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Nebi-H Tablet


Overview

Introduction

Nebi-H Tablet is a combination of two medicines used to treat hypertension (high blood pressure). It helps to control blood pressure when a single medication is not effective. It also helps to reduce chances of any future heart attack and stroke.

Nebi-H Tablet should be taken with or without food preferably in the morning to avoid frequent urination at night. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.

Nausea, constipation, fatigue, headache, and shortness of breath are some common side effects of this medicine. Consult your doctor If any of these bother you, or get worse, or do not go away.  Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst. Dizziness or headache may occur due to low blood pressure, hence rise slowly from sitting position or avoid driving.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, blood sugar level and the levels of salts such as potassium or magnesium checked regularly to make sure that this medicine is working properly.

Side effects of Nebi-H Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nebi-H

  • Nausea
  • Constipation
  • Diarrhea
  • Fatigue
  • Dizziness
  • Headache
  • Increased blood uric acid
  • Decreased potassium level in blood
  • Glucose intolerance
  • Altered blood lipid level
  • Breathlessness
  • Swelling of hands
  • Feet swelling
  • Paresthesia (tingling or pricking sensation)
  • Decreased magnesium level in blood
  • Increased calcium level in blood

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Constipation
    Try to eat foods which are high in fiber such as fresh fruits, vegetables and cereals to increase the bulk and consistency of bowel movements. Drink plenty of water or non-alcoholic drinks and stay hydrated to promote healthy digestion. Increasing physical activities such as walking, yoga and regular exercise can also be helpful. If your condition does not improve, you can ask your doctor to prescribe you laxative medicine.
  • Coping with Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Decreased potassium level in blood
    You will need a blood test to find out if your potassium levels are low. Your doctor might suggest using a salt substitute which contains potassium. Some foods which are good sources of potassium include fruit (especially bananas), vegetables, pulses, nuts and seeds, milk, fish, chicken and bread.
  • Coping with Breathlessness
    Control your breaths by breathing in slowly through your nose and breathing out through your mouth. Sitting on a chair and leaning your chest slightly forward may also help. Increase the flow of air around you by opening windows or using a fan. Try to learn breathing techniques and do regular physical exercise. Wearing loose clothing around your waist and chest may also be helpful. Your breathing will usually return to normal within a few weeks of starting the medicine. Tell your doctor if your symptoms do not improve or get worse. Shortness of breath can also be a sign of an ongoing or worsening heart problem.
  • Coping with Feet swelling
    Keep your legs raised when you are sitting or lying down. Try to keep moving your legs and ankles by taking a short walk several times an hour, as standing still for too long can increase swelling. Avoid wearing tight-fitting clothes and do not cross your leg. Drink plenty of non-alcoholic fluids and avoid alcohol. Reduce the salt in your diet. Losing weight and performing leg exercises while sitting can also help reduce the swelling. Using compression socks may help relieve pain and prevent fluid collection in your legs, ankles and feet.
  • Coping with Paresthesia (tingling or pricking sensation)
    Massaging the numb area can help improve blood flow and provide relief. Try warming your hands and feet if they are cold. In case they are hot, try cooling them down. Get plenty of rest as lack of proper sleep may worsen the condition. Reducing stress, avoiding alcohol, exercising regularly, and getting enough vitamins and nutrients through your diet can also make you feel better.
  • Coping with Decreased magnesium level in blood
    You will need a blood test to find out if the magnesium level in your blood is low. If your medicine is causing this, you may need to stop taking it. To help manage low levels, ask your doctor about taking a suitable magnesium supplement. Drink plenty of water and fluids to stay hydrated. Avoid alcohol and smoking as they can decrease the absorption of magnesium. Some foods contain higher levels of magnesium. These include almonds, pumpkin seeds, dark chocolate and peanuts. In general, seeds, nuts, cocoa, beans, oily fish and whole grains are good sources. Talk to your doctor if the condition persists.

How to use Nebi-H Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nebi-H Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Nebi-H Tablet works

Nebi-H Tablet is a combination of two blood-pressure lowering medicines: Nebivolol and Hydrochlorothiazide. Nebivolol is a beta blocker which works specifically on the heart to reduce heart rate and make the heart more efficient at pumping blood throughout the body. Hydrochlorothiazide is a diuretic which lowers blood pressure by removing extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow.

Safety Advice

Alcohol
CAUTION
Caution is advised when consuming alcohol with Nebi-H Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Nebi-H Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Nebi-H Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Nebi-H Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Nebi-H Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Nebi-H Tablet may be needed. Please consult your doctor.
Use of Nebi-H Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Nebi-H Tablet should be used with caution in patients with liver disease. Dose adjustment of Nebi-H Tablet may be needed. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Nebi-H Tablet
₹8.4/Tablet
Nebilong H Tablet
Micro Labs Ltd
₹9.8/Tablet
17% costlier
Nebycare H 5mg/12.5mg Tablet
4Care Lifescience Pvt Ltd
₹9.85/Tablet
17% costlier
₹13.54/Tablet
61% costlier
Nebicard-H Tablet
Torrent Pharmaceuticals Ltd
₹13.65/Tablet
62% costlier
Nodon H Tablet
Cadila Pharmaceuticals Ltd
₹15.05/Tablet
79% costlier

Quick Tips

  • It is a combination of two blood pressure lowering medications used for the treatment of high blood pressure.
  • It can be taken with or without food.
  • Do not stop taking Nebi-H Tablet suddenly as it can cause your blood pressure to rise suddenly thereby increasing the risk of heart attack and stroke.
  • It may cause dizziness. If this happens to you, get up slowly when rising from a sitting or lying position.
  • It can hide symptoms of low blood sugar if you're diabetic. Monitor your blood sugar levels regularly.
  • Nebi-H Tablet may cause dehydration. Drink plenty of fluids and Inform your doctor if you develop extreme thirst, muscle weakness or very dry mouth.

Fact Box

Habit Forming
No

Patient Concerns

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I have 110-170 blood pressure,sugar fasting100,cholostrol normal ,but now l have very high headache with pain only one side(left)
Dr. Pushkar Mani
Physician
whatever medicine u taking for BP stop that and take ramistar H once daily
High blood pressure around 201/119 headache and stomach pain Dr can u help urgently I have given her telma h
Dr. Sarthak Chakravarty
Physician
Telma H will not helpTake her to a hospitalPatient has to be monitoredTab Dipin 5mg 2 times a dayTake only if hospital unavailable
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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Hydrochlorothiazide/Nebivolol. Berlin, Germany: Berlin-Chemie AG; 2015. [Accessed 11 Apr. 2019] (online) Available from:External Link
  2. Nebivolol. Barnstaple, Devon: Accord-UK Ltd.; 2010 [revised 8 Sep. 2017]. [Accessed 11 Apr. 2019] (online) Available from:External Link
  3. Hydrochlorothiazide. Morgantown, West Virginia: Mylan Pharmaceuticals Inc.; 2011. [Accessed 18 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Mercantile Chamber, 3rd Floor, 12, J.N. Heredia Marg, Ballard Estate, Mumbai – 400 001, India.
A licensed vendor partner from your nearest location will deliver Nebi-H Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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