Nebicard 5mg Tablet 10'S

Introduction About NEBICARD 5MG TABLET

Nebicard 5mg tablet contains Nebivolol, a medication primarily used to manage high blood pressure (hypertension) and other heart-related conditions. It belongs to a class of drugs known as beta-blockers, which work by relaxing blood vessels and reducing the workload on the heart.

Nebicard 5mg tablet is also used to alleviate symptoms caused by an overactive thyroid gland. It may be prescribed on its own or alongside other medications. The dosage and frequency will depend on the condition being managed and its severity. You can take it either on an empty stomach or with food, but it is important to take it consistently at the same time each day to maximize its effectiveness. It may take several weeks to experience the full benefits of this medicine, and you may need to continue taking it for the rest of your life. It is crucial to keep taking it even if you feel fine, as most people with high blood pressure do not experience symptoms, and stopping the medication could lead to a worsening of your condition. Adopting a healthy lifestyle, including a low-fat diet, regular exercise, and avoiding smoking, can further improve the effectiveness of this medication.

Common side effect of this medication includes headache, dizziness, nausea, fatigue, swelling (edema). These side effects are typically mild and temporary. In some cases, they may lead to shortness of breath or low blood pressure. To minimize the risk of side effects, your doctor will likely begin the management with a low dose and gradually increase it. If the side effects persist or become bothersome, consult your doctor.

Before taking this medication, inform your doctor if you have any liver problems. It may not be appropriate for individuals with a slow heart rate, severe circulation problems, severe heart failure, or low blood pressure. Pregnant or breastfeeding women should consult their doctor before taking it. Be sure to discuss with your doctor whether this medication is suitable for you. Regular blood pressure monitoring is recommended to ensure the medicine is working effectively. It is also advised to avoid alcohol, as it may intensify certain side effects.

Uses Of NEBICARD 5MG TABLET

• High blood pressure (hypertension)
• Other heart-related conditions

Benefits of NEBICARD 5MG TABLET

1. Controls High Blood Pressure: Nebicard effectively lowers blood pressure, helping reduce the risk of strokes and heart attacks.
2. Improves Heart Function: It aids in improving heart function in patients with heart failure, ensuring optimal circulation.
3. Reduces the Risk of Angina: Nebivolol helps to reduce angina attacks by enhancing blood flow to the heart.
4. Low Risk of Side Effects: Nebicard is known for having fewer side effects compared to other beta-blockers.

How NEBICARD 5MG TABLET Works

Nebicard 5mg tablet contains nebivolol, a beta-blocker medication that works by blocking beta-1 receptors in the heart. This action reduces the heart rate, lowers blood pressure, and decreases the heart's workload. By relaxing blood vessels and improving blood flow, nebivolol helps to manage conditions like hypertension (high blood pressure) and heart failure. It also has some vasodilatory properties, meaning it helps widen blood vessels, further aiding in blood pressure reduction.

How to use NEBICARD 5MG TABLET

Follow your doctor's instructions regarding the exact dosage. Do not exceed the recommended daily dosage.

How to Take Nebicard 5mg Tablet?

• Take one tablet daily with or without food.
• Swallow the tablet whole with a glass of water. Do not crush or chew the medication.
• For best results, take the tablet at the same time each day.

Recommended Dosage:

For Hypertension (High Blood Pressure):

• The typical starting dose is 5 mg taken once daily.
• The dose can be adjusted based on individual patient response and needs.
• Dosage may be increased in 2-week intervals up to a maximum of 40 mg per day.

Can I Stop Taking Nebicard 5mg tablet Suddenly?

Do not stop taking Nebicard 5mg tablet suddenly without consulting your doctor. Discontinuing the medication abruptly may cause a sudden increase in blood pressure or other health issues related to your condition.

What if I forgot to take NEBICARD 5MG TABLET

If you miss a dose of Nebicard 5mg tablet, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose, do not double the dose to make up for the missed one.

Side Effects Of NEBICARD 5MG TABLET

Like all medicines, Nebicard 5mg Tablet may cause certain side effects in some individuals, although not everybody gets them.

The most common side effects of taking Nebicard 5mg tablet are:

• Headache
• Dizziness
• Nausea
• Fatigue
• Swelling (edema)

When to consult your doctor?

• Severe allergic reactions (anaphylaxis) symptoms such as swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, severe dizziness, or lightheadedness
• Slow or irregular heart rate (bradycardia or arrhythmia) symptoms such as fainting or dizziness, palpitations, or an irregular heartbeat
• Asthma or chronic obstructive pulmonary disease (COPD) symptoms such as shortness of breath or wheezing
• Severe hypotension (low blood pressure) symptoms such as lightheadedness, dizziness, or fainting
• Severe chest pain or tightness
• Heart problems symptoms such as swelling in the legs, ankles, or feet
• Extreme fatigue or weakness

How To Manage Side Effects

Warning & Precautions

Other Warnings for NEBICARD 5MG TABLET

Before taking Nebicard 5mg tablet, inform your doctor if you:

• have diabetes
• have an overactive thyroid gland
• have planned surgery and require anesthesia
• have lactose intolerance

Who should not take [GBNKEYWORD

Nebicard 5mg tablet is not recommended for use if you:

• have serious circulation problems in arms or legs
• have unmanaged pheochromocytoma (tumor of the adrenal gland)
• have diabetic ketoacidosis

Safety Advice

• Follow your doctor's instructions regarding the exact dosage.
• Do not exceed the recommended daily dosage. 
• Take one tablet daily with or without food.
• Swallow the tablet whole with a glass of water. Do not crush or chew the medication.
• For best results, take the tablet at the same time each day.
• Do not stop taking Nebicard 5mg tablet suddenly without consulting your doctor.
• If you have liver or kidney problems, your doctor might modify the dosage.
• Let your doctor know If you are pregnant or planning to become pregnant or breastfeeding women.
• Before taking Nebicard 5mg tablet, inform your doctor if you have asthma, chronic obstructive pulmonary disease (COPD), diabetes, or a history of heart block.
• Limit alcohol consumption, as it can amplify the blood pressure-lowering effect and raise the risk of side effects such as dizziness.
• Nebicard 5mg tablet could interact with other medications, such as specific anti-arrhythmic drugs, insulin, or other blood pressure medications. Always make sure to inform your doctor about all the medications you are taking, including over-the-counter drugs and herbal supplements.

Diet and Lifestyle Advice

01.What are some natural strategies for managing hypertension, such as through diet, exercise, and stress reduction, while taking Nebicard?

Management Strategy	Details	Benefits
Dietary Modifications	- Adopt a heart-healthy diet like the DASH (Dietary Approaches to Stop Hypertension) diet. - Focus on fruits, vegetables, whole grains, lean proteins, and low-fat dairy. - Reduce sodium intake to under 2,300 mg/day (preferably 1,500 mg/day). - Increase potassium-rich foods (e.g., bananas, spinach).	- Helps lower blood pressure by improving nutrition. - Reduces sodium, which is crucial for hypertension control.
Regular Exercise	- Aim for at least 30 minutes of moderate exercise (e.g., brisk walking, cycling, swimming) most days of the week.	- Promotes better heart health. - Reduces overall blood pressure. - Enhances circulation and reduces stress.
Stress Management	- Practice relaxation techniques like deep breathing, meditation, yoga, or mindfulness. - Manage work-life balance and engage in hobbies.	- Reduces the hormone cortisol, which can elevate blood pressure. - Enhances overall mental well-being.
Maintain a Healthy Weight	- Lose excess weight gradually by combining a healthy diet with physical activity. - Maintain a healthy BMI (18.5–24.9).	- Helps lower blood pressure and improves cardiovascular health.
Limit Alcohol Consumption	- Limit alcohol to no more than one drink per day for women and two for men.	- Reduces the risk of elevated blood pressure.
Quit Smoking	- Seek support or use cessation aids to stop smoking.	- Smoking can raise blood pressure and damage blood vessels. - Quitting improves heart health.
Adequate Sleep	- Aim for 7-9 hours of quality sleep per night. - Practice good sleep hygiene (e.g., consistent bedtime, limiting screen time).	- Poor sleep can lead to higher blood pressure. - Restorative sleep supports overall heart health.
Monitor Blood Pressure Regularly	- Keep track of your blood pressure with a home monitor. - Regular check-ups with your doctor for necessary adjustments.	- Helps gauge the effectiveness of treatment and lifestyle changes.
Stay Hydrated	- Drink plenty of water throughout the day. - Limit caffeinated beverages.	- Dehydration can cause a rise in blood pressure. - Proper hydration supports circulatory health.

 

02. What are some heart-healthy eating habits and effective exercises for individuals with hypertension to improve their overall health?

Category	Heart-Healthy Eating Tips	Best Exercises for Hypertension
1. Diet Focus	Focus on a plant-based, high-fiber diet, rich in fruits, vegetables, whole grains, and legumes.	Low-impact aerobic exercises that help lower blood pressure.
2. Healthy Fats	Include healthy fats like omega-3 fatty acids (e.g., from fish like salmon, walnuts).	Walking, swimming, and cycling (steady and moderate pace).
3. Sodium Intake	Reduce sodium intake (aim for less than 2,300 mg per day, ideally 1,500 mg).	Yoga and Tai Chi (both promote relaxation and reduce stress).
4. Potassium-Rich Foods	Increase potassium intake (e.g., bananas, oranges, sweet potatoes, spinach).	Strength training with light weights (2-3 times per week).
5. Limit Processed Foods	Avoid processed foods high in sodium, sugar, and unhealthy fats.	Walking at a brisk pace for 30 minutes, 5 days a week.
6. Hydration	Drink plenty of water and avoid sugary drinks.	Low-resistance activities like cycling and elliptical training.
7. Portion Control	Focus on portion control to maintain a healthy weight.	Dance or aerobics (moderate intensity).
8. Alcohol Consumption	Limit alcohol intake to no more than one drink per day for women and two for men.	Stretching exercises to enhance flexibility and circulation.
9. Omega-3 Fatty Acids	Consume more omega-3 rich foods (e.g., chia seeds, flaxseeds).	Low-intensity exercises such as walking or water aerobics.
10. Fiber	Aim for at least 25-30 grams of fiber per day from whole grains, legumes, and vegetables.	Deep breathing exercises or meditation to reduce stress.

Drug - Drug interaction

Inform your physician if you are taking any of the following medicine before taking Nebicard 5mg tablet:

1. Other Antihypertensive Drugs

• Interaction: Combining Nebivolol with other antihypertensive agents (e.g., ACE inhibitors, calcium channel blockers, diuretics) can lead to an additive effect, potentially causing hypotension (low blood pressure).
• Effect: Increased risk of dizziness, fainting, or lightheadedness due to a significant drop in blood pressure.
• Management: Close monitoring of blood pressure is essential. If necessary, adjust the dosages of the medications or avoid combining them.

2. Calcium Channel Blockers (e.g., Verapamil, Diltiazem)

• Interaction: Nebivolol combined with non-dihydropyridine calcium channel blockers can enhance the negative inotropic (decreasing heart contractility) and bradycardic (slowing the heart rate) effects.
• Effect: Risk of heart block, bradycardia, and worsened heart failure symptoms.
• Management: Use with caution and monitor heart rate and blood pressure. Adjustments to the dosage of either drug may be required, or alternative medications might be preferred.

3. Antiarrhythmic Drugs (e.g., Amiodarone, Digoxin)

• Interaction: Nebivolol, when combined with antiarrhythmic drugs, may exacerbate the negative effects on heart rate and conduction, leading to a higher risk of bradycardia or heart block.
• Effect: Increased risk of severe bradycardia or arrhythmias.
• Management: Close monitoring of the heart rate and ECG is advised. Adjustments to the medication regimen may be required, especially for those with pre-existing heart conditions.

4. CYP2D6 Inhibitors (e.g., Fluoxetine, Paroxetine)

• Interaction: Nebivolol is metabolized by the liver enzyme CYP2D6. Drugs that inhibit CYP2D6 (such as selective serotonin reuptake inhibitors) can increase the plasma concentration of Nebivolol, leading to enhanced effects.
• Effect: Increased risk of bradycardia, hypotension, and other beta-blocker side effects.
• Management: If co-administration is necessary, reduce the dose of Nebivolol, and monitor heart rate and blood pressure closely.

5. NSAIDs (e.g., Ibuprofen, Naproxen)

• Interaction: Nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effects of Nebivolol by causing fluid retention or vasoconstriction.
• Effect: Reduced effectiveness of Nebivolol in controlling blood pressure.
• Management: Regular blood pressure monitoring is important. Consider using an alternative pain reliever if possible, or adjust the antihypertensive regimen.

6. Insulin and Oral Antidiabetic Medications

• Interaction: Beta-blockers like Nebivolol can mask the symptoms of hypoglycemia (low blood sugar), such as tachycardia, which is a key warning sign. This is especially concerning for patients on insulin or oral antidiabetic drugs.
• Effect: Risk of unrecognized hypoglycemia, potentially leading to severe low blood sugar episodes.
• Management: Close monitoring of blood glucose levels, and educate patients on the signs of hypoglycemia that are not masked by beta-blockers, such as sweating or dizziness.

7. Clonidine

• Interaction: When Nebivolol is used together with clonidine (an alpha-2 adrenergic agonist), abrupt withdrawal of clonidine can lead to a sudden increase in blood pressure, which may be potentiated by Nebivolol.
• Effect: Risk of rebound hypertension and hypertensive crisis.
• Management: If clonidine and Nebivolol are used together, taper clonidine gradually under medical supervision to avoid rebound hypertension.

8. Rifampicin

• Interaction: Rifampicin, a potent antibiotic, can induce the activity of liver enzymes, including CYP2D6, which may lead to decreased plasma levels of Nebivolol.
• Effect: Reduced effectiveness of Nebivolol.
• Management: Increased monitoring of blood pressure and heart rate. Adjustments to the dose of Nebivolol may be necessary.

9. Ergot Alkaloids

• Interaction: Ergot alkaloids (e.g., ergotamine) may have additive vasoconstrictor effects when used with beta-blockers.
• Effect: Risk of severe hypertension or reduced peripheral circulation.
• Management: Caution is advised when combining these medications. Close monitoring of blood pressure and peripheral circulation is necessary.

Synopsis

Drug	:	Nebivolol
Pharmacological Category	:	Selective Beta-blockers
Therapeutic Indication	:	Hypertension, Other heart-related conditions
Dosage Forms	:	Tablet

More Information

01. Product Comparison

a) Nebicard Vs Tenormin

Feature	Nebicard (Nebivolol)	Tenormin (Atenolol)
Drug Class	Beta-blocker (Beta-1 selective, with nitric oxide-dependent vasodilation)	Beta-blocker (Beta-1 selective)
Primary Indication	Hypertension, Heart Failure, Chronic stable angina	Hypertension, Angina, Post-myocardial infarction
Mechanism of Action	Blocks beta-1 receptors and promotes nitric oxide-mediated vasodilation	Blocks beta-1 receptors, reducing heart rate and cardiac output
Effect on Heart Failure	Positive inotropic effect (improves heart function)	Can be used for heart failure, but not as beneficial as Nebivolol in terms of vasodilation
Vasodilation	Yes, due to nitric oxide release	No, lacks vasodilation properties
Half-life	10-12 hours	6-9 hours
Excretion	Mainly renal and hepatic metabolism	Primarily renal
Side Effects	Bradycardia, headache, dizziness, fatigue, potential for reduced sexual function	Bradycardia, dizziness, fatigue, cold extremities, sexual dysfunction
Use in Elderly	Considered safer, especially for hypertension and heart failure in elderly	Caution advised in elderly due to kidney function and other conditions
Metabolism	Hepatic (CYP2D6)	Hepatic (CYP2D6), but largely excreted unchanged in urine
Dosage Form	Oral tablets	Oral tablets
Starting Dose (Hypertension)	5 mg once daily	25-50 mg once daily
Maximum Dose (Hypertension)	40 mg once daily	100 mg once daily
Pregnancy Category	Category C (not recommended)	Category D (contraindicated in pregnancy)
Approved for Chronic Heart Failure	Yes, particularly in systolic heart failure	Not typically used for heart failure (but sometimes prescribed in specific cases)
Effect on Exercise Tolerance	May improve exercise tolerance in heart failure	May decrease exercise tolerance

 

b) Nebicard Vs Lopressor

 

Feature	Nebicard (Nebivolol)	Lopressor (Metoprolol)
Drug Class	Beta-blocker (selective β1 antagonist)	Beta-blocker (selective β1 antagonist)
Primary Indications	Hypertension, heart failure, post-MI treatment	Hypertension, heart failure, angina, post-MI
Mechanism of Action	Blocks β1 receptors in the heart; also causes vasodilation via nitric oxide release	Blocks β1 receptors in the heart
Effect on Blood Pressure	Reduces heart rate and causes vasodilation, leading to reduced blood pressure	Reduces heart rate, thereby reducing blood pressure
Effect on Heart Failure	Improves left ventricular function and reduces mortality in heart failure patients	Reduces heart rate and mortality in heart failure patients
Half-life	10-12 hours	3-7 hours
Dosage Forms	Oral tablets	Oral tablets, IV injection
Dosing Frequency	Once daily	Once or twice daily
Common Side Effects	Fatigue, dizziness, headache, bradycardia, low blood pressure	Fatigue, dizziness, bradycardia, hypotension
Metabolism	Hepatically metabolized (CYP2D6)	Hepatically metabolized (CYP2D6)
Excretion	Renal and fecal excretion	Renal excretion
Preferred in Certain Conditions	May be preferred in patients with asthma due to less bronchoconstriction	Typically avoided in patients with asthma due to bronchoconstriction potential
Impact on Lipids	May have a more favorable effect on lipid profiles compared to other beta-blockers	May increase triglycerides and decrease HDL cholesterol
Use in Elderly	Safe for elderly with adjusted dosing	Safe for elderly, monitor for bradycardia
Special Considerations	Caution in severe liver impairment	Caution in severe liver impairment and renal dysfunction

 

02. What are some alternative options for individuals who are unable to tolerate Nebicard?

Alternative Medication	Class	Indication	Key Differences/Notes
Atenolol	Beta-blocker (Selective)	Hypertension, Angina	A more commonly used beta-blocker; generally, well tolerated.
Metoprolol	Beta-blocker (Selective)	Hypertension, Angina, Heart failure	Can be used for various heart conditions; also comes in extended-release form.
Bisoprolol	Beta-blocker (Selective)	Hypertension, Heart failure	Another selective beta-blocker; often used in heart failure management.
Carvedilol	Beta-blocker (Non-selective + Alpha-blocker)	Heart failure, Hypertension	Non-selective, meaning it affects both beta and alpha receptors.
Propranolol	Beta-blocker (Non-selective)	Hypertension, Anxiety, Migraine prevention	Non-selective; often used for anxiety and migraine prevention.
Labetalol	Beta-blocker (Non-selective + Alpha-blocker)	Hypertension, Pregnancy-induced hypertension	Non-selective beta-blocker with alpha-blocking effects.
Esmolol	Beta-blocker (Selective)	Acute hypertension, Arrhythmias	Short-acting, often used in acute settings or as a IV infusion.
Inderal	Beta-blocker (non-selective)	Hypertension, Migraines, Anxiety, Arrhythmias	Non-selective, similar to propranolol, used for a variety of conditions.
Sotalol	Beta-blocker (non-selective)	Arrhythmias, Hypertension	Used primarily for arrhythmias, has additional antiarrhythmic properties.

FAQs About NEBICARD 5MG TABLET

Q: What is Nebicard 5mg Tablet?

A: Nebicard 5mg Tablet contains the active ingredient Nebivolol, which is a medication used to manage high blood pressure and other heart conditions. It belongs to a class of drugs known as beta-blockers.

Q: How long does it take for Nebicard 5mg Tablet to show effects?

A: Nebicard usually starts to show its effects within a few hours of taking it, but it may take several days to weeks to notice the full benefit.

Q: Can Nebicard 5mg Tablet be taken with other medications?

A: Nebicard can be taken with other medications, but it is important to inform your doctor about all other medicines you are taking to avoid interactions.

Q: How does Nebicard 5mg Tablet work?

A: Nebicard works by blocking certain receptors in the heart, which helps lower blood pressure, reduce heart rate, and improve heart function, particularly in people with heart failure.

Q: How should Nebicard 5mg Tablet be stored?

A: Store Nebicard at room temperature, away from moisture, heat, and direct sunlight. Keep it out of reach of children.

Q: Can I stop taking Nebicard suddenly?

A: No, you should not stop taking Nebicard suddenly. Stopping abruptly may worsen your condition. Consult your doctor before making any changes to your dosage.

Q: What should I do if I miss a dose of Nebicard 5mg Tablet?

A: If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose. Do not take two doses at once.

Q: What are the side effects of Nebicard 5mg Tablet?

A: Common side effects may include headache, dizziness, tiredness, or nausea. Serious side effects can include low heart rate, shortness of breath, or swelling of the legs. If you experience severe side effects, seek medical attention immediately.

Q: Does Nebicard 5mg Tablet interact with alcohol?

A: Alcohol can increase the side effects of Nebicard, such as dizziness or lightheadedness. It is advisable to avoid or limit alcohol intake while on this medication.

Q: Can Nebicard 5mg Tablet be taken with ibuprofen?

A: There are no significant interactions between Nebicard and ibuprofen, but always check with your doctor before combining medications.

Q: Is Nebicard safe for people with kidney problems?

A: People with kidney problems should use Nebicard cautiously. It is important to discuss your medical history with your doctor before starting this medication.

Q: Can Nebicard be taken with food?

A: Yes, Nebicard can be taken with or without food. However, it is best to take it at the same time each day for consistency.

Q: Can Nebicard 5mg cause dizziness or tiredness?

A: Yes, dizziness and tiredness are common side effects, especially when starting the medication or adjusting the dose.

Q: Are there any severe or life-threatening side effects?

A: Severe side effects can include a slow heart rate, severe dizziness, fainting, shortness of breath, or swelling of the ankles/legs. Seek immediate medical attention if you experience any of these symptoms.

Q: What should I do if I experience side effects?

A: If you experience mild side effects, inform your doctor. If you experience severe side effects, seek emergency medical attention.

Q: Can I take Nebicard with my other heart medication?

A: Nebicard may be used with other heart medications, but it is important to discuss this with your doctor to avoid interactions and ensure safety.

Q: Does Nebicard 5mg effectively manage high blood pressure or heart failure?

A: Yes, Nebicard is effective in managing both high blood pressure and heart failure, but it may take time to see full effects.

Q: Is Nebicard 5mg suitable for long-term use?

A: Yes, Nebicard is often used for long-term management of high blood pressure and heart failure, but your doctor will monitor your progress.

Q: Can I eat certain foods while taking Nebicard 5mg?

A: There are no specific food restrictions with Nebicard. However, maintaining a healthy diet can support your overall heart health.

Q: Where to buy Nebicard 5mg tablet online?

A: You can buy Nebicard 5mg tablet online at Netmeds. Just visit their website and search for the product, and you will find options to purchase it directly from there.

References

1. KD. Tripathi. Antiadrenergic Drugs and Drugs for Glaucoma. Essentials of medical pharmacology. Seventh edition. 2013. Page – 149.

2. Shivani Priyadarshni, Bryan H. Curry. Nebivolol. NIH. National Library of Medicine, National Center for Biotechnology Information. Nov 2021. [Accessed on 20th March 2025] 

3. Glenmark Pharmaceuticals Europe Limited. Electronic Medicines Compendium (EMC). [Revised in July 2019] [Accessed on 20th March 2025]

4. Glenmark Pharmaceuticals Europe Limited. Electronic Medicines Compendium (EMC). [Revised in Dec 2018] [Accessed on 20th March 2025] 

Useful Diagnostic Tests

• ECG at Home
• ECG + BP Check at Home
• Full Body Checkup with ECG & BP at Home
• Comprehensive Cardiac Risk Screening with 12 Lead ECG and BP

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