Nexovas TC Tablet

Nexovas Tc Tablet is a combination of medicines used to treat high blood pressure when a single medication is insufficient for controlling your blood pressure. It contains a combination of telmisartan, cilnidipine, and chlorthalidone (chlortalidone) as active ingredients. While taking this medicine, you should be mindful of your diet and also engage in regular exercise.

Nexovas Tc should be taken as directed by your doctor, in the prescribed doses and duration. Do not stop taking this medicine unless instructed to do so by your doctor. Inform your doctor if you are pregnant, planning a pregnancy, or breastfeeding, as well as about all the medicines and supplements you are taking and any conditions or diseases you have before starting Nexovas Tc Tablet.

Dosage

Overdose

• Symptoms of overdose may include dizziness, nausea, sleepiness, electrolyte imbalance, low blood pressure, irregular heartbeats.
• If you think you have taken too much of Nexovas Tc Tablet, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

• If you missed any dose of Nexovas Tc Tablet, 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 dose schedule.
• Do not take a double dose of medicine to compensate for the missed one.

Mode of Action

How Does It Work?

• Nexovas Tc Tablet works by the combined action of all its components - telmisartan, cilnidipine and chlorthalidone.
• Cilnidipine is a calcium channel blocker, and telmisartan is an angiotensin receptor blocker. Collectively these medicines act by relaxing the blood vessels so that that heart can pump the blood more easily, and it leads to lowering of the blood pressure.
• Chlorthalidone is a diuretic or water pill, it works by increasing the loss of water and salt from the body, thus resulting in increased production of urine, thereby lowering the blood pressure.

Directions for Use

• Nexovas Tc Tablet should be taken as directed by your doctor.
• Swallow it whole with a glass of water, do not cut, break or chew the medicine.
• It would be best if you took it at a fixed time for optimal results.
• You should not consume it more than that prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Nexovas Tc Tablet during pregnancy?

• Nexovas Tc Tablet should not be taken during pregnancy as it may be harmful to the unborn baby.
• When pregnancy is detected, this medicine should be discontinued immediately.
• Consult your doctor, if you are pregnant or think you may be or are planning for a baby, before starting this medicine.

Breast Feeding

Can I take Nexovas Tc Tablet while breastfeeding?

• Nexovas Tc Tablet is not recommended for use while breastfeeding as limited safety data is available in lactating mothers.
• Thus consult your doctor before taking this medicine during breastfeeding. He/she may suggest an alternative medicine.

Driving

Can I drive if I have consumed Nexovas Tc Tablet?

Avoid driving if you feel dizzy or drowsy after taking Nexovas Tc Tablet.

Alcohol

Can I consume alcohol with Nexovas Tc Tablet?

Avoid consuming alcohol with Nexovas Tc Tablet as alcohol can lower blood pressure and can also exaggerate the side effects.

Other General Warnings

Talk to your doctor if

• You have any problems with your heart, liver or kidneys
• You are pregnant, think you may be or are planning a pregnancy
• You are diabetic and on aliskiren, an anti-hypertensive medicine to control blood pressure.
• You have increased level of potassium in the blood or are on any potassium supplements
• You have raised aldosterone levels
• You may experience an increase in the potassium level or sugar level in your blood or elevated uric acid levels.
• You have low levels of potassium or sodium in your blood
• Nexovas Tc Tablet is not recommended for use in patients below 18 years

Contraindications

• If you are allergic to telmisartan, cilnidipine, chlorthalidone, similar medicines or any of the ingredient of Nexovas Tc Tablet
• If you have any problems with your liver, kidneys or heart.
• If you feel difficulty in passing urine or passing no urine at all (anuria).
• If you have diabetes or any kidney problem and you are taking medicine for lowering the blood pressure like aliskiren
• If you have a blockage in your gallbladder and small intestine.
• If you have an untreated Addison’s disease or history of gout, uric acid calculi
• If you are being treated with lithium (used to treat psychiatric illnesses)
• If you are pregnant

Side effects

• Headache
• Dizziness
• Weakness
• Nausea
• Vomiting
• Cough
• Decreased appetite
• Swelling of lower limb
• Low blood pressure that occurs when standing up from sitting or lying down

Interactions

Interactions with other medicines

• Tell your doctor about all the medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
• Especially if you are taking medicines to treat high blood pressure, heart problems, psychiatric illnesses, diabetes, infection, asthma, high cholesterol levels, are taking blood thinners, pain killers, immunomodulatory medicines.
• Medicine used for heart failure like digoxin should be used cautiously.
• You may experience low blood sugar if you are taking medicine for diabetes like insulin, metformin along with this medicine.
• Concomitant use of this tablet along with other blood pressure medicines like aliskiren, anti-cancer medicine like aldesleukin, medicines like aspirin, prednisone, and betamethasone may alter the effects of this medicine.
• Few medicines can cause a sudden drop in blood pressure like lithium and thus should be used with caution.
• Other medicines are quinide, digoxin, carbamazepine, rifampicin, cimetidine, erythromycin, baclofen, amifostine and water pills like amiloride, spironolactone should be used cautiously.

Storage and disposal

• Store Nexovas Tc Tablets at room temperature in a clean and dry place, protected from moisture, sun light and heat.
• Keep the medicine out of reach of children and pets.
• Discard any unused medicine properly, do not flush in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

What is Nexovas Tc Tablet used for?

Nexovas Tc Tablet is used for the treatment of high blood pressure, when blood pressure cannot be controlled by telmisartan, cilnidipine or chlorthalidone alone.

Is Nexovas Tc Tablet an anti-hypertensive medicine?

Yes, Nexovas Tc Tablet is an anti-hypertensive medicine containing telmisartan, cilnidipine and chlorthalidone.