Nexovas T 20/40

NEXOVAS T 20/40 by MACLEODS - PROCARE MAX DIVISION

Nexovas T 20/40 is a prescription medication used to manage hypertension (high blood pressure) and heart-related chest pain (angina). It is manufactured by Macleods Pharmaceuticals Pvt Ltd.

• Composition: Each tablet contains Cilnidipine 20mg and Telmisartan 40mg.

  • Cilnidipine, a calcium channel blocker, relaxes and widens blood vessels, increasing blood supply to the heart and lowering blood pressure.
  • Telmisartan, an angiotensin receptor blocker, works by blocking substances that tighten blood vessels, allowing smoother blood flow and more efficient heart pumping.

• Uses:

  • Treatment of essential hypertension (high blood pressure).
  • Management of heart-related chest pain (angina).
  • Cardiovascular protection, reducing the risk of heart attacks and strokes.
  • Improving blood circulation and kidney function, particularly in patients with hypertension and diabetes.

• Dosage and Administration:

  • Typically, one tablet is taken orally once daily.
  • It can be taken with or without food, preferably at the same time each day for consistent effectiveness.
  • Swallow the tablet whole with water; do not crush, chew, or break it.

• Side Effects:

  • Common: Headache, dizziness, fatigue, sleepiness, ankle or feet swelling (oedema), taste changes, upset stomach, diarrhea, nausea, vomiting, stomach pain, congested feeling, spinning sensation, and sinus soreness.

• Precautions:

  • Pregnancy/Breastfeeding: Contraindicated during pregnancy, especially in the second and third trimesters, due to potential fetal harm. Not advised during breastfeeding.
  • Alcohol: Avoid consuming alcohol as it may enhance blood pressure lowering effects and increase dizziness.
  • Driving/Operating Machinery: May cause dizziness or drowsiness; caution is advised when performing tasks requiring alertness.
  • Medical Conditions: Inform your doctor if you have kidney or liver problems, heart conditions (e.g., heart failure, severe aortic stenosis), or dehydration.
  • Drug Interactions: Consult your doctor about other medications, including over-the-counter and herbal products, especially other antihypertensives, NSAIDs, digoxin, and lithium.
  • Discontinuation: Do not stop taking Nexovas T 20/40 suddenly without consulting your doctor, as abrupt cessation can lead to severe cardiovascular issues.

• Storage:

  • Store in a cool and dry place, away from direct sunlight and moisture.
  • Keep out of sight and reach of children.
  • Store at room temperature, typically between 10ºC to 30ºC.

Here are some frequently asked questions (FAQs) about NEXOVAS T 20/40:

What is NEXOVAS T 20/40 used for?

NEXOVAS T 20/40 is primarily used to treat essential hypertension (high blood pressure) and heart-related chest pain (angina). It helps manage high blood pressure, reduce cardiovascular risk, prevent heart attacks and strokes, decrease the workload on the heart, improve blood flow, relax blood vessels, and lower peripheral vascular resistance.

How does NEXOVAS T 20/40 work?

NEXOVAS T 20/40 is a combination medicine containing Cilnidipine (20mg) and Telmisartan (40mg). Cilnidipine is a calcium channel blocker that relaxes and widens blood vessels by preventing calcium from entering their muscle cells. Telmisartan is an angiotensin II receptor blocker (ARB) that works by blocking the action of angiotensin II, a natural substance that causes blood vessels to narrow. Together, these actions lead to relaxed blood vessels and lowered blood pressure.

What is the usual dosage for NEXOVAS T 20/40?

The usual dosage of NEXOVAS T 20/40 is typically one tablet once daily, as prescribed by your doctor. It should be swallowed whole with a glass of water, with or without food, and ideally taken at the same time each day for consistent effects. Your doctor will determine the exact dosage based on your medical condition and how you respond to the medicine.

What are the possible side effects of NEXOVAS T 20/40?

Common side effects may include headache, dizziness, swelling in the ankles or feet (oedema), fatigue, sleepiness, taste changes, and upset stomach (such as nausea, vomiting, or diarrhea). Less common side effects can include increased potassium levels in the blood, back pain, and muscle pain. Most side effects are temporary and resolve over time.

Is NEXOVAS T 20/40 safe during pregnancy or breastfeeding?

NEXOVAS T 20/40 is contraindicated (not recommended) during pregnancy, especially in the second and third trimesters, as it can cause harm to the unborn baby. It is also not advised during breastfeeding, and caution is recommended. If you are pregnant, planning to conceive, or breastfeeding, you should discuss this with your doctor before taking this medicine.

Can NEXOVAS T 20/40 be taken with other medications?

NEXOVAS T 20/40 can interact with several other medications. These include other antihypertensive medicines (like aliskiren and diuretics), non-steroidal anti-inflammatory drugs (NSAIDs such as ibuprofen and naproxen), digoxin, and lithium. It is crucial to inform your doctor about all prescription drugs, over-the-counter medicines, supplements, and herbal products you are currently taking to avoid potential interactions.

What precautions should be taken while taking NEXOVAS T 20/40?

You should avoid consuming alcohol while taking NEXOVAS T 20/40 as it can enhance the blood pressure-lowering effect and increase dizziness. Caution is advised if you have kidney problems, liver impairment, dehydration, or aortic stenosis. Since this medicine may cause dizziness or drowsiness, avoid driving or operating heavy machinery until you understand how it affects you. It is also important not to stop taking the medication suddenly, as this can lead to a sudden increase in blood pressure; your doctor will guide you on discontinuing it gradually if necessary. Regular monitoring of blood pressure is recommended.

What happens if a dose of NEXOVAS T 20/40 is missed?

If you miss a dose of NEXOVAS T 20/40, 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 a missed one.

How should NEXOVAS T 20/40 be stored?

NEXOVAS T 20/40 should be stored at room temperature, ideally not exceeding 30°C (or below 25°C), in its original packaging to protect it from moisture and light. Keep the medicine out of reach and sight of children. Always check the expiry date before use.