Nebivolol+hydrochlorothiazide
About Nebivolol+hydrochlorothiazide
Nebivolol+hydrochlorothiazide 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.
Nebivolol+hydrochlorothiazide 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 Nebivolol+hydrochlorothiazide as prescribed by your doctor. Nebivolol+hydrochlorothiazide may cause side effects such as dizziness, weakness, diarrhoea, nausea, headache, and indigestion. Most of these side effects of Nebivolol+hydrochlorothiazide do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Before starting Nebivolol+hydrochlorothiazide, 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 Nebivolol+hydrochlorothiazide
Medicinal 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 Nebivolol+hydrochlorothiazide as a whole with a glass of water.
- Do not crush, chew, or break it.
Storage
Side Effects of Nebivolol+hydrochlorothiazide
- Nausea
- Constipation
- Diarrhoea
- Fatigue
- Headache
- Dizziness
Medicines Containing this Salt
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Drug Warnings
- Before using Nebivolol+hydrochlorothiazide, 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).
- Nebivolol+hydrochlorothiazide should not be given to people allergic to Nebivolol+hydrochlorothiazide, 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).
- Nebivolol+hydrochlorothiazide can pass into breast milk, but its effect on the baby is unknown. So, it is better to tell your doctor if you take Nebivolol+hydrochlorothiazide and breastfeeding.
- Nebivolol+hydrochlorothiazide is not recommended for children younger than 18 years of age.
Drug Interactions
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 Nebivolol+hydrochlorothiazide 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 Nebivolol+hydrochlorothiazide 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
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended not to consume alcohol and Nebivolol+hydrochlorothiazide to avoid unpleasant side effects like drowsiness and dizziness.
Pregnancy
unsafeNebivolol+hydrochlorothiazide is not recommended during pregnancy. Nebivolol+hydrochlorothiazide contains hydrochlorothiazide that crosses the placenta. This may cause fetal damage and can affect the unborn baby (fetus).
Breast Feeding
unsafeTell your doctor if you are breast-feeding or about to start breast-feeding. Nebivolol+hydrochlorothiazide is not recommended for mothers who are breast-feeding.
Driving
cautionNebivolol+hydrochlorothiazide usually causes drowsiness and dizziness, affecting your ability to drive or operate machinery.
Liver
cautionNebivolol+hydrochlorothiazide 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.
Kidney
cautionNebivolol+hydrochlorothiazide 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.
Children
unsafeNebivolol+hydrochlorothiazide is not recommended for children younger than 18 years of age.
Habit Forming
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.
Special Advise
Your doctor may advice regular blood sugar monitoring as Nebivolol+hydrochlorothiazide may cause changes in your blood sugar levels.
Patients Concern
Disease/Condition Glossary
Hypertension: The blood exerts increased pressure on the walls of blood vessels, leading to hypertension. High blood pressure is expressed as systolic/diastolic pressure. Systolic pressure is the pressure in the arteries when the heart beats or pumps out blood. Diastolic pressure is the pressure in the arteries between the heartbeats. Blood pressure is measured in millimetres of mercury (mmHg) by a blood pressure monitor called a sphygmomanometer. Some of the symptoms are headache, dizziness, nosebleeds, altered vision, chest pain, weakness, and shortness of breath. However, most of the time, there are no signs or symptoms of hypertension.
FAQs
Nebivolol+hydrochlorothiazide is used to treat hypertension (high blood pressure) and reduce the risk of stroke in patients with high blood pressure.
Nebivolol+hydrochlorothiazide 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.
Nebivolol+hydrochlorothiazide 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 Nebivolol+hydrochlorothiazide, 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 Nebivolol+hydrochlorothiazide will lead to low blood pressure.
Yes, Nebivolol+hydrochlorothiazide can cause dizziness. Avoid driving or operating any heavy machinery while taking Nebivolol+hydrochlorothiazide. 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 Nebivolol+hydrochlorothiazide is morning or evening as advised by the doctor based on your medical condition.
Nebivolol+hydrochlorothiazide can be taken with food or without food as recommended by the doctor.
Nebivolol+hydrochlorothiazide 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.
Nebivolol+hydrochlorothiazide should be taken orally. Swallow the medicine as a whole with water, do not crush, break or chew it.
The side effects of Nebivolol+hydrochlorothiazide 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 Nebivolol+hydrochlorothiazide 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 Nebivolol+hydrochlorothiazide if you have any of these health conditions.
Consult the doctor before taking other medications with Nebivolol+hydrochlorothiazide, 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).
Nebivolol+hydrochlorothiazide should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.
