Nebi-AM Tablet 10's
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About Nebi-AM Tablet
Nebi-AM Tablet is primarily used to treat high blood pressure. Hypertension or high blood pressure is a chronic condition in which the force exerted by the blood against the artery wall is high. As a result, it leads to heart diseases, irregular heartbeat, and other complications.
Nebi-AM Tablet contains amlodipine and Nebivolol. Amlodipine works by relaxing the blood vessels. Nebivolol acts by relaxing and widening the blood vessels, making it easier for the heart to pump blood to all parts of the body.
In some cases, you may experience headaches, feeling exhausted, cold extremities, ankle swelling, slow heart rate, constipation, and tiredness. Most of these side effects of Nebi-AM Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Please inform your doctor if you have had an allergic reaction to Nebi-AM Tablet , are pregnant or planning to get pregnant, are breastfeeding, or have liver disease or kidney disease, heart failure, diabetes, a heart valve problem, or a heart attack. Nebi-AM Tablet is prescribed to adults and children more than six years of age.
Uses of Nebi-AM Tablet
Nebi-AM Tablet is used to treat high blood pressure. The detailed uses of Nebi-AM Tablet are as follows:
- Hypertension: Nebi-AM Tablet lowers elevated blood pressure to protect the heart and blood vessels.
- Prevention of cardiovascular complications: Nebi-AM Tablet reduces the risk of stroke, heart attack, and other hypertension-related issues.
- Cardiovascular support: Nebi-AM Tablet relaxes blood vessels and decreases the heart’s workload, improving heart health.
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Directions for Use
- Take Nebi-AM Tablet with or without food, or as advised by a doctor.
- Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
- Swallow the medicine as a whole with a glass of water.
- Do not crush, break, or chew it.
Key Benefits
- Nebi-AM Tablet is a combination of blood pressure-lowering medicine, containing Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker), primarily used to treat high blood pressure.
- Amlodipine works by relaxing the blood vessels.
- Nebivolol acts by relaxing and widening the blood vessels, making it easier for the heart to pump blood to all parts of the body.
- This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future.
- This medication must be taken regularly to be effective.
How Nebi-AM Tablet Works
Storage
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
What if I have taken an overdose of Nebi-AM Tablet
Drug Warnings
- Don't stop taking Nebi-AM Tablet without talking to your doctor first.
- Stopping Nebi-AM Tablet abruptly may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack.
- Your doctor will lower your dose gradually over a period of time to help prevent these symptoms.
- You should not use Nebi-AM Tablet if you have a very slow heartbeat, asthma, a serious heart condition (sick sinus syndrome), or any heart blockage.
- It should not be given to children less than 12 years of age.
- Before taking Nebi-AM Tablet you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problem (COPD, bronchitis, emphysema), low blood sugar level (hypoglycemia), low blood pressure (hypotension), depression, previous heart failure, liver/kidney disease, thyroid hormone disorder, adrenal gland cancer, or problems with circulation (Raynaud’s syndrome).
Drug-Drug Interactions
Drug-Drug Interactions
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Using Nebi-AM Tablet together with dantrolene may increase the risk of hyperkalemia (high blood potassium).
How to manage the interaction:
Taking Nebi-AM Tablet with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Coadministration of Nebi-AM Tablet and Rifapentine may significantly reduce the blood levels of Nebi-AM Tablet, which may make the medication less effective.
How to manage the interaction:
There may be a possibility of interaction between Nebi-AM Tablet 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.
Using phenobarbital and Nebi-AM Tablet may drastically lower Nebi-AM Tablet blood levels, which makes the medicine less effective.
How to manage the interaction:
Although co-administration of phenobarbital with Nebi-AM Tablet can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
Taking simvastatin with Nebi-AM Tablet may result in considerably higher blood levels of simvastatin and may increase the risk of side effects (liver damage and rhabdomyolysis - an uncommon but serious illness characterized by the breakdown of skeletal muscle tissue).
How to manage the interaction:
Although taking Nebi-AM Tablet with simvastatin can result in an interaction, it can be taken if a doctor has advised it. If you have unexplained muscular pain, soreness, or weakness while using simvastatin, especially if these symptoms are accompanied by fever or dark-colored urine, consult the doctor immediately. However, if you develop a fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark colored urine, and/or yellowing of the skin or eyes, consult the doctor. Do not stop using any medications without a doctor's advice.
Using Nebi-AM Tablet and mitotane together may drastically lower Nebi-AM Tablet blood levels, which makes the medicine less effective.
How to manage the interaction:
Although co-administration of Nebi-AM Tablet 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.
Using dolasetron together with Nebi-AM Tablet can increase the risk of an irregular heart rhythm that may be serious.
How to manage the interaction:
There may be a possibility of interaction between Nebi-AM Tablet and Dolasetron, but it can be taken if prescribed by a doctor. If you have any of these symptoms, like feeling dizzy, lightheaded, or your heart beating irregularly, it's important to call a doctor right away. Do not stop using any medications without a doctor's advice.
Coadministration of Nebi-AM Tablet and carbamazepine together may significantly reduce Nebi-AM Tablet blood levels, making the medicine less effective.
How to manage the interaction:
Although there is an interaction between Nebi-AM Tablet with carbamazepine, it can be taken if a doctor has advised it. However, if you experience any unusual symptoms contact the doctor immediately. Do not stop using any medications without talking to a doctor.
Coadministration of Nebi-AM Tablet and Nitisinone may increase the blood levels and effects of Nitisinone.
How to manage the interaction:
Taking Nitisinone with Nebi-AM Tablet together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms or if you feel unwell after taking your medication, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
Co-administration of Nebi-AM Tablet can make Sirolimus may increase the risk of angioedema (a condition associated with swelling of the face, eyes, lips, tongue, throat, and occasionally also the hands and feet).
How to manage the interaction:
There may be a possibility of interaction between Nebi-AM Tablet and Sirolimus, but it can be taken if prescribed by a doctor. However, consult the doctor if you notice any swelling of the face, eyes, lips, tongue, throat, hands and feet or have trouble breathing or swallowing. Do not stop using any medications without a doctor's advice.
Coadministration of Nebi-AM Tablet and Idelalisib may raise Nebi-AM Tablet levels in the blood this may lead to serious side effects (irregular heart rhythm, fluid retention, swelling, heart failure, and abnormally low blood pressure).
How to manage the interaction:
Although taking Nebi-AM Tablet with idelalisib can result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness or fainting, sudden, unexplained weight gain, swelling of the hands, ankles, or feet, chest discomfort, or trouble breathing while taking these drugs, consult the doctor. Use caution while getting up from a sitting or sleeping position and avoid driving or using dangerous machinery. Do not stop using any medications without a doctor's advice.
Drug-Food Interactions
Drug-Food Interactions
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Grapefruit, Grapefruit Juice
How to manage the interaction:
Consumption of grapefruit and grapefruit juice with Nebi-AM Tablet the levels of Nebi-AM Tablet in your bloodstream may drop. Avoid consuming a lot of grapefruit juice and grapefruit when using Nebi-AM Tablet, instead, take it with water. As a result, your body will absorb the drug more easily.
Diet & Lifestyle Advise
- Keep your weight under control with BMI (Body Mass Index) 19.5-24.9.
- Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your high blood pressure by about 5 mmHg.
- Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
- If you are taking alcohol, then only one serving for women and two servings is advisable.
- Quitting smoking is the best strategy to lower the risk of heart disease.
- Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
- Monitor your blood pressure daily, and if there is too much fluctuation, then immediately contact your doctor.
- Try to include heart-healthy omega-3 fatty acids-containing foods in your daily diet. You can also use low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil to help lower your elevated blood pressure.
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Alcohol
Safe if prescribed
You are recommended not to consume alcohol along with Nebi-AM Tablet to avoid unpleasant side-effects.
Pregnancy
Consult your doctor
It is advised to consult your doctor if you plan to conceive or are already pregnant before starting Nebi-AM Tablet .
Breast Feeding
Consult your doctor
Please consult your doctor before taking Nebi-AM Tablet if you are breastfeeding; your doctor will prescribe you Nebi-AM Tablet only if the benefits outweigh the risks.
Driving
Safe if prescribed
Nebi-AM Tablet may cause dizziness and weakness, do not drive or operate heavy machinery if you feel dizzy.
Liver
Consult your doctor
Nebi-AM Tablet to be taken with caution, especially if you have a history of liver disease. The dose may have to be adjusted by your doctor.
Kidney
Consult your doctor
Nebi-AM Tablet to be taken with caution, especially if you have a history of kidney diseases/conditions. The dose may have to be adjusted by your doctor.
Children
Safe if prescribed
Nebi-AM Tablet should not be used by children, as the efficacy and safety have not been established.
Heart
Nebi-AM Tablet is safe for use in heart patients if recommended by the physician.
Geriatrics
Consult your doctor
Nebi-AM Tablet should be used under caution in geriatric patients. Please consult your physician.
FAQs
Nebi-AM Tablet is used to treat hypertension (high blood pressure).
Nebi-AM Tablet contains Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker); primarily used to treat high blood pressure.‚ Amlodipine works by‚ relaxing the blood vessels. Nebivolol acts by‚ relaxing‚ and widening‚ the blood vessels making it easier for the heart to pump blood to all parts of the body. This lowers your blood pressure and helps in reducing your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future.
Your doctor may probably tell you to stop taking Nebi-AM Tablet as it lowers blood pressure (hypotension) when combined with general anaesthesia before surgery. So, please inform your doctor before surgery if you are taking Nebi-AM Tablet .
Yes, Nebi-AM Tablet is known to cause ankle swelling. Please try to keep your feet up when sitting for long hours. If the problem persists still, consult your doctor and do as advised.
If you have diabetes, you should monitor your blood glucose levels often as Nebi-AM Tablet might mask hypoglycemia symptoms (low glucose levels). However, please consult your doctor before taking Nebi-AM Tablet if you have diabetes.
If you have hyperthyroidism (overactive thyroid), you should monitor your condition regularly as Nebi-AM Tablet might mask hyperthyroidism symptoms such as abnormally fast heart rate. However, please consult your doctor before taking Nebi-AM Tablet if you have hyperthyroidism.
Do not overdose on Nebi-AM Tablet or any medicine, which could lead to very unpleasant side effects. Take Nebi-AM Tablet only as prescribed by your doctor. An overdose of Nebi-AM Tablet can cause a very slow heartbeat, low blood pressure, breathlessness, and acute heart failure. Rush to your nearest doctor as early as possible if you have overdosed on Nebi-AM Tablet .
You should take Nebi-AM Tablet as advised by your doctor. But take it at the same time every day for consistency. Swallow it as whole with a glass of water. Do not break, crush or chew it.
If you miss a dose of Nebi-AM Tablet , take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose in the prescribed time. Do not double the dose to make up for the missed one as this may increase the risk of side effects.
Nebi-AM Tablet may cause side effects such as headache, ankle swelling, slow heart rate, tiredness, constipation or cold extremities (cold hands and feet). If these side effects persist or worsen, please consult your doctor.
You are recommended to take your doctor’s advice before taking Nebi-AM Tablet if you are pregnant or breastfeeding.
No, do not stop taking Nebi-AM Tablet even if you feel better as discontinuing Nebi-AM Tablet suddenly may raise your blood pressure. Therefore, please consult your doctor before making any changes to your dosage schedule.
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