Nebicard SM Tablet

Nebicard-SM tablet is a blood pressure-lowering medicine that is used to treat high blood pressure. It contains a combination of nebivolol and s-amlodipine as its active ingredients that work by relaxing the blood vessels. It also lowers the heart rate which makes pumping of blood by the heart easier.

Nebicard-SM tablets should not be used in children under 18 years of age. Follow your doctor's instructions and take this medicine in the exact dose and duration as prescribed. Do not stop taking this medicine on your own.

Dosage

Overdose

Symptoms of overdose of Nebicard-SM tablet are pain or discomfort in the chest, arms, jaw, neck, or stomach. If you think you have taken too much of this medicine, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

Missing a dose of blood pressure-lowering medicines may lead to high blood pressure and other heart-related complications. However, if you missed any dose of the medicine, take it as soon as you remember. If it's time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

Mode of Action

How Does It Work?

• Nebicard-SM tablet contains nebivolol and s-amlodipine as its active ingredients.
• Nebivolol works by blocking the activity of certain proteins in the heart, lungs, pancreas, liver, and blood circulation system. It also lowers the heart rate which makes it easier for the heart to pump blood.
• S-amlodipine relaxes the blood vessels so blood passes through them more easily. This causes the lowering of blood pressure.

Directions for Use

• Take this medicine as a whole with sufficient water.
• Always take this medicine exactly as prescribed by your doctor.
• Do not consume more than the prescribed dose.
• Do not discontinue the medicine on your own without consulting your doctor.

Precautions and Warnings

Pregnancy

Can I take a Nebicard-SM tablet during pregnancy?

Nebicard-SM tablets should not be taken during pregnancy unless recommended by the doctor.

Breast Feeding

Can I take a Nebicard-SM tablet while breastfeeding?

Nebicard-SM tablet may pass into human breast milk. Nebicard-SM tablet should not be used in breastfeeding women unless recommended by the doctor.

Driving

Can I drive if I have consumed Nebicard-SM tablet?

Nebicard-SM tablet may have a minor effect on driving ability. If you experience side effects like dizziness, nausea, headache, weakness after taking this tablet which may affect your ability to drive safely, it is advised to avoid driving.

Alcohol

Can I consume alcohol with Nebicard-SM tablet?

There is limited information available regarding the interaction of alcohol with Nebicard-SM tablet. Ask your doctor for advice on alcohol intake along with the Nebicard-SM tablet.

Other General Warnings

Talk to your doctor if

• You have liver disease, diabetes, thyroid disorders, or a skin condition called psoriasis.
• You have any heart disease, heart failure, your heart rate is very slow, or you had a recent heart attack.
• You have a heart disease where the blood supply to your heart is reduced.
• You have a condition known as a hypertensive crisis where there is a severe increase in blood pressure.
• You are elderly.
• You have a condition called Raynaud's disease where your toes and fingers become numb due to poor blood circulation.
• You have a type of chest pain due to spontaneously occurring heart cramps.
• You have pain, tension, and weakness in the legs when walking which is relieved by rest.
• You have lung problems like bronchitis or chronic obstructive pulmonary disorder.

Contraindications

• If you are allergic to nebivolol, s-amlodipine, or any other ingredient of Nebicard-SM tablet.
• If you are allergic to dihydropyridine derivatives like nifedipine, amlodipine. If you are not sure what these medicines are, please confirm with your doctor.
• If you have very low blood pressure.
• If you have heart failure after a heart attack.
• If you have narrowing of the aortic heart valve or your heart is unable to supply enough blood to the body.
• If you have liver disease.
• If you have a very slow heartbeat (less than 60 beats per minute).
• If you have or had asthma or wheezing.
• If you have a serious complication of diabetes called diabetic ketoacidosis or any other metabolic acidosis.
• If you have a tumour in your adrenal gland which is located on top of your kidneys.

Side effects

• Headache
• Dizziness
• Swelling
• Nausea
• Diarrhoea

Interactions

Interactions with other medicines

• Some medicines can affect the way Nebicard-SM tablet works, or Nebicard-SM tablet itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
• Nebicard-SM tablet should not be taken along with grapefruit or grapefruit juice, medicines used to treat abnormal heart rhythm (quinidine, cibenzoline), local pain relief (lidocaine), high blood pressure (clonidine).
• The use of Nebicard-SM tablet with medicines for fungal infections (clotrimazole, ketoconazole), bacterial infection (erythromycin, clarithromycin), HIV/AIDS (ritonavir, saquinavir), heart-related chest pain (verapamil, diltiazem) may increase the effect of Nebicard-SM tablet in the body.
• Particular care should be taken if you take medicines for tuberculosis (rifampicin), depression (St.John's wort, phenobarbital, amitriptyline), immune system alteration (tacrolimus, cyclosporine), high/abnormal cholesterol levels (simvastatin), mental disorders (prochlorperazine), diabetes (insulin, metformin), muscle relaxation (baclofen), heart failure (digoxin), chemotherapy adjunct (amifostine), other medicines for high blood pressure (amlodipine, acebutolol), volatile anaesthetic agents (isoflurane, desflurane).
• Nebicard-SM tablet should not be co-administered with intravenous dantrolene in individuals with severe reactions to anaesthetic medicines.

Storage and disposal

• Store in a cool and dry place away from direct sunlight.
• Keep it out of reach of children and pets.

Frequently Asked Questions (FAQs)

What are the risk factors for developing high blood pressure?

Obesity (overweight), too much salt in your diet, too little potassium in your diet, not being physically active, increased stress levels, and certain medical conditions like diabetes are some of the risk factors for developing high blood pressure.

What does Nebicard-SM tablet do to the heart?

Nebicard-SM tablet lowers the heart rate, which makes it easier for the heart to pump blood.

What is the difference between Nebicard-T and Nebicard-SM?

Both Nebicard-SM and Nebicard-T are blood pressure-lowering medicines used for the treatment of high blood pressure. Nebicard-SM contains nebivolol and s-amlodipine as its main ingredients, while Nebicard-T contains nebivolol and telmisartan as its active ingredients.

What food and drinks should I avoid if I am taking medicines for high blood pressure?

If you are taking medicines for high blood pressure, you should avoid food and drinks like salty foods, sugary foods, sugary drinks, alcohol, saturated fats, condiments, processed and pre-packaged foods, and caffeine.