NEBULA D TABLET

Manufacturer : ZYD-ZYDUS
Composition : NEBIVOLOL-5MG+INDAPAMIDE-1.5MG
Dose Form : TABLET
Description : NEBULA D TAB
Route Of Administration : ORAL
Pack : 10
In stock
SKU
NEB0112
₹152.40
Manufacturer : ZYD-ZYDUS
Composition : NEBIVOLOL-5MG+INDAPAMIDE-1.5MG
Dose Form : TABLET
Description : NEBULA D TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

NEBIVOLOL-5MG+INDAPAMIDE-1.5MG

NEBIVOLOL

Information for patients
Drug Information Nebivolol contains nebivolol which is a selective beta blocker and it dilates blood vessels (vasodilator). It is used for the treatment of raised blood pressure (hypertension). Nebivolol is also used to treat chronic heart failure in patients aged 70 or over.
Drug Alert
Alert
Before Consuming the Medicine
Avoid Drug •if you are allergic (hypersensitive) to nebivolol or to any of the other ingredients of Nebivolol. •if you have low blood pressure (the systolic or “upper” pressure is less than 90 mmHg) •if you have poor circulation in the arms or legs •if you have a very slow heartbeat (less than 60 heart beats per minute before having started this medication) •if you have been diagnosed with conduction disorders in your heart (such as sick sinus syndrome or atrio-ventricular blockade) and you do not have a functioning pacemaker •if you have acute heart failure, or you are receiving treatment into a vein (by intravenous ‘drip’) to help your heart work •if you have difficulty in breathing or wheezing (or history of) •if you have a tumour of the adrenal gland called phaeochromocytoma •if you have severe liver disease or liver function impairment •if you have a metabolic acidosis (such as in diabetic patients when the blood sugar has risen too much and blood has become too acidic) •if you use either floctafenine or sultopride containing medications.
Drug Special Care -If you have or develop one of the following conditions: •heart failure (inability of heart to pump enough blood for body´s needs) •a mild (first degree) atrioventricular blockade in your heart •chest pain caused by cramping of the coronary arteries (called Prinzmetal´s angina or variant angina) •poor circulation in the arms or legs, e.g. Raynaud’s disease or syndrome, cramp-like pains on walking •prolonged breathing problems (or history of) •diabetes: Nebivolol has no effect on blood sugar, but it could mask the signs of a low sugar level (e.g. trembling, fast heartbeat). •overactive thyroid gland, as Nebivolol may mask the signs of an abnormally fast heart rate due to this condition •allergy, as the allergic reactions may become stronger and more medicines may be needed to treat them •a skin condition known as psoriasis, as Nebivolol\ may aggravate the symptoms •wear contact lenses, as Nebivolol may reduce lacrimation and make the eyes dryer. Use in children and adolescents below 18 years old is not recommended. In these cases, your doctor may need to adapt your treatment or check you more often. If you need to have an operation and need an anaesthetic, it is important that you tell the surgeon or dentist that you are taking this medicine. If you have kidney problems, do not take this medicine for heart failure and inform your doctor.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, herbal remedies and strong vitamins and minerals. Always tell your doctor or pharmacist if you are using or receiving any of the following medicines in addition to Nebivolol: •diltiazem or verapamil (used for high blood pressure and other heart problems). During Nebivolol treatment, verapamil should not be injected into a vein •other medicinal products known as calcium channel blockers for high blood pressure or other heart problems such as amlodipine, felodipine, lacidipine, nifedipine, nicardipine, nimodipine, nitrendipine •other antihypertensive medications or organic nitrates to treat chest pain •clonidine, guanfacin, moxonidine, methyldopa, rilmenidine used for the treatment of high blood pressure •medicinal products for cardiac arrhythmias (irregular heartbeat) such as quinidine, hydroquinidine, amiodarone, cibenzoline, flecainide, disopyramide, lidocaine, mexiletine, propafenone •tricyclic antidepressants (for depression), phenothiazines (for psychoses), or barbiturates (for epilepsy) •medicinal products for diabetes mellitus (insulins and oral preparations) •digoxin or other so called digitalis glycosides (to treat heart failure) •anti-inflammatory analgesics (NSAIDs) for pain and inflammation- please note that small daily antithrombotic doses of acetylsalicylic acid (e.g., 50 or 100 mg) can be used safely with Nebivolol •medicinal products for asthma, blocked nose or certain eye disorders such as glaucoma (increased pressure in the eye) or dilation of the pupil •anaesthetics: always inform your anaesthetist that you are on Nebivolol before being anaesthetized •cimetidine (to treat excessive stomach acid)- you should take Nebivolol during a meal, and the antacid drug between meals •medicinal products affecting the metabolism of nebivolol namely terbinafine (for fungal or yeast infections), bupropion (to help in cessation of smoking), chloroquine (for malaria or rheumatoid arthritis), levomepromazine (for psychoses), paroxetine, fluoxetine, thioridiazine (for depression) •amifostine (a protecting substance during chemo- or radiation therapy) •baclofen (a muscle relaxant) •mefloquine (an antimalarial).
Drug Pregnancy Interaction Nebivolol should not be used during pregnancy unless instructed to do so by a doctor.
Drug Breast feeding Interaction Breast-feeding is not recommended during administration of Nebivolol.
Drug Machinery Interaction No studies on the effects on the ability to drive and use machines have been performed. This medicine may cause dizziness or fainting as a result to reduction in blood pressure. If these occur, DO NOT drive or operate machinery. These effects are more likely to occur after initiation of the treatment or after dose increases.
Drug More Information Nebivolol 5 mg tablets can be taken before, during or after a meal, but also you can take them without food. The tablet or its parts should be swallowed with some water or another liquid.
How to take the Medicine
Consumption Info
Drug quanitty Treatment of raised blood pressure (hypertension) •The usual dose is 1 tablet per day. •Elderly patients and patients with a kidney disorder will usually start with 1/2 tablet daily. •It may take up to 4 weeks for this medicine to have full effect. Treatment of chronic heart failure •Your treatment will be started and monitored by an experienced physician. •Your doctor will start your treatment with 1/4 tablet per day. This may be increased after 1-2 weeks to 1/2 tablet per day, then to 1 tablet per day and then to 2 tablets per day until the correct dose is reached for you. •The maximum recommended dose is 10 mg (2 tablets a day). •You will need to be monitored for 2 hours by an experienced physician when you start treatment and every time your dose is increased. •Your doctor may reduce your dose if necessary, and you should not stop abruptly as this can worsen heart failure. •Patients with serious kidney problems should not take this medicine.
Drug Dose Always take Nebivolol exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.Take your medicine once daily, preferably at about the same time of day. Your doctor may decide to combine your tablets with other medicine for your condition. Nebivolol is not recommended in children and adolescents.
Excess Drug Consumption If you accidentally take too many tablets (overdose), you may experience slow heart beat, low blood pressure or other heart problems, or difficulty in breathing or wheezing. Contact your nearest hospital casualty department or tell your doctor or pharmacist immediately.
Forgot Drug Consumption If you forget to take your medicine, but remember to take it after a short time, take the next tablet normally, when it is the time to take it. However, if a long delay has occurred (e.g. all day) skip that dose and take the next dose the next day at the usual time and skip the forgotten dose. Do not take a double or a larger dose to make up with a forgotten dose (s). Repeated skipping is to be avoided.
Stop Drug Consumption Do not stop taking Nebivolol without consulting your doctor first. If the medication is terminated abruptly, the patient may experience dangerous worsening of the symptoms. This concerns especially the patients with angina pectoris.
Possible Side Effects
General Information
Common Drug Side Effects When used for raised blood pressure: •Headache •Dizziness •Tiredness •An unusual itching or tingling feeling •Diarrhoea •Constipation •Nausea •Shortness of breath •Swollen hands or feet
Rare Drug Side Effects when used for raised blood pressure: •Slow heartbeat or other heart complaints •Low blood pressure •Abnormal vision •Impotence (difficulty in getting an erection) •Depressive feelings •Indigestion, gas in stomach or bowel •Vomiting •Skin rash •Tightening of the chest, difficulty in breathing or wheezing •Nightmares •In a clinical study for chronic heart failure, the side effects seen were slow heart beat, dizziness, worsening of heart failure, low blood pressure (such as feeling faint when getting up quickly), inability to tolerate medicine, irregular heart beat, swelling (such as swollen ankles).
Very Rare Drug Side Effects •Fainting •Psoriasis aggravated
Drug Side Effects Symptoms •Angioedema: swelling of the skin of the face or extremities, lips, tongue, mucous membranes of the throat and airway, resulting in shortness of breath or difficulty to swallow – contact a doctor immediately! •Hypersensitivity
How to Store the Medicine
How to Store the Medicine Keep out of the reach and sight of children. Do not use Nebivolol after the expiry date which is stated on the carton after . The expiry date refers to the last day of that month. Do not store above 30°C. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

INDAPAMIDE

Information for patients
Drug Information Indapamide is used either alone or in combination with other medicines to treat high blood pressure (hypertension). The active ingredient is indapamide hemihydrate, which is thought to work by relaxing some of the blood vessels in the body causing blood pressure to fall. The exact way in which it does this however, is not fully understood. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason. There is not enough information to recommend the use of this medicine in children. This medicine is available only with a doctor’s prescription. There is no evidence that Indapamide is addictive.
Drug Alert
Alert no data available
Before Consuming the Medicine
Avoid Drug Do not take Indapamide if you have: • an allergy to any medicine containing indapamide hemihydrate or Sulfonamide or sulfa (sulpha) medicines or any of the ingredients listed in the contents. Some of the symptoms of an allergic reaction may include: shortness of breath; wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin. • Severe liver disease or kidney problems. • Do not take this medicine if you are pregnant or plan to become pregnant. • Do not take this medicine if you are breastfeeding or plan to breastfeed • Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. If you are not sure whether you should start taking this medicine, talk to your doctor
Drug Special Care Before you start to take it: Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. Tell your doctor if you have or have had any of the following medical conditions: • Systemic lupus erythematosus (SLE) • Gout • Low blood pressure • Kidney problems • Liver problems. Your doctor may want to take special care if you have any of these conditions. If you have not told your doctor about any of the above, tell him/her before you start taking Indapamide. Things you must do If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking Indapamide. Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine. If you become pregnant while taking this medicine, tell your doctor immediately. If you are about to have any blood tests, tell your doctor that you are taking this medicine. It may interfere with the results of some tests. Keep all of your doctor’s appointments so that your progress can be checked. Your doctor may want to check your blood pressure, kidney function, sodium levels and potassium levels from time to time to make sure the medicine is working and to prevent unwanted side effects. Things you must not do Do not take Indapamide to treat any other complaints unless your doctor tells you to. Do not give your medicine to anyone else, even if they have the same condition as you. Things to be careful of Be careful when drinking alcohol while you are taking this medicine. Dizziness or light-headedness may be worse if you drink alcohol, take strong pain killers, barbiturates or other medicines for high blood pressure while being treated with Indapamide. If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly. Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor. Make sure you drink enough water in hot weather and during exercise when you are taking Indapamide, especially if you sweat a lot. Also make sure you tell your doctor if you become sick and have severe or continuing vomiting or diarrhoea while taking Indapamide. The loss of additional water and certain salts such as potassium from the body may make you feel faint, light-headed, weak or sick.
Drug Drug Interactions Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop. Some medicines and Indapamide may interfere with each other. These include: • Lithium, a medicine used to treat mood swings and some types of depression • Other medicines used to treat high blood pressure • Diuretics, also known as water or fluid tablets • Barbiturates, medicines used to treat epilepsy, produce calmness or to help you sleep • Corticosteroids, medicines used in the treatment of conditions such as allergic reactions, asthma, inflammatory and ''auto-immune'' diseases • Strong pain killers. These medicines may be affected by Indapamide or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines. Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
Drug Pregnancy Interaction There is no information on the use of Indapamide in pregnancy, therefore, Indapamide is not recommended for use in pregnant women.
Drug Breast feeding Interaction Indapamide is not recommended for use in breastfeeding women, as it is not known whether this medicine passes into breast milk and how it may affect your baby.
Drug Machinery Interaction Be careful driving or operating machinery until you know how Indapamide affects you. This medicine may cause tiredness, dizziness and light-headedness in some people. If you have any of these symptoms, do not drive, operate machinery or do anything else that could be dangerous.
Drug More Information no data available
How to take the Medicine
Consumption Info Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet. If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
Drug quanitty The usual adult dose is one tablet daily, taken in the morning.
Drug Dose How to take it Swallow the tablets whole with a full glass of water. Do not halve the tablets. When to take it Take your medicine at about the same time each morning. Taking it at the same time each morning will have the best effect. It will also help you remember when to take it. It does not matter if you take this medicine before or after food. How long to take it Continue taking your medicine for as long as your doctor tells you. This medicine helps to control your condition, but does not cure it. It is important to keep taking your medicine even if you feel well.
Excess Drug Consumption Immediately telephone your doctor or the National Poisons Information Centre for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Indapamide. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Forgot Drug Consumption If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally. Do not take a double dose to make up for the dose that you missed. If you are not sure what to do, ask your doctor or pharmacist. If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
Stop Drug Consumption Do not stop taking your medicine or lower the dosage without checking with your doctor.
Possible Side Effects
General Information Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Indapamide. This medicine helps most people with high blood pressure, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects. Do not be alarmed by the following lists of side effects. You may not experience any of them. Ask your doctor or pharmacist to answer any questions you may have.
Common Drug Side Effects Tell your doctor or pharmacist if you notice any of the following and they worry you: Loss of appetite Stomach upset Unusual tiredness or weakness Dizziness or lightheadedness, especially when getting up from a sitting or lying position Headache Diarrhoea, constipation. The above list includes the more common side effects of your medicine. They are usually mild and short-lived.
Rare Drug Side Effects Tell your doctor immediately or go to Accident and Emergency at your nearest hospital if you notice any of the following: • Fast or irregular heart beat • Signs of a water or salt, e.g. potassium, imbalance in the body. Symptoms may include: o Dryness of mouth o Increased thirst o Irregular heartbeat o Weak pulse o Muscle cramps or pain o Nausea or vomiting o Unusual tiredness or weakness • Signs of an allergic reaction such as skin rash, itching or hives; swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing; wheezing or shortness of breath. The above list includes serious side effects. You may need urgent medical attention or hospitalisation.
Very Rare Drug Side Effects no data available
Drug Side Effects Symptoms no data available
How to Store the Medicine
How to Store the Medicine Storage Keep your tablets in the pack until it is time to take them. If you take the tablets out of the pack they may not keep well. Keep your tablets in a cool dry place where the temperature stays below 30 degree Celcius. Do not store Indapamide or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines. Keep it where children cannot reach it. A locked cupboard at least one-and-a half metres above the ground is a good place to store medicines. Disposal If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.

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