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Nebicard T Tablet
Manufactured byTORRENT PHARMACEUTICALS LTD
ContainsTelmisartan (40 mg) + Nebivolol (5 mg)
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Description
Nebicard T Tablet is a combination medicine used for the treatment of high blood pressure. Patients are advised to maintain a strict exercise and diet regimen along with this medicine for the best possible effect. This medicine is not recommended for use in patients below 18 years of age.
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Substitutes
List of substitutes for Nebicard T Tablet
Side effects
Major & minor side effects for Nebicard T Tablet
Abdominal or stomach pain
Chest pain
Decreased urine output
Difficulty in breathing
Chest tightness
Swelling of face, fingers and feet.
Weight gain
Unusual tiredness or weakness
Uses of Nebicard T Tablet
What is it prescribed for?
Hypertension
This medicine is used for the treatment of high blood pressure which may be caused by genetic or environmental factors.
Concerns
Commonly asked questions
How long does it take for this medicine to take effect?
The effect of this medicine can be observed within 1 to 2 hours of administration of the dose.How long do the effects of this medicine last?
The effect of this medicine lasts for an average duration of 24 hours.Is it safe to consume alcohol while taking this medicine?
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, irregular heart rate, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.Is this a habit forming medicine?
No habit forming tendency has been reported.Can this medicine be taken during pregnancy?
This medicine is not recommended for use in pregnant women except in life-threatening conditions. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.Can this medicine be taken while breast-feeding?
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
Allergy
This medicine is not recommended for use in patients with a known allergy to telmisartan, other angiotensin receptor blockers, nebivolol, or any other beta-blockers.
Aliskiren
Coadministration of aliskiren and this medicine is not recommended due to the increased risk of serious adverse effects. This risk is especially higher in the elderly population and in patients with diabetes and kidney diseases.
Severe liver impairment
This medicine is not recommended for use in patients with severe liver impairment due to the increased risk of serious adverse effects.
Heart Failure
This medicine is not recommended for use in patients suffering from heart failure due to the increased risk of worsening of the patient's condition.
Heart diseases
This medicine is not recommended for use in patients suffering from heart diseases such as a heart block greater than first degree, cardiogenic shock, sick sinus syndrome (without a permanent pacemaker in place), sinus bradycardia, etc. since it may worsen the patient's condition.
Circulatory Disorders
This medicine is not recommended for use in patients suffering from blood circulation disorders since it may worsen the patient's condition.
Lung disease
This medicine is not recommended for use in patients suffering from obstructive lung diseases such as bronchial asthma or bronchospasm since it may worsen the patient's condition.
Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women except in life-threatening conditions. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
General warnings
Hypotension
Symptomatic hypotension may occur in patients with volume depletion or patients who are treated with high doses of diuretics. It is advised to correct the condition before beginning treatment with this medicine.
Hyperkalemia
This medicine may increase potassium levels in the blood (hyperkalemia). This may cause serious side effects such as fatal cardiac rhythm irregularities. It is advised to avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (potassium-sparing diuretics and potassium supplements) during treatment with this medicine.
Impaired liver function
This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of serious adverse effects. Close monitoring of liver function is recommended during treatment with this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Use in children
This medicine is not recommended for use in children since the safety and efficacy of use are not clinically established.
Major surgery
This medicine should be used with extreme caution in patients undergoing major surgery due to the increased risk of severe adverse effects. Close monitoring of heart function is recommended for such patients. An appropriate anesthetic agent should be chosen to minimize the interaction as well as side effects.
Heart failure
This medicine should be used with caution in patients suffering from heart diseases due to the increased risk of heart failure. Close monitoring of heart function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Ischemic heart disease
This medicine is not recommended for use in patients with ischemic heart disease unless specified by the doctor. Since the risk of significant adverse effects is high in such patients on abrupt discontinuation of this medicine, your doctor will determine the appropriate course based on your clinical condition.
Lung diseases
This medicine is not recommended for use in patients suffering from obstructive lung diseases such as bronchial asthma, bronchospasm, or Chronic Obstructive Pulmonary Disease since it may worsen the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.
Diabetes
This medicine should be used with caution in patients suffering from diabetes due to the increased risk of very low blood sugar levels. Close monitoring of blood sugar levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Hyperthyroidism
This medicine should be administered with caution in patients suffering from hyperthyroidism since it may mask some of the patient's symptoms. Report any unusual symptoms to the doctor immediately. Close monitoring of thyroid hormone levels is recommended for such patients. Replacement with a suitable alternative may be required based on the clinical condition.
Peripheral vascular diseases
This medicine should be used with caution in patients suffering from peripheral vascular diseases since it may worsen the patient's condition. Report any unusual symptoms to the doctor immediately. Replacement with a suitable alternative may be required in some cases based on the clinical condition.
Other medicines
This medicine may interact with many other medicines and may cause serious adverse effects. It is advised that you report to the doctor all your current medicines including any herbs and supplements before beginning treatment with this medicine.
Impaired kidney function
This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of serious adverse effects. Close monitoring of kidney function is recommended during treatment with this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Driving and operating machines
This medicine may cause dizziness or drowsiness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience these symptoms.
Missed Dose
The missed dose should be taken as soon as possible. It is advisable to skip the missed dose if it is already time for your next scheduled dose. Do not take extra medicine to make up for the missed dose.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, irregular heart rate, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine
Amlodipine
Diltiazem
Fluoxetine
Amiodarone
Aliskiren
Captopril
Insulin
Aminophylline
Ergotamine
Nonsteroidal anti-inflammatory medicines
Disease interactions
Angioedema
This medicine is not recommended for use in patients with a history of angioedema or a family history of angioedema due to the increased risk of recurrent symptoms. Report any incidence of swelling of the face, lips, and eyes to the doctor on priority. Replacement with a suitable alternative may be required based on the clinical condition.
Renal impairment
This medicine should be used with extreme caution in patients with kidney impairment due to the increased risk of serious adverse effects. Close monitoring of kidney function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Heart Block
This medicine is not recommended for use in patients with a heart block greater than the first degree since it may worsen the patient's condition. Replacement with a suitable alternative should be done under your doctor's supervision.
Diabetes
This medicine should be used with caution in patients suffering from diabetes due to the increased risk of very low blood sugar levels. Close monitoring of blood sugar levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Liver Disease
This medicine should be used with caution in patients with liver diseases due to the increased risk of serious adverse effects. Close monitoring of liver function, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition.
Glaucoma
This medicine should be administered with caution in patients suffering from glaucoma. A change in the dose of the current glaucoma medicine may be required in some cases. Replacement with a suitable alternative may be necessary based on the clinical condition.
Hyperlipidemia
This medicine should be used with caution in patients suffering from hyperlipidemia due to the increased risk of worsening of the patient's condition. Close monitoring of cholesterol levels, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Hyperthyroidism
This medicine should be administered with caution in patients suffering from hyperthyroidism since it may mask some of the patient's symptoms. Report any unusual symptoms to the doctor immediately. Close monitoring of thyroid hormone levels is recommended for such patients. Replacement with a suitable alternative may be required based on the clinical condition.
Myasthenia Gravis
This medicine should be used with caution in patients suffering from myasthenia gravis since it may worsen the patient's condition. Report any unusual symptoms to the doctor immediately. Replacement with a suitable alternative may be required based on the clinical condition.
Pheochromocytoma
This medicine should be used with caution in patients suffering from pheochromocytoma (adrenal gland tumor) since it may worsen the patient's condition. Report any unusual symptoms to the doctor immediately. Replacement with a suitable alternative may be required based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Take this medicine as advised by your doctor. It can be taken with or without food. Do not take in larger amounts than prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous
How it works
Telmisartan relaxes the blood vessels and promotes the smooth flow of blood. Nebivolol relaxes the blood vessels and reduces the heart rate, promoting a smooth flow of the blood. Their combination is thus effective in reducing blood pressure.
Legal Status
Classification
Category
Antihypertensive combinations
Schedule
Schedule H
Telmisartan: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 1 March 2017]. Available from:
Nebivolol - DrugBank [Internet]. Drugbank.ca. 2017 [cited 16 November 2017]. Available from:
DailyMed - Nebivolol tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 16 November 2017]. Available from:
Telmisartan | DrugBank Online [Internet]. Go.drugbank.com. 2020 [cited 8 December 2020]. Available from:
Related Questions
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You need proper cardiac evaluation first for your symptoms
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Information on this page was last updated on 8 Dec 2020
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.
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