Nebicard Ln 5 Mg Tablet 10

Nebicard Ln 5 Tablet 10

Torrent Pharmaceuticals Ltd.

Strip of 10 Units

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MRP ~~₹193~~

₹158.26

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Composition

Cilnidipine (10 Mg) + Nebivolol (5 Mg)

Nebicard LN 5 Tablet is primarily used to manage essential hypertension in adults when monotherapy doesn't offer adequate control. It is a combination medicine and belongs to the class of antihypertensive medications.

This medicine also works effectively to reduce the peripheral vascular resistance in your body, offering additional antihypertensive effects. Simultaneously, it lowers the heart rate, decreases the contractility of the heart muscles, and dilates blood vessels, contributing to the overall management of high blood pressure.

Before starting this medicine, it's important to consult your doctor for the correct dosage and frequency. Always inform your doctor about any pre-existing conditions or ongoing medication to avoid potential interactions. If you notice any side effects while on this medication, notify your doctor immediately. Remember, for optimal results, it's crucial to continue taking this medicine for the duration prescribed by your doctor.

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Nebicard LN 5 Tablet is recommended for the following health conditions:

Managing essential hypertension in adults

Directions for Use of Nebicard Ln 5 Tablet 10

Here's how you should take Nebicard LN 5 Tablet:

Swallow the tablet whole with a glass of water.
Do not crush or chew the tablet.
Avoid taking more than the recommended dose without consulting your doctor.
It's important not to stop taking this medicine without speaking to your doctor first.

Nebicard LN 5 Tablet is taken orally.

While taking Nebicard LN 5 Tablet, here are some potential side effects you might experience:

Headache
Fatigue
Dizziness
Nausea
Bradycardia: This condition is when your heart rate is slower than usual.
Peripheral Oedema: This refers to swelling in your limbs due to fluid accumulation.
Nasopharyngitis: It's a common cold with symptoms like runny nose and sore throat.
Diarrhoea

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Nebicard LN 5 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are two tips for managing common side effects:

Nausea: Try taking Nebicard LN 5 Tablet with food or milk.
Dizziness: Consider taking this medicine at night if it causes you dizziness during the day.

Nebicard LN 5 Tablet contains two active ingredients working together to effectively manage blood pressure:

Nebivolol (5 mg): This ingredient selectively blocks beta-1 adrenergic receptors in your heart, reducing heart rate and contractility, or the ability to contract. Furthermore, it stimulates the release of nitric oxide from the endothelium, the thin layer of cells that lines the interior surface of blood vessels, causing vasodilation. The combined effect of these actions is a reduction in cardiac output and peripheral vascular resistance, which helps lower blood pressure.
Cilnidipine (10 mg): This component blocks L-type and N-type calcium channels in your vascular smooth muscle cells. By doing so, it causes vasodilation, or widening of the blood vessels, and reduces peripheral vascular resistance. It also inhibits N-type calcium channels, which suppress the release of norepinephrine, a hormone that can raise blood pressure, providing additional antihypertensive effects.

Pregnancy

If you are pregnant, caution is advised while taking Nebicard LN 5 Tablet. It's best to consult your doctor before using this medicine.

Breastfeeding

Nebicard LN 5 Tablet is not recommended during breastfeeding due to the potential for serious adverse reactions in nursing infants. Always check with your doctor first.

Alcohol

While consuming alcohol, it is advisable to take caution when using Nebicard LN 5 Tablet. Alcohol may amplify the blood-pressure-lowering effects of this medication.

Liver

If you have a liver condition, be cautious while taking Nebicard LN 5 Tablet. This medicine should be used with care, particularly in cases of severe liver impairment. Consult your doctor to evaluate if this medicine is suitable.

Kidney

For those with kidney health issues, it is recommended to consult your doctor before using Nebicard LN 5 Tablet. No dose adjustment is normally necessary for mild to moderate impairment, but use with caution in severe impairment.

Using Machines & Driving

Nebicard LN 5 Tablet may cause dizziness or fatigue, affecting your ability to drive or operate machinery. It's best not to undertake these activities until you know how the medication affects you.

Allergy

If you are allergic to nebivolol or cilnidipine or any other excipients in Nebicard LN 5 Tablet, avoid using this medicine. An allergic reaction might include rash, itching or hives on the skin.

Children

The safety and efficacy of Nebicard LN 5 Tablet are not established in children. It's advised always to consult a doctor before giving any medicine to a child.

Older Patients

Older patients should use Nebicard LN 5 Tablet under medical supervision as they may be more susceptible to its side effects. Caution is advised for patients above 70 years of age. Your doctor will guide you based on your health status.

Drug-Drug Interactions

Nebicard LN 5 Tablet interacts with the following medicines:

Antifungals: Medicines like ketoconazole and itraconazole can increase the levels of cilnidipine in your body.
Antidepressants: Medicines such as fluoxetine can result in increased levels of nebivolol.
Digitalis glycosides: Medication like digoxin, when taken alongside Nebicard LN 5 Tablet, could increase the risk of slow heart rate (bradycardia) and heart block.
Calcium channel blockers: Combining Nebicard LN 5 Tablet with medications like verapamil or diltiazem could lead to low blood pressure (hypotension), a slower heart rate, and heart failure.
NSAIDs: Medicines like ibuprofen may decrease the blood pressure-lowering effect of nebivolol.

Drug-Food Interactions

Drug-Disease Interactions

Nebicard LN 5 Tablet interacts with the following diseases:

Severe Bradycardia: Patients with a very slow heart rate should avoid this medicine because nebivolol further slows down the heart rate.
Heart Block: The medicine may worsen conditions where electrical signals in your heart are blocked or delayed.
Cardiogenic Shock: In patients with this condition, where the heart is unable to pump enough blood to meet the body's demands, Nebicard LN 5 Tablet might make the condition worse.
Diabetes: Nebicard LN 5 Tablet may mask common symptoms of low blood sugar, like a fast heartbeat, making it harder for diabetic patients to identify when their sugars drop too low.

Daily Dose

You should take the daily dose of Nebicard LN 5 Tablet as directed by your doctor. The dosage may vary depending on factors like the severity of your condition and how you respond to the medicine. Always follow the prescribed dosage and avoid exceeding it without consulting your doctor.

Over Dose

If you happen to take more than the prescribed dose of Nebicard LN 5 Tablet, you may experience symptoms such as extreme fatigue, severe dizziness, slow heartbeat, or feeling faint. If these symptoms persist, inform your doctor right away.

Missed Dose

In case you miss a dose of Nebicard LN 5 Tablet, just take it as soon as you recall it. However, if it's almost time for your next dose, skip the missed one and continue with your regular dosage schedule. It's important not to increase your dosage without your doctor's advice.

Keep Nebicard LN 5 Tablet in a tightly closed container.
Store at room temperature below 30°C.
Avoid exposure to light and moisture for optimal preservation.
Keep the medicine out of reach of children.
Use before the expiry date mentioned on the product packaging.

Regular physical activity: Exercise can help manage high blood pressure, a condition that Nebicard LN 5 Tablet is used to manage. Aim for moderate-intensity activities like brisk walking, cycling, or swimming for about 30 minutes most days of the week.
Low-salt diet: Consuming less salt can help control hypertension. Try to limit your daily sodium intake to less than 2,300 milligrams. Steer clear of processed foods as they often contain high levels of sodium.

Fact Box

Drug Category	Beta-Blocker, Calcium Channel Blocker
Therapeutic Category	Antihypertensive
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Essential Hypertension

What is Nebicard LN 5 Tablet used for?

Nebicard LN 5 Tablet is used to manage essential high blood pressure in adults when one medicine alone isn't sufficient.

How does this medicine work?

Nebivolol and cilnidipine in Nebicard LN 5 Tablet work together to reduce blood pressure through different methods, leading to widened blood vessels and lower heart rate.

Can I abruptly stop taking Nebicard LN 5 Tablet?

It's advisable not to stop taking this medicine suddenly, especially if you have coronary artery disease. Always consult your doctor before altering medication routines.

Are there any side effects of Nebicard LN 5 Tablet?

Common side effects include headache, fatigue, dizziness, nausea, slow heart rate, swelling in hands or feet, cold symptoms and diarrhoea.

What precautions should I take when using Nebicard LN 5 Tablet?

Inform your doctor if you have diabetes, bronchospastic diseases or peripheral vascular disease. Also, let your anaesthetist know if you are due for surgery.

Are there any known medicinal interactions with Nebicard LN 5 Tablet?

Yes, certain medicines like ketoconazole, itraconazole, quinidine, fluoxetine and NSAIDs can interact with this medicine. Always inform your doctor about all medications you're currently taking.

Can I take Nebicard LN 5 Tablet during pregnancy or while breastfeeding?

Use of this medicine during pregnancy or breastfeeding is only advised if the benefits outweigh the potential risks. Always consult your doctor before use.

Certified Content

Written by

Dr Nikita Lobo

Medical Editor & Reviewer | 7 years

BDS, MDS

Reviewed by

Dr. Chhavi Rosha

Health & Medical Content Writer | 8 years

BMS, FMC, MD Resident

Check out Editorial Policy

Manufacturer details

Torrent House, Off. Ashram Road, Ahmedabad - 380009, Gujarat, India

Country of origin: INDIA

References

CENTAPRES®. (n.d.). CENTAPRES® tablets. https://www.centaurpharma.com/downloads/CENTAPRES.pdf
Cilnidipine: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB09232
Chakraborty, R. N., Langade, D., More, S., Revandlkar, V., & Birla, A. (2021). Efficacy of cilnidipine (L/N-type calcium channel blocker) in treatment of hypertension: A Meta-Analysis of Randomized and Non-randomized Controlled Trials. Curēus. https://doi.org/10.7759/cureus.19822
Nebivolol: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB04861
Priyadarshni, S., & Curry, B. H. (2024, May 6). Nebivolol. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK551582/
Nebivolol: MedlinePlus drug information. (n.d.). https://medlineplus.gov/druginfo/meds/a608029.html

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