Nebula-D Tablet 10's

Nebula-D Tablet is a combination drug containing antihypertensive medication, primarily used to treat high blood pressure (hypertension). Hypertension (High blood pressure) is a condition in which the force exerted by the blood against the artery walls becomes so high that it causes health problems, such as heart disease. It is also used to reduce strokes and chest pain (angina) caused by the arteries' blockage. In addition to this, Nebula-D Tablet is also used to treat preterm labour.

Nebula-D Tablet contains Nebivolol and Indapamide. Nebivolol is a beta-blocker;  that relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide is a thiazide diuretic that inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure. 

Take Nebula-D Tablet as prescribed by your doctor. You are advised to take Nebula-D Tablet for as long as your doctor has prescribed it for you, depending upon your medical condition. You may experience nausea, constipation, fatigue, headache, stomach pain, diarrhoea, indigestion, weakness, dizziness, cough, peripheral oedema (swelling in feet and hands), nervousness, hypertonia (increased muscle tone) in some cases. Most of these side effects of Nebula-D Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine of your own as it may suddenly increase blood pressure, chest pain or may cause a heart attack. Let your doctor know if you have any liver or heart problems, are pregnant or breastfeeding. You should monitor your blood pressure regularly to be sure that the Nebula-D Tablet is working efficiently. And also, a healthy diet, regular exercise is necessary to keep blood pressure under control. Do not eat grapefruit or drink grapefruit juice while you're taking nifedipine. It can make side effects worse. Even a small reduction in sodium in your diet helps improve your heart's health and reduce blood pressure. Avoid alcohol consumption while taking Nebula-D Tablet as it might lower the blood pressure than normal.

Nebula-D Tablet is a combination drug containing antihypertensive medication, Nebivolol, and Indapamide, primarily used to treat high blood pressure (hypertension). In addition to this, nebivolol also helps prevent increased heart rate and controls heart pumping strength, and indapamide also treats fluid retention and overload (oedema) in congestive heart failure patients. Nebivolol is a beta-blocker;  that relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide is a thiazide diuretic that inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure. 

• Nausea
• Constipation
• Fatigue
• Headache
• Stomach pain
• Diarrhoea
• Indigestion
• Weakness
• Dizziness, Infection 
• Cough
• Peripheral oedema (swelling in feet and hands)
• Nervousness

Do not skip any doses or stop taking Nebula-D Tablet without consulting your doctor. Avoid intake of Nebula-D Tablet if you are allergic to any of its contents. Talk to your doctor if you have heart, kidney, or liver problems. Do not take Nebula-D Tablet if you have low blood pressure, serious circulation problems in arms and legs, very slow heartbeat, serious heart rhythm problems, recent heart failure, asthma, liver function disorder, or metabolic disorder. Avoid taking Nebula-D Tablet if you are pregnant or breast-feeding, and talk to your doctor. Avoid alcohol consumption while taking Nebula-D Tablet as it might lower the blood pressure than normal. Nebula-D Tablet is not recommended for children below the age of 18 years as the efficacy and safety have not been established. Regular monitoring of blood pressure, electrolyte levels, and kidney functioning is advised while taking Nebula-D Tablet .

Drug-Drug Interaction: Nebula-D Tablet may have interaction with diuretic medications (hydrochlorothiazide, furosemide), anti-hypertensive drugs (chlorthalidone, ramipril, metoprolol, amlodipine), drugs treating mental illness (alprazolam, amisulpride), painkillers (ibuprofen, naproxen), anti-depressants (lithium), diabetic drugs (Insulin glargine, metformin), drugs treating stomach acid (esomeprazole), fits medicine (clonazepam), corticosteroids (prednisone), drugs treating impotence (sildenafil). Maintain a gap of two hours between Nebula-D Tablet and multivitamins and minerals as they might decrease the effects of Nebula-D Tablet .

Drug-Food Interaction: Maintain low salt and low-fat diet while taking Nebula-D Tablet . Avoid alcohol consumption while taking Nebula-D Tablet as it might lower the blood pressure than normal. Avoid foods containing high cholesterol while taking Nebula-D Tablet .

Drug-Disease Interaction: Nebula-D Tablet may have interactions with diabetes, hypersensitivity, 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, and low potassium levels (hypokalemia).

• HYDROCHLOROTHIAZIDE
• FUROSEMIDE
• CHLORTHALIDONE
• RAMIPRIL
• METOPROLOL
• AMLODIPINE
• ALPRAZOLAM
• AMISULPRIDE
• IBUPROFEN
• NAPROXEN
• LITHIUM
• INSULIN GLARGINE
• METFORMIN
• ESOMEPRAZOLE
• PREDNISONE
• SILDENAFIL

• Keep your weight under control with a body mass index (BMI) between 19.5 and 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.
• Limit sodium chloride intake (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
• If you are taking alcohol, use only one serving for women and two servings for men.
• Quit smoking to lower the risk of heart diseases. 
• Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress.
• Monitor your blood pressure daily, and if you notice any fluctuations frequently, please contact your doctor immediately.
• Try including heart-healthy omega 3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil that help in lowering your elevated blood pressure.

• Monitor your blood pressure regularly and seek medical advice if you notice any drastic fluctuations.
• Let your doctor know if you are advised for any blood examinations as, diuretics like Indapamide can cause changes in the laboratory parameters like low potassium levels in the blood, low sodium in the blood, low blood pressure, increase in uric acid, increase in blood glucose levels in diabetic patients, increase in calcium levels in the blood, and increase in the liver enzyme levels. 
• Athletes should be aware that Indapamide in Nebula-D Tablet gives a positive reaction in doping tests.

Hypertension: It is a chronic condition when blood pressure is too high. Blood pressure is defined as the amount of blood pumped by the heart and the amount of resistance exerted by the arteries against the blood flow. If the heart pumps more blood, then arteries become narrower, and in turn, blood pressure becomes high. If blood pressure becomes uncontrolled, it may lead to serious heart diseases, including stroke and heart attack. Additionally, high blood pressure can also cause brain damage (stroke) and kidney failure. Blood pressure is expressed as systolic and diastolic pressures. Systolic blood pressure represents the contraction and relaxation of the heart. Diastolic pressure is exerted in the blood vessels when the heart beats and is in the resting state. Ideal blood pressure should be between 90/60mmHg and 120/80mmHg. Hypertension is detected when systolic blood pressure is more than 140mmHg, and diastolic pressure is higher than 90mmHg. Some of the symptoms of hypertension include headache, nose bleed, vomiting, and chest pain.