Cilnidipine+nebivolol

Talk to your doctor or pharmacist before taking Cilnidipine+nebivolol if you experience shortness of breath or dizziness, an abnormally slow heart rate, have heart diseases due to decreased blood flow to heart muscles, have poor blood flow towards the extremities of the body such as finger, hands, and feet (Raynaud’s disease), experience pain, tension and weakness in the legs when walking which is relieved by rest, have a persistent obstruction of your airway such as chronic bronchitis, have diabetes, as it can hide the warning signs of low sugar levels or overactivity of the thyroid gland (hyperthyroidism). Also, inform your doctor if you are being treated with any other drugs which lower your blood pressure.

Drug-Drug Interaction: Care should be exercised when Cilnidipine+nebivolol is taken with quinidine(used for irregular heartbeat), phenytoin (anti-seizure medication), rifampicin (antibiotic), erythromycin (antibiotic), antipsychotics & hypertensive drugs.

Drug-Food Interaction:  Cilnidipine+nebivolol should not be taken with grape juice as it may decrease the drug's absorption.

Drug-Disease Interaction: Cilnidipine+nebivolol should not be used in people with diabetes, irregular heartbeat, low blood pressure, allergies, and diseases in which low blood circulation to the hands and feet is experienced.

• 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 serving 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 also help lower your elevated blood pressure.

• Do not take this drug if you are allergic to either component of the drug.
• Do not take if a patient has a tumour in the adrenal gland, has asthma or wheezing (now or in the past)
• Keep consulting with your doctor for occasional checkups  & dose adjustments.