Nebicard H 5125 Mg Tablet 15

Nebicard H Tablet 15

Torrent Pharmaceuticals Ltd.

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STRIP of 15 Units

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Composition

Hydrochlorothiazide (12.5 Mg) + Nebivolol (5 Mg)

Nebicard-H Tablet is primarily utilized for the management of high blood pressure or hypertension. This combination medicine proves effective when a single antihypertensive agent doesn't sufficiently control your blood pressure. It belongs to the group of antihypertensives specifically designed to regulate blood pressure levels.

Besides managing hypertension, this medicine also contributes significantly towards reducing the risk associated with cardiovascular events such as heart attack and stroke.

You should take this medicine according to your doctor's instructions. Before you start, inform your doctor about any pre-existing health conditions or ongoing medications. If you experience any side effects while taking this medicine, immediately notify your doctor. For optimum results, continue taking this medication for the duration prescribed by your doctor.

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Nebicard-H Tablet is used for the following:

Managing high blood pressure or hypertension in adults.
Controlling hypertension when a single antihypertensive agent proves insufficient.
Reducing the risk of cardiovascular events, such as heart attacks.
Lowering the risk of strokes due to uncontrolled blood pressure.

Directions for Use of Nebicard H Tablet 15

Consume Nebicard-H Tablet in the following way:

One tablet should be taken orally once daily.
You can take this medicine with or without food.
It is usually best to take the tablet in the morning to avoid frequent urination at night.
Swallow the tablet whole with a sufficient amount of water. Avoid crushing or chewing it.
Continue taking this medicine as long as your doctor prescribes it; don't stop without consulting your doctor first.

Nebicard-H Tablet is taken orally.

Nebicard-H Tablet may have the following common side effects:

Nausea
Constipation
Diarrhoea
Fatigue
Dizziness
Headache
Increased blood uric acid levels (May cause gout or kidney stones)
Decreased potassium levels in the blood (Can lead to muscle weakness and irregular heartbeat)
Altered blood lipid levels: Changes in the levels of fats (cholesterol and triglycerides) in your blood.
Breathlessness
Swelling of hands and feet: Known as peripheral oedema, this is an accumulation of fluid causing swelling.

Managing the Side Effects:

Most side effects are temporary and generally harmless, and they resolve when you discontinue using Nebicard-H Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are a couple of tips to manage some common side effects:

Diarrhoea: Try taking Nebicard H Tablet with food.
Dizziness: If Nebicard-H Tablet makes you feel dizzy, consider taking it at night.

Nebicard-H Tablet comprises two active ingredients:

Nebivolol (5 mg): As a selective beta-1 adrenergic receptor blocker, nebivolol targets your heart specifically. It works by reducing your heart rate and enhancing its efficiency in pumping blood throughout your body. Additionally, nebivolol has vasodilatory properties, which aid in relaxing blood vessels and improving blood flow.
Hydrochlorothiazide (12.5 mg): Classified as a thiazide diuretic, hydrochlorothiazide increases the removal of excess water and certain electrolytes like sodium and chloride from your body through urine. This process reduces the volume of blood circulating in your blood vessels, effectively lowering your blood pressure. Over time, hydrochlorothiazide also relaxes your blood vessels, further promoting improved blood flow and reduced blood pressure.

Pregnancy

If you're pregnant, caution is advised when taking Nebicard-H Tablet. It is recommended that you consult your doctor before starting this medication.

Breastfeeding

Nebicard-H Tablet may pass into breast milk and potentially harm the nursing infant. If you are breastfeeding, it's advisable to discuss this with your doctor before commencing this medication.

Alcohol

If you consume alcohol, be careful when taking Nebicard-H Tablet as it could enhance the side effects of the medicine. Always consult your doctor before taking this medicine.

Liver

Nebicard-H Tablet should be used with caution for individuals with severe liver disease. Your doctor can advise on the necessary dose adjustments based on your condition and liver function.

Kidney

If you have severe kidney disease, it's important to use Nebicard-H Tablet with caution as dose adjustments may be required. Your doctor will guide you based on your health status.

Using Machines & Driving

Nebicard-H Tablet might cause dizziness or fatigue, which can affect abilities to perform tasks like driving or operating machinery. If such symptoms occur, avoid these activities and consult your doctor.

Allergy

If you're allergic to nebivolol or hydrochlorothiazide, do not take Nebicard-H Tablet. Consult your doctor for an alternative medication if needed.

Children

Nebicard-H Tablet is not meant for children under 18 years of age. Always consult your doctor before giving any medicine to a child.

Older Patients

Elderly patients should take Nebicard-H Tablet under medical supervision as they may be more susceptible to its side effects. Your doctor will guide you based on your health status.

Drug-Drug Interactions

Nebicard-H Tablet interacts with the following medicines:

Antihypertensive medicines: Taking other blood pressure-reducing medications, such as amlodipine or lisinopril, alongside Nebicard-H Tablet may intensify the blood pressure-lowering effect, potentially leading to excessively low blood pressure.
Digoxin: When taken together with Nebicard-H Tablet, digoxin could increase the risk of alterations in heart rhythm and blood pressure levels.
Diabetes medicines: Nebicard-H Tablet can affect blood glucose control, potentially impacting the effectiveness of diabetes medications like insulin or metformin.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs like ibuprofen and naproxen can decrease the effectiveness of Nebicard-H Tablet in controlling blood pressure.

Drug-Food Interactions

Certain foods might interact with Nebicard-H Tablet. Here are some examples:

High-Sodium Foods: Consuming foods high in sodium might counteract the blood pressure-lowering effect of Nebicard-H Tablet.

Drug-Disease Interactions

Nebicard-H Tabletinteracts with the following diseases:

Liver Disease: Those with liver disease should use caution while taking Nebicard-H Tablet as it could exacerbate their condition.
Kidney Disease: Patients with severe kidney disease may need to adjust their dosage of Nebicard-H Tablet based on their renal function.
Diabetes: As Nebicard-H Tablet can affect blood glucose control, individuals with diabetes should monitor their blood sugar levels regularly while taking this medicine.

Daily Dose

You are advised to take the daily dose of Nebicard-H Tablet as directed by your doctor. This could vary based on factors such as your health condition and how you respond to the medicine. It's crucial that you stick to the prescribed dose and avoid changing it without talking to your doctor. For more specific instructions, refer to the information leaflet included with the medicine.

Over Dose

If you take more than the recommended dose of Nebicard-H Tablet, you may experience symptoms such as low blood pressure or slow heart rate. In such situations, it is important to inform your doctor.

Missed Dose

If you miss a dose of Nebicard-H Tablet, it's best to take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and continue with your usual dosing schedule. Remember, altering your dosage without consulting your doctor isn't advisable.

Store Nebicard-H Tablet at room temperature, not exceeding 25 deg C.
Keep it away from direct heat, sunlight and moisture.
Maintain the tablets in their original packaging until required.
Keep this medicine out of reach of children.
Always remember to use it before the expiry date mentioned on the pack.

Try to eat a low-sodium diet: Consuming less salt can help control high blood pressure, which is specifically managed by Nebicard H Tablet.
Regular physical activity: Daily exercises like walking or cycling can significantly aid in managing hypertension. But remember to consult your doctor before starting any new exercise regime.

Fact Box

Drug Category	Beta-1 Blocker, Diuretic
Therapeutic Category	Antihypertensive
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Hypertension, Cardiovascular risk reduction

What is Nebicard-H Tablet used for?

Nebicard-H Tablet is primarily used to manage hypertension (high blood pressure) when a single antihypertensive medicine doesn't adequately control the blood pressure.

How should I take Nebicard-H Tablet?

Follow your doctor's prescription about dosage and timing. It should always be swallowed whole with plenty of water.

Can Nebicard-H Tablet cause side effects?

Yes, common side effects include nausea, constipation, fatigue, dizziness and headache. If these persist or worsen, consult your doctor immediately.

Is it safe to take Nebicard-H Tablet during pregnancy or while breastfeeding?

No. The safety of Nebicard-H Tablet during pregnancy and breastfeeding has not been established. Always consult your doctor before taking this medicine.

What should I do if I overdose on Nebicard-H Tablet?

If you suspect an overdose, seek immediate medical attention. Symptoms may include severe low blood pressure and slow heart rate.

Can Nebicard-H Tablet interact with other medications?

Yes. It can interact with several medications, such as other antihypertensives, digoxin, and insulin. Always inform your doctor about all medicines you're taking.

How should I store Nebicard-H Tablet?

Store it at room temperature, away from direct sunlight, heat and moisture. Keep it out of reach of children and pets.

Certified Content

Written by

Ashmita Borgohain

Medical Content Writer & Editor | 12 years

MSc (Applied Genetics)

Reviewed by

Dr. Meenakshi Maruwada

Medical Content Writer & Strategist | 8 years

BDS, PGCAD, GMHE (IIM-B)

Check out Editorial Policy

References

U.S. National Library of Medicine. (2022). Hydrochlorothiazide. MedlinePlus. Retrieved 1 April 2024, from https://medlineplus.gov/druginfo/meds/a682571.html
U.S. National Library of Medicine. (2022). Nebivolol. MedlinePlus. Retrieved 1 April 2024, from https://medlineplus.gov/druginfo/meds/a608029.html
Hydrochlorothiazide: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00999
Food and Drug Administration. (2017). Label BYSTOLIC nebivolol hydrochloride tablet. Accessdata.fda.gov. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021742s022lbl.pdf
Nebivolol: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB04861

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