Nebula-D Tablet 10's

Prescription drug

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Written By Santoshini Reddy G , M Pharmacy

Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Nebula-D Tablet is used to treat high blood pressure (hypertension). It contains Nebivolol and Indapamide, which relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Also, it inhibits excess salt absorption in the body. It may cause side effects such as nausea, constipation, fatigue, headache, stomach pain, diarrhoea, indigestion, weakness, dizziness, cough, peripheral oedema (swelling in feet and hands), nervousness, and hypertonia (increased muscle tone). 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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About Nebula-D Tablet

Nebula-D Tablet is a combination drug containing antihypertensive medication, primarily used to treat high blood pressure (hypertension). Hypertension (High blood pressure) is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease. It is also used to reduce strokes and chest pain (angina) caused by the arteries' blockage. In addition to this, Nebula-D Tablet is also used to treat preterm labour.

Nebula-D Tablet contains Nebivolol and Indapamide. Nebivolol is a beta-blocker; that relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide is a thiazide diuretic that inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure.

Take Nebula-D Tablet as prescribed by your doctor. You are advised to take Nebula-D Tablet for as long as your doctor has prescribed it for you, depending upon your medical condition. You may experience nausea, constipation, fatigue, headache, stomach pain, diarrhoea, indigestion, weakness, dizziness, cough, peripheral oedema (swelling in feet and hands), nervousness, hypertonia (increased muscle tone) in some cases. Most of these side effects of Nebula-D Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine of your own as it may suddenly increase blood pressure, chest pain or may cause a heart attack. Let your doctor know if you have any liver or heart problems, are pregnant or breastfeeding. You should monitor your blood pressure regularly to be sure that the Nebula-D Tablet is working efficiently. And also, a healthy diet, regular exercise is necessary to keep blood pressure under control. Do not eat grapefruit or drink grapefruit juice while you're taking nifedipine. It can make side effects worse. Even a small reduction in sodium in your diet helps improve your heart's health and reduce blood pressure. Avoid alcohol consumption while taking Nebula-D Tablet as it might lower the blood pressure than normal.

Uses of Nebula-D Tablet

Nebula-D Tablet is used to treat high blood pressure. The detailed uses of Nebula-D Tablet are as follows:

Hypertension: Nebula-D Tablet lowers increased blood pressure to protect the heart and blood vessels.
Stroke prevention: Nebula-D Tablet helps lower the risk of strokes by maintaining blood pressure within a normal range.
Heart attack risk reduction: Nebula-D Tablet lowers the chance of heart attacks by improving heart function and blood flow.
Cardiovascular support: Nebula-D Tablet relaxes blood vessels and decreases the heart’s workload, improving heart health.

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Directions for Use

Take Nebula-D 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

Nebula-D Tablet is a combination drug containing antihypertensive medication, Nebivolol, and Indapamide, primarily used to treat high blood pressure (hypertension). In addition to this, nebivolol also helps prevent increased heart rate and controls heart pumping strength, and indapamide also treats fluid retention and overload (oedema) in congestive heart failure patients. Nebivolol is a beta-blocker; that relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide is a thiazide diuretic that inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure.

How Nebula-D Tablet Works

Nebula-D Tablet contains Nebivolol and Indapamide. Nebivolol is a beta-blocker; that relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide is a thiazide diuretic that inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Side effects of Nebula-D Tablet

Fatigue

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.

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.

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.

Loose And 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.

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.

What if I have taken an overdose of Nebula-D Tablet

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

Drug Warnings

Do not skip any doses or stop taking Nebula-D Tablet without consulting your doctor. Avoid intake of Nebula-D Tablet if you are allergic to any of its contents. Talk to your doctor if you have heart, kidney, or liver problems. Do not take Nebula-D Tablet if you have low blood pressure, serious circulation problems in arms and legs, very slow heartbeat, serious heart rhythm problems, recent heart failure, asthma, liver function disorder, or metabolic disorder. Avoid taking Nebula-D Tablet if you are pregnant or breast-feeding, and talk to your doctor. Avoid alcohol consumption while taking Nebula-D Tablet as it might lower the blood pressure than normal. Nebula-D Tablet is not recommended for children below the age of 18 years as the efficacy and safety have not been established. Regular monitoring of blood pressure, electrolyte levels, and kidney functioning is advised while taking Nebula-D Tablet .

Drug-Drug Interactions

IndapamideThioridazine

Critical

IndapamideProtriptyline

Critical

Drug-Drug Interactions

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IndapamideThioridazine

Critical

How does the drug interact with Nebula-D Tablet:
Taking Nebula-D Tablet with Thioridazine can increase the risk of heart problems.

How to manage the interaction:
Taking Thioridazine with Nebula-D Tablet is not recommended, but can be taken if prescribed by the doctor.

IndapamideProtriptyline

Critical

How does the drug interact with Nebula-D Tablet:
Taking Protriptyline along with Nebula-D Tablet can lead to serious heart problems.

How to manage the interaction:
Taking Protriptyline with Nebula-D Tablet is not recommended, but can be taken if prescribed by the doctor.

IndapamideDroperidol

Critical

How does the drug interact with Nebula-D Tablet:
Taking Droperidol with Nebula-D Tablet can lead to severe heart problems.

How to manage the interaction:
Taking Droperidol with Nebula-D Tablet is not recommended, but can be taken if prescribed by the doctor.

IndapamideDofetilide

Severe

How does the drug interact with Nebula-D Tablet:
Co-administration of Nebula-D Tablet with Dofetilide can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Nebula-D Tablet and Dofetilide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, fainting, shortness of breath, rapid heartbeat, weakness, muscle pain, cramps, nausea, or vomiting, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.

IndapamideDronedarone

Severe

How does the drug interact with Nebula-D Tablet:
When Nebula-D Tablet and Dronedarone are taken together, the risk of an irregular heart rhythm increases.

How to manage the interaction:
Taking Nebula-D Tablet and Dronedarone 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, rapid heartbeat, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.

IndapamideDolasetron

Severe

How does the drug interact with Nebula-D Tablet:
Co-administration of Nebula-D Tablet with Dolasetron can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Nebula-D Tablet and Dolasetron together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms like irregular heartbeat, chest tightness, blurred vision, nausea, and seizures, consult a doctor. Do not discontinue any medications without a doctor's advice.

IndapamideTizanidine

Severe

How does the drug interact with Nebula-D Tablet:
Co-administration of Tizanidine with Nebula-D Tablet may reduce blood pressure greatly leading to side effects.

How to manage the interaction:
Although taking Nebula-D Tablet and Tizanidine together can cause an interaction, it can be taken if a doctor has suggested it. However, if you notice any of these signs - feeling dizzy, having a headache, feeling lightheaded, or fainting, Consult a doctor. Do not discontinue any medications without a doctor's advice.

IndapamideAminolevulinic acid

Severe

How does the drug interact with Nebula-D Tablet:
Using Aminolevulinic acid with Nebula-D Tablet, your skin becomes more sensitive to strong light. This increases your risk of getting a bad sunburn.

How to manage the interaction:
Although taking Nebula-D Tablet and Aminolevulinic acid together can cause an interaction, it can be taken if a doctor has suggested it. After treatment, you should wait 48 hours before exposing your eyes, and skin, to any bright lights indoors. Do not discontinue any medications without a doctor's advice.

IndapamideZiprasidone

Severe

How does the drug interact with Nebula-D Tablet:
Taking Nebula-D Tablet with Ziprasidone can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Nebula-D Tablet and Ziprasidone together can 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, or rapid heartbeat, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.

IndapamideAmiodarone

Severe

How does the drug interact with Nebula-D Tablet:
Co-administration of Amiodarone together with Nebula-D Tablet may raise the risk of an abnormal heart rhythm.

How to manage the interaction:
Even though Amiodarone and Nebula-D Tablet interact, they can be used if prescribed by a doctor. If you experience abrupt dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat, painful muscle cramping, get medical attention. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

Keep your weight under control with a body mass index (BMI) between 19.5 and 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.
Limit sodium chloride intake (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
If you are taking alcohol, use only one serving for women and two servings for men.
Quit smoking to lower the risk of heart diseases.
Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress.
Monitor your blood pressure daily, and if you notice any fluctuations frequently, please contact your doctor immediately.
Try including heart-healthy omega 3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil that help in lowering your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Alcohol

Unsafe

Alcohol may lower your blood pressure. It would help if you avoided or limit consuming alcohol whilst taking this medicine

Pregnancy

Caution

It is not recommended to take Nebula-D Tablet while pregnant as it is a pregnancy category C drug, and it is unknown whether it will harm the baby. Please consult your doctor if you have any concerns regarding this; your doctor will prescribe you Nebula-D Tablet only if the benefits outweigh the risks.

Breast Feeding

Caution

There are limited studies on how Nebula-D Tablet affects the breastfed infants. However, Indapamide in Nebula-D Tablet may pass into the breast milk during breastfeeding. Please consult your doctor before using Nebula-D Tablet if you are a lactating mother.

Driving

Caution

Nebula-D Tablet may cause side effects due to lowering of the blood pressure such as dizziness or tiredness. If you feel dizzy or tired when taking this medicine, do not drive or use any tools or machines.

Liver

Caution

Dose adjustment may be needed. Nebula-D Tablet should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have kidney impairment or any concerns regarding this.

Kidney

Caution

Dose adjustment may be needed. Nebula-D Tablet should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney impairment or any concerns regarding this.

Children

Unsafe

Nebula-D Tablet is not recommended for use in people below 18 years of age.

FAQs

What is the use of Nebula-D Tablet ?

Nebula-D Tablet is used to treat high blood pressure (hypertension).

How does Nebula-D Tablet work?

Nebula-D Tablet contains Nebivolol and Indapamide. NebivololÂ works by relaxing and widening the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure.Â

Can I stop taking Nebula-D Tablet on my own?

Please do not stop taking Nebula-D Tablet without consulting your doctor on your own as it may lead to a rise in blood pressure. Continue taking Nebula-D Tablet for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Nebula-D Tablet .

I am diabetic. Can I take Nebula-D Tablet ?

If you have diabetes, you should monitor your blood glucose levels often as Nebula-D Tablet might mask hypoglycemia symptoms (low glucose levels). However, please consult your doctor before taking Nebula-D Tablet if you have diabetes

Does Nebula-D Tablet cause swelling?

Nebula-D Tablet may cause swelling of hands or feet. This could be due to edema (fluid retention). Talk to your doctor if you think you have gained weight or have trouble breathing while taking Nebula-D Tablet .

What if I take more than the prescribed dose of Nebula-D Tablet ?

Do not overdose on Nebula-D Tablet or any medicine, which could lead to very unpleasant side effects. Take Nebula-D Tablet only as prescribed by your doctor. An overdose of Nebula-D 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 Nebula-D Tablet .

Country of origin

India

Manufacturer/Marketer address

Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.

Other Info - NEB0112

Author Details

Written By

Santoshini Reddy G

M Pharmacy

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Sep 10, 2025 | 3:17 PM IST

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FAQs

What is the use of Nebula-D Tablet ?

How does Nebula-D Tablet work?

Can I stop taking Nebula-D Tablet on my own?

I am diabetic. Can I take Nebula-D Tablet ?

Does Nebula-D Tablet cause swelling?

What if I take more than the prescribed dose of Nebula-D Tablet ?

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