Nebicard Ln 2.5 Tablet (10 Tab)

NEBICARD LN 2.5 TABLET

NEBICARD LN 2.5 TABLET is a prescription medicine manufactured by Torrent Pharmaceuticals Ltd. It is primarily used for the management of hypertension, also known as high blood pressure. This medication is a combination therapy designed for individuals whose blood pressure is not adequately controlled by a single antihypertensive agent.

Composition

NEBICARD LN 2.5 TABLET contains a combination of two active ingredients:

• Nebivolol (2.5 mg): A selective beta-1 receptor blocker that works by slowing the heart rate and reducing the force of heart contractions, thereby decreasing blood pressure and reducing the workload on the heart.
• Cilnidipine (10 mg): A calcium channel blocker that helps relax and widen blood vessels, allowing blood to flow more smoothly and reducing blood pressure.

Uses

NEBICARD LN 2.5 TABLET is used for:

• Treating hypertension (high blood pressure).
• Controlling blood pressure when a single medication is not sufficient.
• Reducing the risk of potential complications such as heart attacks, strokes, and kidney problems associated with high blood pressure.
• Assisting in the management of stable, mild to moderate chronic heart failure in elderly patients (above 70 years) when used alongside standard therapies.

Dosage and Administration

NEBICARD LN 2.5 TABLET should be taken daily at a consistent time, with or without food. The tablet should be swallowed whole with water; it should not be chewed, crushed, or broken. It is crucial to adhere to the prescribed dose and duration as advised by your physician. Do not discontinue the medication abruptly without consulting your doctor, even if you feel better, as this can lead to a sudden increase in blood pressure and increased risk of cardiovascular issues.

Side Effects

Common side effects may include:

• Headache
• Dizziness
• Fatigue or tiredness
• Ankle swelling (peripheral edema)
• Flushing (a sense of warmth in the face, ears, neck, and trunk)
• Slow heart rate (bradycardia)
• Nausea
• Constipation
• Cold extremities
• Low blood pressure (hypotension)
• Frequent urination
• Breathlessness
• Paresthesia (tingling or pricking sensation)

Serious side effects, though less common, require immediate medical attention and include worsening heart failure, very slow heartbeat, fainting, chest pain, swelling in the legs, difficulty breathing, severe dizziness, or signs of liver problems like yellowing of the skin or eyes.

Precautions

• Contraindications: Do not take if you are allergic to nebivolol, cilnidipine, or any other components of the tablet. It is also contraindicated in individuals with severe liver disease, acute heart failure, certain heart rhythm conditions (like sick sinus syndrome or second/third-degree heart block without a pacemaker), very low blood pressure, severe kidney problems, untreated pheochromocytoma, or metabolic acidosis.
• Medical Conditions: Inform your doctor if you have heart, kidney, or liver issues, low blood pressure, circulation problems in your limbs, very slow heartbeat, severe heart rhythm irregularities, recent heart failure, asthma, breathing disorders, thyroid issues, diabetes (as it may mask hypoglycemia symptoms), lung disease, or psoriasis.
• Pregnancy and Breastfeeding: Generally not recommended during pregnancy unless clearly necessary, with close monitoring of uteroplacental blood flow and fetal growth. Caution is advised while breastfeeding; consult your doctor.
• Alcohol: Caution is advised with alcohol consumption as it can further lower blood pressure.
• Driving/Operating Machinery: This medicine may cause dizziness or fatigue, so avoid driving or operating heavy machinery until you know how it affects you.
• Drug Interactions: Inform your doctor about all current medications, especially other antihypertensive drugs, calcium channel blockers, heart rhythm medications (e.g., quinidine, verapamil, amiodarone), antifungals (e.g., ketoconazole), medications for mental health, insulin or diabetes pills, anesthetics, cimetidine, fluoxetine, or rifampin.
• Monitoring: Regular monitoring of blood pressure, kidney function, blood sugar levels, and electrolytes is advised during treatment.

Storage

Store NEBICARD LN 2.5 TABLET in a cool, dry place, protected from direct sunlight, moisture, and heat. The storage temperature should be below 30°C. Keep it out of the sight and reach of children and pets.

Here are some frequently asked questions about NEBICARD LN 2.5 TABLET:

What is NEBICARD LN 2.5 TABLET used for?

NEBICARD LN 2.5 TABLET is primarily used to treat hypertension, also known as high blood pressure. It helps to control blood pressure when a single medication is not sufficient. By lowering high blood pressure, it reduces the risk of future complications such as heart attack and stroke. It may also be used in the management of stable, mild to moderate chronic heart failure in elderly patients (over 70 years) when combined with standard therapies.

How does NEBICARD LN 2.5 TABLET work?

This medicine contains two active ingredients: Cilnidipine and Nebivolol. Cilnidipine is a calcium channel blocker that works by relaxing and widening blood vessels, allowing blood to flow more easily. Nebivolol is a beta-blocker that slows down the heart rate and also relaxes blood vessels. Together, these actions reduce the workload on the heart and effectively lower blood pressure.

What is the usual dosage for NEBICARD LN 2.5 TABLET?

The dosage of NEBICARD LN 2.5 TABLET should be taken exactly as prescribed by your doctor. It can be taken with or without food, but it is often recommended to take it after a meal to help reduce side effects. It's best to take it at the same time each day to maintain consistent blood pressure control. Do not exceed the prescribed dosage or stop taking the medicine abruptly without consulting your doctor.

What are the possible side effects of NEBICARD LN 2.5 TABLET?

Common side effects may include headache, dizziness, fatigue, ankle swelling (oedema), nausea, constipation, diarrhea, or a tingling sensation (paresthesia). Other side effects can include a slow heart rate, low blood pressure, flushing, frequent urination, and breathlessness. If you experience severe side effects like worsening heart failure, very slow heartbeat, fainting, chest pain, or signs of liver problems (e.g., yellowing of skin or eyes), seek immediate medical attention.

Is NEBICARD LN 2.5 TABLET safe during pregnancy or breastfeeding?

NEBICARD LN 2.5 TABLET is generally not recommended during pregnancy unless clearly necessary and advised by a doctor, with careful monitoring of uteroplacental blood flow and fetal growth. It is also not recommended during breastfeeding. Always consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding before taking this medication.

Can NEBICARD LN 2.5 TABLET be taken with other medications?

It is crucial to inform your doctor about all other medications you are taking, including over-the-counter drugs, supplements, and herbal remedies. NEBICARD LN 2.5 TABLET can interact with certain medicines, such as other blood pressure medications, heart rhythm drugs (e.g., quinidine, amiodarone, verapamil), diabetes medications (as it may mask signs of low blood sugar), certain mental health medications, and some stomach or antibiotic medications.

What precautions should be taken while using NEBICARD LN 2.5 TABLET?

Do not stop taking this medicine abruptly, as it can lead to a sudden increase in blood pressure. It may cause dizziness or fatigue, so avoid driving or operating heavy machinery until you know how it affects you. Inform your doctor if you have liver or kidney disease, heart conditions (like heart failure, a very slow heart rate, or heart block), diabetes, asthma, thyroid problems, circulation issues (e.g., Raynaud's disease), or a history of psoriasis or severe allergic reactions. Caution is also advised regarding alcohol consumption, as it may further lower blood pressure. Regular monitoring of blood pressure, kidney function, blood sugar levels, and electrolytes may be necessary during treatment.

What happens if a dose of NEBICARD LN 2.5 TABLET is missed?

If you miss a dose of NEBICARD LN 2.5 TABLET, take it as soon as you remember, provided it's not almost time for your next scheduled dose. If it is nearly time for your next dose, skip the missed one and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

How should NEBICARD LN 2.5 TABLET be stored?

Store NEBICARD LN 2.5 TABLET in a cool, dry place, typically below 30°C. Keep it protected from direct sunlight, moisture, and heat. Always ensure it is kept out of the reach of children and pets.