Twincal 40mg Tablet may be prescribed alone or along with other medicines. The dose depends on the severity of your condition. You can take it at any time of day, with or without food, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Do not stop this medicine on your own, even if you feel well because high blood pressure often has no symptoms. This makes it hard to identify any sudden spike and if you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight, and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine. The most common side effects include fatigue, edema (swelling in the feet), sleepiness, dizziness, flushing, the unusual beating of the heart (palpitations), and headache. Consult your doctor if any of these bother you, or do not go away. Side effects like swelling in the feet or ankles and palpitations are lesser in severity than other similar medicines of the group. Studies have shown that it also has a protective effect on the kidneys. Before taking it, let your doctor know if you have any liver, kidney, or heart problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking, especially those used to treat high blood pressure or heart conditions. You should have your blood pressure checked regularly to make sure that this medicine is working properly.

• Sleepiness
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Headache
• Nausea
• Dizziness
• Palpitations
• Edema (swelling)
• Abdominal pain

If you miss a dose of Twincal 40mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. What is the use of Twincal 40mg Tablet??
  Ans: Twincal 40mg Tablet is a medicine used to treat high blood pressure. It belongs to a group of medicines which block the calcium channels in the blood vessel. It works by relaxing the blood vessels in patients with high blood pressure. This widens the diameter of the blood vessels which helps the blood to pass through them more easily.
• Q. Q. Which is better amlodipine or Twincal 40mg Tablet??
  Ans: Both these medicines are used in the treatment of blood pressure and are equally good in effectively reducing the blood pressure. Twincal 40mg Tablet has also been found to be beneficial in patients with kidney problems as compared to amlodipine. Additionally, while amlodipine may have chances of causing mild ankle swelling, Twincal 40mg Tablet has been found to have lesser chances of causing ankle swelling, tachycardia and palpitations. Your doctor will suggest either of these after seeing what suits you.
• Q. Q. What are the side effects of Twincal 40mg Tablet??
  Ans: Twincal 40mg Tablet is generally well tolerated but sometimes can also be associated with side effects like headache, dizziness, flushing, palpitations, low blood pressure, and stomach problems. It may also cause increased urination, ankle swelling, and lethargy. These side effects are not common in everyone but may occur in some individuals. Do consult your doctor if you notice any side effects after taking this medicine.
• Q. Q. Is Twincal 40mg Tablet good for patients of high blood pressure with kidney impairment??
  Ans: Yes, Twincal 40mg Tablet has been shown to have protective effects on the kidney cells, thereby preventing them from damage. It has also been shown to decrease protein leakage from the kidney in patients who have diabetes as well as high blood pressure.
• Q. Q. Should I take Twincal 40mg Tablet in the morning or at night??
  Ans: Twincal 40mg Tablet can be taken anytime of the day. Usually, it is advised to be taken in the morning, but your doctor may advise to take it in the evening as well. You should take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.
• Q. Q. How long do I need to take Twincal 40mg Tablet??
  Ans: You should keep on taking Twincal 40mg Tablet for as long as your doctor has recommended you to take it. You may need to take it lifelong. Do not stop taking it, even if you feel well or your blood pressure is well controlled. If you stop taking Twincal 40mg Tablet, your blood pressure may increase again and your condition may worsen.
• Q. Q. What changes can I make to control my blood pressure better??
  Ans: Lifestyle changes play a major role in keeping you healthy if you are taking Twincal 40mg Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practise yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also reduces your stress and hence helps in keeping your blood pressure normal. Stop smoking and taking alcohol as this helps in lowering your blood pressure and helps to prevent heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking Twincal 40mg Tablet. You should consult your doctor if you need any further help to get maximum benefit of Twincal 40mg Tablet and to keep healthy.

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