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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Docwin Healthcare

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nebiwin T Tablet

Nebiwin T Tablet is a prescription medication used to manage high blood pressure, also known as hypertension. It contains two active blood pressure medicines that work together to lower your readings and protect your cardiovascular system. By keeping your blood pressure under control, this medicine helps reduce your risk of experiencing serious events like heart attacks or strokes.

For the best results, you must take Nebiwin T Tablet consistently every single day at the same time, as directed by your doctor. You can take this tablet with or without food, making it easy to fit into your daily routine. Combining this medication with healthy daily habits, such as reducing your salt intake and staying physically active, will help you achieve better long-term blood pressure control.

While taking Nebiwin T Tablet , some people may experience mild side effects like dizziness, headaches, or feeling unusually tired. These effects are often temporary as your body gets used to the medicine, but you must contact your healthcare provider immediately if you experience serious symptoms like a very slow heartbeat or severe dizziness.

Before you start taking this medicine, talk to your doctor if you have a history of kidney disease, liver damage, diabetes, or heart problems. Do not take this medication if you are pregnant, as it can cause severe harm or be life-threatening to an unborn baby.

This medicine can interact with certain other treatments, alcohol, and smoking; for example, drinking alcohol while taking it can cause a sudden, unsafe drop in your blood pressure. If you are breastfeeding, elderly, or planning a pregnancy, consult your doctor or pharmacist to ensure this treatment is safe for your specific situation.

Uses of Nebiwin T Tablet

Your doctor may prescribe this medicine to treat several conditions, including:

  • High Blood Pressure (Hypertension): Nebiwin T Tablet helps lower blood pressure to normal levels by relaxing blood vessels and slowing the heart rate, reducing the workload on your cardiovascular system.
  • Prevention of Cardiovascular Events: By maintaining consistent blood pressure control, this medication lowers the risk of serious complications like heart attacks and strokes.
     

Key Benefits

When taken as prescribed, this medicine offers several important benefits, including:

  • Maintains Healthy Blood Pressure Levels: Nebiwin T Tablet helps control high blood pressure throughout the day, reducing strain on the heart and blood vessels and lowering the risk of complications associated with long-term hypertension.
  • Protects Heart and Kidney Health: By keeping blood pressure within a safer range, Nebiwin T Tablet helps reduce the risk of damage to vital organs, including the heart and kidneys, caused by uncontrolled high blood pressure.
  • Convenient Combination Therapy: By combining two blood pressure-lowering actions in a single tablet, Nebiwin T Tablet simplifies daily treatment and supports better medication adherence for consistent blood pressure control.
     
Side effects of Nebiwin T Tablet
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.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
  • Always wear loose-fitting clothes which are suitable for your activity.
  • Include the diet containing fruits like watermelon, grapes, bananas and green leafy vegetables.
  • Drink plenty of water stay hydrated.
  • Avoid moving more and staying in hot sun.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
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.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

Directions for Use

  • Nebiwin T Tablet can be taken with or without food, as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication. However, it is best to take it at the same time each day for effective blood pressure control.
  • Swallow Nebiwin T Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Nebiwin T Tablet Works

Nebiwin T Tablet contains two active ingredients, nebivolol and telmisartan, which work together to lower your blood pressure more effectively than either medicine could alone. The first active ingredient, nebivolol, is a beta-blocker. It works by blocking specific chemical messengers like adrenaline in the heart and blood vessels. This action slows down your heart rate and allows your heart to pump blood with less force, reducing overall pressure. Nebiwin T Tablet also contains telmisartan, which belongs to a class of medicines called angiotensin receptor blockers. It works by blocking a natural hormone that causes your blood vessels to tighten and narrow. When this hormone is blocked, your blood vessels can relax and widen, allowing blood to flow much more easily and further lowering your blood pressure.
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Alcohol

Unsafe

Taking this medicine with alcohol may lead to harmful cases of low blood pressure; thus it is strictly not recommended.

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Pregnancy

Unsafe

Strictly not advised in pregnancy as harmful interactions have been reported.

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Breast Feeding

Consult your doctor

No information is available on the effect of Nebiwin T Tablet on breastfeeding mothers and its passage through milk. Consult the doctor if you are breastfeeding.

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Driving

Caution

Nebiwin T Tablet may cause dizziness and fatigue. Drive or operate machinery only if you are alert.

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Liver

Consult your doctor

No interaction has been reported. if experienced by a patient should consult a doctor immediately.

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Kidney

Consult your doctor

No adverse interaction has been reported, yet doctor's consultation is advised.

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Children

Unsafe

It is not recommended in children below 18 years as sufficient data on safety & efficacy is unavailable.

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Heart

Safe if prescribed

Nebiwin T Tablet is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Nebiwin T Tablet should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Nebiwin T Tablet

If you take too much of this medication, seek immediate emergency medical care or contact a poison control centre right away. Symptoms of an overdose may include extreme dizziness, a dangerously slow heartbeat, or feeling faint due to a severe drop in blood pressure.

Diet & Lifestyle Advise

  • Reduce your salt intake: Limit your consumption of processed foods, table salt, and salty snacks, as dietary sodium directly raises your blood pressure.
  • Adopt a heart-healthy diet: Eat meals rich in vegetables, fruits, whole grains, and lean proteins while limiting saturated fats and cholesterol.
  • Be cautious with salt substitutes: Avoid using salt substitutes that contain potassium without checking with your doctor, as this medication can raise potassium levels in your blood.
  • Stay physically active: Engage in regular, moderate aerobic exercise like brisk walking or cycling for at least 150 minutes per week, as approved by your doctor.
  • Limit alcohol and avoid tobacco: Restricting alcohol helps prevent dangerous blood pressure drops, and quitting smoking protects your arteries from narrowing further.
     

Have a query?

How Soon It Starts Working

  • The time required for Nebiwin T Tablet to start working: The time required for Nebiwin T Tablet to start working is 1 to 2 hours after administration.
  • The time for which the effects of Nebiwin T Tablet last: The effect of Nebiwin T Tablet lasts for 24 hours.

What if you forget to take Nebiwin T Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and return to your normal schedule. Do not take two doses at the same time to make up for a missed one.

Storage

•Store Nebiwin T Tablet tablets at controlled room temperature between 20°C and 25°C (68°F and 77°F). Keep the tablets inside their original blister strip or container to protect them from light and moisture.

Drug Warnings

  • Stand up slowly: To avoid feeling dizzy or lightheaded, take your time when rising from a sitting or lying position.
  • Check your pulse: Monitor your heart rate regularly; let your doctor know if your resting heart rate drops below 50 beats per minute.
  • Do not stop therapy abruptly: Suddenly stopping this medicine can cause your blood pressure to spike dangerously or worsen heart pain.
  • Log your blood pressure: Keep a written record of your home blood pressure readings and share them with your doctor during your regular checkups.
  • Avoid driving if dizzy: Make sure you know how this medicine affects you before you drive a car or operate any machinery.
  • Avoid potassium-rich supplements: Do not start any potassium supplements or use potassium-retaining water pills unless your doctor specifically prescribes them.
     

Drug-Drug Interactions

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Drug-Drug Interactions:

Inform your doctor if you are taking any of the following medicines, as they may interact.

  • Other blood pressure medications: Combining this medicine with other drugs that lower blood pressure can cause an excessive and unsafe drop in blood pressure.
  • Potassium supplements or potassium-sparing water pills: Taking these together can lead to dangerously high levels of potassium in your blood, which can affect your heart rhythm.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): Pain relievers like ibuprofen or naproxen can reduce the blood-pressure-lowering effect of Nebiwin T Tablet and increase the risk of kidney damage.
  • Lithium: This medication can increase the amount of lithium in your body, which can lead to dangerous toxicity.


Drug-Food Interactions:

  • Potassium-rich salt substitutes: Using these substitutes can cause your blood potassium levels to rise too high while taking this medication.


Drug-Disease Interactions:

Inform your doctor if you have a history of the following conditions before taking Nebiwin T Tablet , as it may worsen your condition or cause complications.

  • Liver damage: If you have severe liver issues, this medication can accumulate in your body, increasing the risk of adverse effects.
  • Kidney disease: Your doctor will need to monitor your kidney function closely, as this medicine can affect how your kidneys filter blood.
  • Diabetes: This medication can mask the signs of low blood sugar, such as a fast heart rate, making it harder to detect a drop in your blood sugar levels.
  • Asthma or breathing disorders: The beta-blocker component in this medicine may cause breathing difficulties or worsen airway constriction in some individuals.
     

Drug-Drug Interactions

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How does the drug interact with Nebiwin T Tablet:
Co-administration of Telmisartan with Benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Nebiwin T Tablet:
Co-administration of Trimethoprim with Telmisartan may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Trimethoprim if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue the medications without consulting a doctor.
Telmisartan + NebivololPotassium citrate
Severe
How does the drug interact with Nebiwin T Tablet:
Taking Potassium citrate with Telmisartan together may increase potassium levels in the blood, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm.

How to manage the interaction:
Although taking Potassium citrate with Telmisartan together can possibly result in an interaction, it can be taken if a doctor has advised it. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is essential to maintain proper fluid intake while taking these medications. It is advised to reduce the intake of potassium-rich foods. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nebiwin T Tablet:
Co-administration of Amiloride with Telmisartan may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm).

How to manage the interaction:
Although there is a possible interaction, Amiloride with Telmisartan may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, 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 Nebiwin T Tablet:
Co-administration of Spironolactone with Telmisartan may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Spironolactone if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Nebiwin T Tablet:
Co-administration of Atenolol and Nebivolol may increase the risk of high blood pressure.

How to manage the interaction:
Taking Atenolol and Nebivolol together 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 Nebiwin T Tablet:
Co-administration of Ceritinib with Nebivolol can slow your heart rate and increase the risk of irregular heart rhythm.

How to manage the interaction:
Taking Ceritinib with Nebivolol together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Telmisartan + NebivololPotassium iodide
Severe
How does the drug interact with Nebiwin T Tablet:
Taking Potassium Iodide with Telmisartan can make high levels of potassium in the blood more likely.

How to manage the interaction:
Although taking Potassium iodide and Telmisartan together can evidently cause an interaction, it can be taken if a doctor has suggested it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat, as these may be symptoms of hyperkalemia. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nebiwin T Tablet:
Co-administration of Ramipril with Telmisartan may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Ramipril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue the medications without consulting a doctor.
How does the drug interact with Nebiwin T Tablet:
Co-administration of Quinapril with Telmisartan may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Telmisartan can be taken with Quinapril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium, such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Do not discontinue the medications without consulting a doctor.

Drug-Food Interactions

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NEBIVOLOL-5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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NEBIVOLOL-5MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
When Nebiwin T Tablet is taken along with potassium-containing salt substitutes or over-the-counter potassium supplements it may lead to high potassium levels in blood. Avoid taking potassium-containing salt substitutes or over-the-counter potassium supplements with Nebiwin T Tablet as this can lead to high potassium levels in the blood. However, consult a doctor if you experience weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Nebiwin T Tablet is used to treat high blood pressure (hypertension). It works by relaxing blood pressure, allowing the blood to flow more smoothly and the heart to pump more efficiently.

It is strictly not recommended to stop taking Nebiwin T Tablet on your own as it is prescribed for a long-term disease called hypertension; thus, a doctor's consultation is required.

If a dose is missed, take it as soon as possible. Never take a double dose at once to make up for a missed dose.

Nebiwin T Tablet can mask the symptoms of higher sugar levels in diabetic patients. Therefore, this medicine should only be used if a doctor recommends it.

Taking too much Nebiwin T Tablet may cause you to feel dizzy or as if your heart is beating too fast or too slow. If you think that you’ve taken too much, call your doctor or go to the emergency hospital right away.

No, different studies carried out by health professionals on this drug have found its long-term effects to be more beneficial (heart and associated blood vessels) as compared to a few rare side effects that are found with this drug's use.

The side effects of Nebiwin T Tablet include dizziness, weakness, headache, stomach upset, slow heart rate or decreased blood pressure. If these side effects persist or worsen, please consult your doctor.

No, do not take any supplements containing potassium or potassium salts with Nebiwin T Tablet . Telmisartan may increase blood potassium levels. Regular routine tests should be performed.

Take Nebiwin T Tablet as advised by your doctor. Nebiwin T Tablet can be taken with or without food. But try to take it at the same time every day for effective blood pressure control.

Nebiwin T Tablet is not a diuretic. It belongs to a class of medicines called angiotensin II receptor antagonists, which work by inhibiting the action of certain natural substances that constrict the blood vessels, leading to high blood pressure. Thereby, blocking the action of these chemicals allows smooth blood flow and enables the heart to pump blood more efficiently.

No, Nebiwin T Tablet is not a blood thinner. It is an antihypertensive medication used to manage high blood pressure.

Nebiwin T Tablet is usually taken daily as prescribed by your doctor to manage high blood pressure.

Yes, Nebiwin T Tablet is primarily used to treat high blood pressure.

Nebiwin T Tablet is generally not used to treat chest pain. If you have any concerns regarding this, please discuss with your doctor.

Use Nebiwin T Tablet for as long as it is prescribed. Your doctor will determine the dosage duration based on your specific medical condition.

No, you must not take Nebiwin T Tablet if you are pregnant or planning to become pregnant. This medication can cause serious injury or death to an unborn baby. If you become pregnant while taking this medicine, stop taking it immediately and talk to your doctor.

You may notice your blood pressure starting to decrease within a few hours of your first dose. However, it can take up to 2 to 4 weeks of regular, daily use to see the full, consistent benefits. Talk to your doctor if your blood pressure remains high after several weeks.

You should avoid or severely limit alcohol while taking this medicine. Alcohol can increase the blood-pressure-lowering effect of Nebiwin T Tablet , which can make you feel extremely dizzy, lightheaded, or faint when standing up. Talk to your doctor about your alcohol consumption.

A slower heart rate is a known effect of this medication. However, if you feel weak, dizzy, short of breath, or if your heart rate drops below 50 beats per minute, contact your doctor immediately. Talk to your doctor to see if your treatment plan needs to be adjusted.

Significant weight gain is not a typical side effect of this medication. If you experience rapid weight gain or sudden swelling in your feet, ankles, or hands, it could be a sign of fluid buildup or heart issues. Talk to your doctor right away if you notice these changes.

Most salt substitutes contain potassium chloride instead of sodium chloride. You should avoid these while taking Nebiwin T Tablet , as one of the active ingredients can cause your body to retain potassium, potentially leading to dangerously high potassium levels. Talk to your doctor or pharmacist for safe alternatives.

Yes, feeling tired, drowsy, or dizzy is a common side effect when you first start taking this medicine or when your dose is increased. This usually improves as your body adjusts to the medication over time. Avoid driving or operating machinery if you feel tired. Talk to your doctor if this tiredness is severe or does not go away.

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Country of origin

India

Manufacturer/Marketer address

305/A, Panlee Complex, Mithakhali Cross Roads, Navrangpura, Ahmedabad - 380006
Other Info - NEB0339
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