Telbrit NB 40.5 Tablet belongs to a class of medications called 'anti-hypertensives' primarily used to treat high 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 disease, irregular heartbeat, and other complications.

Telbrit NB 40.5 Tablet is a combination of two drugs, namely  Nebivolol (Beta-blocker) & telmisartan (Angiotensin receptor blocker). Nebivolol works by relaxing blood pressure & slowing heart rate to improve blood circulation and decrease blood pressure. Telmisartan works by blocking the hormone angiotensin, thereby relaxing blood vessels. This allows the blood to flow more smoothly and the heart to pump more efficiently. 

In some cases, you may experience headache, nausea, dizziness, increased potassium level, Swollen legs, ankles, or feet, and low blood pressure. Most of these side effects of Telbrit NB 40.5 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Inform your doctor if you are suffering from any kidney/liver/heart disease or are diabetic. Consult the doctor if you are pregnant or breastfeeding. It should not be given to children less than 18 years of age. Do not use Telbrit NB 40.5 Tablet if you have low blood pressure (hypotension) or cardiogenic shock (sudden stopping of blood flow to the heart). Please tell your doctor if you are taking any other medicines or are allergic to Telbrit NB 40.5 Tablet .

Telbrit NB 40.5 Tablet is primarily used to treat hypertension (high blood pressure). It is a combination of two medicines, Nebivolol &  telmisartan, which help lower raised blood pressure effectively. Nebivolol is a beta blocker that works specifically on the heart to reduce heart rate and lower blood pressure. Telmisartan is an angiotensin receptor blocker (ARB) that helps in relaxing our blood vessels by blocking the action of certain natural substances (angiotensin) in your body. This lowers your blood pressure and reduces your risk of having a future stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

• Headache
• Dizziness
• Weakness
• Upset stomach
• Cold feet /hands 
• Nightmares
• Forgetfulness
• Increased potassium level in the blood
• Slow heart rate
• Decreased blood pressure

Do not take Telbrit NB 40.5 Tablet if you are allergic to any of its components. Inform the doctor if you have diabetes, kidney disease or a kidney transplant, liver disease, heart trouble, raised aldosterone levels (water and salt retention in the body), imbalance of various blood minerals, renal artery stenosis (narrowing of the blood vessels to one or both kidneys), low blood pressure (hypotension), dehydrated (excessive loss of body water) or have salt deficiency due to diuretic therapy, low salt diet, diarrhoea, or vomiting, elevated potassium levels in your blood, Raynaud’s disease (poor blood circulation which makes the toes and fingers numb and pale), Prinzmetal angina (a type of chest pain), intermittent claudication (pain, tension, and weakness in the legs when walking which is relieved by rest) or chronic bronchitis.

Drug-Drug interaction: Care should be exercised when Telbrit NB 40.5 Tablet is administered in combination with heart rhythm medicine (Digitalis),  Drugs used for mental issues (chlorpromazine), cold/flu (Phenylephrine, ephedrine), fever-reducing (Aspirin) &  blood pressure-lowering drugs like chlorthalidone.

Drug-Food interaction: Telbrit NB 40.5 Tablet may interact with potassium-containing food items.

Drug-Disease interaction: Use with caution in patients with diabetes, Raynaud's disease (Poor blood circulation which makes the toes and fingers numb and pale), liver disease, kidney disease, heart failure & low blood pressure patients.

• DIGITALIS
• CHLORPROMAZINE
• PHENYLEPHRINE
• EPHEDRINE

• Keep your weight under control with BMI (Body Mass Index) 19.5-24.9.
• Regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week, can help 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.
• Limit your intake of sodium chloride (table salt) to 2300 mg per day, or less than 1500 mg is ideal for most adults.
• If you are taking alcohol, then only one serving for women and two servings for men 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 acid-containing food drinks in your daily diet. Low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil can help lower your elevated blood pressure.

• Quit smoking & drinking.
• Strictly follow the treatment course as per the doctor's recommendation.
• Reduce your stress & avoid taking caffeine-based products.

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. When the blood pressure is elevated, the force the blood puts on the walls of the arteries is high and can lead to artery damage. Also, when the heart muscle has to pump blood against high blood pressure, it thickens and enlarges, just like any muscle does when it has to do more work. Raised blood pressure can cause chest pain (angina) and heart attack (when the blood supply to the heart is blocked). Hypertension develops slowly over the years and frequently does not cause any symptoms until something severe happens, such as a heart attack, stroke, or heart failure. Fortunately, hypertension is easily diagnosed and treated to help prevent this from happening.