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NEBULA H TABLET is used to treat high blood pressure. It effectively lowers elevated blood pressure and supports better heart function. By maintaining normal blood pressure, this combination helps reduce the risk of heart attack, stroke, heart failure, and kidney complications associated with long-term hypertension.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Manufacturer/Marketer :

Zydus Healthcare Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About NEBULA H TABLET

NEBULA H TABLET is primarily used to treat high blood pressure. High blood pressure is a condition in which the force of the blood against the artery walls is too high, leading to hypertension.

NEBULA H TABLET contains nebivolol and hydrochlorothiazide. It relaxes the blood vessels and removes extra water/fluid from the body. Thereby, it helps treat high blood pressure.

Take NEBULA H TABLET as prescribed by your doctor. NEBULA H TABLET may cause side effects such as dizziness, weakness, diarrhoea, nausea, headache, and indigestion. Most of these side effects of NEBULA H TABLET do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Before starting NEBULA H TABLET, please inform your doctor if you have any allergies, heart disease, asthma, diabetes, thyroid, glaucoma, kidney/liver disease, gout or if you cannot pass urine. Notify your doctor if you are pregnant or breastfeeding.

Uses of NEBULA H TABLET

NEBULA H TABLET is used to treat high blood pressure. The detailed uses of NEBULA H TABLET are as follows:

  • Hypertension: NEBULA H TABLET lowers elevated blood pressure to protect the heart and blood vessels.

Key Benefits

  • Reduces blood pressure effectively, particularly in cases of moderate to severe hypertension.
  • Offers more effective and durable blood pressure management than single-drug therapy.
  • Removes excess fluid and salts from the body, helping maintain healthy blood pressure levels.
  • Lowers the risk of serious complications such as heart attack and stroke.
  • Provides cardiovascular protection by reducing strain on the heart and blood vessels.
  • Helps patients with chronic high blood pressure avoid kidney damage.

Directions for Use

  • It can be taken with or without food as advised by a doctor.
  • Adhere to your doctor's guidance regarding the dosage and timing of this medication for optimal effectiveness.
  • Swallow NEBULA H TABLET as a whole with a glass of water.
  • Do not crush, chew, or break it.

How NEBULA H TABLET Works

NEBULA H TABLET contains nebivolol and hydrochlorothiazide. • Nebivolol is a beta blocker that works on the heart, particularly to lower heart rate and make the heart more efficient at pumping blood throughout the body. • Hydrochlorothiazide lowers blood pressure by removing excess water and electrolytes from the body. It also relaxes blood vessels and improves blood flow over time.
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Alcohol

Unsafe

You are recommended not to consume alcohol and NEBULA H TABLET to avoid unpleasant side effects like drowsiness and dizziness.

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Pregnancy

Unsafe

NEBULA H TABLET is not recommended during pregnancy. NEBULA H TABLET contains hydrochlorothiazide that crosses the placenta. This may cause fetal damage and can affect the unborn baby (fetus).

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Breast Feeding

Unsafe

Tell your doctor if you are breast-feeding or about to start breast-feeding. NEBULA H TABLET is not recommended for mothers who are breast-feeding.

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Driving

Caution

NEBULA H TABLET usually causes drowsiness and dizziness, affecting your ability to drive or operate machinery.

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Liver

Caution

NEBULA H TABLET to be taken with caution, especially if you have a history of liver disease. Your doctor may adjust your dose depending on your current liver conditions.

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Kidney

Caution

NEBULA H TABLET to be taken with caution, especially if you have a history of Kidney disease. Your doctor may adjust your dose depending on your current kidney conditions.

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Children

Unsafe

NEBULA H TABLET is not recommended for children younger than 18 years of age.

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Heart

Caution

NEBULA H TABLET should be taken with caution in patients with heart problems. Please inform your doctor if you have any pre-existing heart problems before using NEBULA H TABLET.

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Geriatrics

Caution

NEBULA H TABLET should be given with caution in elderly patients due to an increased risk of side effects. Seek medical advice before using NEBULA H TABLET.

What if I have taken an overdose of NEBULA H TABLET

Do not take more than the prescribed dose of NEBULA H TABLET as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

Healthy eating habits:

  • Reduce your intake of packaged, processed, and fried foods, as they are high in salt.
  • Avoid refined carbs and sweets to support cardiovascular health.

Weight management

  • Increase your intake of fruits, vegetables, healthy grains, and lean proteins while maintaining a calorie-restricted, balanced diet.
  • Most days of the week, partake in regular physical activities like yoga, swimming, cycling, or brisk walking.

Lifestyle changes

  • Avoid alcohol, tobacco, and smoking since they raise your risk of cardiovascular disease.
  • Maintain a consistent sleep pattern and make sure you get enough sleep.

Stress Management:

  • Avoid chronic stress, as it can increase blood pressure levels.
  • Spend quality time with loved ones to promote emotional well-being.
  • Practice mindfulness techniques to help manage daily stress.

Have a query?

How Soon It Starts Working

The time required for NEBULA H TABLET to start to work: The time required for NEBULA H TABLET to start to work is 2 hours after administration. 

The time for which the effects of NEBULA H TABLET last: The effect of NEBULA H TABLET lasts for 12 hours.

What if you forget to take NEBULA H TABLET

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not double the dose.

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.

Drug Warnings

  • Before using NEBULA H TABLET, inform your doctor if you have liver disease, kidney disease, eye problem (glaucoma), asthma, increased uric acid level (gout), diabetes, hyperlipidemia (increased level of lipid) or hyperthyroidism (increased level of thyroid).
  • NEBULA H TABLET should not be given to people allergic to NEBULA H TABLET, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease, pregnant women or planning to get pregnant and breastfeeding women.
  • It is contraindicated in low blood pressure (hypotension) and aortic stenosis (heart valve problem).
  • NEBULA H TABLET can pass into breast milk, but its effect on the baby is unknown. So, it is better to tell your doctor if you take NEBULA H TABLET and breastfeeding.
  • NEBULA H TABLET is not recommended for children younger than 18 years of age.

Drug-Drug Interactions

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Drug-Drug Interactions: Inform your doctor if you are taking any of these medicines, as there may be an interaction.

  • Other anti-hypertensive drugs (Verapamil, diltiazem)
    • Potential effect: May cause a slow heart rate.
  • Anti-epilepsy medicines (Carbamazepine)
    Potential effect: May increase the risk of low salt levels in the blood.
  • Painkillers (Ibuprofen, Aspirin)
    • Potential effect: May reduce the effect of NEBULA H TABLET in lowering blood pressure.
  • Anti-manic agent (Lithium)
    Potential effect: May increase the effects of lithium, leading to unpleasant effects.

Drug-Food Interactions: You are recommended not to consume alcohol along with NEBULA H TABLET to avoid unpleasant side effects.

Drug-Disease Interaction: Inform your doctor if you have any of these conditions.

  • Heart problems
  • Low blood pressure
  • Liver disease
  • Kidney problems
  • Diabetes
Critical

Drug-Drug Interactions

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How does the drug interact with Nebula H Tablet:
Taking Cisapride and Nebula H Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Nebula H Tablet together is generally avoided as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
Critical
How does the drug interact with Nebula H Tablet:
Taking Dofetilide and Nebula H Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Nebula H Tablet together is not recommended as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebula H Tablet:
Taking Disopyramide and Nebula H Tablet can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Disopyramide and Nebula H Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, shortness of breath, chest pain, or rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
NebivololSaquinavir
Severe
How does the drug interact with Nebula H Tablet:
Using saquinavir together with Nebula H Tablet can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking saquinavir together with Nebula H Tablet can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience dizziness, lightheadedness, fainting, slow pulse, irregular heartbeat, contact a doctor. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nebula H Tablet:
Taking Fingolimod and Nebula H Tablet can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Fingolimod and Nebula H Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, shortness of breath, chest pain, or rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebula H Tablet:
Coadministration of atazanavir with Nebula H Tablet can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking atazanavir with Nebula H Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience dizziness, lightheadedness, fainting, or irregular heartbeat consult a doctor. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nebula H Tablet:
Taking Nebula H Tablet with Diltiazem may increase the risk or severity of side effects.

How to manage the interaction:
Taking Nebula H Tablet with Diltiazem together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience fatigue, headache, fainting, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, contact a doctor. Do not discontinue any medications without a doctor's advice.
NebivololDolasetron
Severe
How does the drug interact with Nebula H Tablet:
Taking Dolasetron and Nebula H Tablet can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Dolasetron and Nebula H Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, shortness of breath, chest pain, or rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebula H Tablet:
Coadministration ceritinib with Nebula H Tablet can slow your heart rate and increase the risk of irregular heart rhythm.

How to manage the interaction:
Taking ceritinib with Nebula H Tablet together can possibly result in an interaction, it can be taken if your 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.
How does the drug interact with Nebula H Tablet:
Co-administration of clonidine and Nebula H Tablet together may lower blood pressure and slow your heart rate.

How to manage the interaction:
Taking clonidine and Nebula H Tablet together can possibly result in an interaction, it can be taken if your 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.

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+NEBIVOLOL-5MGPotassium rich foods, Calcium rich foods
Moderate

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+NEBIVOLOL-5MGPotassium rich foods, Calcium 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, Tofu Set With Calcium, Ragi, Seasame Seeds, Kale, Milk, Almonds, Bok Choy, Calcium-Fortified Soy Milk, Cheese

How to manage the interaction:
Consumption of Nebula H Tablet with calcium rich food may decrease the effectiveness of Hydrochlorothiazide. Increase consumption of potassium-rich foods with Nebula H Tablet may cause potassium depletion (low potassium level). Avoid consumption of potassium, calcium rich foods while being treated with Nebula H Tablet.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

NEBULA H TABLET is used to treat hypertension (high blood pressure) and reduce the risk of stroke in patients with high blood pressure.

NEBULA H TABLET contains nebivolol and hydrochlorothiazide. Nebivolol is a beta blocker that works on the heart to lower heart rate and make the heart more efficient at pumping blood throughout the body. The diuretic hydrochlorothiazide lowers blood pressure by removing excess water and electrolytes from the body. It also relaxes blood vessels and improves blood flow over time.

NEBULA H TABLET can be safely taken as long as your doctor has prescribed it. Conditions such as high blood pressure are life-long, and one should not abruptly discontinue them without discussing them with a doctor.

If you have missed a dose of NEBULA H TABLET, you are advised to take it as soon as you remember. However, try not to miss a dose in the first place. If it is time for you to take your next dose, do not take both doses together. Take only one dose; taking a double dose of NEBULA H TABLET will lead to low blood pressure.

Yes, NEBULA H TABLET can cause dizziness. Avoid driving or operating any heavy machinery while taking NEBULA H TABLET. In case you feel dizzy or lightheaded, rest for some time until you feel better.

No, you are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending on your current blood pressure readings, your doctor may lower your medicine dosage and not recommend discontinuing it.

The best time to take NEBULA H TABLET is morning or evening as advised by the doctor based on your medical condition.

NEBULA H TABLET can be taken with food or without food as recommended by the doctor.

NEBULA H TABLET consists of hydrochlorothiazide and nebivolol. Hydrochlorothiazide is a thiazide diuretic and nebivolol is a beta blocker. This medication is used for the treatment of hypertension (high blood pressure) and reduces the risk of stroke in patients with high blood pressure.

NEBULA H TABLET should be taken orally. Swallow the medicine as a whole with water, do not crush, break or chew it.

The side effects of NEBULA H TABLET include constipation, diarrhoea, nausea, fatigue, headache, dizziness, decreased potassium level in the blood, altered blood lipid level, increased blood uric acid, increased calcium level in blood, breathlessness, swelling of hands & feet, paraesthesia (burning sensation of the skin), and decreased magnesium level in the blood. Consult the doctor if any of these side effects persist or worsen.

You should be cautious while taking NEBULA H TABLET if you have kidney disease, liver disease, asthma, diabetes, eye problem (glaucoma), increased uric acid level (gout), hyperlipidaemia (increased lipid level) or hyperthyroidism (increased thyroid level). Consult the doctor before taking NEBULA H TABLET if you have any of these health conditions.

Consult the doctor before taking other medications with NEBULA H TABLET, particularly diuretics, blood pressure-lowering medications (amiodarone, clonidine, diltiazem, amlodipine, digoxin, disopyramide), antispasmodic medications (baclofen), medications for mental illness (amisulpiride, haloperidol, chlorpromazine), depression medications (amitriptyline, paroxetine, fluoxetine), anti-cancer medications (cyclophosphamide, methotrexate, fluorouracil), mood stabilizers (lithium), angina medications (bepridil), blood sugar-lowering medications (insulin, metformin), gout medications (allopurinol, sulfinpyrazone, probenecid), and medications used to treat low blood pressure medications (noradrenaline).

NEBULA H TABLET should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.

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Author Details

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Country of origin

India

Manufacturer/Marketer address

Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
Other Info - NEB0063
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