Nitan-AM Tablet 10's
MRP ₹95
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About Nitan-AM Tablet
Nitan-AM Tablet belongs to the class of anti-hypertensive drugs, primarily used to treat high blood pressure (hypertension). Hypertension is a medical condition in which blood pressure is elevated persistently in the blood vessels.
Nitan-AM Tablet contains Telmisartan and Amlodipine, which work by preventing the tightening of blood vessels. This helps relax the blood vessels and improves blood flow. Thereby, Nitan-AM Tablet helps treat high blood pressure.
In some cases, Nitan-AM Tablet may cause side effects such as peripheral oedema (swelling in legs and arms), diarrhoea, dizziness, nausea, and vomiting. Most of these side effects do not require medical attention and gradually resolve over time. However, if these side effects persist or worsen, please consult your doctor.
Do not take Nitan-AM Tablet if you are allergic to any of its components. Nitan-AM Tablet is not recommended during pregnancy, breastfeeding, and in children. Keep your doctor informed about your health condition and medications to prevent interactions/side effects.
Uses of Nitan-AM Tablet
Nitan-AM Tablet is used in the treatment of high blood pressure (hypertension). The detailed uses of Nitan-AM Tablet are as follows:
- Hypertension Management: Nitan-AM Tablet is primarily used to help lower high blood pressure, which can reduce the risk of heart disease and stroke.
- Heart Failure Treatment: Nitan-AM Tablet may be prescribed to patients who are experiencing heart failure symptoms, helping to improve heart function and reduce strain on the heart.
- Kidney Protection: Nitan-AM Tablet can be utilised to protect the kidneys, especially in patients with high blood pressure and diabetes, by lowering blood pressure and improving kidney function over time.
- Combination Therapy: Nitan-AM Tablet can be used in combination with other antihypertensive medications to achieve better control of blood pressure in patients requiring multiple therapies.
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Directions for Use
- Nitan-AM Tablet can be taken with or without food, as advised by the doctor.
- Follow your doctor's instructions regarding the dosage and duration for effective results.
- Swallow Nitan-AM Tablet as a whole with a glass of water.
- Do not crush, chew, or break it.
Key Benefits
- Nitan-AM Tablet is a combination medicine used to manage high blood pressure (hypertension). It contains Telmisartan (an angiotensin II receptor blocker) and Amlodipine (a calcium channel blocker).
- It helps relax and widen blood vessels, making it easier for the heart to pump blood and reducing blood pressure.
- This medicine is prescribed when treatment with either Telmisartan or Amlodipine alone does not adequately control blood pressure.
- By lowering blood pressure effectively, Nitan-AM Tablet helps reduce the risk of stroke, heart attack, and other cardiovascular problems.
- Nitan-AM Tablet is used as the first medicine to lower your high blood pressure if your doctor decides you are likely to need more than one medicine.
How Nitan-AM Tablet Works
Storage
- Wear compression garments like stockings, sleeves, or gloves to apply pressure and help stop fluid from building up, especially after the swelling goes down.
- Move around and do exercises to help the fluid circulate, especially in swollen limbs. Ask your doctor for specific exercises.
- Raise the swollen area above your heart level several times a day, even while sleeping, to help reduce swelling.
- Gently massage the swollen area with firm but not painful pressure.
- Keep the swollen area clean and moisturized to prevent injury and infection.
- Reduce salt intake to help prevent fluid from building up and worsening the swelling, as advised by a doctor.
- If the swelling does not get better after a few days of home treatment or worsens, consult your doctor right away.
- Reduce salt intake to minimize fluid buildup.
- Use compression stockings, sleeves, or gloves.
- Gently massage the affected area towards the heart.
- Protect the swollen area from injury and keep it clean.
- Use lotion or cream to keep the skin moisturized.
- 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.
- 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.
- 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.
- Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
- Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
- Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
- Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
- Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
- 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.
What if I have taken an overdose of Nitan-AM Tablet
Drug Warnings
- Do not take Nitan-AM Tablet if you are allergic to any of its components.
- Inform your doctor if you have diabetes, high blood potassium levels, liver, kidney or heart problems.
- Nitan-AM Tablet is not recommended for children as its safety has not been established.
- Nitan-AM Tablet may harm the foetus if used during pregnancy. Consult your doctor if you are pregnant, think you may be pregnant or are planning to become pregnant. This medicine should be discontinued as soon as pregnancy is detected.
- This medicine may cause dizziness; do not drive or operate machinery until you know how Nitan-AM Tablet affects you.
Drug-Drug Interactions
Drug-Drug Interactions
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Using Nitan-AM Tablet together with dantrolene may increase the risk of hyperkalemia (high blood potassium).
How to manage the interaction:
Taking Nitan-AM Tablet with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Co-administration of Aliskiren with Nitan-AM Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).
How to manage the interaction:
Taking Nitan-AM Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
Using Nitan-AM Tablet and primidone together may lower Nitan-AM Tablet blood levels, which makes the medicine less effective.
How to manage the interaction:
Although co-administration of Nitan-AM Tablet with primidone can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
Using a combination of Nitan-AM Tablet and enzalutamide may drastically lower Nitan-AM Tablet blood levels, making the medicine less effective.
How to manage the interaction:
Taking Nitan-AM Tablet with enzalutamide can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
Coadministration of Ceritinib together with Nitan-AM Tablet can slow heart rate and increase the risk of an irregular heart rhythm.
How to manage the interaction:
Although there is an interaction between Nitan-AM Tablet with Ceritinib, it can be taken if a doctor has advised it. However, if you have sudden dizziness, lightheadedness, fainting, or an irregular heartbeat, consult the doctor. Do not discontinue any medications without consulting a doctor.
Co-administration of Tizanidine and Nitan-AM Tablet can increase the risk or severity of developing side effects like low blood pressure.
How to manage the interaction:
Although co-administration of Nitan-AM Tablet with tizanidine can result in an interaction, it can be taken when a doctor has advised it. However, if you experience headache, dizziness, palpitations, or irregular heart rate while taking these drugs, contact the doctor immediately. Use caution while getting up from a sitting or sleeping position and avoid driving or using dangerous machinery. Do not discontinue any medications without consulting the doctor.
Using Nitan-AM Tablet and rifabutin together may lower Nitan-AM Tablet blood levels, which makes the medicine less effective.
How to manage the interaction:
Although there is an interaction between Nitan-AM Tablet with rifabutin, but it can be taken if a doctor has advised it. Consult the doctor if you experience any unusual symptoms. Do not discontinue any medications without consulting a doctor.
Using dolasetron together with Nitan-AM Tablet can increase the risk of an irregular heart rhythm that may be serious.
How to manage the interaction:
There may be a possibility of interaction between Nitan-AM Tablet and Dolasetron, but it can be taken if prescribed by a doctor. If you have any of these symptoms, like feeling dizzy, lightheaded, or your heart beating irregularly, it's important to call a doctor right away. Do not stop using any medications without a doctor's advice.
Coadministration of Nitan-AM Tablet and Rifapentine may significantly reduce the blood levels of Nitan-AM Tablet, which may make the medication less effective.
How to manage the interaction:
There may be a possibility of interaction between Nitan-AM Tablet and Rifapentine, but it can be taken if prescribed by a doctor. If you have any symptoms, make sure to call a doctor right away. Do not stop using any medications without talking to a doctor.
Coadministration of Nitan-AM Tablet and Nitisinone may increase the blood levels and effects of Nitisinone.
How to manage the interaction:
Taking Nitisinone with Nitan-AM Tablet together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms or if you feel unwell after taking your medication, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
Drug-Food Interactions
Drug-Food Interactions
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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:
Taking Nitan-AM Tablet with potassium-containing salt substitutes or potassium supplements can cause high levels of potassium in the blood. Avoid taking potassium-containing salt substitutes or potassium supplements while being treated with Nitan-AM Tablet.
Diet & Lifestyle Advise
- Create a well-balanced and healthy diet that includes vegetables, fruits, whole grains, legumes, omega-3-rich foods, and lean protein sources.
- Keep your weight under control with a BMI of 19.5-24.9.
- Avoid chronic stress, as it can raise your blood pressure.
- Spend time with your loved ones to cope with stress and practice mindfulness techniques.
- Be mindful of salt; consume no more than 2,300 mg each day.
- Limit or avoid alcohol consumption.
- Quitting smoking is the best strategy to lower the risk of heart disease.
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Alcohol
Safe if prescribed
It is unsafe to consume alcohol since alcohol consumption may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness, or headache.
Pregnancy
Consult your doctor
Nitan-AM Tablet is not recommended during pregnancy as it may harm the foetus. Consult your doctor if you are pregnant, think you may be pregnant or are planning to become pregnant. This medicine should be discontinued as soon as pregnancy is detected.
Breast Feeding
Consult your doctor
Please consult your doctor before taking Nitan-AM Tablet if you are breastfeeding. Your doctor will decide if you need to take Nitan-AM Tablet or breastfeed. You should not do both.
Driving
Safe if prescribed
Nitan-AM Tablet may cause side effects like dizziness, headaches, and nausea, which can affect your ability to concentrate and drive. Hence, it is recommended not to drive until you are mentally alert.
Liver
Consult your doctor
Inform your doctor if you have a history of liver diseases/conditions. Your doctor may adjust your dose depending on your current liver condition.
Kidney
Consult your doctor
Inform your doctor Nitan-AM Tablet if you have a history of kidney diseases/conditions. Your doctor may adjust your dose depending on your current kidney condition.
Children
Safe if prescribed
Nitan-AM Tablet is not recommended to use in children. Please consult the doctor if you have any concerns regarding this.
Heart
Nitan-AM Tablet is safe for use in heart patients if recommended by the physician.
Geriatrics
Consult your doctor
Nitan-AM Tablet should be used under caution in geriatric patients. Please consult your physician.
FAQs
Nitan-AM Tablet is used to treat high blood pressure (hypertension). It lowers the blood pressure by widening and relaxing blood vessels.
No, do not stop taking Nitan-AM Tablet on your own, even if you feel well. To treat your condition effectively, continue taking Nitan-AM Tablet for the duration prescribed by the doctor.
It is unsafe to use Nitan-AM Tablet during pregnancy as it may harm the unborn baby. Please consult the doctor if you are pregnant or planning to become pregnant.
Please consult your doctor before taking Nitan-AM Tablet if you are breastfeeding. Your doctor will decide if you need to take Nitan-AM Tablet or breastfeed. You should not do both.
It is not recommended to use potassium supplements along with Nitan-AM Tablet , as it can cause high levels of potassium in the blood, leading to hyperkalemia. Consult your doctor if you are taking potassium supplements, potassium-sparing diuretics, potassium-containing salt substitutes or other drugs that increase potassium levels.
Yes, Nitan-AM Tablet can make you feel dizzy. Dizziness usually occurs when you suddenly stand up from a lying or sitting position. Try rising slowly when you change your posture to relieve dizziness. If the side effect persists longer, please seek medical help.
Nitan-AM Tablet is generally safe to take for a long time. Remember to follow your doctor's advice/instructions.
Do not consume alcohol with Nitan-AM Tablet as it may increase the risk of low blood pressure. Avoid potassium supplements with Nitan-AM Tablet as it may lead to high potassium levels in the blood. Nitan-AM Tablet may cause side effects like dizziness, headaches, and nausea, which can affect your ability to concentrate and drive. Hence, it is recommended not to drive until you are mentally alert.
If you miss a dose of Nitan-AM Tablet , take it as soon as you remember. However, if it is almost time for the scheduled dose, skip the missed dose and take the next dose at the scheduled time.
Stopping Nitan-AM Tablet may cause a rise in blood pressure, increasing the risk of heart attack or stroke. Therefore, do not discontinue Nitan-AM Tablet without consulting your doctor.
As hypertension is a chronic condition, you might need to take Nitan-AM Tablet for a long time. To treat your condition effectively, keep taking Nitan-AM Tablet for the prescribed duration.
You may not notice any difference even after taking Nitan-AM Tablet as high blood pressure does not usually have any symptoms. This doesn’t mean Nitan-AM Tablet is not working. However, consult the doctor if you experience any difficulty while taking Nitan-AM Tablet .
Nitan-AM Tablet might cause erectile dysfunction in rare conditions. Consult the doctor if you cannot get or maintain an erection.
Follow a healthy diet and exercise regularly. Avoid smoking and alcohol consumption. Manage stress by doing meditation. Cut down on salt and processed foods.
Nitan-AM Tablet should be swallowed as a whole with water; do not crush or chew it.
Nitan-AM Tablet may cause side effects such as primarily peripheral oedema (swelling in legs and arms), a common cold, backache, diarrhoea, dizziness, drowsiness, confusion, rashes, and weakness. If these side effects persist or worsen, please consult your doctor.
It is advised to consult the doctor before taking other medicines with Nitan-AM Tablet to prevent any interactions or undesirable side effects.
An overdose of Nitan-AM Tablet may cause low blood pressure and a slow heart rate. Seek immediate medical attention in case of an overdose of Nitan-AM Tablet .
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Reference
- https://www.medicines.org.uk/emc/product/5386/smpc#gref
- https://www.drugs.com/food-interactions/amlodipine-telmisartan.html
- https://www.sanofi.in/-/media/Project/One-Sanofi-Web/Websites/Asia-Pacific/Sanofi-IN/Home/science-and-innovation/for-healthcare-professionals/product-information/Telsite-am-PI-June-2018.pdf?la=en#:~:text=Telmisartan%20and%20amlodipine%20tablets%20may%20be%20used%20to%20provide%20additional,another%20angiotensin%20receptor%20blocker)%20alone.
