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Nebivolol+Telmisartan

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Molecule Summary

Uses
high blood pressure
Therapy
Anti-Hypertensive
Side Effects
Headache, Dizziness, Skin sensations like itching, tickling or burning, Weakness, Nausea.
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Molecule Description

Nebivolol+Telmisartan is a combination of two medications, nebivolol and telmisartan, which belong to the antihypertensive drug class. It is prescribed to treat high blood pressure (hypertension) when treatment with a single medication is not sufficient. Nebivolol+Telmisartan works by lowering blood pressure, thereby reducing the risk of heart attack (myocardial infarction) and stroke. During treatment with Nebivolol+Telmisartan, your doctor will closely monitor your kidney function, blood pressure, electrolyte levels, and blood sugar levels to minimise the risk of side effects. It is recommended to take Nebivolol+Telmisartan at the same time each day to maintain consistent levels of the medication in your bloodstream. Continue taking it for as long as your doctor advises. Even if you feel well, do not stop taking this medication on your own, as high blood pressure often has no symptoms. Stopping the medication abruptly may worsen your condition. Some common side effects may include headache, cold extremities, slow heart rate, numbness in the extremities, decreased blood pressure, weakness, and elevated potassium levels in the blood. It is advisable to avoid potassium-rich foods and supplements while taking this medication. Dizziness may occur, so avoid driving and rise slowly from a seated position. Before starting the medication, inform your doctor if you have any liver or kidney issues. Pregnant or breastfeeding women should consult their doctor for advice before taking this medication. Let your doctor know about any other medications you are taking, especially those used to treat high blood pressure or heart conditions.

Uses

Nebivolol+Telmisartan is a blood pressure medication. It is prescribed to treat high blood pressure.

Contraindications

When should one not use Nebivolol+Telmisartan

  • If you are allergic to telmisartan or nebivolol or any ingredients of Nebivolol+Telmisartan.
  • If you are pregnant or may be pregnant, treatment should be discontinued if pregnancy is detected.
  • If you have an obstruction or blockage in your bile duct (a duct that carries bile from the liver to gallbladder).
  • If you have severe liver disease or liver failure.
  • If you have diabetes or kidney impairment and you are been treated with aliskiren (to treat high blood pressure).
  • If you are experiencing heartbeats slower than regular (bradycardia).
  • If you have poor blood circulation.
  • If you are consuming other medicines with ingredients floctafenine (an anti-inflammatory agent) and sultopride (used to treat brain-related disorder) and heart medications.
  • If you are suffering from excessive acid production in the body due to the body's inability to excrete acid/imbalance in the body's acid-base levels (metabolic acidosis).

Side effects

Common side effects of this drug are:

  • Headache
  • Dizziness
  • Skin sensations include itching, tickling, burning
  • Weakness
  • Nausea
  • Stomach pain
  • Diarrhoea
  • Swelling

Precautions and Warnings

Pregnancy

Pregnancy

You should not take Nebivolol+Telmisartan during pregnancy or if you are planning to have a baby. This medicine may cause serious harm to your baby. If you become pregnant while taking this medicine, discontinue the treatment and consult your doctor immediately. Your doctor may switch you to a safer alternative.

Breast Feeding

Breast Feeding

Nebivolol+Telmisartan should not be used by breastfeeding women. It is advised to consult your doctor for an alternative treatment that is safe during breastfeeding.

Driving

Driving

You may experience dizziness or drowsiness that can influence your ability to drive. Hence, be cautious while driving.

Alcohol

Alcohol

It is advised not to consume alcohol during the treatment, as it may lower your blood pressure and may lead to side effects like dizziness or drowsiness.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have kidney disease, have had a kidney transplant, or have liver disease.
  • You are known to have narrowing or blockage of the blood vessels of one or both kidneys.
  • You are having diarrhoea and vomiting, as this can cause dehydration and lead to low blood pressure. Consume plenty of water and fluids.
  • You are suffering from water and salt retention in the body along with an imbalance of various blood minerals (raised aldosterone levels).
  • You have an increased level of potassium in your blood.
  • You are diabetic, have a low blood pressure problem (hypotension) or any heart disorder.
  • You are taking blood pressure-lowering medicines such as ramipril or lisinopril.

Mode of Action

How Does It Work?

Nebivolol+Telmisartan functions by preventing certain substances from having an adverse effect on your heart and blood vessels. It helps your heart beat less forcefully and lowers your heart rate. Furthermore, it dilates blood vessels to facilitate easier blood circulation throughout the body.

Interactions

Interactions with other medicines

  • Medicine used for heart disorders, such as digoxin, may require dose adjustment if it needs to be used concomitantly with Nebivolol+Telmisartan.
  • Some medicines can affect the way Nebivolol+Telmisartan works, or Nebivolol+Telmisartan itself can reduce the effectiveness of other medicines taken at the same time.
  • Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interactions.
  • Especially, if you are taking medicines to treat high blood pressure, heart failure, high/abnormal cholesterol levels, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, pain killers, immunomodulatory medicines or medicines for brain-related disorders.

Interactions with food items

  • It is advised to avoid high potassium-containing foods like spinach, broccoli, and potatoes.

Dosage

Overdose

An overdose of Nebivolol+Telmisartan can cause symptoms like irregular heartbeat, dizziness, low blood pressure, fainting and sometimes even kidney failure. Seek emergency medical help if you have taken too much of this medicine and are experiencing any of the side effects.

Missed a Dose

You should never miss a dose of your blood pressure medicine as it can lead to serious health problems. If you missed any dose, take it as soon as you remember. If it is time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose of medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

No, do not take any supplements containing potassium or potassium salts with this medicine. Telmisartan is known to increase blood potassium levels. Regular routine tests should be performed.

Your doctor decides when to take Nebivolol+Telmisartan and how many times in a day you should take this medicine. This medicine may be taken with or without food, try to take it at the same time for effective blood pressure control.

Nebivolol+Telmisartan is not a diuretic medicine. It is a combination of nebivolol (a beta blocker) and telmisartan (an angiotensin II receptor antagonist). Telmisartan works by inhibiting the action of certain natural substances that tighten the blood vessels, leading to high blood pressure. It allows the blood to flow more smoothly and the heart to pump more efficiently by blocking the action of these chemicals.

Nebivolol+Telmisartan is used for the treatment of high blood pressure.

No, Nebivolol+Telmisartan is not a blood thinner medicine. It is an antihypertensive medicine used to manage high blood pressure.

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