NEVY H Tablet 10's

Introduction About NEVY H TABLET

NEVY H TABLET is a combination of Hydrochlorothiazide and Nebivolol which
belongs to the group of medicines called Antihypertensive agents. It is used to
manage hypertension (high blood pressure).

Hypertension (also known as high blood pressure) is a medical condition in which
the force of the blood exerted against the walls of the artery remains very high
and as a result it may lead to severe damage to the blood vessels supplying
several vital organs, such as heart, kidney or brain. If left unmanageed, it may
cause serious complications such as heart attack, heart failure, stroke or even
blindness.

By lowering blood pressure, NEVY H TABLET can also reduce the risk of heart
attack (myocardial infarction) or stroke. During management with NEVY H TABLET
your doctor will constantly monitor your kidney functions, blood pressure,
electrolyte levels and blood sugar levels to avoid the risk of unwanted side
effects.

Before taking NEVY H TABLET inform your doctor if you have any liver, kidney or
heart problems (such as angina). You must also inform your doctor if you have
asthma, diabetes, thyroid problems, poor blood circulation, psoriasis or
dehydration as a precaution.

NEVY H TABLET is not recommended for use in patients with severe heart problems
(such as heart failure or heart block). Consult your doctor before taking this
medicine if you are pregnant or breastfeeding.

The most common side effects of taking this medicine are headache, dizziness,
tiredness, tingling sensation, diarrhoea, constipation, shortness of breath and
swollen hands or feet. Consult your doctor if any of these side effect worsens.

Uses Of NEVY H TABLET

• Manage Hypertension (high blood pressure)
• Prevents the risk of heart attack or stroke

How NEVY H TABLET Works

NEVY H TABLET is an antihypertensive medicine. It contains two medicines namely,
nebivolol and hydrochlorothiazide. Nebivolol works by blocking the actions of
certain chemical messengers (such as adrenaline) in the body that increases
heart rate and blood pressure.

Hydrochlorothiazide works by reducing the thickness of the blood by removing
excess fluids from the body in the form of urine. Collectively, these actions
improve blood flow, reduce the strain on the heart and helps the heart to pump
more blood with less pressure.

How to use NEVY H TABLET

Take NEVY H TABLET as directed by your physician. Swallow the medicine with a
glass of water. Do not crush or chew the medicine.

Try to take NEVY H TABLET at the same time each day. NEVY H TABLET can be taken
with or without food.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and health condition.

Continue to take NEVY H TABLET for the stipulated duration instructed by your
doctor without any interru

Side Effects Of NEVY H TABLET

Common

• headache, dizziness
• tiredness
• tingling sensation or unusual itching in the body
• diarrhoea, constipation
• nausea
• shortness of breath
• swollen hands or feet

Uncommon

• low blood pressure
• slow heartbeat
• leg pain or cramps
• abnormal vision
• impotency (problems in reaching orgasm)
• depression
• indigestion, bloating
• vomiting
• skin rash or itching
• throat tightness
• nightmare

Rare

Stop taking NEVY H TABLET and contact your doctor immediately if you experience
any of the following side effects:

• severe allergic reactions (such as skin rash, itching, swelling of the face, lips, mouth or throat which can lead to difficulty in breathing or swallowing)

How To Manage Side Effects

Nausea and vomiting:

Take NEVY H TABLET with or just after a meal or a snack. Stick to simple meals.
Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or
machines completely while you are feeling dizzy. Do not consume excessive
alcohol, as it could aggravate your dizziness. Consult your doctor if your
dizziness worsens.

Headache:

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as
water or electrolytes. Applying a pain-relieving balm on your forehead can be
beneficial. Do not consume excessive alcohol, as it could aggravate your
headache. Consult your doctor if your headache worsens.

Warning & Precautions

!### Pregnancy

NEVY H TABLET is not recommended for use in pregnant women unless considered
necessary by the physician. Therefore, consult your doctor before taking it.

!### Breastfeeding

NEVY H TABLET is not recommended for use in breastfeeding women. Therefore,
consult your doctor before taking it.

!### Driving and Using Machines

Do not drive or handle any heavy tools or machines if your ability is affected
by NEVY H TABLET.

!### Alcohol

Avoid consum
feel dizzier and drowsier.

!### Kidney

NEVY H TABLET should be used with caution in patients with kidney problems.
Therefore, consult your doctor before taking it.

!### Liver

NEVY H TABLET is not recommended for use in patients with severe liver
impairment. Therefore, consult your doctor before taking it.

!### Allergy

Do not take NEVY H TABLET if you are allergic to Nebivolol or
Hydrochlorothiazide.

!### Lungs

NEVY H TABLET is not recommended for use in patients with asthma or other
breathing problems. It should be used with caution in patients with chronic
bronchitis (inflammation of the airways). Therefore, consult your doctor before
taking it.

!### Heart Disease

NEVY H TABLET is not recommended for use in patients with slow heartbeat,
serious heart rhythm problems or recent heart failure. It should be used with
caution in patients having angina (chest pain) or heart block. Therefore,
consult your doctor before taking it.

Others

NEVY H TABLET is not recommended for use if you:

• have low blood pressure
• have poor blood circulation in the arms and legs
• have metabolic acidosis (too much acidity in blood)
• have unmanageed phaeochromocytoma

Before taking NEVY H TABLET inform your doctor if you:

• have a slow heartbeat with shortness of breath and dizziness
• have Raynaud’s disease (poor blood circulation to fingers and toes)
• have leg pain, tension or weakness (intermittent claudication)
• have diabetes
• have overactivity of thyroid gland
• have psoriasis (white scaly patches on the skin)
• are going to undergo an operation
• are severely dehydrated
• have low sodium, potassium or magnesium levels in the blood

Use in Pediatrics:

NEVY H TABLET is not recommended for use in children and adolescents (aged below
18 years). Therefore, consult your doctor for advice.

Use in Geriatrics:

NEVY H TABLET should be used with caution in the elderly patients. Therefore,
consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking NEVY H TABLET inform to your doctor, if you are taking any of the
following medicines such as:

• medicines that can depress the brain such as barbiturates (Ex. phenobarbital)
• narcotic drugs (used for pain relief) such as morphine, fentanyl, pethidine
• medicines used to reduce blood cholesterol levels (such as cholestyramine, colestipol)
• corticosteroids (used to manage inflammation) Ex. prednisolone
• corticotropin (a medicine used to correct hormone problems)
• noradrenaline (a medicine used to increase blood pressure)
• tubocurarine, dantrolene (medicines used to relax muscles)
• medicines used for pain and inflammation (such as ibuprofen or indomethacin)
• calcium channel blockers (used to manage heart problems) such as verapamil, diltiazem, amlodipine, felodipine, lacidipine, nifedipine, nicardipine, nimodipine and nitrendipine
• other medicines used to manage high blood pressure (such as clonidine, guanfacine, moxonidine, methyldopa, rilmenidine, Aliskiren, captopril, enalapril, ramipril, losartan, valsartan)
• medicines used to manage uneven heartbeat (such as digoxin, quinidine, hydroquinidine, amiodarone, cibenzoline, ­ecainide, disopyramide, lidocaine, mexiletine and propafenone)
• medicines used to manage anxiety (such as phenobarbital, chlorpromazine)
• medicines used to manage depression (such as lithium, amitriptyline, trazodone, paroxetine, fl­uoxetine and thioridiazine)
• medicines used to manage asthma (such as salbutamol, salmeterol, budesonide)
• medications used to manage cough and cold (such as pseudoephedrine)
• medicines used to manage glaucoma (such as timolol, pindolol)
• medicines used to manage diabetes (such as insulin, metformin, gliclazide, glibenclamide)
• anaesthetics (used to cause numbness or loss of sensation) such as lidocaine, sevoflurane, halothane
• cimetidine (a medicine used to manage stomach ulcers)
• antacids (medicines used to neutralise stomach acid) such as aluminium hydroxide, magaldrate
• medicines used for pain and inflammation (such as aspirin, ibuprofen, diclofenac)
• baclofen (a medicine used for relaxing muscles)
• amifostine (a kidney protectant used along with chemotherapeutic agents)

Overdosage:

If you or anyone else accidentally took excessive amount of this medicine,
consult your doctor immediately or visit the nearby hospital straight away.
Symptoms of overdosage might include low blood pressure, fast or slow heart
rate, dizziness, kidney problems and shortness of breath.

Synopsis

Drug	:	Nebivolol, Hydrochlorothiazide
Pharmacological Category	:	Beta-Blockers, Thiazide like diuretic
Therapeutic Indication	:	Hypertension
Dosage Forms	:	Tablet

More Information

• Keep NEVY H TABLET out of reach to children
• Store NEVY H TABLET at normal room temperature

FAQs About NEVY H TABLET

Q: What are the uses of NEVY H TABLET?

A: NEVY H TABLET is used to manage hypertension. It can also be used to manage
the risk of heart attack or stroke.

Q: What type of a medicine is NEVY H TABLET?

A: NEVY H TABLET is an antihypertensive medicine. It slows down your heartbeat
and reduces the force of contraction of the heart. It also reduces the thickness
of the blood by removing excess fluids from the body in the form of urine.
Collectively, these actions reduce the strain on the heart and helps the heart
to pump blood more smoothly with less pressure.

Q: What happens when I stop taking NEVY H TABLET?

A: Do not stop taking NEVY H TABLET without consulting your doctor as your blood
pressure may raise once again. Make sure to take NEVY H TABLET for the
stipulated duration recommended by your doctor to achieve maximum results.

Q: What is the best time to take NEVY H TABLET?

A: NEVY H TABLET can be taken with or without meals. Your doctor will decide the
best time for you to take NEVY H TABLET based on your age, body weight and
disease condition.

Q: What to do if I forgot to take a dose of NEVY H TABLET?

A: If you forgot to take a dose of NEVY H TABLET, take it as soon as you
remember. However, if it is time for the next dose of NEVY H TABLET, skip the
missed dose and take the next one regularly. Do not take a double dose of NEVY H
TABLET to compensate the missed ones.

Q: What precautions should be followed while taking NEVY H TABLET?

A: Before taking NEVY H TABLET inform your doctor if you have any liver or
kidney problems. You must also inform your doctor if you have diabetes, thyroid
problems, asthma, poor blood circulation, dehydration or low sodium, potassium
or magnesium levels in the blood as a precaution. Consult your doctor before
taking this medicine if you are pregnant or breastfeeding. Regularly visit your
doctor and take all the necessary blood test recommended by your doctor without
fail.

Q: Can I consume alcohol while taking NEVY H TABLET?

A: Avoid consum
feel dizzier and drowsier.

Q: What happens if I accidentally take more NEVY H TABLET?

A: If you or anyone else accidentally took excessive amount of this medicine,
consult your doctor immediately or visit the nearby hospital straight away.
Symptoms of overdosage might include low blood pressure, fast or slow heart
rate, dizziness, kidney problems and shortness of breath.

Q: Can I take NEVY H TABLET daily?

A: Take NEVY H TABLET as advised by your physician. Your doctor will evaluate
your health condition and suggests whether can you take NEVY H TABLET every day
or not.

Q: Is NEVY H TABLET safe to use in diabetic patients?

A: NEVY H TABLET may alter the blood sugar levels in your body. Therefore, it is
necessary to inform your doctor if you have diabetes before taking NEVY H TABLET
as a precaution. Your doctor will closely monitor you blood sugar levels to
avoid the risk of side effects.

Q: What are the side effects of NEVY H TABLET?

A: The most common side effects of taking this medicine are headache, dizziness,
tiredness, tingling sensation, diarrhoea, constipation, shortness of breath and
swollen hands or feet. Consult your doctor if any of these side effect worsens.

Q: Can I stop taking NEVY H TABLET once my symptoms subside?

A: No. Do not stop taking NEVY H TABLET without consulting your doctor. As
hypertension is a chronic condition, long term management may be necessary to
control its symptoms. Therefore, take NEVY H TABLET as advised by your doctor
for the stipulated duration. Premature discontinuation of therapy may increase
your blood pressure once again.

Q: CanNEVY H TABLET be taken during pregnancy?

A: NEVY H TABLET is not recommended for use in pregnant women unless considered
necessary by the physician. Therefore, consult your doctor before taking it.

Q: IsNEVY H TABLET safe to use in kidney disease?

A: NEVY H TABLET should be used with caution in patients with kidney problems.
Your doctor will access your health condition and suggest a suitable dose for
you.

Q: Can the use of NEVY H TABLET affect the liver?

A: Yes. NEVY H TABLET may affect the way your liver work. It can elevate the
levels of certain liver enzymes in your body. Therefore, it should be used with
caution in patients with liver problems. Consult your doctor before taking it.

Q: Does NEVY H TABLET cause frequent urination?

A: Yes. NEVY H TABLET may cause frequent urination. It is because NEVY H TABLET
contains a medicine called hydrochlorothiazide which is a diuretic (water pill).
It excretes the excess water from the body in the form of urine. Therefore, it
is advised to take NEVY H TABLET at least 5 hours before bedtime to avoid the
urge at night to urinate.

Q: Can I take potassium supplements along with NEVY H TABLET?

A: Yes. Potassium supplements can be taken along with NEVY H TABLET. However,
consult your doctor before taking it.

Useful Diagnostic Tests

• Kidney Function Test