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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Nebi-AM Tablet is used to treat high blood pressure. It contains Amlodipine and Nebivolol, which relaxes and widens 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, 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.
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Manufacturer/Marketer :

Aristo Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Nebi-AM Tablet

Nebi-AM Tablet is a combination of blood pressure-lowering medicine, primarily used to treat high blood pressure. Nebi-AM Tablet contains Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker) which collectively lower 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 (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. This medicine needs to be taken regularly to be effective.

Take Nebi-AM Tablet as prescribed by your doctor. You are advised to take Nebi-AM Tablet for as long as your doctor has prescribed it for you, depending upon your medical condition. Preferably take it after a meal to avoid an upset stomach. In some cases, you may experience headaches, feeling exhausted, cold extremities, ankle swelling, slow heart rate, constipation, 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.  

It is advisable to drink plenty of fluids while taking this medicine to overcome muscle weakness, dry mouth, and extreme thirst. Do not take grapefruit or grapefruit juices with Nebi-AM Tablet as it can increase the concentration of Nebi-AM Tablet and worsen its side effects. Please inform your doctor if you have had an allergic reaction to Nebi-AM Tablet , are pregnant or planning to get pregnant, are breastfeeding, have liver disease or kidney disease, heart failure, diabetes, a heart valve problem, or heart attack. Reducing the amount of table salt (sodium chloride) in your food often relieves the swelling of the body. Nebi-AM Tablet is prescribed to adults and children more than six years of age.

Uses of Nebi-AM Tablet

Treatment of Hypertension (high blood pressure).

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 the safety.• Swallow the medicine as a whole with glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Nebi-AM Tablet is a combination of blood pressure-lowering medicine, 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 reduces your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

How Nebi-AM Tablet Works

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.

Storage

Keep Nebi-AM Tablet out of the sight and reach of children.
Side effects of Nebi-AM Tablet
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.
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.
  • 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.
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.
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.
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.
  • 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

Do not take more than the prescribed dose of Nebi-AM Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

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, 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

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AmlodipineDantrolene
Critical

Drug-Drug Interactions

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AmlodipineDantrolene
Critical
How does the drug interact with Nebi-AM Tablet:
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.
How does the drug interact with Nebi-AM Tablet:
Using Nebi-AM Tablet and primidone together may 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 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.
How does the drug interact with Nebi-AM Tablet:
Coadministration of Ceritinib together with Nebi-AM Tablet can slow heart rate and increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Nebi-AM Tablet 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.
AmlodipineEnzalutamide
Severe
How does the drug interact with Nebi-AM Tablet:
Using a combination of Nebi-AM Tablet and enzalutamide may drastically lower Nebi-AM Tablet blood levels, making the medicine less effective.

How to manage the interaction:
Taking Nebi-AM Tablet 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.
AmlodipineNitisinone
Severe
How does the drug interact with Nebi-AM Tablet:
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.
How does the drug interact with Nebi-AM Tablet:
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.
How does the drug interact with Nebi-AM Tablet:
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.
How does the drug interact with Nebi-AM Tablet:
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.
How does the drug interact with Nebi-AM Tablet:
Co-administration of Tizanidine and Nebi-AM Tablet can increase the risk or severity of developing side effects like low blood pressure.

How to manage the interaction:
Although co-administration of Nebi-AM Tablet 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. Use caution while getting up from a sitting or sleeping position and avoid driving or using dangerous machinery. Do not discontinue any medications without consulting the doctor.
How does the drug interact with Nebi-AM Tablet:
Coadministration of Nebi-AM Tablet with itraconazole may significantly raise the blood levels and effects of Nebi-AM Tablet.

How to manage the interaction:
Nebi-AM Tablet and itraconazole may interact, but if prescribed by a doctor, they can be used together. Consult a doctor if you develop chest discomfort, trouble breathing, dizziness or fainting, swelling of the hands, ankles, or feet, or any other of these symptoms. Without consulting a doctor, never stop taking any medication.

Drug-Food Interactions

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

Drug-Food Interactions

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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 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 raised blood pressure by about 5 mm of Hg.
  • 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 food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil can help in lowering your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES
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Alcohol

Caution

You are recommended not to consume alcohol along with Nebi-AM Tablet to avoid unpleasant side-effects.

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Pregnancy

Caution

It is advised to consult your doctor if you plan to conceive or are already pregnant before starting Nebi-AM Tablet .

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Breast Feeding

Caution

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.

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Driving

Caution

Nebi-AM Tablet may cause dizziness and weakness, do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Nebi-AM Tablet to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

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.

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Children

Caution

Nebi-AM Tablet should not be used by children, as the efficacy and safety have not been established.

Have a query?

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.

Country of origin

India

Manufacturer/Marketer address

Mercantile Chamber, 3rd Floor, 12, J.N. Heredia Marg, Ballard Estate, Mumbai – 400 001, India.
Other Info - NEB0018

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