INTRODUCTION ABOUT NEBISTAR LN 5 TABLET

NEBISTAR LN 5 TABLET is a combination of Nebivolol and Cilnidipine which belongs to the group of medicines called Antihypertensives. It is used in the management of essential hypertension that occurs when you have abnormally high blood pressure, not because of a medical condition.

Hypertension is a condition in which force of the blood is consistently high against the walls of the arteries which can increase the risk of heart disease, kidney disease and stroke. It is characterized by symptoms such as blurry vision, chest pain, shortness of breath, dizziness, fatigue, mental confusion, nosebleed and severe headaches.

NEBISTAR LN 5 TABLET is not recommended for use in patients with serious kidney problems, lung diseases such as asthma or wheezing, liver function disorders, heart diseases such as heart failure, heart conduction disorders or very slow heartbeat, diabetic ketoacidosis, unmanageed phaeochromocytoma, serious circulation problems and low blood pressure.

NEBISTAR LN 5 TABLET should be used with caution in patients who have diabetes, overactive thyroid gland, allergy, peripheral oedema and who are planned for any scheduled surgery which requires anesthesia.  

NEBISTAR LN 5 TABLET should not be used by pregnant or breast-feeding women, children and adolescents below 18 years of age. NEBISTAR LN 5 TABLET should be used with caution in elderly individuals above 75 years of age.

The most common side effects of taking NEBISTAR LN 5 TABLET are headache, dizziness, constipation, nausea, diarrhea, shortness of breath and tiredness. Consult your doctor if any of the symptoms worsen.

USES OF NEBISTAR LN 5 TABLET

• Manage essential hypertension

HOW NEBISTAR LN 5 TABLET WORKS

NEBISTAR LN 5 TABLET helps to reduce high blood pressure, where nebivolol works by reducing the force of contraction of the heart muscles by the blocking the effects of certain hormones called adrenaline and making the heart to beat more easily thus it lowers the blood pressure and cilnidipine is a calcium channel blocker which decreases the blood pressure by relaxing the blood vessels and enhances easy flow of blood to the heart muscles.

DIRECTIONS FOR USE

Take NEBISTAR LN 5 TABLET as advised by your doctor. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF NEBISTAR LN 5 TABLET

HOW TO MANAGE SIDE EFFECTS

Nausea:

Take this medicine with or just after meals. Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if your symptom does not improve.

Constipation:

Eat plenty of fiber rich foods such as vegetables, fresh fruits, cereals and drink plenty of water. Exercise more regularly. Consult your doctor if your symptom does not improve.

Diarrhea:

Drink lot of fluids such as water, squash or fruit juice to keep yourself hydrated. Do not take any medicine on your own for managing diarrhea without consulting your doctor. Consult your doctor if your symptom does not improve.

Headache:

Try to take rest and don’t involve yourself in exertive activities. Apply a pain-relieving balm on your forehead if required. Consult your doctor if your symptom does not improve.

Tiredness:

Drink plenty of fluids and eat balanced diet and frequent meals. Do regular minimal exercise and follow regular sleep schedule. Consult your doctor if your symptom does not improve.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug – Drug Interactions:

Before taking NEBISTAR LN 5 TABLET inform to your doctor, if you are taking any of these medicines:

• medicines used for controlling the blood pressure or heart problems (Ex. amiodarone, clonidine, digoxin, diltiazem, disopyramide, methyldopa, mexiletine, moxonidine, felodipine, flecainide, guanfacine, hydroquinidine, lacidipine, nicardipine, nifedipine, nimodipine, nitrendipine, propafenone, amlodipine, cibenzoline, quinidine, rilmenidine, verapamil and quinidine)
• medicines used for managing mental illness and epilepsy (Ex. phenobarbital, amobarbital)
• medicines used in the management of schizophrenia and depressive disorders (Ex. thioridazine, amitriptyline, paroxetine, fluoxetine)
• phenothiazines such as chlorpromazine, promethazine (used for managing vomiting and nausea)
• medicines used for anesthesia during an operation (Ex. lidocaine)
• medicines used in the management of asthma (Ex. salbutamol, terbutaline)
• medicines used in the management of glaucoma (Ex. acetazolamide)
• baclofen (used to relieve muscle spasm and pain)
• medicines used during cancer management (Ex. amifostine, aldesleukin)
• medicines used for managing excessive stomach acid or ulcers (Ex. cimetidine)
• mefloquine (medicine used in malaria management)
• medicines used in the management of bacterial infections (Ex. rifampicin, erythromycin)

Overdosage:

If you or anyone else accidentally take too much of NEBISTAR LN 5 TABLET, consult your doctor immediately or visit the nearby hospital. Overdosage symptoms of NEBISTAR LN 5 TABLET are very slow heartbeat, low blood pressure with possible fainting, breathlessness such as in asthma and acute heart failure.

SYNOPSIS

MORE INFORMATION

• Keep NEBISTAR LN 5 TABLET out of reach of children
• Store at room temperature