Nebicard-H Tablet

Medically reviewed by Dr. Naresh Dang | Written By Sonu Kumar Rao

Last updated on: November 02, 2020 11:19 am

Nebicard-H Tablet

Uses of Nebicard-H Tablet

Nebicard-H Tablet is used for the treatment or prevention of the following disease(s):

Hypertension

Side effects of Nebicard-H Tablet

The most common side effects of Nebicard-H Tablet are – Asthenia, Dizziness, Nausea, Fatigue, Headache, Insomnia, Hypercholesterolemia, Hyperuricemia, Chest Pain, Peripheral Edema, Dyspnea, Paresthesia, Bradycardia, Abdominal Pain, Diarrhea, Rash

These side effects can usually occur in patients. However, these are only indicative and not all patients will experience them.

Precautions while using Nebicard-H Tablet

Do not use Nebicard-H Tablet if you are allergic to – Nebivolol, Hydrochlorothiazide

If you have heart disease, liver or kidney disease, drug or alcohol addiction, consult your doctor before using Nebicard-H Tablet.

If you are allergic to any medicine or food, consult your doctor before using this medicine.

Use this medicine under the supervision of your doctor.

To avoid an adverse reaction, consult your doctor if you are already taking other medicines.

How Nebicard-H Tablet works

Nebicard-H Tablet contains – Nebivolol, Hydrochlorothiazide

Nebivolol selectively blocks beta-adrenergic receptors, reducing HR, myocardial contractility, and 1 sympathetic tone. Nebivolol also reduces BP by suppressing renin activity and decreasing peripheral vascular resistance.

Hydrochlorothiazide increases sodium and water excretion by inhibiting sodium and chloride reabsorption in distal segment of the nephron.

Dosage of Nebicard-H Tablet

The dosage of Nebicard-H Tablet depends on many factors such as the patient age, health, medical condition or history of the patient and many other conditions.

Please use this medicine as prescribed by your doctor.

Overdose of Nebicard-H Tablet

If you forget to take a dose of Nebicard-H Tablet, do not take two doses at the same time, there is a risk of overdose.

If you notice any unusual reaction in your body after taking this medicine, contact your doctor immediately or call your local medical emergency number.

Precautions & Warnings

Alcohol

Information will be added soon.

Pregnancy

Information will be added soon.

Breastfeeding

Information will be added soon.

Driving

Information will be added soon.

Kidney

Information will be added soon.

Liver

Information will be added soon.

Interaction

Drug :- Alpha blockers: May enhance severity and duration of hypotension. A smaller starting 1 dose of alpha blocker may be necessary.

1 Antidiabetic agents (insulin, sulfonylureas): May mask signs of hypoglycemia. Monitor blood glucose level.

Beta agonists (dobutamine, isoproterenol): May reverse nebivolol effects or cause protracted, severe hypotension. Avoid concomitant use.

Beta blockers (atenolol, nadolol): May increase synergistic activity and bradycardia. Don't use together.

Catecholamine-depleting drugs (such as guanethidine, reserpine): May cause bradycardia or severe hypotension. Monitor patient closely.

Clonidine: May cause further decrease in BP. Simultaneous withdrawal may cause life-threatening rebound hypertension. Discontinue nebivolol for several days before gradual tapering of clonidine.

CYP2D6 inhibitors (fluoxetine, paroxetine, propafenone, quinidine): May increase nebivolol level. Monitor BP closely, and adjust nebivolol dose as needed.

Digoxin, diltiazem, disopyramide, verapamil: May increase the risk of bradycardia. Monitor patient's ECG and vital signs.

Fingolimod: May increase risk of bradycardia. Monitor patient closely.

Mefloquine: May cause CV toxicity. Consider an alternative drug.

NSAIDs: May decrease antihypertensive effect. Monitor BP, adjust nebivolol dosage as needed.

About Reviewer

Dr. Naresh Dang is an MD in Internal Medicine. He has special interest in the field of Diabetes, and has over two decades of professional experience in his chosen field of specialty. Dr. Dang is an expert in the managememnt of Diabetes, Hypertension and Lipids. He also provides consultation for Life Style Management.

About Author

Sonu Kumar is a registered pharmacist with Bihar State Pharmacy Council with over 6 months experience. He is a medicine content contributor at Zotezo.

ZOTEZO IN THE NEWS

...