{"id":51599,"date":"2023-09-20T09:23:29","date_gmt":"2023-09-20T09:23:29","guid":{"rendered":"https:\/\/medsname.com\/ciplar\/"},"modified":"2026-09-06T06:10:35","modified_gmt":"2026-09-06T06:10:35","slug":"ciplar","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ja\/product\/ciplar\/","title":{"rendered":"Ciplar"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background: #fff8e1; border-left: 4px solid #f5a623; padding: 18px 22px; margin: 0 0 24px 0; border-radius: 4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin: 0 0 8px 0; font-size: 16px; font-weight: bold;\">\u26a1 Quick Answer \u2014 What is Ciplar?<\/h3>\n<p style=\"margin: 0;\"><strong>Ciplar<\/strong> \u306f\u3001 <strong>10mg\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u901f\u653e\u9320<\/strong> from Cipla \u2014 non-selective (blocks beta-1 AND beta-2). Primary use is <strong>\u9ad8\u8840\u5727<\/strong>; \uff1b\u72ed\u5fc3\u75c7\u3001\u4e0d\u6574\u8108\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3001\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u4e8c\u6b21\u4e88\u9632\u306b\u3082\u4f7f\u7528\u3055\u308c\u3001, <a href=\"https:\/\/medsbase.com\/ja\/anti-migraine\/\">\u7247\u982d\u75db\u4e88\u9632<\/a>, \u3001\u672c\u614b\u6027\u632f\u6226\u3001\u7532\u72b6\u817a\u4e2d\u6bd2\u75c7\u3001\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4e0d\u5b89\u306b\u3082\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002\u9ad8\u8840\u5727\u306e\u5178\u578b\u7684\u306a\u7528\u91cf\uff1a <strong>IR\uff1a40\uff5e80 mg\u30921\u65e52\uff5e3\u56de\uff0880\uff5e160 mg\uff0f\u65e5\uff09\u3002LA\uff1a80\uff5e160 mg\u30921\u65e51\u56de\u3002<\/strong> \u7981\u5fcc <strong>\u6c17\u7ba1\u652f\u5598\u606f\u3001\u91cd\u5ea6\u306e\u5f90\u8108\u3001II\u5ea6\uff0fIII\u5ea6\u623f\u5ba4\u30d6\u30ed\u30c3\u30af\u3001\u6025\u6027\u975e\u4ee3\u511f\u6027\u5fc3\u4e0d\u5168\u3001\u4e8b\u524d\u306e\u03b1\u906e\u65ad\u306a\u3057\u306e\u8910\u8272\u7d30\u80de\u816b<\/strong>. Do NOT stop abruptly \u2014 taper over 1-2 weeks to avoid rebound tachycardia \/ angina \/ MI.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background: #f4f8fb; border: 1px solid #d8e3eb; padding: 12px 16px; margin: 16px 0; border-radius: 4px; font-size: 14px;\"><strong>MedsBase\u3067\u5f97\u3089\u308c\u308b\u3082\u306e\uff1a<\/strong> WHO-GMP\u8a8d\u8a3c\u306e\u88fd\u9020\u5143 \u00b7 \u4e2d\u8eab\u304c\u308f\u304b\u3089\u306a\u3044\u68b1\u5305 \u00b7 \u5168\u4e16\u754c\u914d\u9001 \u00b7 1,400\u4ef6\u4ee5\u4e0a\u306e\u78ba\u8a8d\u6e08\u307f <a href=\"https:\/\/medsbase.com\/ja\/reviews\/\">\u30ab\u30b9\u30bf\u30de\u30fc\u30ec\u30d3\u30e5\u30fc<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size: 14px; color: #444; margin: 8px 0 18px;\">\ud83d\udce6 \u3059\u3079\u3066\u306e\u3054\u6ce8\u6587\u306f\u3001\u5f53\u5e97\u306e <a href=\"https:\/\/medsbase.com\/ja\/medsbase-re-shipment-assurance-policy\/\"><strong>\u518d\u767a\u9001\u4fdd\u8a3c\u30dd\u30ea\u30b7\u30fc<\/strong><\/a> \u2014 \u4e07\u304c\u4e00\u300120\u55b6\u696d\u65e5\u4ee5\u5185\u306b\u5546\u54c1\u304c\u5c4a\u304b\u306a\u3044\u5834\u5408\u306f\u3001\u518d\u767a\u9001\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<h3>MedsBase\u3067\u6ce8\u6587\u3059\u308b\u7406\u7531<\/h3>\n<p>\u5f53\u5e97\u306e\u30b8\u30a7\u30cd\u30ea\u30c3\u30af\u533b\u85ac\u54c1\u306fWHO-GMP\u8a8d\u8a3c\u306e\u88fd\u9020\u5143\u304b\u3089\u8abf\u9054\u3057\u3001\u4e2d\u8eab\u304c\u308f\u304b\u3089\u306a\u3044\u68b1\u5305\u3067\u5168\u4e16\u754c\u3078\u914d\u9001\u3055\u308c\u307e\u3059\u3002\u8377\u7269\u306e\u5916\u5074\u306b\u533b\u85ac\u54c1\u540d\u306f\u4e00\u5207\u8a18\u8f09\u3055\u308c\u307e\u305b\u3093\u3002\u30ab\u30fc\u30c9\u6c7a\u6e08\u306f\u898f\u5236\u4e0b\u306e\u30ab\u30fc\u30c9\u6c7a\u6e08\u51e6\u7406\u696d\u8005\u3092\u901a\u3058\u3066\u51e6\u7406\u3055\u308c\u307e\u3059\uff08\u660e\u7d30\u306b\u306f\u898f\u5236\u4e0b\u306e\u30ab\u30fc\u30c9\u6c7a\u6e08\u51e6\u7406\u696d\u8005\u306e\u307f\u304c\u8868\u793a\u3055\u308c\u3001\u300cMedsBase\u300d\u3084\u533b\u85ac\u54c1\u540d\u304c\u8868\u793a\u3055\u308c\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\uff09\u3002\u6697\u53f7\u8cc7\u7523\u304a\u3088\u3073SEPA\u9280\u884c\u632f\u8fbc\u3082\u3054\u5229\u7528\u3044\u305f\u3060\u3051\u307e\u3059\u3002\u3059\u3079\u3066\u306e\u3054\u6ce8\u6587\u306b\u306f\u518d\u767a\u9001\u4fdd\u8a3c\u30dd\u30ea\u30b7\u30fc\u304c\u9069\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n<h2 class=\"wp-block-heading\">Ciplar\u3068\u306f\u4f55\u3067\u3059\u304b\uff1f<\/h2>\n<p>Ciplar\u306f\u3001\u6709\u52b9\u6210\u5206\u3068\u3057\u3066 <strong>\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb10 mg<\/strong> Cipla\u793e\u3088\u308a\u4f9b\u7d66\u3055\u308c\u300130\uff5e180\u9320\u5165\u308a\u3067\u3059\u3002\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u306f\u975e\u9078\u629e\u7684\u03b2\u906e\u65ad\u85ac\uff08\u03b21\u3068\u03b22\u306e\u4e21\u65b9\u3092\u906e\u65ad\uff09\u3067\u3059\u3002\u6700\u521d\u306e\u03b2\u906e\u65ad\u85ac\uff08Sir James Black\u30011964\u5e74\uff1b1988\u5e74\u30ce\u30fc\u30d9\u30eb\u8cde\u53d7\u8cde\uff09\u3002\u4eca\u65e5\u306b\u304a\u3044\u3066\u3082\u975e\u9078\u629e\u7684\u03b2\u906e\u65ad\u85ac\u306e\u57fa\u6e96\u85ac\u3067\u3042\u308a\u3001\u304a\u305d\u3089\u304f\u53f2\u4e0a\u6700\u3082\u51e6\u65b9\u3055\u308c\u3066\u3044\u308b\u5fc3\u8840\u7ba1\u7cfb\u85ac\u5264\u3067\u3059\u3002<\/p>\n<h2 class=\"wp-block-heading\">\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u306f\u3069\u306e\u3088\u3046\u306b\u8840\u5727\u3092\u4e0b\u3052\u307e\u3059\u304b\uff1f<\/h2>\n<p>\u03b2\u906e\u65ad\u85ac\u306f4\u3064\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u901a\u3058\u3066\u8840\u5727\u3092\u4e0b\u3052\u307e\u3059\uff1a<\/p>\n<ul>\n<li><strong>\u5fc3\u62cd\u51fa\u91cf\u306e\u6e1b\u5c11<\/strong> \u2014 beta-1 blockade in the sinoatrial node reduces heart rate, and blockade in ventricular myocardium reduces contractility. Lower cardiac output = lower blood pressure.<\/li>\n<li><strong>\u30ec\u30cb\u30f3\u30fb\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u7cfb\u6291\u5236<\/strong> \u2014 beta-1 blockade in juxtaglomerular cells reduces renin release, lowering angiotensin II and aldosterone over 2-4 weeks. This accounts for much of the long-term BP effect.<\/li>\n<li><strong>\u4e2d\u67a2\u4ea4\u611f\u795e\u7d4c\u6d3b\u52d5\u306e\u6291\u5236<\/strong> \u2014 lipophilic beta-blockers cross the blood-brain barrier and reduce central sympathetic outflow.<\/li>\n<\/ul>\n<p>\u03b2\u906e\u65ad\u85ac\u306f <strong>lipophilic \u2014 crosses the blood-brain barrier; this explains its efficacy in migraine, tremor, and performance anxiety but also the CNS side effects (vivid dreams, sleep disturbance)<\/strong>. \u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u306e\u8840\u6f3f\u4e2d\u534a\u6e1b\u671f\u306f\u3001IR\u30673\u301c6\u6642\u9593\u3001LA\/SR\u30678\u301c11\u6642\u9593\u3067\u3059\u3002<\/p>\n<h2 class=\"wp-block-heading\">\u627f\u8a8d\u3055\u308c\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u9069\u5fdc\u75c7<\/h2>\n<ul>\n<li><strong>\u9ad8\u8840\u5727<\/strong> \uff08\u4e3b\u306a\u9069\u5fdc\uff09<\/li>\n<li><strong>\u72ed\u5fc3\u75c7<\/strong> \u2014 80-240 mg\/day<\/li>\n<li><strong>\u5fc3\u623f\u7d30\u52d5\u306e\u5fc3\u62cd\u6570\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/strong><\/li>\n<li><strong>\u7247\u982d\u75db\u4e88\u9632<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/ja\/anti-migraine\/\">\u7b2c\u4e00\u9078\u629e\u306e\u4e88\u9632\u85ac<\/a>; \uff1b80\u301c160 mg\/\u65e5<\/li>\n<li><strong>\u672c\u614b\u6027\u632f\u6226<\/strong> \u2014 40-240 mg\/day<\/li>\n<li><strong>\u7532\u72b6\u817a\u4e2d\u6bd2\u75c7<\/strong> \u2014 symptom control (tremor, tachycardia, anxiety)<\/li>\n<li><strong>\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4e0d\u5b89<\/strong> \u2014 situational low-dose (10-40 mg)<\/li>\n<li><strong>\u4e73\u5150\u8840\u7ba1\u816b<\/strong> \u2014 first-line since 2008<\/li>\n<li><strong>\u9580\u8108\u5727\u4ea2\u9032\u75c7 \/ \u9759\u8108\u7624\u306e\u4e88\u9632<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ciplar \u7528\u91cf<\/h2>\n<p><strong>\u6210\u4eba\u306e\u9ad8\u8840\u5727\u7528\u91cf\uff1a<\/strong> IR\uff1a40\uff5e80 mg\u30921\u65e52\uff5e3\u56de\uff0880\uff5e160 mg\uff0f\u65e5\uff09\u3002LA\uff1a80\uff5e160 mg\u30921\u65e51\u56de\u3002<\/p>\n<p>Start low, titrate upward over 2-4 weeks to target BP (typically &lt;140\/90 in uncomplicated hypertension; &lt;130\/80 in diabetes, chronic kidney disease, or established cardiovascular disease). Check resting pulse before each dose-increase \u2014 do not titrate if &lt;55 bpm.<\/p>\n<p><strong>\u7d4c\u904e\u89b3\u5bdf\uff1a<\/strong><\/p>\n<ul>\n<li>\u670d\u7528\u958b\u59cb\u307e\u305f\u306f\u7528\u91cf\u5909\u66f4\u5f8c2\u30014\u30018\u9031\u9593\u306e\u5b89\u9759\u6642\u306e\u8108\u62cd\u3068\u8840\u5727<\/li>\n<li>\u5fc3\u75be\u60a3\u306e\u65e2\u5f80\u304c\u3042\u308b\u5834\u5408\u306f\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u5fc3\u96fb\u56f3\u3001\u75c7\u72b6\u304c\u5909\u5316\u3057\u305f\u5834\u5408\u306f\u5b9a\u671f\u7684\u306a\u5fc3\u96fb\u56f3<\/li>\n<\/ul>\n<p><strong>\u6295\u4e0e\u65b9\u6cd5\uff1a<\/strong> \u6c34\u3068\u4e00\u7dd2\u306b\u4e38\u3054\u3068\u98f2\u307f\u8fbc\u3093\u3067\u304f\u3060\u3055\u3044\u3002\u6bce\u65e5\u307b\u307c\u540c\u3058\u6642\u9593\u306b\u670d\u7528\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<p><strong>\u4e2d\u6b62\uff1a<\/strong> <strong>\u7d76\u5bfe\u306b\u7a81\u7136\u4e2d\u6b62\u3057\u306a\u3044\u3067\u304f\u3060\u3055\u3044\u3002<\/strong> Taper over 1-2 weeks (reduce by 25-50% every 3-5 days). Abrupt discontinuation causes rebound tachycardia, worsened angina, and \u2014 in patients with coronary disease \u2014 can precipitate myocardial infarction. This is one of the most important safety points for beta-blockers.<\/p>\n<h2 class=\"wp-block-heading\">\u526f\u4f5c\u7528<\/h2>\n<p><strong>\u4e00\u822c\u7684\uff085%\u8d85\uff09\uff1a<\/strong><\/p>\n<ul>\n<li><strong>\u75b2\u52b4\u3001\u55dc\u7720<\/strong> \u2014 often adapts over 2-4 weeks<\/li>\n<li><strong>\u624b\u8db3\u306e\u51b7\u3048<\/strong> \uff08\u672b\u68a2\u8840\u7ba1\u53ce\u7e2e\uff09<\/li>\n<li><strong>\u5f90\u8108<\/strong> \uff08\u8108\u62cd\u3092\u78ba\u8a8d\u3057\u300150 bpm\u672a\u6e80\u306e\u5834\u5408\u306f\u4e2d\u6b62\uff09<\/li>\n<li><strong>\u904b\u52d5\u4e0d\u8010\u6027<\/strong> \u2014 maximum heart rate is blunted by beta blockade<\/li>\n<li>\u3081\u307e\u3044\u3001\u8d77\u7acb\u6027\u4f4e\u8840\u5727<\/li>\n<li>\u7761\u7720\u969c\u5bb3\u3001\u9bae\u660e\u306a\u5922\uff0f\u60aa\u5922\uff08\u8102\u6eb6\u6027\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\u306f\u8840\u6db2\u8133\u95a2\u9580\u3092\u901a\u904e\u3059\u308b\u305f\u3081\uff09<\/li>\n<li>\u6027\u6b32\u6e1b\u9000\u3001\u52c3\u8d77\u4e0d\u5168\uff08\u4e3b\u306b\u9ad8\u7528\u91cf\u3067\uff09<\/li>\n<\/ul>\n<p><strong>\u983b\u5ea6\u306e\u4f4e\u3044\u526f\u4f5c\u7528\uff1a<\/strong> \u3046\u3064\u75c5\u3001\u6027\u6b32\u6e1b\u9000\uff0f\u52c3\u8d77\u4e0d\u5168\u3001\u80c3\u8178\u969c\u5bb3\u3001\u30ec\u30a4\u30ce\u30fc\u69d8\u51b7\u4e0d\u8010\u6027\u3001\u6c17\u7ba1\u652f\u75d9\u6523\uff08\u975e\u9078\u629e\u7684\u85ac\u5264\u3067\u3088\u308a\u4e00\u822c\u7684\uff09\u3002<\/p>\n<p><strong>\u91cd\u8981\u3060\u304c\u307e\u308c\u306a\u526f\u4f5c\u7528\uff1a<\/strong><\/p>\n<ul>\n<li><strong>\u7cd6\u5c3f\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b\u4f4e\u8840\u7cd6\u306e\u30de\u30b9\u30af<\/strong> \u2014 beta-blockers blunt the tachycardia \/ tremor warning signs of low blood sugar. Monitor glucose more carefully; prefer <a href=\"https:\/\/medsbase.com\/ja\/nebicard\/\">\u30cd\u30d3\u30dc\u30ed\u30fc\u30eb<\/a> \u307e\u305f\u306f <a href=\"https:\/\/medsbase.com\/ja\/concor\/\">\u30d3\u30bd\u30d7\u30ed\u30ed\u30fc\u30eb<\/a> \u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u4e2d\u306e\u7cd6\u5c3f\u75c5\u306b\u304a\u3044\u3066\u3002<\/li>\n<li><strong>\u6c17\u7ba1\u652f\u75d9\u6523<\/strong> \u2014 can be severe in asthma \/ COPD. Absolute contraindication for non-selective agents; relative for cardioselective.<\/li>\n<li><strong>\u5fc3\u30d6\u30ed\u30c3\u30af\u307e\u305f\u306f\u5fc3\u4e0d\u5168\u306e\u60aa\u5316<\/strong> \u2014 in susceptible patients. Start low, titrate slowly.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u7981\u5fcc\u304a\u3088\u3073\u6ce8\u610f\u4e8b\u9805<\/h2>\n<ul>\n<li><strong>\u5598\u606f\uff0f\u91cd\u5ea6\u306eCOPD\uff0f\u6c17\u7ba1\u652f\u6523\u7e2e\u6027\u75be\u60a3<\/strong> \u2014 absolute contraindication (non-selective beta blockade)<\/li>\n<li>\u7b2c2\u5ea6\u307e\u305f\u306f\u7b2c3\u5ea6\u623f\u5ba4\u30d6\u30ed\u30c3\u30af\uff08\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u30fc\u975e\u88c5\u7740\u6642\uff09<\/li>\n<li>\u6d1e\u6027\u5f90\u8108\uff1c50 bpm<\/li>\n<li>\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3001\u5f37\u5fc3\u85ac\u3092\u5fc5\u8981\u3068\u3059\u308b\u975e\u4ee3\u511f\u6027\u5fc3\u4e0d\u5168<\/li>\n<li>\u91cd\u5ea6\u306e\u672b\u68a2\u52d5\u8108\u75be\u60a3\u3001\u30ec\u30a4\u30ce\u30fc\u75c7\u5019\u7fa4\uff08\u76f8\u5bfe\u7684\u7981\u5fcc\uff09<\/li>\n<li>Phaeochromocytoma without prior alpha-blockade \u2014 paradoxical hypertensive crisis (never use a beta-blocker before alpha-blocker)<\/li>\n<li>\u91cd\u5ea6\u809d\u969c\u5bb3\uff08\u4e3b\u306b\u809d\u4ee3\u8b1d\u3055\u308c\u308b\u85ac\u5264\uff1a\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u3001\u30e1\u30c8\u30d7\u30ed\u30ed\u30fc\u30eb\u3001\u30ab\u30eb\u30d9\u30b8\u30ed\u30fc\u30eb\u3001\u30e9\u30d9\u30bf\u30ed\u30fc\u30eb\uff09<\/li>\n<li>Severe renal impairment \u2014 dose adjustment needed for renal-excreted agents (atenolol, nadolol)<\/li>\n<li>\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u306b\u5bfe\u3059\u308b\u904e\u654f\u75c7<\/li>\n<\/ul>\n<p><strong>\u598a\u5a20\u4e2d\uff1a<\/strong> \u30ab\u30c6\u30b4\u30ea\u30fcC\u3067\u3059\u304c\u3001\u5b9f\u81e8\u5e8a\u3067\u306e\u5b89\u5fc3\u611f\u306e\u3042\u308b\u30c7\u30fc\u30bf\u304c\u8c4a\u5bcc\u306b\u3042\u308a\u307e\u3059\u3002\u7247\u982d\u75db\u306e\u3042\u308b\u598a\u5a66\u3055\u3093\u306b\u512a\u5148\u3055\u308c\u308b\u03b2\u906e\u65ad\u85ac\u3067\u3059\u3002<\/p>\n<p><strong>\u6388\u4e73\u4e2d\uff1a<\/strong> \u9069\u5408\uff08\u6bcd\u4e73\u3078\u306e\u79fb\u884c\u306f\u5c11\u91cf\u3067\u3059\uff09\u3002<\/p>\n<h2 class=\"wp-block-heading\">\u85ac\u7269\u76f8\u4e92\u4f5c\u7528<\/h2>\n<ul>\n<li><strong>Verapamil, diltiazem<\/strong> (non-dihydropyridine CCBs) \u2014 additive bradycardia, heart block, and negative inotropy; generally avoid combination. Dihydropyridine CCBs (<a href=\"https:\/\/medsbase.com\/ja\/amlode\/\">\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3<\/a>, \u3001\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\uff09\u306f\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\u3068\u306e\u4f75\u7528\u304c\u3088\u308a\u5b89\u5168\u3067\u3059\u3002<\/li>\n<li><strong>\u4ed6\u306e\u30d9\u30fc\u30bf\u906e\u65ad\u85ac<\/strong> \u2014 do not combine; additive bradycardia<\/li>\n<li><strong>\u30af\u30ed\u30cb\u30b8\u30f3<\/strong> \u2014 if stopping clonidine, stop the beta-blocker first (several days before) to avoid rebound hypertensive crisis<\/li>\n<li><strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u3068\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac<\/strong> \u2014 mask hypoglycaemia warning signs; monitor glucose closely<\/li>\n<li><strong>NSAIDs<\/strong> \u2014 reduce the antihypertensive effect of beta-blockers; avoid chronic combination<\/li>\n<li><strong>\u30ea\u30b6\u30c8\u30ea\u30d7\u30bf\u30f3<\/strong> \u2014 propranolol raises rizatriptan plasma levels ~70%; reduce rizatriptan to 5 mg max per dose<\/li>\n<li><strong>\u30a2\u30eb\u30b3\u30fc\u30eb<\/strong> \u2014 additive hypotension and CNS depression (particularly for lipophilic agents)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u03b2\u906e\u65ad\u85ac\u306e\u5206\u985e\u6982\u8981<\/h2>\n<table style=\"width: 100%; border-collapse: collapse; margin: 14px 0;\">\n<thead>\n<tr style=\"background: #2c7cb0; color: #fff;\">\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">\u03b2\u906e\u65ad\u85ac<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">\u9078\u629e\u6027<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">\u3053\u3093\u306a\u65b9\u306b\u6700\u9069<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #fff3cd;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/inderal\/\">\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\uff08Inderal, Ciplar, Beloc\uff09<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u975e\u9078\u629e\u6027<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u7247\u982d\u75db\u3001\u632f\u6226\u3001\u7532\u72b6\u817a\u4e2d\u6bd2\u75c7\u3001\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4e0d\u5b89\u3001\u9ad8\u8840\u5727<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/betablock-xl\/\">\u30e1\u30c8\u30d7\u30ed\u30ed\u30fc\u30eb<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u5fc3\u81d3\u9078\u629e\u6027<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u5fc3\u7b4b\u6897\u585e\u5f8c\u3001HF-REF\uff08\u30b3\u30cf\u30af\u9178\u5f90\u653e\u6027\u88fd\u5264\uff09\u3001\u72ed\u5fc3\u75c7\u3001\u5fc3\u623f\u7d30\u52d5\u306e\u5fc3\u62cd\u6570\u7ba1\u7406<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/carvejohn\/\">\u30ab\u30eb\u30d9\u30b8\u30ed\u30fc\u30eb<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">HF-REF\uff08\u6b7b\u4ea1\u30ea\u30b9\u30af\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u3001\u5fc3\u7b4b\u6897\u585e\u5f8c<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/concor\/\">\u30d3\u30bd\u30d7\u30ed\u30ed\u30fc\u30eb<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u9ad8\u3044\u5fc3\u81d3\u9078\u629e\u6027<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u99c6\u51fa\u7387\u4f4e\u4e0b\u578b\u5fc3\u4e0d\u5168\u3001\u9ad8\u8840\u5727\u3001\u72ed\u5fc3\u75c7\u3001\u5fc3\u623f\u7d30\u52d5\u306e\u30ec\u30fc\u30c8\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/nebicard\/\">Nebivolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u8d85\u9078\u629e\u7684 + NO<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u9ad8\u9f62\u8005\u3001\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\u3001\u52c3\u8d77\u4e0d\u5168<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/atenheal\/\">\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u5fc3\u81d3\u9078\u629e\u6027\uff08\u89aa\u6c34\u6027\uff09<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u72ed\u5fc3\u75c7\u3001AF\u30ec\u30fc\u30c8\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff08\u9ad8\u8840\u5727\u306e\u7b2c\u4e8c\u9078\u629e\u85ac\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ja\/labebet\/\">\u30e9\u30d9\u30bf\u30ed\u30fc\u30eb<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u598a\u5a20\u9ad8\u8840\u5727\u3001\u9ad8\u8840\u5727\u30af\u30ea\u30fc\u30bc<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u5598\u606f\uff0f\u91cd\u75c7COPD\u3067\u306f\u7d76\u5bfe\u7981\u5fcc\u3067\u3059\uff08\u03b22\u906e\u65ad\u306b\u3088\u308b\u6c17\u7ba1\u652f\u75d9\u6523\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\uff09\u3002 <strong>\u30ea\u30b6\u30c8\u30ea\u30d7\u30bf\u30f3\u3068\u306e\u76f8\u4e92\u4f5c\u7528<\/strong>: propranolol raises rizatriptan plasma levels ~70% \u2014 reduce rizatriptan to 5 mg max if co-prescribed.<\/p>\n<h2 class=\"wp-block-heading\">\u4fdd\u7ba1\u65b9\u6cd5<\/h2>\n<p>Store Ciplar below 25\u00b0C. Keep out of reach of children \u2014 accidental paediatric beta-blocker ingestion can cause life-threatening bradycardia and hypoglycaemia.<\/p>\n<h2 id=\"faqs\">\u3088\u304f\u3042\u308b\u8cea\u554f<\/h2>\n<h3 class=\"wp-block-heading\">Ciplar\u306f\u8840\u5727\u3092\u4e0b\u3052\u308b\u306e\u306b\u3069\u306e\u304f\u3089\u3044\u306e\u6642\u9593\u304c\u304b\u304b\u308a\u307e\u3059\u304b\uff1f<\/h3>\n<p>\u670d\u7528\u958b\u59cb\u304b\u30891\uff5e2\u65e5\u4ee5\u5185\u306b\u8840\u5727\u306e\u4f4e\u4e0b\u304c\u898b\u3089\u308c\u308b\u306f\u305a\u3067\u3059\uff1b <strong>\u5b8c\u5168\u306a\u964d\u5727\u52b9\u679c\u304c\u5f97\u3089\u308c\u308b\u307e\u3067\u306b\u306f2\uff5e4\u9031\u9593\u304b\u304b\u308a\u307e\u3059<\/strong> \uff08\u3053\u308c\u306f\u5373\u6642\u306e\u5fc3\u62cd\u6570\u52b9\u679c\u3067\u306f\u306a\u304f\u3001\u30ec\u30cb\u30f3-\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u7cfb\u306e\u6bb5\u968e\u7684\u306a\u6291\u5236\u306b\u3088\u308b\u3082\u306e\u3067\u3059\uff09\u3002\u81ea\u5b85\u3067\u6bce\u65e5\u540c\u3058\u6642\u9593\u306b\u8840\u5727\u3092\u6e2c\u5b9a\u3057\u3001\u53cd\u5fdc\u3092\u8ffd\u8de1\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<h3 class=\"wp-block-heading\">\u5598\u606f\u304c\u3042\u308b\u5834\u5408\u3001Ciplar\u3092\u670d\u7528\u3067\u304d\u307e\u3059\u304b\uff1f<\/h3>\n<p><strong>No \u2014 Propranolol is non-selective and can cause severe bronchospasm in asthmatics.<\/strong> \u7d76\u5bfe\u7981\u5fcc\u3067\u3059\u3002\u5598\u606f\u60a3\u8005\u3067\u03b2\u906e\u65ad\u85ac\u304c\u5fc5\u8981\u306a\u5834\u5408\u3001, <a href=\"https:\/\/medsbase.com\/ja\/nebicard\/\">\u30cd\u30d3\u30dc\u30ed\u30fc\u30eb<\/a> \u307e\u305f\u306f <a href=\"https:\/\/medsbase.com\/ja\/concor\/\">\u30d3\u30bd\u30d7\u30ed\u30ed\u30fc\u30eb<\/a> (highly cardioselective) are safer alternatives \u2014 though no beta-blocker is completely safe in asthma.<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u3092\u6025\u306b\u4e2d\u6b62\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u306e\u306f\u306a\u305c\u3067\u3059\u304b\uff1f<\/h3>\n<p>\u7a81\u7136\u306e\u4e2d\u6b62\u306f\u4ee5\u4e0b\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\uff1a <strong>\u53cd\u8df3\u6027\u983b\u8108\u3068\u72ed\u5fc3\u75c7\u306e\u60aa\u5316<\/strong> 24\uff5e48\u6642\u9593\u4ee5\u5185\u306b\u3001\u6162\u6027\u7684\u306a\u906e\u65ad\u4e2d\u306e\u03b2\u53d7\u5bb9\u4f53\u306e\u4e0a\u65b9\u5236\u5fa1\u306b\u3088\u308a\u8d77\u3053\u308a\u307e\u3059\u3002\u51a0\u52d5\u8108\u75be\u60a3\u60a3\u8005\u3067\u306f\u3001\u3053\u308c\u304c\u5fc3\u7b4b\u6897\u585e\u3084\u4e0d\u5b89\u5b9a\u72ed\u5fc3\u75c7\u3092\u8a98\u767a\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u4e2d\u6b62\u3059\u308b\u969b\u306f\u5fc5\u305a1\uff5e2\u9031\u9593\u304b\u3051\u3066\u6f38\u6e1b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u306f\u904b\u52d5\u80fd\u529b\u306b\u5f71\u97ff\u3057\u307e\u3059\u304b\uff1f<\/h3>\n<p>Yes \u2014 beta blockade blunts the heart-rate response to exercise, so your maximum pulse is lower and you fatigue faster at high intensities. For recreational exercise most people adapt; for competitive endurance athletes, beta-blockers can meaningfully impair performance and are banned in precision sports (shooting, archery \u2014 where they reduce physiological tremor).<\/p>\n<h3 class=\"wp-block-heading\">\u7cd6\u5c3f\u75c5\u304c\u3042\u308b\u5834\u5408\u3001Ciplar\u306f\u8840\u7cd6\u5024\u306b\u5f71\u97ff\u3057\u307e\u3059\u304b\uff1f<\/h3>\n<p>\u03b2\u906e\u65ad\u85ac <strong>\u4f4e\u8840\u7cd6\u306e\u8b66\u544a\u5146\u5019\u3067\u3042\u308b\u983b\u8108\u3001\u632f\u6226\u3001\u52d5\u60b8\u3092\u8986\u3044\u96a0\u3059<\/strong>, \u3001\u4f4e\u8840\u7cd6\u3092\u767a\u898b\u3057\u306b\u304f\u304f\u3057\u307e\u3059\u3002\u307e\u305f\u3001\u305d\u308c\u3089\u306f\u8840\u7cd6\u4e0a\u6607\u53cd\u5fdc\u3082\u920d\u3089\u305b\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\u670d\u7528\u4e2d\u306f\u3001\u7279\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u3084\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u5834\u5408\u306f\u3001\u3088\u308a\u983b\u7e41\u306b\u8840\u7cd6\u5024\u3092\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3057\u3066\u304f\u3060\u3055\u3044\u3002 <a href=\"https:\/\/medsbase.com\/ja\/nebicard\/\">Nebivolol<\/a> KYC\uff08Know Your Customer\uff09 <a href=\"https:\/\/medsbase.com\/ja\/concor\/\">\u30d3\u30bd\u30d7\u30ed\u30ed\u30fc\u30eb<\/a> \u6700\u3082\u826f\u597d\u306a\u4ee3\u8b1d\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3092\u6709\u3057\u307e\u3059\u3002<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u670d\u7528\u4e2d\u306b\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u98f2\u3093\u3067\u3082\u5927\u4e08\u592b\u3067\u3059\u304b\uff1f<\/h3>\n<p>\u9069\u5ea6\u306a\u30a2\u30eb\u30b3\u30fc\u30eb\u306f\u4e00\u822c\u7684\u306b\u8a31\u5bb9\u3055\u308c\u307e\u3059\u304c\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u306f\u964d\u5727\u4f5c\u7528\u3068\u4e2d\u67a2\u795e\u7d4c\u6291\u5236\u4f5c\u7528\u3092\u5897\u5f37\u3057\u307e\u3059\u3002\u98f2\u9152\u5f8c\u306f\u3086\u3063\u304f\u308a\u3068\u7acb\u3061\u4e0a\u304c\u3063\u3066\u304f\u3060\u3055\u3044\u3002\u307e\u305f\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u81ea\u4f53\u304c\u8840\u5727\u3092\u4e0a\u6607\u3055\u305b\u308b\u8981\u56e0\u3067\u3042\u308a\u3001\u6442\u53d6\u91cf\u3092\u6e1b\u3089\u3059\u3053\u3068\u3067Ciplar\u3068\u306f\u95a2\u4fc2\u306a\u304f\u8840\u5727\u7ba1\u7406\u304c\u6539\u5584\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u3067\u4f53\u91cd\u304c\u5897\u3048\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<\/h3>\n<p>\u65e7\u4e16\u4ee3\u306e\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\uff08\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb\u3001\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb\u3001\u30e1\u30c8\u30d7\u30ed\u30ed\u30fc\u30eb\uff09\u306f\u3001\u8efd\u5ea6\u306e\u4f53\u91cd\u5897\u52a0\uff081\uff5e3 kg\uff09\u3084\u3001\u9577\u671f\u7684\u306a\u30a4\u30f3\u30b9\u30ea\u30f3\u611f\u53d7\u6027\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002 <strong>\u30cd\u30d3\u30dc\u30ed\u30fc\u30eb\u3068\u30ab\u30eb\u30d9\u30b8\u30ed\u30fc\u30eb\u306f\u4f53\u91cd\u306b\u5f71\u97ff\u3057\u306a\u3044\u304b\u3001\u308f\u305a\u304b\u306b\u4f53\u91cd\u6e1b\u5c11\u306b\u597d\u307e\u3057\u3044\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/strong> \u3053\u308c\u306f\u8840\u7ba1\u62e1\u5f35\u4f5c\u7528\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\u306e\u60a3\u8005\u3055\u3093\u306b\u306f\u3001, <a href=\"https:\/\/medsbase.com\/ja\/nebicard\/\">\u30cd\u30d3\u30dc\u30ed\u30fc\u30eb<\/a> \u5fc5\u8981\u3068\u3055\u308c\u308b\u5834\u5408\u306e\u63a8\u5968\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u306f\u598a\u5a20\u4e2d\u306b\u5b89\u5168\u3067\u3059\u304b\uff1f<\/h3>\n<p>Reasonable \u2014 propranolol has extensive reassuring data in pregnancy. Small risk of intrauterine growth restriction and neonatal bradycardia \/ hypoglycaemia. Usually preferred only for migraine prevention in pregnancy; for BP control in pregnancy, <a href=\"https:\/\/medsbase.com\/ja\/labebet\/\">\u30e9\u30d9\u30bf\u30ed\u30fc\u30eb<\/a> \u7b2c\u4e00\u9078\u629e\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u3092\u4ed6\u306e\u8840\u5727\u306e\u85ac\u3068\u4f75\u7528\u3067\u304d\u307e\u3059\u304b\uff1f<\/h3>\n<p>Yes \u2014 beta-blockers combine well with <strong>\u30b8\u30d2\u30c9\u30ed\u30d4\u30ea\u30b8\u30f3\u7cfb\u30ab\u30eb\u30b7\u30a6\u30e0\u62ee\u6297\u85ac<\/strong> (<a href=\"https:\/\/medsbase.com\/ja\/amlode\/\">\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3<\/a>), <strong>ACE\u963b\u5bb3\u85ac<\/strong> \uff08\u30e9\u30df\u30d7\u30ea\u30eb\u3001\u30ea\u30b7\u30ce\u30d7\u30ea\u30eb\uff09\u3001, <strong>ARB<\/strong> (<a href=\"https:\/\/medsbase.com\/ja\/losar\/\">\u30ed\u30b5\u30eb\u30bf\u30f3<\/a>, <a href=\"https:\/\/medsbase.com\/ja\/telmaheal\/\">\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3<\/a>, <a href=\"https:\/\/medsbase.com\/ja\/olmin\/\">\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3<\/a>\uff09\u3001\u53ca\u3073 <strong>\u30c1\u30a2\u30b8\u30c9\u7cfb\u5229\u5c3f\u85ac<\/strong> (<a href=\"https:\/\/medsbase.com\/ja\/aquazide\/\">\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9<\/a>). <strong>\u975e\u30b8\u30d2\u30c9\u30ed\u30d4\u30ea\u30b8\u30f3\u7cfbCCB\u3068\u306e\u4f75\u7528\u306f\u907f\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/strong> (verapamil, diltiazem) \u2014 additive bradycardia and heart-block risk.<\/p>\n<h3 class=\"wp-block-heading\">Ciplar\u3092\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u8cfc\u5165\u3059\u308b\u306b\u306f\uff1f<\/h3>\n<p>Ciplar\uff08\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb10mg\u5373\u653e\u9320\u300130\uff5e180\u9320\uff09\u306f\u3001MedsBase\u306b\u3066\u4e2d\u8eab\u304c\u308f\u304b\u3089\u306a\u3044\u68b1\u5305\u3068\u5168\u4e16\u754c\u914d\u9001\u3067\u3054\u8cfc\u5165\u3044\u305f\u3060\u3051\u307e\u3059\u3002<\/p>\n<h2 class=\"wp-block-heading\">\u95a2\u9023\u03b2\u906e\u65ad\u85ac\u30fb\u964d\u5727\u85ac<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ja\/atenheal\/\">Atenheal \u2014 Atenolol 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/carloc\/\">Carloc \u2014 Carvedilol 3.125 mg (HF starter)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/carvego\/\">Carvego \u2014 Carvedilol 6.25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/lobet\/\">Lobet \u2014 Labetalol 100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/p-nolol-sr\/\">P-Nolol SR \u2014 Propranolol 80 mg sustained-release<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/provanol-sr\/\">Provanol SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/high-blood-pressure-medication\/\"><strong>\u3059\u3079\u3066\u306e\u9ad8\u8840\u5727\u6cbb\u7642\u85ac\u3092\u898b\u308b<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background: #fff3f3; border-left: 4px solid #d9534f; padding: 16px 20px; margin: 24px 0; border-radius: 4px;\"><strong>\u2695 Medical Disclaimer.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. Hypertension, heart failure, and arrhythmias require diagnosis, monitoring, and dose individualisation by a doctor \u2014 always use beta-blockers under medical guidance.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">\u3067\u304a\u5ba2\u69d8\u304c\u4f75\u305b\u3066\u95b2\u89a7\u3055\u308c\u308b\u4ed6\u306e\u88fd\u54c1\uff1a<\/h3>\n<p>\u305d\u306e\u4ed6\u306e\u88fd\u54c1\u306e <strong>\u6162\u6027\u75be\u60a3<\/strong> \u304a\u5ba2\u69d8\u304c\u4f75\u305b\u3066\u3054\u89a7\u306b\u306a\u308b:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ja\/indicid-75-sr\/\">Indicid-75 SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/primox\/\">Primox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/instgra\/\">Instgra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/abana\/\">Abana<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ja\/flucort-n-cream\/\">Flucort-N Cream<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ciplar\u306f\u3001Cipla\u793e\u306e\u30d7\u30ed\u30d7\u30e9\u30ce\u30ed\u30fc\u30eb10mg\u901f\u653e\u9320\u3067\u3059\u3002\u30a4\u30f3\u30c9\u3067\u6700\u3082\u5e83\u304f\u51e6\u65b9\u3055\u308c\u3066\u3044\u308b\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\u306e\u521d\u671f\u6cbb\u7642\u30d6\u30e9\u30f3\u30c9\u306e\u4e00\u3064\u3067\u3042\u308a\u3001\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4e0d\u5b89\u3001\u521d\u671f\u7528\u91cf\u306e\u9ad8\u8840\u5727\u3001\u672c\u614b\u6027\u632f\u6226\u3001\u7532\u72b6\u817a\u4e2d\u6bd2\u75c7\u306e\u75c7\u72b6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306b\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/p>","protected":false},"featured_media":51600,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3380,3381],"class_list":{"0":"post-51599","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-ciplar","11":"product_tag-propranolol","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/product\/51599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/comments?post=51599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/media\/51600"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/media?parent=51599"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/product_brand?post=51599"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/product_cat?post=51599"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ja\/wp-json\/wp\/v2\/product_tag?post=51599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}