NEBIVOLOL+S AMLODIPINE

Don't stop taking NEBIVOLOL+S AMLODIPINE without talking to your doctor first. Stopping NEBIVOLOL+S AMLODIPINE 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 NEBIVOLOL+S AMLODIPINE 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 6 years of age. Before taking NEBIVOLOL+S AMLODIPINE, you should tell the doctor if you have any muscle disorder (myasthenia gravis, rhabdomyolysis), breathing problems (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). Prolonged intake of NEBIVOLOL+S AMLODIPINE may lead to a lowering of blood pressure. So, you must closely monitor your blood pressure if you ever have had a stroke, heart attack, or currently taking other blood pressure-lowering pills. It is advised to continue taking this drug and not stop taking it suddenly without consulting your doctor.

Drug-Drug Interaction: NEBIVOLOL+S AMLODIPINE may interact with other beta-blockers (acebutolol, atenolol, bisoprolol, carteolol, esmolol, metoprolol, nadolol, sotalol), causing a dangerous drop in the heart rate. It also reacts with other anti-hypertensive drugs (aliskiren, amiloride, enalapril, captopril, quinapril, diltiazem). Besides this, NEBIVOLOL+S AMLODIPINE should not be used with other asthma medications (theophylline, aminophylline), potassium-rich supplements, or other painkillers (ibuprofen). If you are using these medicines, tell your doctor before taking NEBIVOLOL+S AMLODIPINE.

Drug-Food Interaction: NEBIVOLOL+S AMLODIPINE is known to interact with grapefruit and protein-enriched foods. Using NEBIVOLOL+S AMLODIPINE together with ayurvedic, homeopathy, Unani, herbal supplements, or any other OTC items may decrease the effects of NEBIVOLOL+S AMLODIPINE. Hence, it is better to maintain at least 2 hours gap between the administration of NEBIVOLOL+S AMLODIPINE and these products.

Drug-Disease Interaction: NEBIVOLOL+S AMLODIPINE should not be given to people with diabetes, thyroid disease, asthma, cardiogenic shock (when the heart fails to pump required blood to the body), heart valve problem (stenosis), low blood pressure (hypotension), coronary heart disease, liver disease or heart failure.

• 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 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 spent 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 to lower your elevated blood pressure.

• Limit intake of sodium chloride (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.