Nulong-t Tab

NULONG-T Tablet

NULONG-T Tablet is a medication manufactured by Micro Labs Ltd.. It is identified as a Fixed Dose Combination (FDC) medicine, often seen in strengths like Nulong-T 40/10 Tablet.

• Composition NULONG-T Tablet contains two active ingredients: Cilnidipine and Telmisartan. Specifically, Nulong-T 40/10 Tablet contains Telmisartan 40 mg and Cilnidipine 10 mg. Cilnidipine is a calcium channel blocker, and Telmisartan is an angiotensin receptor blocker (ARB).

• Uses NULONG-T Tablet is primarily prescribed for the treatment of hypertension (high blood pressure) and heart-related chest pain (angina). This combination helps to lower blood pressure, reduce the workload on the heart, and consequently decrease the risk of heart attacks and strokes. It also offers cardiovascular protection and can aid in managing blood pressure in diabetic patients by protecting kidney function.

• Dosage and Administration NULONG-T Tablet should be taken orally with water, usually once daily, at the same time each day, or as advised by a doctor. It can be taken with or without food. The tablet should be swallowed whole and not crushed, chewed, or broken. Patients should not stop taking the medicine suddenly without consulting their doctor, as this may lead to rebound hypertension or serious heart-related issues.

• Side Effects Common side effects may include headache, dizziness, fatigue, ankle swelling (edema), flushing, upset stomach, diarrhea, a congested feeling, spinning sensation, back pain, and increased potassium levels in the blood. More serious, though rare, side effects can include cardiogenic shock.

• Precautions NULONG-T Tablet is contraindicated in individuals allergic to Cilnidipine or Telmisartan. It is unsafe for use during pregnancy, especially in the second and third trimesters, due to risks to the developing baby. Caution is advised for breastfeeding women, and consultation with a doctor is recommended. Patients with liver disease, kidney problems, congestive heart failure, or severe aortic stenosis should use this medicine with caution. Alcohol consumption should be limited or avoided as it can enhance side effects like dizziness and hypotension. The medication may cause dizziness or drowsiness, so activities requiring alertness, such as driving or operating machinery, should be avoided until its effects are known. Interactions with other medications like diuretics, lithium, and NSAIDs should be discussed with a healthcare provider.

• Storage Store NULONG-T Tablet at room temperature, typically between 20-25°C, and not exceeding 30°C. Keep it protected from light and moisture, and out of sight and reach of children. Do not freeze the medication.

Here are the most frequently asked questions about NULONG-T TAB by MICRO LABS, a medicine used for managing high blood pressure.

What is NULONG-T TAB used for?

NULONG-T TAB is primarily used to treat hypertension (high blood pressure). It can also help reduce the risk of serious cardiovascular events such as heart attack, stroke, and kidney damage associated with high blood pressure.

How does NULONG-T TAB work?

NULONG-T TAB is a combination medicine containing Cilnidipine (a calcium channel blocker) and Telmisartan (an angiotensin receptor blocker, ARB). Cilnidipine works by relaxing the blood vessels, while Telmisartan blocks the action of a substance called angiotensin II, which normally causes blood vessels to narrow. Together, these actions relax and widen blood vessels, making it easier for the heart to pump blood throughout the body and effectively lowering blood pressure.

What is the usual dosage for NULONG-T TAB?

NULONG-T TAB is typically taken once daily, as prescribed by your doctor. It can be taken with or without food, but it is recommended to take it at a fixed time each day to maintain consistent levels in your body and ensure optimal results. Your doctor will determine the appropriate dose based on your condition and how you respond to the medication.

What are the possible side effects of NULONG-T TAB?

Common side effects include ankle swelling, headache, dizziness, fatigue, flushing (sense of warmth), palpitations, upset stomach, nausea, sinusitis, pharyngitis, and back pain. Less common but serious side effects can include an increased potassium level in the blood or cardiogenic shock. If any side effects persist or worsen, you should consult your doctor.

Is NULONG-T TAB safe during pregnancy or breastfeeding?

NULONG-T TAB is generally considered unsafe to use during pregnancy, especially in the second and third trimesters, as there is definite evidence of risk to the developing baby. It is not recommended during breastfeeding, as it is unknown if it passes into breast milk and could harm the nursing infant. Always consult your doctor for safer alternatives if you are pregnant, planning to conceive, or breastfeeding.

Can NULONG-T TAB be taken with other medications?

NULONG-T TAB can interact with certain other medications. It is important to inform your doctor about all medicines, supplements, or herbal products you are currently taking or plan to take. Significant interactions include:

• Diuretics (water pills): May increase the risk of low blood pressure and electrolyte imbalances.
• Lithium-based medicines: Can increase serum lithium levels, potentially leading to toxicity.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): May reduce the blood pressure-lowering effects and increase the risk of kidney dysfunction.
• Digoxin (heart medication): Can increase serum digoxin levels.
• Potassium supplements or potassium-sparing diuretics: May heighten the risk of high potassium levels (hyperkalaemia).
• Aliskiren: Not recommended if you are diabetic or have kidney problems and taking aliskiren.
• Grapefruit or grapefruit juice: Should be avoided as it may interact with the medication.

What precautions should be taken while using NULONG-T TAB?

You should avoid consuming alcohol as it may enhance side effects like dizziness and increase the risk of low blood pressure. Since NULONG-T TAB can cause dizziness or sleepiness, do not drive or operate heavy machinery until you know how the medicine affects you. Caution is advised for individuals with kidney or liver problems, congestive heart failure, severe dehydration, or those with severe aortic stenosis or a recent heart attack. Regular monitoring of blood pressure and kidney function may be necessary. Do not stop taking the medicine suddenly without consulting your doctor, as this can lead to serious complications.

What happens if a dose of NULONG-T TAB is missed?

If you miss a dose of NULONG-T TAB, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should NULONG-T TAB be stored?

NULONG-T TAB should be stored below 25°C or at room temperature (20-25°C). Keep it in a cool, dry place, protected from direct sunlight, moisture, and heat. Ensure it is kept out of the reach of children and pets. Do not freeze the medication.