NEBIVOLOL+INDAPAMIDE

Do not skip any doses or stop taking NEBIVOLOL+INDAPAMIDE without consulting your doctor. Avoid intake of NEBIVOLOL+INDAPAMIDE if you are allergic to any of its contents. Talk to your doctor if you have heart, kidney, or liver problems. Do not take NEBIVOLOL+INDAPAMIDE 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 NEBIVOLOL+INDAPAMIDE if you are pregnant or breast-feeding, and talk to your doctor. Avoid alcohol consumption while taking NEBIVOLOL+INDAPAMIDE as it might lower the blood pressure than normal. NEBIVOLOL+INDAPAMIDE 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 NEBIVOLOL+INDAPAMIDE.

Drug-Drug Interaction: NEBIVOLOL+INDAPAMIDE 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 NEBIVOLOL+INDAPAMIDE and multivitamins and minerals as they might decrease the effects of NEBIVOLOL+INDAPAMIDE.

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

Drug-Disease Interaction: NEBIVOLOL+INDAPAMIDE 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).

• 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 NEBIVOLOL+INDAPAMIDE gives a positive reaction in doping tests.