Ciplar-LA 20 Tablet is a medication that is used for several conditions, including decreasing anxiety and relieving tremors. It can also help prevent migraine, chest pain related to the heart (angina), and bleeding in the stomach caused by high blood pressure in the liver (portal hypertension). This medication is also used to treat high blood pressure and certain types of abnormal heartbeat (arrhythmia).The dosage of Ciplar-LA 20 Tablet will depend on the condition being treated and how the patient responds to the medication. Patients should take this medication exactly as prescribed by their doctor. It should be taken on an empty stomach and at approximately the same time each day. It is important to continue taking the medication even if the patient feels well, as they are still receiving the benefits of the medication. Stopping the medication suddenly can cause the condition to worsen.Some of the most common side effects of Ciplar-LA 20 Tablet include tiredness, weakness, cold fingers and toes (Raynaud phenomenon), irregular or slow heartbeat, numbness in the fingers, and breathlessness. Patients may also experience nausea, vomiting, and diarrhea. If the side effects are bothersome or do not go away, patients should consult with their doctor. Most side effects are short-lived and improve as the patient's body adjusts to the medication.Ciplar-LA 20 Tablet should not be used by patients with asthma, very slow or uneven heartbeats, or a serious heart condition such as heart failure. Patients with kidney or liver problems or chronic obstructive pulmonary disease (COPD) should consult with their doctor before taking this medication.Patients should avoid alcohol while taking this medication, as it can affect the way the medication works. If the medication makes the patient feel dizzy, they should not drive.Patients who are pregnant or breastfeeding should consult with their doctor before taking Ciplar-LA 20 Tablet to determine whether it is safe for them to take this medication.