INTRODUCTION ABOUT NEBISTAR T TABLET

NEBISTAR T TABLET is a combination of Nebivolol and Telmisartan which belongs to the group of medicines called Antihypertensive agents. It is used to manage hypertension (high blood pressure) when management with single agents is not effective. Hypertension (also known as high blood pressure) is a medical condition in which the force of the blood exerted against the walls of the artery remains very high and as a result it may lead to severe damage to the blood vessels supplying several vital organs, such as heart, kidney or brain. If left unmanaged, it may cause serious complications such as heart attack, heart failure, stroke or even blindness.

By lowering blood pressure, NEBISTAR T TABLET can also reduce the risk of heart attack (myocardial infarction) or stroke. During management with NEBISTAR T TABLET your doctor will constantly monitor kidney functions, blood pressure, electrolyte levels and blood sugar levels to avoid the risk of unwanted side effects. Before taking NEBISTAR T TABLET inform your doctor if you have any heart, liver or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure or are severely dehydrated due to excessive vomiting or diarrhea.

NEBISTAR T TABLET is not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby. Stop taking NEBISTAR T TABLET and inform your doctor immediately if you become pregnant while undergoing therapy with NEBISTAR T TABLET. The most common side effects of taking NEBISTAR T TABLET are low blood pressure, headache, dizziness, high blood potassium levels, pins and needles, muscle pain, diarrhoea, constipation and erectile dysfunction. Contact your doctor if any of these side effect worsens.

USES OF NEBISTAR T TABLET

It is used to:

• manage hypertension (high blood pressure)
• manage the risk of heart attack or stroke

HOW NEBISTAR T TABLET WORKS

NEBISTAR T TABLET is an antihypertensive medicine which relaxes your blood vessels and improves blood flow across them. It also slows down the heart rate and reduces the force of contraction of heart muscles. As a result, it reduces the strain on the heart, improves blood flow across the blood vessels and makes the heart to pump blood more smoothly and efficiently with less pressure.

DIRECTIONS FOR USE

Take NEBISTAR T TABLET as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Try to take NEBISTAR T TABLET at the same time each day. NEBISTAR T TABLET can be taken with or without food. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition.

SIDE EFFECTS OF NEBISTAR T TABLET

HOW TO MANAGE SIDE EFFECTS

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug interactions:

Before taking NEBISTAR T TABLET inform to your doctor, if you are taking any of the following medicines such as:

• calcium channel blockers (used to manage heart problems) such as verapamil, diltiazem, amlodipine, felodipine, lacidipine, nifedipine, nicardipine, nimodipine and nitrendipine
• other medicines used to manage high blood pressure (such as clonidine, guanfacine, moxonidine, methyldopa, rilmenidine, aliskiren, captopril, enalapril, ramipril, losartan, valsartan)
• medicines used to manage uneven heartbeat (such as digoxin, quinidine, hydroquinidine, amiodarone, cibenzoline, ­ecainide, disopyramide, lidocaine, mexiletine and propafenone)
• medicines used to manage anxiety (such as phenobarbital, chlorpromazine)
• medicines used to manage depression (such as lithium, amitriptyline, trazodone, paroxetine, fl­uoxetine and thioridiazine)
• medicines used to manage asthma (such as salbutamol, salmeterol, budesonide)
• medications used to manage cough and cold (such as pseudoephedrine)
• medicines used to manage glaucoma (such as timolol, pindolol)
• medicines used to manage diabetes (such as insulin, metformin, gliclazide, glibenclamide)
• anaesthetics (used to cause numbness or loss of sensation) such as lidocaine, sevoflurane, halothane
• cimetidine (a medicine used to manage stomach ulcers)
• antacids (medicines used to neutralise stomach acid) such as aluminium hydroxide, magaldrate
• medicines used for pain and inflammation (such as aspirin, ibuprofen, diclofenac)
• baclofen (a medicine used for relaxing muscles)
• amifostine (a kidney protectant used along with chemotherapeutic agents)
• potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
• heparin (a medicine used to manage or manage blood clots)
• trimethoprim (a medicine used to manage bacterial infections)
• medicines used to suppress immune functions (such as tacrolimus, cyclosporin)
• narcotic drugs (used for pain relief) such as morphine, fentanyl, pethidine

Overdosage:

If you or anyone else accidentally took excessive amount of this medicine, consult your doctor immediately or visit the nearby hospital straight away. Symptoms of overdosage might include low blood pressure, fast or slow heart rate, dizziness, kidney problems and shortness of breath.

SYNOPSIS

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