Nebistar-H

Composition of Nebistar-H

Nebistar-H contains Nebivolol + Hydrochlorothiazide. It belongs to the Beta blocker and Water tablet class of medicines.

Uses of Nebistar-H

• This medicine is used in the treatment of high blood pressure
• angina
• heart failure
• irregular heartbeat and fluid retention.

Key benefits

• Reduces the risk of a further heart attack
• Controls rapid and irregular heart rhythms
• Improves survival in heart failure
• Relieves swelling and breathlessness caused by fluid
• Long-established blood pressure treatment
• Inexpensive and once daily

How Nebistar-H works

This medicine combines 2 active ingredients: Nebivolol and Hydrochlorothiazide. Nebivolol slows the heart and reduces the force of each beat by blocking the effect of adrenaline, so the heart works less hard and uses less oxygen. Hydrochlorothiazide helps your kidneys remove surplus salt and water, which reduces swelling and lowers blood pressure.

How to take Nebistar-H

Use this medicine as your doctor has directed. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. It can cause severe dehydration, a sharp fall in blood pressure and dangerous salt imbalances. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Nebistar-H

Most side effects of Nebistar-H are mild and settle as the body adjusts. Reported side effects include:

• Tiredness
• Cold hands and feet
• Slow pulse
• Dizziness
• Disturbed sleep
• Breathlessness
• Passing urine more often
• Dizziness on standing up
• Low potassium or sodium
• Muscle cramps
• Raised uric acid
• Thirst

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Nebistar-H

Warnings and precautions

Never stop this medicine suddenly. Stopping abruptly can cause a sharp rise in blood pressure, worsening chest pain or a heart attack — your doctor will reduce it gradually. Tell your doctor if you have asthma or long-standing lung disease; this group can tighten the airways. If you have diabetes, be aware that this medicine can mask the early warning signs of low blood sugar, apart from sweating. Report a resting pulse that is persistently very slow, or fainting. Take it in the morning so that passing urine does not disturb your sleep. Your doctor will check your salts and kidney function with blood tests — do not skip them. Report muscle cramps, marked weakness, confusion or an irregular heartbeat; these can be signs your potassium or sodium has fallen. In hot weather or during an illness with vomiting or loose motions, tell your doctor — you may become dehydrated quickly.

Do not take Nebistar-H if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a very slow heart rate, certain heart block disorders, or uncontrolled heart failure. Generally avoided in severe asthma. Not for people who are unable to pass urine, or who are severely dehydrated.

Interactions with other medicines

Combining with verapamil or diltiazem can slow the heart dangerously. Tell your doctor about diabetes medicines and about any asthma inhaler. Anti-inflammatory painkillers blunt the effect and can strain the kidneys. Lithium and digoxin levels are affected; tell your doctor if you take either. Potassium-sparing types must not be combined with potassium supplements without supervision.

How to store Nebistar-H

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Nebistar-H

Take it at the same time each day and do not miss doses. Learn to check your own pulse, and report a persistently slow one. Weigh yourself at the same time each day if you have heart failure, and report a rapid gain. Do not add extra salt, and ask before using a potassium-based salt substitute.

Manufacturer and class

Manufacturer:

LUPIN LAB

Therapeutic class:

Anti-hypertensive and Diuretic

Drug class:

Beta blocker and Water tablet