Nelol AM Tablet 10's का उपयोग, फायदे ,साइड इफेक्ट,कीमत in Hindi

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Nelol AM Tablet 10's is used to treat high blood pressure. It contains Amlodipine and Nebivolol, which relax and widen the blood vessels, making it easier for the heart to pump blood to all parts of the body. This lowers blood pressure and helps in reducing the risk of stroke, heart attack, other heart problems, or kidney problems in the future. It may cause side effects such as headaches, feeling exhausted, cold extremities, ankle swelling, slow heart rate, constipation, and tiredness. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

Written By Santoshini Reddy G , M Pharmacy

Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

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Side effects of Nelol AM Tablet

Headache

Dealing with Medication-Induced Headache:

Hydrate your body: Drink enough water to prevent dehydration and headaches.
Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
Take rest: lie down in a quiet, dark environment.
Cold or warm compresses can help reduce tension.
Stay Upright: Maintain good posture to keep symptoms from getting worse.
To treat headaches naturally, try acupuncture or massage therapy.
Over-the-counter pain relievers include acetaminophen and ibuprofen.
Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
Frequent Headaches: If you get reoccurring headaches, consult your doctor.
Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

Dizziness

Here are the 7 steps to manage Dizziness caused by medication:

Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
When standing up, do so slowly and carefully to avoid sudden dizziness.
Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Tingling Sensation

Change positions or take a break from activity to relieve symptoms.
Avoid postures that put a lot of pressure on just one area of the body.
If you have vitamin deficiency, take supplements or change your diet.
Exercise regularly like cycling, walking or swimming.
Avoid sitting with your legs crossed.
Clench and unclench your fists and wiggle your toes.
Massage the affected area.

Constipation

Here are the steps to cope with constipation as a side effect of medication:

Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Nausea

Overcome Medication-Induced Nausea: A 9-Step Plan

Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
Divide your daily food intake into smaller, more frequent meals to reduce nausea.
Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
Use ginger (tea, ale, or candies) to help relieve nausea.
Get adequate rest and also avoid strenuous activities that can worsen nausea.
Talk to your doctor about taking anti-nausea medication if your nausea is severe.
Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Loose/ Watery Stools

Here are the precise steps to cope with diarrhoea caused by medication usage:

Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

Tiredness

Rest well; get enough sleep.
Eat a balanced diet and drink enough water.
Manage stress with yoga and meditation.
Limit alcohol and caffeine.
Physical activities like walking or jogging might help boost energy and make you feel less tired.

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Drug-Drug Interactions

Drug-Drug Interaction: Nelol AM Tablet 10's may have interaction with other beta-blockers (atenolol, bisoprolol, carteolol, esmolol, metoprolol, or sotalol), other anti-hypertensive drugs (aliskiren, amiloride, enalapril, captopril, quinapril, diltiazem), asthma medications (theophylline, aminophylline), potassium-rich supplements, pain killers (ibuprofen, aspirin), medicines to treat anxiety disorder (alprazolam and diazepam).

Drug-Food Interaction: Nelol AM Tablet 10's is known to interact with grapefruit and protein-enriched foods. Using Nelol AM Tablet 10's together with ayurvedic, homoeopathy, Unani, herbal supplements, or any other OTC items may decrease the effects of Nelol AM Tablet 10's. Hence, it is better to maintain at least 2 2-hour gaps between the administration of Nelol AM Tablet 10's and these products.

Drug-Disease Interaction: Nelol AM Tablet 10's may have interactions with diabetes, liver impairment, high cholesterol, hyperthyroidism, psoriasis, kidney impairment, asthma, heart problems such as bradyarrhythmia, cardiogenic shock, low blood pressure, fast heart rate, ischemic heart disease, and congestive heart failure.

Nebivolol + AmlodipineDisopyramide

Severe

Nebivolol + AmlodipineSaquinavir

Severe

Drug-Drug Interactions

Nebivolol + AmlodipineDisopyramide

Severe

How does the drug interact with Nelol AM Tablet:
Taking Disopyramide and Nebivolol can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Disopyramide and Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, shortness of breath, chest pain, or rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipineSaquinavir

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Saquinavir together with Nebivolol can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Saquinavir together with Nebivolol can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness, lightheadedness, fainting, slow pulse, or irregular heartbeat, contact a doctor. Do not discontinue any medications without a doctor's advice.

Nebivolol + AmlodipineEnzalutamide

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Amlodipine and Enzalutamide may lower Amlodipine blood levels, making the medicine less effective.

How to manage the interaction:
Taking Amlodipine with Enzalutamide can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipineTizanidine

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Tizanidine and Amlodipine can increase the risk or severity of developing side effects like low blood pressure.

How to manage the interaction:
Although co-administration of Amlodipine with Tizanidine can result in an interaction, it can be taken when a doctor has advised it. However, if you experience headache, dizziness, palpitations, or irregular heart rate while taking these drugs, contact the doctor immediately. Do not discontinue any medications without consulting the doctor.

Nebivolol + AmlodipinePrimidone

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Amlodipine and Primidone together may lower Amlodipine blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Amlodipine with Primidone can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipinePhenobarbital

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Phenobarbital and Amlodipine may lower amlodipine blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Phenobarbital with Amlodipine can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipinePhenytoin

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Amlodipine and Phenytoin together may lower Amlodipine blood levels, which makes the medicine less effective.

How to manage the interaction:
Although Amlodipine with Phenytoin can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipineCeritinib

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Ceritinib together with Amlodipine can slow heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Amlodipine with Ceritinib, it can be taken if a doctor has advised it. However, if you have sudden dizziness, lightheadedness, fainting, or an irregular heartbeat, consult the doctor. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipineMitotane

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Amlodipine and Mitotane together may lower amlodipine blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Amlodipine with Mitotane can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.

Nebivolol + AmlodipineRifapentine

Severe

How does the drug interact with Nelol AM Tablet:
Co-administration of Amlodipine and Rifapentine may significantly reduce the blood levels of Amlodipine, which may make the medication less effective.

How to manage the interaction:
There may be a possibility of interaction between Amlodipine and Rifapentine, but it can be taken if prescribed by a doctor. If you have any symptoms, make sure to call a doctor right away. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

AMLODIPINE-5MG+NEBIVOLOL-5MGGrapefruit and Grapefruit Juice

Moderate

Drug-Food Interactions

AMLODIPINE-5MG+NEBIVOLOL-5MGGrapefruit and Grapefruit Juice

Moderate

Common Foods to Avoid:
Grapefruit, Grapefruit Juice

How to manage the interaction:
Consumption of grapefruit and grapefruit juice with Nelol AM Tablet the levels of Nelol AM Tablet in your bloodstream may drop. Avoid consuming a lot of grapefruit juice and grapefruit when using Nelol AM Tablet, instead, take it with water. As a result, your body will absorb the drug more easily.

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