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Nebi Am (5/5 mg) Tablet

Manufactured byAristo Pharmaceuticals Pvt. Ltd.
ContainsAmlodipine (5 mg) + Nebivolol (5 mg)
Description
Nebi Am (5/5 mg) Tablet is a combination of Amlodipine and Nebivolol. It is an anti-hypertensive medicine used for the treatment of high blood pressure. This medicine works by relaxing and widening the blood vessels and improves blood flow, thus it lowers your blood pressure. This will also reduce the risk of having a heart attack or a stroke by making it easier for your heart to pump blood around your body. Nebi Am (5/5 mg) Tablet shows some common side effects like swelling in your ankles or feet, headache, constipation, dizziness, tiredness, nausea and diarrhoea. Most of these are temporary and usually resolve with time. Nebi Am (5/5 mg) Tablet can be taken with or without food. The dose will depend on your blood pressure. If you forget to take a dose of this medicine, then skip the missed dose and take the next scheduled dose instead. Do not stop the treatment abruptly as it can cause unwanted side effects. Nebi Am (5/5 mg) Tablet is not recommended if you are allergic to it. This medicine is not recommended if you have severe liver and heart problems as it can worsen your condition. If you have any pre-existing kidney and liver problems, or other medical conditions, inform your doctor about them. You should tell your doctor about all the medications and supplements you are taking as this medicine can interact with them and can cause side effects. Nebi Am (5/5 mg) Tablet is not recommended in children below 18 years, if you are pregnant, or are breastfeeding unless prescribed by your doctor.

Side effects

Major & minor side effects for Nebi Am (5/5 mg) Tablet

  • Headache
  • Dizziness
  • Unusual tiredness and weakness
  • Diarrhoea
  • Sleeplessness
  • Swelling of face, lips, eyelids, tongue, hands and feet
  • Chest pain and discomfort
  • Decreased blood pressure
  • Difficulty in breathing
  • Weight gain
  • Burning, numbness, tingling in the arms and feet
  • Allergic Skin Reaction
  • Muscle pain
  • Heartburn
  • Nausea
  • Constipation

Uses of Nebi Am (5/5 mg) Tablet

What is it prescribed for?

  • Essential hypertension
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of Nebi Am (5/5 mg) Tablet can be observed within 1 to 2 hours. It is important to take it at the same time every day to maintain a constant level of medicine in your blood.
  • How long do the effects of this medicine last?
    Nebi Am (5/5 mg) Tablet has a long-lasting effect that lasts for an average duration of 24 hours. However, you should complete the whole treatment even if you feel better after a couple of doses.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with Nebi Am (5/5 mg) Tablet it may additionally lower your blood pressure. Avoid performing activities that require high mental alertness such as driving vehicles or operating machines if you consume alcohol during treatment with this medicine.
  • Is this a habit forming medicine?
    No habit- forming tendency has been reported for Nebi Am (5/5 mg) Tablet.
  • Can this medicine be taken during pregnancy?
    Nebi Am (5/5 mg) Tablet is not recommended for use during pregnancy as it can harm your foetus. Consult your doctor before taking the medicine if you are pregnant.
  • Can this medicine be taken while breast-feeding?
    Nebi Am (5/5 mg) Tablet is not recommended for use while breastfeeding as it passes into the breastmilk in some amounts which may harm your baby. Consult your doctor before taking this medication.

Allergy

Avoid taking Nebi Am (5/5 mg) Tablet if you have a known allergy to Nebivolol, and other medicines used for heart conditions (beta-blockers, Amlodipine, or other calcium channel blockers). This could lead to symptoms like redness, swelling, breathing difficulty, hives (painful eruptions that itch and sting), etc.

Severe liver impairment

Nebi Am (5/5 mg) Tablet is not recommended for use in people with severe liver problems. This medicine is broken down and absorbed in the liver. Taking this medicine while you have a pre-existing liver problem may damage your liver further and worsen your condition.

Heart Failure

Heart failure is a condition in which your heart muscle is unable to pump sufficient amount of blood throughout the body. Nebi Am (5/5 mg) Tablet should not be used in people having heart failure. This medicine weakens the contractions of your heart and slows down the heart rate. Using this medicine when you already have heart failure could lead to excessive lowering of blood pressure and reduced blood flow to the organs, which could be fatal.

Heart diseases

Nebi Am (5/5 mg) Tablet is not recommended for use if you have any heart problems. This includes heart block greater than first degree (a condition where the heartbeats are slow or abnormal), cardiogenic shock (a condition where your heart can't pump enough blood to your body), sick sinus syndrome (inability to create an adequate heart rate by the heart's natural pacemaker), sinus bradycardia (slow heartbeat), etc. This medicine weakens the contractions of your heart and reduces your blood pressure. Using it while you have heart problems will worsen your condition.

Lung disease

Nebi Am (5/5 mg) Tablet is not recommended for use in people with lung problems such as asthma and chronic obstructive pulmonary disease (COPD, a condition where airflow from the lungs is obstructed) as this medicine has the potential to cause bronchospasm (narrowing of the airways in your lungs). Using this medicine while you have pre-existing lung problems can worsen your condition.
Warnings for special population

Pregnancy

Nebi Am (5/5 mg) Tablet is not recommended for use during pregnancy as it can harm your foetus. Consult your doctor before taking the medicine if you are pregnant.

Breast-feeding

Nebi Am (5/5 mg) Tablet is not recommended for use while breastfeeding as it passes into the breastmilk in some amounts which may harm your baby. Consult your doctor before taking this medication.
General warnings

Coronary artery diseases

Nebi Am (5/5 mg) Tablet should be used with extreme caution if you have coronary artery diseases (a condition where the blood vessels of your heart are damaged, mainly due to build-up of plaque). It may weaken the contractions of your heart and slows down the heart rate, which may further depress cardiac output (amount of blood pumped by the heart in a minute) and blood pressure. Your doctor will suggest tests to closely monitor your heart function while you are on treatment with this medicine.

Major surgery

Nebi Am (5/5 mg) Tablet can interact with anaesthesia and excessively lower the blood pressure. Furthermore, this medicine also affects the working of the heart, which is not suitable for a major surgery. Consult your doctor before undergoing any surgery while you are on this medication. Your doctor may replace this medicine with another suitable medicine as required.

Hyperthyroidism

Abrupt withdrawal of Nebi Am (5/5 mg) Tablet can lead to thyrotoxicosis (an excess of thyroid hormone in the body) and thyroid storm (severe complications of untreated hyperthyroidism). To minimize this risk, your doctor will slowly stop this medicine by reducing the dose over a period of 1 to 2 weeks.

Peripheral vascular diseases

Nebi Am (5/5 mg) Tablet should be used with caution if you have peripheral vascular diseases (blood circulation problems) as it weakens the contractions of your heart and slows down the heart rate which may further depress cardiac output (amount of blood pumped by the heart in a minute) and blood pressure. Your doctor will suggest tests to regularly monitor your heart function while you are on this medication. He may also adjust the dose as necessary.

Hypotension

Nebi Am (5/5 mg) Tablet is not recommended for use if you have hypotension (low blood pressure) as it has the potential to lower your blood pressure even further. Also, if you have any condition that can cause volume depletion (excess loss of salt and fluid from the body due to severe vomiting, diarrhoea, burns, kidney problems) or if you are being treated with high doses of diuretics (medicines that increase the production of urine), avoid taking this tablet as it will worsen your condition further.

Impaired liver function

Nebi Am (5/5 mg) Tablet should be used with caution if you have severe liver damages. This medicine is absorbed in the liver. Using it while your liver is already damaged will lead to the accumulation of this medicine inside your liver. This could increase the risk of hepatotoxicity (toxic liver damage) which could lead to liver failure as well.

Use in children

Nebi Am (5/5 mg) Tablet is not recommended for use in children below 18 years of age since the safety and efficacy of use are not clinically established.

Impaired kidney function

Nebi Am (5/5 mg) Tablet should be used with caution if you have severe kidney problems. This medicine is excreted from your kidneys and using it while you have pre-existing kidney damage will lead to the accumulation of this medicine in your kidneys. This may increase the risk of toxicity and kidney failure. Your doctor will suggest tests to monitor your kidney functions regularly. He will also adjust the dose as necessary.

Missed Dose

If you forget to take the dose of Nebi Am (5/5 mg) Tablet at a given time, then take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Never take more than the dose prescribed by your doctor. If you have intentionally or accidentally consumed more than the prescribed amount of Nebi Am (5/5 mg) Tablet, contact your doctor immediately for further guidance.
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 Nebi Am (5/5 mg) Tablet it may additionally lower your blood pressure. Avoid performing activities that require high mental alertness such as driving vehicles or operating machines if you consume alcohol during treatment with this medicine.
Interaction with Medicine

Carbamazepine

Diltiazem

Fluoxetine

Itraconazole

Prednisolone

Amiodarone

Rifampicin

Aminophylline

Ergotamine

Disease interactions

Diabetes

Nebi Am (5/5 mg) Tablet should be used with caution if you have diabetes as it may mask symptoms of hypoglycaemia (low blood sugar) such as tremors, tachycardia (increased heart rate) and blood pressure changes. Your doctor may advise you to closely monitor your blood sugar levels while you are on treatment with this medicine.

Glaucoma

Glaucoma is a condition where the intraocular pressure (pressure inside your eyeball) is abnormally high. It causes gradual loss of vision and eventual blindness. Nebi Am (5/5 mg) Tablet should be taken with caution if you are taking medicines to treat glaucoma as this medicine may further lower the pressure within your eyes.

Hyperlipidaemia

Nebi Am (5/5 mg) Tablet should be used with caution if you have hyperlipidaemia (high levels of fat in the blood). This medicine is known to alter the cholesterol levels in the blood. Your doctor will suggest tests to regularly check your cholesterol levels. He may also adjust the dose of this medicine as required.

Myasthenia Gravis

Nebi Am (5/5 mg) Tablet should be used with caution if you have Myasthenia gravis (rapidly developing weakness in your muscles) as it may increase muscle weakness along with certain symptoms such as visual disturbances and generalized weakness. Consult your doctor before taking the medicine.

Phaeochromocytoma

Phaeochromocytoma is a tumour in your adrenal glands (a small gland located above the kidney responsible for producing certain hormones). Nebi Am (5/5 mg) Tablet should be used with caution if you have phaeochromocytoma (tumour present on the adrenal gland) since it may suddenly increase the blood pressure. Consult your doctor before taking the medicine.
Food interactions
Consumption of grapefruit juice is not recommended during treatment with Nebi Am (5/5 mg) Tablet as grapefruit juice can increase the absorption of this medicine in your blood. This could lead to excessive lowering of blood pressure or worsen side effects.
Using Nebi Am (5/5 mg) Tablet together with multivitamins containing minerals may decrease the effects of this medicine. Separate the time of intake for Nebi Am (5/5 mg) Tablet and multivitamins by at least 2 hours.
Lab interactions
Information not available.
Nebi Am (5/5 mg) Tablet may be taken orally with or without food. Do not crush, break or chew the tablet. Avoid taking more or less than the dose prescribed by your doctor. You should not stop taking the medicine abruptly without your doctor's consultation as it can cause withdrawal symptoms. Lifestyle modification, eating a balanced diet, and exercising regularly will help you to have better control over your blood pressure. Avoid taking grapefruit juice with Nebi Am (5/5 mg) Tablet as it can increase the risk of side effects. Using Nebi Am (5/5 mg) Tablet together with multivitamins containing minerals may decrease the effects of this medicine. Keep a two-hour gap between the intake of both medicines. Be careful while standing up from a sitting or lying down position as this medicine may sometimes cause a sudden drop in your blood pressure, which can make you dizzy. This medicine causes swelling in your ankles and feet, so try raising your legs when you are sitting. Consult a doctor if this swelling worries you. This medicine may cause dizziness so try to avoid activities that require mental focus like driving and operating machines.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Nebi Am (5/5 mg) Tablet is composed of Amlodipine and Nebivolol. Amlodipine relaxes the heart muscles and the blood vessels. Nebivolol relaxes the blood vessels and reduces the heart rate and workload on your heart. Thus, this combination improves the blood flow and reduces blood pressure.
Legal Status

Approved

Unknown

Unknown

Unknown

Classification

Category

Calcium channel blocking agents, Cardioselective beta blockers, Antihypertensive combinations

Schedule

Schedule H

Dailymed.nlm.nih.gov. 2021. These highlights do not include all the information needed to use AMLODIPINE BESYLATE TABLETS safely and effectively. See full prescribing information for AMLODIPINE BESYLATE TABLETS. AMLODIPINE BESYLATE Tablets for oral administration Initial U.S. Approval: 1992. [online] Available at: < [Accessed 28 July 2021].

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1cec7a02-b7a5-49e1-ab64-3a4dab4149d2>

Medicines.org.uk. 2021. Amlodipine 10 mg tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 28 July 2021].

https://www.medicines.org.uk/emc/medicine/24889>

Drugs, H., 2021. Amlodipine: MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: < [Accessed 28 July 2021].

https://medlineplus.gov/druginfo/meds/a692044.html>

Medicines.org.uk. 2021. Nebivolol 5 mg Tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 28 July 2021].

https://www.medicines.org.uk/emc/product/11317>
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Information on this page was last updated on 12 Nov 2021

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