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Overview

Nebula 5 MG Tablet

Manufacturer :  Zydus Cadila
Medicine Composition :  Nebivolol
Prescription vs OTC : Prescription by Doctor required

About Nebula 5 MG Tablet

Nebula 5 MG Tablet acts as a beta blocker, thus effectively controlling high blood pressure levels in the body. The drug lowers hypertension and thus preventing heart attacks or strokes and the onset of kidney problems. The drug is known to slow down the action of a few naturally occurring body chemicals, like epinephrine, on organs like the heart and the blood vessels of the body.

The action of the drug effectively helps lower heart strain and blood pressure as well. Nebula 5 MG Tablet is meant to be consumed orally and may be taken before or after a meal. The dosage should be taken precisely as mentioned on the prescription. Your doctor may initially prescribe a low dose, increasing it gradually as per the drug’s effect on your body.

When it comes to the consumption of Nebula 5 MG Tablet there are a couple of precautions that’s should be adhered to. For instance-

  • Inform the doctor about any allergies you have,
  • Give your doctor detailed information about the current medicines or supplements you are taking. This is primarily because some medicines may hinder the effect of Nebula 5 MG Tablet resulting in complications. Such medicines include: amiodarone, sotalol, calcium channel blockers, insulin, digoxin etc.
  • The doctor should be informed about any medical issues that you already have. This may include- diabetes, thyroid, kidney or liver disease, or blood circulation issues.
  • Inform the doctor if you are pregnant or breast feeding as consumption of Nebula 5 MG Tablet may otherwise harm the child.

Some common side effects of Nebula 5 MG Tablet include fatigue, weakness, headache, nausea, pain in the stomach and problems with sleep. In case these symptoms become very severe contact your doctor. It is to be noted that while the drug controls hypertension it does not cure the condition. Thus, blood pressure should be regularly checked.

Do not take Nebula 5 MG Tablet if you:

  • Have heart failure and are in the ICU or need medicines to keep up your blood circulation,
  • Have a slow heartbeat or your heart skips beats (irregular heartbeat),
  • Have severe liver damage,
  • Are allergic to any ingredient in nebivolol tablets. The active ingredient is nebivolol. See the end of this leaflet for a list of ingredients.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    What are the uses of Nebula 5 MG Tablet

    • Hypertension

      Nebula 5 MG Tablet is used for lowering high blood pressure in patients suffering from hypertension.

    • Heart Failure

      Nebula 5 MG Tablet is also used to relieve the symptoms of heart failure by improving the blood flow to the heart.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    What are the contraindications of Nebula 5 MG Tablet ?

    • Allergy

      Nebula 5 MG Tablet is not recommended for people who have a known history of allergy to this medication or any other medicines belonging to the group Beta Blockers. (Eg: Atenolol, Labetalol etc).

    • Liver Disease

      Nebula 5 MG Tablet is not recommended for people having a severe liver impairment.

    • Circulatory Disorders

      Nebula 5 MG Tablet is not recommended for people suffering from blood circulation disorders or cardiogenic shock.

    • Heart Failure

      Nebula 5 MG Tablet is not recommended for use in people suffering from severe heart failure or people receiving emergency attention.

    • Heart Diseases

      Nebula 5 MG Tablet is not recommended for people who have serious heart problems like heart block and Sick Sinus Syndrome, especially if no pacemaker has been implanted to correct the defect.

    • Bronchial Asthma

      Nebula 5 MG Tablet is not recommended for use in people having a history of bronchial asthma and bronchospasm or any other condition in which the airway is obstructed.

    • Heart Rhythm Disorders

      Nebula 5 MG Tablet is not recommended for use in people having heart rhythm disorders like Bradycardia.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    What are the side effects of Nebula 5 MG Tablet ?

    • Headache

    • Dizziness

    • Unusual Tiredness And Weakness

    • Diarrhoea

    • Increase In Body Fat And Cholesterol

    • Sleeplessness

    • Swelling Of Face, Lips, Eyelids, Tongue, Hands And Feet

    • Chest Pain

    • Decreased Blood Pressure

    • Difficulty In Breathing

    • Weight Gain

    • Burning, Numbness, Tingling In The Arms And Feet

    • Allergic Skin Reaction

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    Key highlights of Nebula 5 MG Tablet

    • How long is the duration of effect?

      The effect of this medicine lasts for an average duration of 10-12 hours.

    • What is the onset of action?

      The effect of this medicine can be observed within 1-2 hours of administration.

    • Are there any pregnancy warnings?

      This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.

    • Is it habit forming?

      No habit forming tendencies were reported.

    • Are there any breast-feeding warnings?

      This medicine is not recommended for use by breastfeeding women unless absolutely necessary. The infant should be monitored for adverse effects like changes in pulse rate, respiratory changes, and low blood sugar levels. Consult your doctor before taking this medicine.

    • Does this affect kidney function?

      In patients with severe renal impairment (ClCr less than 30 mL/min) the recommended initial dose is 2.5 mg once daily; titrate up slowly if needed. Nebula 5 MG Tablet have not been studied in patients receiving dialysis

    • Does this affect liver function?

      In patients with moderate hepatic impairment, the recommended initial dose is 2.5 mg once daily; titrate up slowly if needed. Nebula 5 MG Tablet have not been studied in patients with severe hepatic impairment and therefore it is not recommended in that population

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    What are the substitutes for Nebula 5 MG Tablet ?

    Below is the list of medicines, which have the same composition, strength and form as Nebula 5 MG Tablet , and hence can be used as its substitute.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    What are the dosage instructions?

    • Missed Dose instructions

      Take the missed dose as soon as you remember. However, the missed dose can be skipped if it is almost time for the next scheduled dose.

    • Are there any overdose instructions?

      An overdose of this medication can cause some serious effects on the heart, blood vessels, and nerve conduction. Report the incidence as soon as possible so that medical intervention can begin. Supportive measures like Gastric lavage and symptomatic treatment might be required based on severity.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    Where is the Nebula 5 MG Tablet approved?

    • India

    • United States

    • Japan

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

    How does this medication work?

    Nebula 5 MG Tablet specifically blocks beta receptors sites in the heart, blood vessels, and lungs. This results in inhibition of epinephrine which relaxes blood vessels, lowering the pressure and improving blood flow to the heart.

      Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

      What are the interactions of Nebula 5 MG Tablet ?

      Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

        test
      • Interaction with Alcohol

        Ethanol

        Use of alcohol should be avoided while taking Nebula 5 MG Tablet especially when you start taking the medicine or change the dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.
      • Interaction with Lab Test

        Lab

        Information not available.
      • Interaction with Medicine

        Amlodipine

        Report the usage of either of these medicines to the doctor. Dose adjustment and safety monitoring may be required in such cases. Symptoms like headache, fainting, decrease in pulse or heart rate should be reported to the doctor.

        Diltiazem

        Report the use of either of these medicines to the doctor. Dose adjustment and safety monitoring may be required in such cases. Symptoms like fatigue, headache, fainting, an increase in weight, chest pain should be reported to the doctor.

        Fluoxetine

        Report the use of either of these medicines to the doctor. A dose adjustment and safety monitoring may be required in such cases. Symptoms like cold and numb hands and feet, blue color fingernails, muscle pain, and weakness, severe headache etc. should be reported to the doctor.

        Amiodarone

        Report the use of either of the medication to the doctor. A dose adjustment and clinical safety monitoring may be needed while taking these medicines together. Symptoms like headache, dizziness, shortness of breath, fainting etc should be reported to the doctor on priority.

        Aminophylline

        Report the usage of either of these medicines to the doctor. Dose adjustments and safety monitoring may be required in such cases. Contact your doctor if you experience nausea, vomiting, lack of sleep, and uneven heartbeat. Do not discontinue the usage of any medicine without consulting your doctor.

        Ergotamine

        Report the use of either of these medicines to the doctor. A dose adjustment and safety monitoring may be required in such cases. Symptoms like cold and numb hands and feet, muscle pain and weakness, severe headache etc. should be reported to the doctor.
      • Interaction with Disease

        Asthma

        Nebula 5 MG Tablet should not be used in patients suffering from bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the incidence of Asthma to your doctor so that Nebula 5 MG Tablet can be substituted with another medication.

        Heart Block

        Nebula 5 MG Tablet should not be used in patients having a heart block greater than first degree. However, it can be used in this case if a pacemaker is present to correct the disorder.

        Diabetes

        Nebula 5 MG Tablet should be administered with caution in patients suffering from diabetes or a condition where blood sugar level is likely to get low. You should consult a doctor if any symptom indicating a lowered blood sugar level is suspected while using this medicine.

        Liver Disease

        Nebula 5 MG Tablet should be administered with caution in patients having a liver disease. Suitable dose adjustment and safety monitoring are advised in cases where the impairment is severe.

        Glaucoma

        Nebula 5 MG Tablet should be administered with caution in a patient suffering from Glaucoma. A change in the dose of current Glaucoma medicine may be required. In some cases, your doctor may advise the use of another medicine in place of a beta blocker.

        High Cholesterol And Fat

        Nebula 5 MG Tablet should be administered with caution in a patients having high levels of cholesterol and fat in their body. Suitable dose adjustment and safety monitoring may be required in such cases.

        Hyperthyroidism

        Nebula 5 MG Tablet should be used with caution in patients having high thyroid hormone levels. Special caution should be taken while withdrawing this medicine. The dosing and effects of the medicine should be closely monitored.

        Myasthenia Gravis

        Nebula 5 MG Tablet should be used with caution in patients suffering from this condition characterized by severe muscle weakness.

        Pheochromocytoma

        Nebula 5 MG Tablet should be used with caution in patients suffering from this condition. The treatment should be suitably combined with an alpha-blocker with appropriate dosing and clinical monitoring.
      • Interaction with Food

        Food

        Information not available.

      References

      • Nebivolol-Drug Information Portal [Internet].druginfo.nlm.nih.gov 2022 [Cited 1 June 2022].Available from:

        https://druginfo.nlm.nih.gov/drugportal/name/nebivolol

      • Nebivolol-DrugBank Online [Internet].go.drugbank.com 2022 [Cited 1 June 2022].Available from:

        https://go.drugbank.com/drugs/DB04861

      • Nebivolol Tablet,solution-DailyMed [Internet].dailymed.nlm.nih.gov 2022 [Cited 1 June 2022].Available from:

        https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=all&query=Nebivolol

      Disclaimer : The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

      Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

      Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.
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      Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
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      Reviewed ByDr. Garima SharmaMBBS, Master in Healthcare Administration, Diploma in Occupational HealthGeneral Physician
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