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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 :

4Care Lifesciences Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nebykare H Tablet

Nebykare H Tablet is a prescription oral tablet primarily used to treat high blood pressure (hypertension). By lowering elevated blood pressure, this medication helps protect vital organs like your heart, kidneys, and brain from long-term damage. Managing high blood pressure effectively reduces your risk of experiencing serious complications like strokes or heart attacks.

To achieve the best results, it is important to take Nebykare H Tablet consistently at the same time every day as directed by your healthcare provider. You can take this medication with or without food, but keeping your routine uniform helps maintain stable medicine levels in your body. Combining this medication with a heart-healthy diet low in sodium and regular physical activity can significantly improve your blood pressure control.

While taking Nebykare H Tablet , you may experience some common, mild side effects such as mild dizziness, headache, or feeling unusually tired. However, you should contact your doctor immediately if you experience serious symptoms like an unusually slow heartbeat, severe dizziness, chest pain, or signs of high fluid loss such as extreme thirst or dry mouth.

Do not take this if you have severe liver damage, severe kidney disease, a very slow heart rate, or serious heart block conditions. Before starting this medicine, talk to your doctor if you have a history of diabetes, asthma, gout, thyroid disorders, or blood circulation problems. Your doctor will help determine if this medication is the safest option for your specific health profile.

Certain medicines, such as specific pain relievers or lithium, can interact with Nebykare H Tablet and affect how it works or increase side effects. You should also limit alcohol consumption and discuss smoking with your doctor, as both can interfere with blood pressure control. If you are pregnant, breastfeeding, or are an elderly individual, consult your healthcare provider to discuss special precautions.

Uses of Nebykare H Tablet

Your doctor may prescribe Nebykare H Tablet for the following established clinical uses:

  • High Blood Pressure (Hypertension): Helps lower elevated blood pressure when single-agent treatments are not sufficient, reducing the strain on your cardiovascular system.
  • Reducing Cardiovascular Risk: Lowering long-term high blood pressure helps decrease your chances of suffering from future strokes, heart attacks, or kidney failure.

Key Benefits

Nebykare H Tablet helps manage high blood pressure effectively while supporting long-term cardiovascular health. By combining two blood pressure-lowering medicines in a single tablet, it provides comprehensive blood pressure control and helps reduce the risk of hypertension-related complications.

  • Helps Maintain Healthy Blood Pressure Levels: By lowering and controlling blood pressure, Nebykare H Tablet helps reduce strain on the heart and blood vessels, supporting better cardiovascular function and overall health.
  • Supports Protection of Vital Organs: Consistent blood pressure control with Nebykare H Tablet helps protect important organs such as the heart, kidneys, brain, and blood vessels from damage associated with uncontrolled hypertension.
  • Provides Convenient Dual-Action Treatment: By combining two active ingredients in a single tablet, Nebykare H Tablet offers effective blood pressure management with a simplified treatment regimen. This convenience may help improve adherence to therapy and support long-term treatment success.

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 Nebykare H Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Nebykare H Tablet Works

Nebykare H Tablet works by utilising two distinct actions in the body to lower blood pressure more effectively than either could alone. The first active component, nebivolol, is a selective beta-blocker. It works by targeting specific receptors in your heart and blood vessels. This action slows down your heart rate slightly and allows the heart to pump blood more efficiently and with less effort, which naturally lowers the pressure in your blood vessels. The second active component, hydrochlorothiazide, is a diuretic, often referred to as a 'water pill'. It acts on your kidneys to help your body eliminate excess salt and water through your urine. Reducing the total amount of fluid circulating through your blood vessels lowers the overall pressure against the artery walls. Together, these two actions provide comprehensive, 24-hour blood pressure control.
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Alcohol

Unsafe

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

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Pregnancy

Unsafe

Nebykare H Tablet is not recommended during pregnancy. Nebykare 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. Nebykare H Tablet is not recommended for mothers who are breast-feeding.

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Driving

Caution

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

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Liver

Caution

Nebykare 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

Nebykare 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

Nebykare H Tablet is not recommended for children younger than 18 years of age.

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Heart

Caution

Nebykare 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 Nebykare H Tablet .

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Geriatrics

Caution

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

What if I have taken an overdose of Nebykare H Tablet

If you suspect an overdose, seek immediate medical attention or contact your local poison control centre. Symptoms of an overdose can include severe dizziness, a dangerously slow heartbeat, or fainting.

Diet & Lifestyle Advise

To support your medical treatment and achieve the best cardiovascular outcomes, consider incorporating these practical, evidence-based habits into your routine:

  • Reduce Sodium Intake: Limit your daily intake of salt by avoiding processed foods, canned soups, and adding extra salt at the table, as sodium directly raises blood pressure.
  • Eat Potassium-Rich Foods: Because diuretics can cause your body to lose potassium, discuss with your doctor whether you should include foods like bananas, spinach, and sweet potatoes in your diet.
  • Stay Safely Hydrated: Drink adequate water throughout the day, but avoid sudden, excessive fluid intake unless advised otherwise by your physician.
  • Incorporate Light Exercise: Aim for at least 30 minutes of moderate physical activity, such as brisk walking, on most days of the week, as approved by your doctor.

Have a query?

How Soon It Starts Working

The time required for Nebykare H Tablet to start to work: The time required for Nebykare H Tablet to start to work is 2 hours after administration. 

The time for which the effects of Nebykare H Tablet last: The effect of Nebykare H Tablet lasts for 12 hours.

What if you forget to take Nebykare H 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 entirely and resume your regular dosing schedule. Do not take a double dose to make up for a missed one.

Storage

•Store Nebykare H Tablet at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Keep the tablets in their original packaging to protect them from direct light and moisture. Do not store them in humid environments like bathroom cabinets.

Drug Warnings

  • Stand up slowly: To prevent dizziness or fainting, take your time when moving from a sitting or lying position to a standing one.
  • Monitor blood sugar: If you have diabetes, check your blood glucose regularly. This medication can sometimes hide the physical signs of low blood sugar, such as a rapid heart rate.
  • Protect your skin: This medicine can increase your sensitivity to sunlight. Wear protective clothing, apply sunscreen daily, and avoid tanning beds to prevent painful sunburns.
  • Do not stop abruptly: Stopping this medicine suddenly can cause your blood pressure to spike dangerously. Consult your doctor if you need to gradually decrease your dose.
  • Keep your medical appointments: Regular check-ups are necessary so your doctor can monitor your blood pressure and run routine blood tests to check your kidney function and electrolyte levels.

Drug-Drug Interactions

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Drug-Drug Interactions

  • Other blood pressure lowering medicines: Combining these can cause your blood pressure to drop too low, resulting in severe dizziness or fainting.
  • NSAIDs (like ibuprofen or naproxen): These pain relievers can reduce the blood-pressure-lowering effectiveness of Nebykare H Tablet and increase the risk of kidney damage.
  • Lithium: This medication can reduce the clearance of lithium from your body, significantly increasing the risk of lithium toxicity.
  • Diabetes medications: Your doctor may need to adjust your insulin or oral diabetes medications, as Nebykare H Tablet can alter blood glucose levels.

Drug-Food Interactions

  • Alcohol: Avoid or severely limit alcohol, as it can compound the blood-pressure-lowering effect of Nebykare H Tablet , causing severe dizziness and drowsiness.

Drug-Disease Interactions

  • Severe Kidney or Liver Disease: Do not take this medication if you have severe kidney failure or liver damage, as it can worsen these conditions.
  • Asthma or COPD: This medicine should be used with caution if you have chronic airway diseases, as beta-blockers can sometimes trigger breathing difficulties.
  • Gout: This medicine can increase uric acid levels in the blood, which may trigger painful gout attacks in susceptible individuals.
Severe

Drug-Drug Interactions

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Severe
How does the drug interact with Nebykare H Tablet:
Coadministration of Aminolevulinic acid with Hydrochlorothiazide can make your skin more sensitive to bright lights. This could increase the risk or severity of developing a sunburn.

How to manage the interaction:
Although there is a possible interaction between Aminolaevulinic acid and Hydrochlorothiazide, it can be taken if advised by a doctor. Avoid exposure of the eyes and skin to sunlight or bright indoor lights for 48 hours. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nebykare H Tablet:
Co-administration of clonidine and nebivolol together may decrease blood pressure and slow the heart rate.

How to manage the interaction:
Taking clonidine and nebivolol together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience slow heartbeat, headaches, dizziness, or feeling like you might pass out contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebykare H Tablet:
Coadministration 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 result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, or irregular heartbeat contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebykare H Tablet:
Using saquinavir together with nebivolol can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking saquinavir together with nebivolol can result in an interaction, it can be taken if a 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 Nebykare H Tablet:
Taking Nebivolol with Diltiazem may increase the risk or severity of side effects.

How to manage the interaction:
Taking Nebivolol with Diltiazem together can result in an interaction, it can be taken if a 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.
How does the drug interact with Nebykare H Tablet:
Taking Disopyramide and Nebivolol can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Disopyramide and Nebivolol together can result in an interaction, it can be taken if a 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 Nebykare H Tablet:
Coadministration of Nebivolol with Theophylline may reduce the effect of Nebivolol.

How to manage the interaction:
Taking Nebivolol with Theophylline together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as nausea, vomiting, insomnia, tremors, restlessness, uneven heartbeats, or difficulty breathing, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebykare H Tablet:
Taking Dolasetron and Nebivolol 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 Nebivolol together can result in an interaction, it can be taken if a 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 Nebykare H Tablet:
Co-administration of Arsenic trioxide and Hydrochlorothiazide 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:
Taking Arsenic trioxide and Hydrochlorothiazide together is avoided as it can result in an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, fast heartbeats, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting. consult the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nebykare H Tablet:
Co-administration of Droperidol and Hydrochlorothiazide 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:
Taking Droperidol and Hydrochlorothiazide together can result in an interaction, but they can be taken if advised by a doctor. However, consult the doctor immediately if you experience any symptoms like dizziness, lightheadedness, fainting, fast heartbeats, weakness, tiredness, drowsiness, confusion, muscle pain, cramps, nausea, or vomiting. Do not stop using any medications without a doctor's advice.

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 Nebykare H Tablet with calcium rich food may decrease the effectiveness of Hydrochlorothiazide. Increase consumption of potassium-rich foods with Nebykare H Tablet may cause potassium depletion (low potassium level). Avoid consumption of potassium, calcium rich foods while being treated with Nebykare H Tablet.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

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

Nebykare 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.

Nebykare 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 Nebykare 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 Nebykare H Tablet will lead to low blood pressure.

Yes, Nebykare H Tablet can cause dizziness. Avoid driving or operating any heavy machinery while taking Nebykare 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 Nebykare H Tablet is morning or evening as advised by the doctor based on your medical condition.

Nebykare H Tablet can be taken with food or without food as recommended by the doctor.

Nebykare 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.

Nebykare 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 Nebykare 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 Nebykare 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 Nebykare H Tablet if you have any of these health conditions.

Consult the doctor before taking other medications with Nebykare 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).

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

No, this medication is generally not recommended during pregnancy as it may cause harm to the developing baby. If you suspect you are pregnant or are planning to become pregnant, talk to your doctor immediately about safer treatment options.

Yes, one of the active components of this medicine is a diuretic, which helps your body get rid of excess fluid by increasing urine output. To avoid waking up during the night to use the bathroom, it is usually best to take your dose in the morning. Talk to your doctor if this becomes problematic.

It is highly recommended to avoid or limit alcohol while taking this medicine. Alcohol can lower your blood pressure further, increasing the risk of severe dizziness, drowsiness, and fainting. Talk to your doctor or pharmacist for personalised advice.

This medication can alter your blood sugar levels and may also mask physical warning signs of low blood sugar, such as a fast heartbeat. If you have diabetes, you should monitor your blood sugar closely and talk to your doctor about managing your condition.

Because this medicine contains a diuretic that can lower potassium levels in your blood, your doctor will routinely monitor your blood work. You should not start taking potassium supplements unless your doctor explicitly tells you to do so. Talk to your doctor if you have concerns.

Yes, this medication can make your skin more sensitive to sunlight, which increases your risk of sunburn and skin reactions. It is important to wear high-SPF sunscreen, wear protective clothing, and limit your direct sun exposure while taking this medicine. Talk to your doctor if you experience any unusual skin changes.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

BF, 2nd Floor, Sumeru Complex, Opp Karnavati Pagarkha Bazar, Nr. Parimal Underpass, Paldi, Ahmedabad, Gujarat, 380058
Other Info - NEB0194
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