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Manufacturer/Marketer :

Zydus Cadila

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

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

Hypertension (high blood pressure).

Directions for Use

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

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.

Storage

Store in a cool and dry place away from sunlight

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-Drug Interactions

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AmlodipineDantrolene
Critical
AmlodipinePrimidone
Severe

Drug-Drug Interactions

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AmlodipineDantrolene
Critical
How does the drug interact with Nebula AM Tablet:
Using Nebula AM Tablet together with dantrolene may increase the risk of hyperkalemia (high blood potassium).

How to manage the interaction:
Taking Nebula AM Tablet with Dantrolene can cause an interaction, consult a doctor before taking it. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
AmlodipinePrimidone
Severe
How does the drug interact with Nebula AM Tablet:
Using Nebula AM Tablet and primidone together may lower Nebula AM Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Nebula AM Tablet with primidone can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
AmlodipineRifampicin
Severe
How does the drug interact with Nebula AM Tablet:
Coadministration of Nebula AM Tablet and rifampicin together may lower Nebula AM Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although there is an interaction between Nebula AM Tablet and rifampicin, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
AmlodipineSimvastatin
Severe
How does the drug interact with Nebula AM Tablet:
Taking simvastatin with Nebula AM Tablet may result in considerably higher blood levels of simvastatin and may increase the risk of side effects (liver damage and rhabdomyolysis - an uncommon but serious illness characterized by the breakdown of skeletal muscle tissue).

How to manage the interaction:
Although taking Nebula AM Tablet with simvastatin can result in an interaction, it can be taken if a doctor has advised it. If you have unexplained muscular pain, soreness, or weakness while using simvastatin, especially if these symptoms are accompanied by fever or dark-colored urine, consult the doctor immediately. However, if you develop a fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark colored urine, and/or yellowing of the skin or eyes, consult the doctor. Do not stop using any medications without a doctor's advice.
AmlodipineEnzalutamide
Severe
How does the drug interact with Nebula AM Tablet:
Using a combination of Nebula AM Tablet and enzalutamide may drastically lower Nebula AM Tablet blood levels, making the medicine less effective.

How to manage the interaction:
Taking Nebula AM Tablet with enzalutamide can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
AmlodipineItraconazole
Severe
How does the drug interact with Nebula AM Tablet:
Coadministration of Nebula AM Tablet with itraconazole may significantly raise the blood levels and effects of Nebula AM Tablet.

How to manage the interaction:
Nebula AM Tablet and itraconazole may interact, but if prescribed by a doctor, they can be used together. Consult a doctor if you develop chest discomfort, trouble breathing, dizziness or fainting, swelling of the hands, ankles, or feet, or any other of these symptoms. Without consulting a doctor, never stop taking any medication.
AmlodipineNitisinone
Severe
How does the drug interact with Nebula AM Tablet:
Coadministration of Nebula AM Tablet and Nitisinone may increase the blood levels and effects of Nitisinone.

How to manage the interaction:
Taking Nitisinone with Nebula AM Tablet together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms or if you feel unwell after taking your medication, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
AmlodipineLemborexant
Severe
How does the drug interact with Nebula AM Tablet:
Coadministration of lemborexant and Nebula AM Tablet may increase the blood levels of lemborexant.

How to manage the interaction:
Although co-administration of Nebula AM Tablet with Lemborexant can result in an interaction, it can be taken if a doctor has advised it. However, consult your doctor if you experience abnormal sleep patterns, worsening of depression, changes in heartbeat, or headache. Do not discontinue any medications without consulting a doctor.
AmlodipineMitotane
Severe
How does the drug interact with Nebula AM Tablet:
Using Nebula AM Tablet and mitotane together may drastically lower Nebula AM Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although co-administration of Nebula AM Tablet with mitotane can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
AmlodipineRifabutin
Severe
How does the drug interact with Nebula AM Tablet:
Using Nebula AM Tablet and rifabutin together may lower Nebula AM Tablet blood levels, which makes the medicine less effective.

How to manage the interaction:
Although there is an interaction between Nebula AM Tablet with rifabutin, but it can be taken if a doctor has advised it. Consult the doctor if you experience any unusual symptoms. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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AMLODIPINE-5MG+NEBIVOLOL-5MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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AMLODIPINE-5MG+NEBIVOLOL-5MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit, Grapefruit Juice

How to manage the interaction:
Consumption of grapefruit and grapefruit juice with Nebula AM Tablet the levels of Nebula AM Tablet in your bloodstream may drop. Avoid consuming a lot of grapefruit juice and grapefruit when using Nebula AM Tablet, instead, take it with water. As a result, your body will absorb the drug more easily.

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.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES

Nebula AM Tablet Substitute

Substitutes safety advice
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    18.72per tablet
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  • Nebiloc AM 5 Tablet 15's

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    11.94per tablet

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

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 .

Drug-Drug Interactions Checker List

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

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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