Nebi H Tablet (10 Tab)

NEBI H TABLET

NEBI H TABLET is a prescription medicine manufactured by Aristo Pharmaceuticals Private Limited. It is primarily used for the management of hypertension, commonly known as high blood pressure. This combination medication helps control blood pressure when a single agent is insufficient, thereby reducing the risk of severe cardiovascular events like heart attacks and strokes.

• Composition: Each film-coated tablet contains Nebivolol Hydrochloride equivalent to Nebivolol 5 mg and Hydrochlorothiazide IP 12.5 mg.

• Uses: NEBI H TABLET is prescribed for the treatment of essential hypertension (high blood pressure). It is used to lower and control blood pressure levels, which in turn helps to reduce the risk of future heart attacks, strokes, and kidney problems.

• Dosage and Administration: NEBI H TABLET should be taken orally with a glass of water, swallowed whole without crushing or breaking it. It can be taken with or without food, preferably in the morning to avoid frequent urination at night. For optimal results, it is recommended to take the medicine at the same time each day. Do not alter the dosage or stop taking the medicine abruptly without consulting a doctor, as this can lead to a sudden rise in blood pressure.

• Side Effects: Common side effects may include nausea, constipation, diarrhea, fatigue, headache, dizziness, and shortness of breath. Other possible side effects include decreased potassium and magnesium levels in the blood, increased blood uric acid, altered blood lipid levels, increased urination, stomach pain, slow heartbeat (bradycardia), and swelling of hands and feet. Most of these side effects are usually mild and temporary, resolving over time.

• Precautions:

  • Pregnancy and Breastfeeding: NEBI H TABLET is not recommended during pregnancy as it may cause fetal damage. It is also not recommended for breastfeeding women as it can pass into breast milk.
  • Medical Conditions: Inform your doctor if you have liver disease, kidney disease, heart problems (such as heart attack, heart failure, or slow heartbeat), asthma, diabetes, glaucoma, increased uric acid (gout), hyperlipidemia, hyperthyroidism, or severe circulation problems.
  • Alcohol: Consumption of alcohol should be avoided as it can increase dizziness and drowsiness.
  • Driving: This medicine may cause dizziness or fatigue, affecting the ability to drive or operate machinery.
  • Interactions: Inform your doctor about all other medicines you are taking, especially other blood pressure medications, CYP2D6 inhibitors (e.g., fluoxetine, paroxetine), calcium-channel blockers, and NSAIDs.
  • Regular monitoring of kidney function, blood pressure, electrolyte levels, and blood sugar is necessary during treatment.

• Storage: Store NEBI H TABLET below 30°C. Keep it in the original container to protect it from light and moisture, and out of the sight and reach of children.

NEBI H TABLET is a medication commonly prescribed for the management of high blood pressure (hypertension). It is a combination drug containing two active ingredients: Nebivolol and Hydrochlorothiazide, which work together to effectively lower blood pressure and reduce the risk of associated cardiovascular complications like stroke and heart attack.

Here are some frequently asked questions about NEBI H TABLET:

What is NEBI H TABLET used for?

NEBI H TABLET is primarily used to treat essential hypertension (high blood pressure). It is often prescribed when a single medication is not sufficient to control blood pressure. By lowering blood pressure, it helps to reduce the risk of serious cardiovascular events such as heart attacks and strokes.

How does NEBI H TABLET work?

NEBI H TABLET contains two active components: Nebivolol and Hydrochlorothiazide.

• Nebivolol is a beta-blocker that works specifically on the heart to reduce heart rate and make the heart more efficient at pumping blood throughout the body. It also relaxes blood vessels, improving blood flow.
• Hydrochlorothiazide is a thiazide diuretic (water pill) that lowers blood pressure by helping the kidneys remove excess water and electrolytes (like sodium) from the body through urine. This action also contributes to relaxing blood vessels and improving blood flow.

What is the usual dosage for NEBI H TABLET?

The dosage of NEBI H TABLET should be strictly as advised by your doctor. The tablet should be swallowed whole with a glass of water and not crushed, chewed, or broken. It can be taken with or without food, but it is often recommended to take it in the morning to avoid frequent urination at night. For best results, it is advisable to take the medicine at the same time each day.

What are the possible side effects of NEBI H TABLET?

Common side effects may include headache, dizziness, fatigue, nausea, constipation, diarrhea, stomach pain, and a tingling or pricking sensation (paresthesia). You might also experience a slow heartbeat (bradycardia), decreased blood pressure (hypotension), shortness of breath, swelling of hands and feet, increased urination, dry mouth, or changes in blood electrolyte levels (decreased potassium or magnesium, increased uric acid). Most of these side effects are usually mild and temporary, resolving as your body adjusts to the medication. However, if any side effects persist, worsen, or become bothersome, consult your doctor. Serious allergic reactions (e.g., skin rash, swelling of the face or throat, difficulty breathing) require immediate medical attention.

Is NEBI H TABLET safe during pregnancy or breastfeeding?

Pregnancy: NEBI H TABLET is generally not recommended and may be unsafe to use during pregnancy as it contains hydrochlorothiazide which can cross the placenta and potentially cause fetal damage. It is crucial to consult your doctor if you are pregnant or planning a pregnancy. Breastfeeding: NEBI H TABLET is not recommended for breastfeeding women. It may pass into breast milk, potentially decrease milk production, and could dehydrate the infant. Always discuss with your doctor if you are breastfeeding or planning to breastfeed.

Can NEBI H TABLET be taken with other medications?

NEBI H TABLET can interact with several other medications. It is very important to inform your doctor about all prescription and non-prescription medicines, supplements, or herbal products you are currently taking or plan to take. Interactions can occur with medications like other blood pressure drugs, heart-related medicines (e.g., beta-blockers, calcium-channel blockers), NSAIDs (e.g., ibuprofen, naproxen), antidiabetic medicines, anti-gout medicines, certain antidepressants, steroids, and cholesterol-lowering drugs. Combining NEBI H TABLET with alcohol is not recommended as it can increase dizziness, drowsiness, and further lower blood pressure.

What precautions should be taken while taking NEBI H TABLET?

Before taking NEBI H TABLET, inform your doctor if you have any pre-existing medical conditions, especially liver or kidney disease, diabetes, asthma, gout, glaucoma, hyperthyroidism, heart problems (such as slow heartbeat, heart failure, or heart block), poor blood circulation in limbs, or electrolyte imbalances.

• The medicine may cause dizziness or tiredness, so exercise caution when driving or operating machinery until you know how it affects you.
• Do not stop taking NEBI H TABLET suddenly without consulting your doctor, as abrupt discontinuation can lead to a sudden and dangerous rise in blood pressure.
• To prevent dizziness, rise slowly when moving from a sitting or lying position.
• If you are diabetic, this medicine can mask symptoms of low blood sugar, so monitor your blood sugar levels regularly.
• Drink plenty of fluids to avoid dehydration, as the medication can increase urine output.
• Regular monitoring of blood pressure, kidney function, blood sugar, and electrolyte levels (like potassium and magnesium) is often necessary during treatment.

What happens if a dose of NEBI H TABLET is missed?

If you miss a dose of NEBI H TABLET, 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, as this can lead to an unsafe drop in blood pressure.

How should NEBI H TABLET be stored?

NEBI H TABLET should be stored below 30°C. Keep the medicine in its original container to protect it from light and moisture. Always keep it out of the reach of children.