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Nebula AM Tablet

Tablet
Rs.219for 1 strip(s) (10 tablets each)
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Composition FOR Nebula AM

Nebivolol(5mg),Amlodipine(5mg)

food interaction for Nebula AM

alcohol interaction for Nebula AM

pregnancy interaction for Nebula AM

lactation interaction for Nebula AM

food
alcohol
pregnancy
lactation
Nebula AM Tablet may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
It is unsafe to consume alcohol with Nebula AM Tablet.
UNSAFE
Nebula AM Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
CONSULT YOUR DOCTOR
Nebula AM Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
CONSULT YOUR DOCTOR

SALT INFORMATION FOR Nebula AM

Nebivolol(5mg)

Uses

Nebivolol is used in the treatment of Hypertension (high blood pressure), heart attack, stroke and migraine.

How it works

Nebivolol is a beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body.

Common side effects

Headache, Fatigue, Diarrhea, Dizziness, Breathlessness, Hypotension (low blood pressure), Intermittent claudication, Vision impairment, Slow heart rate
Amlodipine(5mg)

Uses

Amlodipine is used in the treatment of Angina (heart-related chest pain), Hypertension (high blood pressure), Arrhythmia, hypertensive emergency, subarachnoid haemorrhage and anal fissure.

How it works

Amlodipine is a calcium channel blocker. In high blood pressure, it normalizes the blood pressure by relaxing the blood vessels to reduce the pressure on them, thereby improving the blood flow in the body. The enhanced blood flow in the body, further relaxes the heart muscles by reducing the workload on the heart. It also improves the oxygen flow in the body, thereby, preventing any heart-related chest pain.

Common side effects

Headache, Nausea, Abdominal pain, Flushing (sense of warmth in the face, ears, neck and trunk), Dizziness, Palpitations, Edema (swelling), Hypotension (low blood pressure), Chest pain, Fainting, Muscle cramp, Visual disturbance, Shortness of breath, Change in bowel habits, Weakness, Insomnia (difficulty in sleeping), Mood changes, Depression, Tremors, Taste change, Hypoesthesia (decreased sensitivity to stimuli), Paresthesia (tingling or pricking sensation), Arrhythmia (irregular heartbeats), Vomiting, Dryness in mouth, Rash, Muscle pain, Back pain, Frequent urge to urinate, Impotence, Breast enlargement in male, Decreased white blood cell count (lymphocytes), Low blood platelets, Allergic reaction, Increased glucose level in blood, Confusion, Hypertonia (increased muscle tone), Pancreatic inflammation, Gingival hyperplasia, Hepatitis (viral infection of liver), Angioedema (swelling of deeper layers of skin), Stevens-Johnson syndrome

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Expert advice FOR Nebula AM

  • Nebivolol lowers your blood pressure and makes it easier for your heart to pump blood around your body.
  • Lowering high blood pressure helps prevent stroke and heart attack.
  • It may cause dizziness. If this happens to you, get up slowly when rising from a sitting or lying position.
  • It can hide symptoms of low blood sugar if you are diabetic. Monitor your blood sugar levels regularly.
  • Do not stop taking Nebivolol suddenly as it can cause your blood pressure to rise suddenly, thereby increasing the risk of heart attack and stroke.

Frequently asked questions FOR Nebula AM

Nebivolol

Q. How long does Nebivolol take to start working?
After 1 to 2 weeks of starting Nebivolol your blood pressure may decrease. However, it may take 4 weeks to see full benefits.
Q. Now that my blood pressure has become normal, can I stop taking Nebivolol?
No, you should not stop taking Nebivolol even if you start feeling better. Nebivolol controls high blood pressure but does not cure it. If you stop Nebivolol suddenly, you may increase your chances of having angina, heart attack, or irregular heart-beat. Talk to your doctor who may advise you to decrease the dose gradually over 1 to 2 weeks.
Q. What can happen if I take more than the recommended doses of Nebivolol?
Taking more than the recommended doses of Nebivolol may cause very slow heart-beat, low blood pressure with possible fainting, difficulty in breathing or shortness of breath, and acute heart failure. In case you take excess of Nebivolol, contact your doctor immediately.
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Q. Can Nebivolol be taken if I am taking ibuprofen?
You have to be careful while taking both ibuprofen and Nebivolol and keep monitoring your blood pressure on a regular basis. The reason being, ibuprofen may interfere with the working of Nebivolol and your blood pressure may increase. Similarly, discontinuing ibuprofen may decrease your blood pressure. This is usually seen in cases where ibuprofen is used for a longer time.
Q. I am a diabetic. Can taking Nebivolol affect my blood sugar levels?
No, Nebivolol does not have any effect on blood sugar levels. However, keep tracking your blood sugar levels because use of Nebivolol may mask the symptoms of low blood sugar levels, like fast heartbeat and palpitations.
Q. Can Nebivolol be given to old age patients?
Yes, Nebivolol can be given to patients who are 65 or above, but strictly as per the doctor’s advice. In this patient group, the doctor would recommend to start with the lowest dose and gradually reach the desired dosage. In patients who are 75 years or older, close monitoring of blood pressure is required.
Q. What is the risk associated with Nebivolol if I take it during pregnancy?
Nebivolol should not be used during pregnancy since it decreases blood supply to the unborn baby which can result in death of the child in the womb. Decreased blood supply can slow down or retard the growth of the baby and may even lead to abortion or early labor. Inform your doctor that you are using Nebivolol if you have become pregnant, so that the doctor can change your medication.
Q. Does Nebivolol cause weight gain?
No, Nebivolol has not been reported to cause weight gain. Talk to your doctor if you experience weight gain while taking Nebivolol as it could be due to some other underlying condition.
Q. Does Nebivolol cause fatigue?
Nebivolol may cause fatigue (tiredness) and dizziness. Be very cautious while driving or using any machines or tools. Talk to your doctor if you have these problems while taking Nebivolol.
Q. Does Nebivolol cross the blood-brain barrier?
Yes, Nebivolol crosses the blood-brain barrier due to its lipophilic nature. Its lipophilic nature makes it capable of combining with lipids and fats. So, it is effective in the treatment of migraine and essential tremors. This could also cause higher chances of central nervous system effects such as lethargy, confusion, and depression.

Amlodipine

Q. How long does it take for Amlodipine to work?
Amlodipine starts working on the day it is taken. However, it may take weeks to see the full effect. You should continue taking the medicine even if you feel better or if you do not notice any considerable difference. Consult your doctor if you have any concerns or you feel worse after taking the medicine.
Q. Does Amlodipine cause itching?
Amlodipine may cause itching in some patients, though it is an uncommon side effect. However, if you experience severe itching contact your doctor.
Q. Is Amlodipine bad for the kidneys?
No, there is no evidence that Amlodipine causes deterioration of kidney problems. Amlodipine can be used in normal doses in patients with kidney problems. In fact, its blood pressure-lowering effect, it helps to prevent injury to the kidneys due to hypertension.
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Q. Should I take Amlodipine in the morning or at night?
Amlodipine can be taken anytime of the day. Usually, it is advised to be taken in the morning, but your doctor may advise to take it in the evening as well. You should take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.
Q. For how long do I need to take Amlodipine?
You should keep on taking Amlodipine for as long as your doctor has recommended you to take it. You may need to take it lifelong. Do not stop taking it, even if you feel well or your blood pressure is well controlled. If you stop taking Amlodipine, your blood pressure may increase again and your condition may worsen.
Q. Is Amlodipine a beta-blocker?
No, Amlodipine is not a beta-blocker. It belongs to a class of medicines known as calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so that blood can easily flow through the blood vessels.
Q. What are the serious side effects of Amlodipine?
Amlodipine may cause some serious side effects such as liver problems (yellowing of skin, nausea, vomiting, and loss of appetite), pancreatitis (severe stomach pain, nausea, and vomiting), and recurrent chest pain which may be indicative of a heart attack. However, these side effects are rarely seen. Remember that your doctor has prescribed this medicine to you because the benefit to you is greater than the risk of any potential side effects. Follow your doctor's advice.
Q. What should I avoid while taking Amlodipine?
Consult your doctor first before starting any new prescription or non-prescription medicines or supplements. Take low sodium and low-fat diet, and adhere to the lifestyle changes as advised by your doctor. Avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking Amlodipine. Stop smoking and taking alcohol as this helps to lower your blood pressure and prevents heart problems.
Q. I have developed ankle edema and swelling over my feet after using a Amlodipine. What should I do?
Amlodipine can cause ankle or foot swelling. To reduce swelling raise your legs while you are sitting down. Talk to your doctor if it does not go away.

Content on this page was last updated on 11 November, 2024, by Dr. Varun Gupta (MD Pharmacology)