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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 26, 2024 | 7:07 PM IST
Nebula AM Tablet is used to treat high blood pressure. It contains Amlodipine and Nebivolol, which relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This lowers blood pressure and helps in reducing the risk of stroke, heart attack, other heart problems, or kidney problems in the future. It may cause side effects such as headaches, feeling exhausted, cold extremities, ankle swelling, slow heart rate, constipation, tiredness. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer

Zydus Cadila

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Nebula AM Tablet

Nebula AM Tablet is a combination of blood pressure-lowering medicine, primarily used to treat high blood pressure. Nebula AM Tablet contains Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker) which collectively lower blood pressure. Hypertension or high blood pressure is a chronic condition in which the force exerted by the blood against the artery wall is high. As a result, it leads to heart diseases, irregular heartbeat, and other complications.

Nebula AM Tablet contains Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker),  primarily used to treat high blood pressure. Amlodipine works by relaxing the blood vessels. Nebivolol acts by relaxing and widening the blood vessels making it easier for the heart to pump blood to all parts of the body. This lowers your blood pressure and helps in reducing your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

Take Nebula AM Tablet as prescribed by your doctor. You are advised to take Nebula AM Tablet for as long as your doctor has prescribed it for you, depending upon your medical condition. Preferably take it after a meal to avoid an upset stomach. In some cases, you may experience headaches, feeling exhausted, cold extremities, ankle swelling, slow heart rate, constipation, tiredness. Most of these side effects of Nebula AM Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.  

It is advisable to drink plenty of fluids while taking this medicine to overcome muscle weakness, dry mouth, and extreme thirst. Do not take grapefruit or grapefruit juices with Nebula AM Tablet as it can increase the concentration of Nebula AM Tablet and worsen its side effects. Please inform your doctor if you have had an allergic reaction to Nebula AM Tablet , are pregnant or planning to get pregnant, are breastfeeding, have liver disease or kidney disease, heart failure, diabetes, a heart valve problem, or heart attack. Reducing the amount of table salt (sodium chloride) in your food often relieves the swelling of the body. Nebula AM Tablet is prescribed to adults and children more than six years of age.

Uses of Nebula AM Tablet

Treatment of Hypertension (high blood pressure).

Medicinal Benefits

Nebula AM Tablet is a combination of blood pressure-lowering medicine, contains Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker), primarily used to treat high blood pressure. Amlodipine works by relaxing the blood vessels. Nebivolol acts by relaxing and widening the blood vessels, making it easier for the heart to pump blood to all parts of the body. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

Directions for Use

Swallow Nebula AM Tablet as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Nebula AM Tablet

  • Headaches
  • Feeling exhausted 
  • Cold extremities
  • Ankle swelling
  • Slow heart rate
  • Constipation
  • Tiredness

Drug Warnings

Don't stop taking Nebula AM Tablet without talking to your doctor first. Stopping Nebula AM Tablet abruptly may cause changes in your heart rhythm and blood pressure, cause chest pain, or a heart attack. Your doctor will lower your dose gradually over a period of time to help prevent these symptoms. You should not use Nebula AM Tablet if you have a very slow heartbeat, asthma, serious heart condition (sick sinus syndrome), or any heart blockage. It should not be given to children less than 12 years of age. Before taking Nebula AM Tablet you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problem (COPD, bronchitis, emphysema), low blood sugar level (hypoglycemia), low blood pressure (hypotension), depression, previous heart failure, liver/kidney disease, thyroid hormone disorder, adrenal gland cancer, or problems with circulation (Raynaud’s syndrome).

Drug Interactions

Drug-Drug Interaction: Nebula AM Tablet may have interaction with other beta-blockers (atenolol, bisoprolol, carteolol, esmolol, metoprolol, or sotalol), other anti-hypertensive drugs (aliskiren, amiloride, enalapril, captopril, quinapril, diltiazem), asthma medications (theophylline, aminophylline), potassium-rich supplements, pain killers (ibuprofen, aspirin), medicines to treat anxiety disorder (alprazolam and diazepam).

Drug-Food Interaction: Nebula AM Tablet is known to interact with grapefruit and protein-enriched foods. Using Nebula AM Tablet together with ayurvedic, homoeopathy, Unani, herbal supplements, or any other OTC items may decrease the effects of Nebula AM Tablet . Hence, it is better to maintain at least 2 hours gap between the administration of Nebula AM Tablet and these products. 

Drug-Disease Interaction: Nebula AM Tablet may have interactions with diabetes, liver impairment, high cholesterol, hyperthyroidism, psoriasis, kidney impairment, asthma, heart problems such as bradyarrhythmia, cardiogenic shock, low blood pressure, fast heart rate, ischemic heart disease, and congestive heart failure.

Drug-Drug Interactions Checker List

  • ATENOLOL
  • BISOPROLOL
  • CARTEOLOL
  • ESMOLOL
  • METOPROLOL
  • SOTALOL
  • ALISKIREN
  • AMILORIDE
  • ENALAPRIL
  • QUINAPRIL
  • DILTIAZEM
  • THEOPHYLLINE
  • AMINOPHYLLINE
  • POTASSIUM
  • IBUPROFEN
  • ASPIRIN
  • ALPRAZOLAM
  • DIAZEPAM

Habit Forming

No

Diet & Lifestyle Advise

  • Keep your weight under control with BMI (Body Mass Index) 19.5-24.9.

  • Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
  • Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • If you are taking alcohol, then only one serving for women and two servings is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
  • Try to include heart-healthy omega-3 fatty acids containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil can help in lowering your elevated blood pressure.

Special Advise

  • Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).

  • Get up slowly while rising from lying or sitting position as Nebula AM Tablet may cause dizziness.

  • Keep your doctor informed about your health/disease conditions and the medicines you are taking.

  • To treat your condition effectually, continue taking Nebula AM Tablet for as long as your doctor has prescribed it. Try not to stop taking it on your own as it may suddenly increase blood pressure, chest pain, or heart attack.  

  • Your doctor may advise you to get a regular kidney function test and potassium levels in the body while taking Nebula AM Tablet . 

Disease/Condition Glossary

Hypertension: It is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is the pressure when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.

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Alcohol

Caution

You are recommended not to consume alcohol along with Nebula AM Tablet to avoid unpleasant side-effects.

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Pregnancy

Caution

It is advised to consult your doctor if you plan to conceive or are already pregnant before starting Nebula AM Tablet .

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Breast Feeding

Caution

Please consult your doctor before taking Nebula AM Tablet if you are breastfeeding; your doctor will prescribe you Nebula AM Tablet only if the benefits outweigh the risks.

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Driving

Caution

Nebula AM Tablet may cause dizziness and weakness, do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Nebula AM Tablet to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Nebula AM Tablet to be taken with caution, especially if you have a history of kidney diseases/conditions. The dose may have to be adjusted by your doctor.

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Children

Caution

Nebula AM Tablet should not be used by children, as the efficacy and safety have not been established.

Country of origin

India

Manufacturer/Marketer address

Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
Other Info - NEB0037

Author Details

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FAQs

Nebula AM Tablet is used to treat hypertension (high blood pressure).
Nebula AM Tablet contains Amlodipine (calcium channel blocker) and Nebivolol (beta-blocker); primarily used to treat high blood pressure. Amlodipine works by relaxing the blood vessels. Nebivolol acts by relaxing and widening the blood vessels making it easier for the heart to pump blood to all parts of the body. This lowers your blood pressure and helps in reducing your risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future.
Your doctor may probably tell you to stop taking Nebula AM Tablet as it lowers blood pressure (hypotension) when combined with general anaesthesia before surgery. So, please inform your doctor before surgery if you are taking Nebula AM Tablet .
Yes, Nebula AM Tablet is known to cause ankle swelling. Please try to keep your feet up when sitting for long hours. If the problem persists still, consult your doctor and do as advised.
If you have diabetes, you should monitor your blood glucose levels often as Nebula AM Tablet might mask hypoglycemia symptoms (low glucose levels). However, please consult your doctor before taking Nebula AM Tablet if you have diabetes.
If you have hyperthyroidism (overactive thyroid), you should monitor your condition regularly as Nebula AM Tablet might mask hyperthyroidism symptoms such as abnormally fast heart rate. However, please consult your doctor before taking Nebula AM Tablet if you have hyperthyroidism.
Do not overdose on Nebula AM Tablet or any medicine, which could lead to very unpleasant side effects. Take Nebula AM Tablet only as prescribed by your doctor. An overdose of Nebula AM Tablet can cause a very slow heartbeat, low blood pressure, breathlessness, and acute heart failure. Rush to your nearest doctor as early as possible if you have overdosed on Nebula AM Tablet .
You should take Nebula AM Tablet as advised by your doctor. But take it at the same time every day for consistency. Swallow it as whole with a glass of water. Do not break, crush or chew it.
If you miss a dose of Nebula AM Tablet , take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose in the prescribed time. Do not double the dose to make up for the missed one as this may increase the risk of side effects.
Nebula AM Tablet may cause side effects such as headache, ankle swelling, slow heart rate, tiredness, constipation or cold extremities (cold hands and feet). If these side effects persist or worsen, please consult your doctor.
You are recommended to take your doctor’s advice before taking Nebula AM Tablet if you are pregnant or breastfeeding.
No, do not stop taking Nebula AM Tablet even if you feel better as discontinuing Nebula AM Tablet suddenly may raise your blood pressure. Therefore, please consult your doctor before making any changes to your dosage schedule.

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