{"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\/ro\/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> este un <strong>Comprimat cu propranolol 10 mg cu eliberare imediat\u0103<\/strong> from Cipla \u2014 non-selective (blocks beta-1 AND beta-2). Primary use is <strong>hipertensiunea arterial\u0103<\/strong>; utilizat \u0219i pentru angin\u0103 pectoral\u0103, controlul aritmiilor, preven\u021bia secundar\u0103 post-infarct miocardic, <a href=\"https:\/\/medsbase.com\/ro\/anti-migraine\/\">preven\u021bia migrenei<\/a>, tremor esen\u021bial, toxicitate tiroidian\u0103 \u0219i anxietate de performan\u021b\u0103. Doza tipic\u0103 pentru hipertensiune: <strong>IR: 40-80 mg de dou\u0103 ori sau de trei ori pe zi (80-160 mg\/zi). LA: 80-160 mg o dat\u0103 pe zi.<\/strong> Contraindicated la <strong>astm, bradicardie sever\u0103, bloc cardiac de gradul doi\/trei, insuficien\u021b\u0103 cardiac\u0103 acut\u0103 decompensat\u0103 \u0219i feocromocitom f\u0103r\u0103 blocaj alfa prealabil<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size: 14px; color: #444; margin: 8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate \u00een \u00eentreaga lume \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 nume de medicament pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesator reglementat (descrierile de pe extrasul de cont includ un procesator de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau nume de medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este acoperit\u0103 de Politica noastr\u0103 de Asigurare pentru Retrimitere.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Ciplar?<\/h2>\n<p>Ciplar este un comprimat cu eliberare imediat\u0103 care con\u021bine <strong>propranolol 10 mg<\/strong> de la Cipla, furnizat \u00een cutii de 30-180 comprimate. Propranololul este un beta-blocant neselectiv (blocheaz\u0103 at\u00e2t beta-1 c\u00e2t \u0219i beta-2). Primul beta-blocant (Sir James Black, 1964; Premiul Nobel 1988). R\u0103m\u00e2ne beta-blocantul neselectiv de referin\u021b\u0103 \u0219i, f\u0103r\u0103 \u00eendoial\u0103, cel mai prescris medicament cardiovascular din istorie.<\/p>\n<h2 class=\"wp-block-heading\">Cum scade propranololul tensiunea arterial\u0103<\/h2>\n<p>Beta-blocantele reduc tensiunea arterial\u0103 prin patru mecanisme:<\/p>\n<ul>\n<li><strong>Reducerea debitului cardiac<\/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>Suprimarea sistemului renin\u0103-angiotensin\u0103<\/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>Reducerea simpaticului central<\/strong> \u2014 lipophilic beta-blockers cross the blood-brain barrier and reduce central sympathetic outflow.<\/li>\n<\/ul>\n<p>Beta-blocantele sunt <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>. Timpul de \u00eenjum\u0103t\u0103\u021bire plasmatic al propranololului este de 3-6 ore (IR), 8-11 ore (LA\/SR).<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri aprobate \u0219i bazate pe dovezi<\/h2>\n<ul>\n<li><strong>Hipertensiune arterial\u0103<\/strong> (indica\u021bie principal\u0103)<\/li>\n<li><strong>Angin\u0103 pectoral\u0103<\/strong> \u2014 80-240 mg\/day<\/li>\n<li><strong>Controlul frecven\u021bei \u00een fibrila\u021bia atrial\u0103<\/strong><\/li>\n<li><strong>Profilaxia migrenei<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/ro\/anti-migraine\/\">preven\u021bie de prim\u0103 linie<\/a>; 80-160 mg\/zi<\/li>\n<li><strong>Tremor esen\u021bial<\/strong> \u2014 40-240 mg\/day<\/li>\n<li><strong>Tirotoxicoz\u0103<\/strong> \u2014 symptom control (tremor, tachycardia, anxiety)<\/li>\n<li><strong>Anxietate de performan\u021b\u0103<\/strong> \u2014 situational low-dose (10-40 mg)<\/li>\n<li><strong>Hemangiom infantil<\/strong> \u2014 first-line since 2008<\/li>\n<li><strong>Profilaxia hipertensiunii portale \/ varicelor<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza Ciplar<\/h2>\n<p><strong>Doza pentru hipertensiune arterial\u0103 la adul\u021bi:<\/strong> IR: 40-80 mg de dou\u0103 ori sau de trei ori pe zi (80-160 mg\/zi). LA: 80-160 mg o dat\u0103 pe zi.<\/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>Monitorizare:<\/strong><\/p>\n<ul>\n<li>Pulsul \u00een repaus \u0219i TA la 2, 4 \u0219i 8 s\u0103pt\u0103m\u00e2ni dup\u0103 \u00eenceperea tratamentului sau dup\u0103 modificarea dozei<\/li>\n<li>ECG de baz\u0103 dac\u0103 exist\u0103 antecedente cardiace; ECG periodic dac\u0103 apar modific\u0103ri ale simptomelor<\/li>\n<\/ul>\n<p><strong>Administrare:<\/strong> \u00eenghi\u021bi\u021bi comprimatul \u00eentreg cu ap\u0103. Lua\u021bi la aproximativ aceea\u0219i or\u0103 \u00een fiecare zi.<\/p>\n<p><strong>\u00centrerupere:<\/strong> <strong>NU \u00eentrerupe\u021bi brusc.<\/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\">Efecte Secundare<\/h2>\n<p><strong>Frecvente (&gt;5%):<\/strong><\/p>\n<ul>\n<li><strong>Oboseal\u0103, letargie<\/strong> \u2014 often adapts over 2-4 weeks<\/li>\n<li><strong>M\u00e2ini \u0219i picioare reci<\/strong> (vasoconstric\u021bie periferic\u0103)<\/li>\n<li><strong>Bradicardie<\/strong> (verifica\u021bi pulsul; opri\u021bi dac\u0103 &lt;50 bpm)<\/li>\n<li><strong>Intoleran\u021b\u0103 la efort<\/strong> \u2014 maximum heart rate is blunted by beta blockade<\/li>\n<li>Ame\u021beli, hipotensiune postural\u0103<\/li>\n<li>Tulbur\u0103ri de somn, vise vii \/ co\u0219maruri (beta-blocantele lipofile trec bariera hemato-encefalic\u0103)<\/li>\n<li>Sc\u0103derea libidoului, disfunc\u021bie erectil\u0103 (\u00een special la doze mai mari)<\/li>\n<\/ul>\n<p><strong>Mai pu\u021bin frecvente:<\/strong> depresie, libido sc\u0103zut \/ disfunc\u021bie erectil\u0103, tulbur\u0103ri gastrointestinale, intoleran\u021b\u0103 la frig de tip Raynaud, bronhospasm (mai frecvent la agen\u021bii nespecifici).<\/p>\n<p><strong>Important dar neobi\u0219nuit:<\/strong><\/p>\n<ul>\n<li><strong>Hipoglicemie mascat\u0103 la diabetici<\/strong> \u2014 beta-blockers blunt the tachycardia \/ tremor warning signs of low blood sugar. Monitor glucose more carefully; prefer <a href=\"https:\/\/medsbase.com\/ro\/nebicard\/\">nebivolol<\/a> sau <a href=\"https:\/\/medsbase.com\/ro\/concor\/\">bisoprolol<\/a> la diabeticii trata\u021bi cu insulin\u0103.<\/li>\n<li><strong>Bronhospasm<\/strong> \u2014 can be severe in asthma \/ COPD. Absolute contraindication for non-selective agents; relative for cardioselective.<\/li>\n<li><strong>Bloc cardiac sau agravarea insuficien\u021bei cardiace<\/strong> \u2014 in susceptible patients. Start low, titrate slowly.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Astm\/BPOC sever\u0103\/orice afec\u021biune bronhospastic\u0103<\/strong> \u2014 absolute contraindication (non-selective beta blockade)<\/li>\n<li>Bloc atrioventricular de gradul doi sau trei (f\u0103r\u0103 stimulator cardiac)<\/li>\n<li>Bradicardie sinusal\u0103 &lt;50 bpm<\/li>\n<li>\u0218oc cardiogen, insuficien\u021b\u0103 cardiac\u0103 decompensat\u0103 care necesit\u0103 inotrope<\/li>\n<li>Boal\u0103 arterial\u0103 periferic\u0103 sever\u0103, sindromul Raynaud (relativ)<\/li>\n<li>Phaeochromocytoma without prior alpha-blockade \u2014 paradoxical hypertensive crisis (never use a beta-blocker before alpha-blocker)<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103 (pentru agen\u021bi metaboliza\u021bi extensiv hepatic: propranolol, metoprolol, carvedilol, labetalol)<\/li>\n<li>Severe renal impairment \u2014 dose adjustment needed for renal-excreted agents (atenolol, nadolol)<\/li>\n<li>Hipersensibilitate la propranolol<\/li>\n<\/ul>\n<p><strong>Sarcina:<\/strong> Categoria C dar cu date extensive \u0219i lini\u0219titoare din practica real\u0103; beta-blocantul preferat la pacientele gravide cu migren\u0103.<\/p>\n<p><strong>Al\u0103ptarea:<\/strong> compatibil (transfer sc\u0103zut \u00een lapte).<\/p>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/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\/ro\/amlode\/\">amlodipine<\/a>, nifedipin\u0103) sunt mai sigure de combinat cu beta-blocante.<\/li>\n<li><strong>Alte beta-blocante<\/strong> \u2014 do not combine; additive bradycardia<\/li>\n<li><strong>Clonidina<\/strong> \u2014 if stopping clonidine, stop the beta-blocker first (several days before) to avoid rebound hypertensive crisis<\/li>\n<li><strong>Insulin\u0103 \u0219i sulfoniluree<\/strong> \u2014 mask hypoglycaemia warning signs; monitor glucose closely<\/li>\n<li><strong>AINS<\/strong> \u2014 reduce the antihypertensive effect of beta-blockers; avoid chronic combination<\/li>\n<li><strong>Rizatriptan<\/strong> \u2014 propranolol raises rizatriptan plasma levels ~70%; reduce rizatriptan to 5 mg max per dose<\/li>\n<li><strong>Alcool<\/strong> \u2014 additive hypotension and CNS depression (particularly for lipophilic agents)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Beta-Blocante pe scurt<\/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;\">Beta-blocant<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">Selectivitate<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">Cel mai potrivit pentru<\/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\/ro\/inderal\/\">Propranolol (Inderal, Ciplar, Beloc)<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Neselectiv<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Migren\u0103, tremor, tireotoxicoz\u0103, anxietate de performan\u021b\u0103, HTA<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ro\/betablock-xl\/\">Metoprolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Cardioselectiv<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Post-IM, IC-FER (succinat ER), angin\u0103, controlul frecven\u021bei \u00een FA<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ro\/carvejohn\/\">Carvedilol<\/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;\">IC-FER (dovezi de reducere a mortalit\u0103\u021bii), post-IM<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ro\/concor\/\">Bisoprolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Foarte cardioselectiv<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">IC-FER, HTA, angin\u0103, controlul frecven\u021bei \u00een FA<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ro\/nebicard\/\">Nebivolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Ultra-selectiv + NO<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">V\u00e2rstnici, sindrom metabolic, disfunc\u021bie erectil\u0103<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ro\/atenheal\/\">Atenolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Cardioselectiv (hidrofil)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Angin\u0103, controlul frecven\u021bei \u00een fibrila\u021bia atrial\u0103 (linia a doua pentru HTA)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/ro\/labebet\/\">Labetalol<\/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;\">Hipertensiunea \u00een sarcin\u0103, criz\u0103 hipertensiv\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Contraindica\u021bie absolut\u0103 \u00een astm\/BPOC sever\u0103 (blocarea beta-2 provoac\u0103 bronhospasm). <strong>Interac\u021biune rizatriptan<\/strong>: propranolol raises rizatriptan plasma levels ~70% \u2014 reduce rizatriptan to 5 mg max if co-prescribed.<\/p>\n<h2 class=\"wp-block-heading\">Depozitare<\/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\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2t timp \u00eei ia Ciplar s\u0103 scad\u0103 tensiunea arterial\u0103?<\/h3>\n<p>Ve\u021bi observa o sc\u0103dere a TA \u00een 1-2 zile de la \u00eenceperea tratamentului; <strong>efectul antihipertensiv complet se ob\u021bine \u00een 2-4 s\u0103pt\u0103m\u00e2ni<\/strong> (datorat suprresiei graduale a sistemului renin\u0103-angiotensin\u0103, nu efectului imediat asupra frecven\u021bei cardiace). M\u0103sura\u021bi TA acas\u0103 la aceea\u0219i or\u0103 zilnic pentru a monitoriza r\u0103spunsul.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Ciplar dac\u0103 am astm?<\/h3>\n<p><strong>No \u2014 Propranolol is non-selective and can cause severe bronchospasm in asthmatics.<\/strong> Contraindica\u021bie absolut\u0103. Pentru pacien\u021bii astmatici care au nevoie de un beta-blocant, <a href=\"https:\/\/medsbase.com\/ro\/nebicard\/\">nebivolol<\/a> sau <a href=\"https:\/\/medsbase.com\/ro\/concor\/\">bisoprolol<\/a> (highly cardioselective) are safer alternatives \u2014 though no beta-blocker is completely safe in asthma.<\/p>\n<h3 class=\"wp-block-heading\">De ce nu ar trebui s\u0103 \u00eentrerup brusc Ciplar?<\/h3>\n<p>\u00centreruperea brusc\u0103 provoac\u0103 <strong>tahicardie de rebond \u0219i agravarea anginei<\/strong> \u00een 24-48 de ore, datorit\u0103 supraregl\u0103rii receptorilor beta \u00een timpul blocadei cronice. La pacien\u021bii cu boal\u0103 coronarian\u0103, acest lucru poate precipita infarct miocardic sau angin\u0103 instabil\u0103. Reduce\u021bi progresiv doza pe parcursul a 1-2 s\u0103pt\u0103m\u00e2ni la \u00eentreruperea tratamentului.<\/p>\n<h3 class=\"wp-block-heading\">Va afecta Ciplar performan\u021ba mea la exerci\u021bii fizice?<\/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\">Va afecta Ciplar nivelul de zah\u0103r din s\u00e2nge dac\u0103 am diabet?<\/h3>\n<p>Beta-blocante <strong>mascheaz\u0103 tahicardia\/tremorul\/palpita\u021biile care sunt semne de avertizare ale hipoglicemiei<\/strong>, f\u0103c\u00e2nd mai dificil\u0103 detectarea hipoglicemiei. De asemenea, pot atenua r\u0103spunsul contraregulator al glucozei. Monitoriza\u021bi glicemia mai frecvent \u00een timpul administr\u0103rii unui beta-blocant, \u00een special dac\u0103 lua\u021bi insulin\u0103 sau sulfoniluree. <a href=\"https:\/\/medsbase.com\/ro\/nebicard\/\">Nebivolol<\/a> \u0219i <a href=\"https:\/\/medsbase.com\/ro\/concor\/\">bisoprolol<\/a> au cel mai bun profil metabolic.<\/p>\n<h3 class=\"wp-block-heading\">Pot consuma alcool \u00een timp ce iau Ciplar?<\/h3>\n<p>Consumul moderat de alcool este \u00een general acceptabil, dar alcoolul poten\u021beaz\u0103 efectele hipotensive \u0219i depresive ale SNC. Ridica\u021bi-v\u0103 \u00eencet dup\u0103 consum. Alcoolul este, de asemenea, un factor independent care cre\u0219te TA; reducerea consumului poate \u00eembun\u0103t\u0103\u021bi controlul TA independent de Ciplar.<\/p>\n<h3 class=\"wp-block-heading\">Ciplar provoac\u0103 cre\u0219terea \u00een greutate?<\/h3>\n<p>Beta-blocantele mai vechi (propranolol, atenolol, metoprolol) sunt asociate cu o cre\u0219tere modest\u0103 a greut\u0103\u021bii (1-3 kg) \u0219i cu o \u00eenr\u0103ut\u0103\u021bire a sensibilit\u0103\u021bii la insulin\u0103 \u00een timp. <strong>Nebivololul \u0219i carvedilolul sunt neutre din punct de vedere al greut\u0103\u021bii sau u\u0219or favorabile<\/strong> datorit\u0103 componentelor lor vasodilatatoare. Pentru pacien\u021bii cu sindrom metabolic, <a href=\"https:\/\/medsbase.com\/ro\/nebicard\/\">nebivolol<\/a> este beta-blocantul preferat atunci c\u00e2nd este necesar.<\/p>\n<h3 class=\"wp-block-heading\">Ciplar este sigur \u00een timpul sarcinii?<\/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\/ro\/labebet\/\">labetalol<\/a> este prima alegere.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Ciplar \u00eempreun\u0103 cu alte medicamente pentru tensiune?<\/h3>\n<p>Yes \u2014 beta-blockers combine well with <strong>blocantele ale canalelor de calciu dihidropiridinice<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/amlode\/\">amlodipine<\/a>), <strong>Inhibitori ACE<\/strong> (ramipril, lisinopril), <strong>BRA<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/losar\/\">losartan<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/telmaheal\/\">telmisartan<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/olmin\/\">olmesartan<\/a>), \u0219i <strong>diuretice tiazidice<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/aquazide\/\">HCTZ<\/a>). <strong>Evita\u021bi combina\u021bia cu antagoni\u0219ti calcici non-dihidropiridinici<\/strong> (verapamil, diltiazem) \u2014 additive bradycardia and heart-block risk.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot cump\u0103ra Ciplar online?<\/h3>\n<p>Pute\u021bi cump\u0103ra Ciplar (propranolol 10 mg comprimate cu eliberare imediat\u0103, 30-180 comprimate) de la MedsBase cu ambalaj discret \u0219i livrare la nivel mondial.<\/p>\n<h2 class=\"wp-block-heading\">Beta-Blocante \u0219i Antihipertensive Asem\u0103n\u0103toare<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/atenheal\/\">Atenheal \u2014 Atenolol 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/carloc\/\">Carloc \u2014 Carvedilol 3.125 mg (HF starter)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/carvego\/\">Carvego \u2014 Carvedilol 6.25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lobet\/\">Lobet \u2014 Labetalol 100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/p-nolol-sr\/\">P-Nolol SR \u2014 Propranolol 80 mg sustained-release<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/provanol-sr\/\">Provanol SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/high-blood-pressure-medication\/\"><strong>R\u0103sfoi\u021bi toate medicamentele pentru hipertensiune arterial\u0103<\/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\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/indicid-75-sr\/\">Indicid-75 SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/primox\/\">Primox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/instgra\/\">Instgra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/abana\/\">Abana<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/flucort-n-cream\/\">Flucort-N Cream<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ciplar sunt comprimatele cu eliberare imediat\u0103 de propranolol 10 mg ale Cipla \u2014 una dintre cele mai prescrise m\u0103rci de beta-blocante pentru doze ini\u021biale din India. Utilizate pentru anxietatea de performan\u021b\u0103, hipertensiune arterial\u0103 \u00een doze ini\u021biale, tremor esen\u021bial, controlul simptomelor tireotoxicozei.<\/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\/ro\/wp-json\/wp\/v2\/product\/51599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=51599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/51600"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=51599"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=51599"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=51599"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=51599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}