Nebistar-Sa

Composition of Nebistar-Sa

Nebistar-Sa contains Nebivolol + S-Amlodipine. It belongs to the Beta blocker and Calcium channel blocker class of medicines.

Uses of Nebistar-Sa

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

Key benefits

• Reduces the risk of a further heart attack
• Controls rapid and irregular heart rhythms
• Improves survival in heart failure
• Effective and well tolerated for long-term blood pressure control
• Useful in angina as well as hypertension
• Usually taken once a day

How Nebistar-Sa works

This medicine combines 2 active ingredients: Nebivolol and S-amlodipine. 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. S-amlodipine relaxes the muscle in the walls of your blood vessels so they widen, which lowers blood pressure and eases the work of the heart.

How to take Nebistar-Sa

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 a severe fall in blood pressure and a dangerously slow or irregular heartbeat. 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-Sa

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

• Tiredness
• Cold hands and feet
• Slow pulse
• Dizziness
• Disturbed sleep
• Breathlessness
• Swelling of the ankles and feet
• Flushing
• Headache
• Palpitations

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-Sa

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. Ankle swelling is the commonest reason people stop this medicine — tell your doctor, as there are ways to manage it. Tell your doctor if your chest pain becomes more frequent or more severe after starting. Swollen, tender or overgrown gums should be reported; good brushing and regular dental care reduce the risk.

Do not take Nebistar-Sa 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 with very low blood pressure or with severe narrowing of the aortic valve.

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. Grapefruit juice raises the level of some of these medicines in the blood — avoid it. Tell your doctor about other blood pressure medicines, and about simvastatin in particular.

How to store Nebistar-Sa

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-Sa

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. Raising your legs when sitting, and reducing salt, helps with ankle swelling. Do not stop suddenly without asking your doctor.

Manufacturer and class

Manufacturer:

LUPIN LAB

Therapeutic class:

Anti-hypertensive

Drug class:

Beta blocker and Calcium channel blocker