oshudhkosh

Nebipro 5

OTC
Generic:
Nebivolol
Dosage form:
Tablet
Pack size:
Strip (10 Tablet)

৳ 10/unit

Pack: ৳ 100

At a glance

Nebivolol — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Nebivolol belongs to a group of medicines called beta-blockers. It is used to treat high blood pressure (hypertension), and heart failure. It also helps to prevent future heart attacks and stroke and to prevent migraine. Nebivolol is also used to relieve the symptoms caused by an overactive thyroid gland. It may be prescribed alone or together with other medications. The dose and frequency depend on what you are taking it for and the severity of your condition. It may be taken empty stomach or with a meal, but take it regularly at the same time each day to get the most benefit. It may take several weeks before you get the full benefit of this medicine and you may need to take it for the rest of your life. However, it is important to continue taking it even if you feel well. Most people with high blood pressure do not feel ill and if you stop taking it, your condition may worsen. The main side effects of this medicine are fatigue, headache, slow heart rate, feeling dizzy, and nausea. These are usually mild and short-lived. It may also cause shortness of breath or low blood pressure in some people. To reduce the risk of side effects your doctor will probably start the medicine at a low dose and gradually increase it. Consult your doctor if the side effects bother you or do not go away. Before taking it, let your doctor know if you have any liver problems. It may also not be suitable for people who have a slow heart rate, severe circulation problems, severe heart failure, or low blood pressure. Pregnant or breastfeeding mothers should also consult their doctor before taking it. You must talk to your doctor to find out whether this medicine is suitable for you to use. You should have your blood pressure checked regularly to make sure that this medicine is working properly. Avoid drinking alcohol as it may increase certain side effects. Lifestyle changes like low fat diet, exercise and no smoking helps to enhance the working of medicine. Nebivolol is a beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body.

Indications

• Hypertension (high blood pressure)

Mechanism of action

Nebivolol exhibits high selectivity for beta1-adrenergic receptors and has vasodilating activity due to a direct action on the endothelium, involving nitric oxide release. It lacks intrinsic sympathomimetic and membrane-stabilising activity.

Dosage

Adult Dose: Oral Hypertension Adult: Initially, 5 mg once daily. May increase dose at intervals of 2 wk if needed. Max: 40 mg once daily. Elderly: >65 yr Initially, 2.5 mg once daily increased to 5 mg once daily if required. Oral Heart failure Adult: Initially, 1.25 mg once daily. May double dose every 1-2 wk if tolerated. Max: 10 mg once daily. Hepatic impairment 2.5 mg/day PO initially; increased cautiously Renal Dose: Renal impairment: CrCl <30 mL/min: Initially, 2.5 mg once daily. Maintenance: Increased to 5 mg once daily if required.

Administration

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. Nebivolol may be taken with or without food, but it is better to take it at a fixed time.

Side effects

Common: • Nausea • Headache • Fatigue • Constipation • Diarrhea • Dizziness • Cold extremities

Precautions & warnings

[UNSAFE] Nebivolol may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Nebivolol lowers your blood pressure and makes it easier for your heart to pump blood around your body. Lowering high blood pressure helps prevent stroke and heart attack. 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 are diabetic. Monitor your blood sugar levels regularly. Do not stop taking Nebivolol suddenly as it can cause your blood pressure to rise suddenly, thereby increasing the risk of heart attack and stroke.

Contraindications

Hepatic impairment, sick sinus syndrome, 2nd and 3rd degree heart block (without a pacemaker), history of asthma, metabolic acidosis, severe peripheral arterial disease, severe bradycardia, cardiogenic shock or decompensated heart failure, untreated phaeochromocytoma. Pregnancy and lactation.

Drug interactions

Increased plasma concentrations w/ potent CYP2D6 inhibitors (e.g. paroxetine, fluoxetine, propafenone, thioridazine, quinidine). Concomitant use w/ antiarrhythmic drugs (e.g. amiodarone, disopyramide) or nondihydropyridine Ca channel blockers (e.g. diltiazem, verapamil) may cause conduction disturbance. Additive negative effects on AV conduction and heart rate w/ other beta-adrenergic blocking agents or digoxin. Concurrent admin w/ catecholamine-depleting agents (e.g. reserpine) may result in additive hypotension or bradycardia. Abrupt withdrawal of clonidine may increase risk of rebound HTN.

Food interactions

[CAUTION] Caution is advised when consuming alcohol with Nebivolol. Please consult your doctor.

Use in pregnancy

[CONSULT YOUR DOCTOR] Nebivolol 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.

Use in lactation

[CONSULT YOUR DOCTOR] Nebivolol is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Renal / hepatic impairment

[CAUTION] Nebivolol should be used with caution in patients with severe kidney disease. Dose adjustment of Nebivolol may be needed. Please consult your doctor. [CAUTION] Nebivolol should be used with caution in patients with liver disease. Dose adjustment of Nebivolol may be needed. Please consult your doctor. Use of Nebivolol is not recommended in patients with severe liver disease.

Common questions

My heart rate is 116 per minute and my ecg shows sinus tachycardia. Is it dangerous ? How to reduce heart rate without medication. I am under medication for hypertension and diabetes since 5 yrs. I am taking telma 40 mg for diabetes and amaryl m 1 mg morning for diabetes. My hb a1c is 6.3. My hb count is 16.4. High hb count and high heart rate is dangerous ? Please advise. Add nebicard 2.5mg daily twice My father is a patient of high blood pressure. He has been taken NEBICARD 5 medicine from three year. He is also a patient of skin disease psoriasis. Nebicard is a group of medicine called beta blocker. My question is that beta blocker group is harmfull for psoriasis or not. Should i change the medicine nebicard 5. Yes beta blockers can exacerbate psoriasis Better to change the medicine if possible Erection problem.BP tablet nebicard 2.5mg and Roseday 10mg taking daily Erectile dysfunction is the condition in which a man is unable to maintain an erection of the penis that is sufficient for sexual intercourse. A person may be able to get an erection while masturbating but fails to get an erection when he is with the sexual partner. There are many reasons for this condition. It includes narrowing of the blood vessels to the penis, changes in hormones, anxiety, depression, relationship problem or any injury. Tips for controlling ED: Dried dates offer good strength to the body and have the ability to increase sexual drive in humans. Mix a handful of dried date, pistachio nuts, almonds and quince seeds in equal proportions and then pound them into fine powder. Mix this powder in a glass of milk and consume it daily to see effective results. I am a patient of hypertension Hypertension is clinal condition of high blood pressure. Please see a physician. Some times I had lot of hypertension Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly. High blood pressure, breathing issues Do yoga and pranayam regularly, take halleezy tablet 2 tablet twice Hypertension blood pressure pro Bp any medicine u taking Age 34, Height 174 cm, Weight 90 kg high day concentration in abdomen & good with double chin for last 15 years Taking Exam 5, Nebicard 5 & Aztor 10 daily Uric Acid level remains high suggest how can I get rid from all these in natural ways If uric acid levels are also high you would need a Prescription medicine for that also. You need to reduce your weight. Other medications need to be continued under a Doctor&#x27;s follow upGuidelines to loose weight1. Decrease calorie intake by 500- 1000 kcal/day to a level of 800-1800 kcal/day. 2. Take 500 ml of water before each meal 3. 30 - 60 minute of continuous aerobic exercise 5-7 times per week 4. Shorter bouts of exercise of around 10 minutes are associated with better adherence and more weight loss than are longer bouts of exercise 5. 7 - 8 hours of sleep per day. 9 hours of sleep is associated with increased total body weight. Considering the above information it is advised that you enrol yourself in weight loss programme under supervision of a Doctor

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.