NEBISTAR-T TABLET

Uses and Benefits of NEBISTAR-T TABLET (Telmisartan 40mg + Nebivolol 5mg)

This medicine combination is mainly prescribed to control high blood pressure in adults who need more than one medicine to manage it effectively.

WHAT THIS MEDICINE IS USED FOR

• Treatment of hypertension (high blood pressure)
• Used when a single blood pressure medicine is not enough to control levels
• May be used to reduce strain on the heart in some patients with high blood pressure

HOW IT WORKS

• Telmisartan blocks angiotensin II, a chemical that narrows blood vessels, helping them relax and widen
• Nebivolol blocks beta receptors in the heart, slowing the heart rate and reducing the force of contraction
• Together they lower blood pressure through two different mechanisms, giving better control

WHAT IT IS NOT USED FOR

• Not a treatment for sudden chest pain or heart attack
• Not meant for immediate emergency lowering of very high blood pressure
• Not a cure for hypertension; it only controls it and must be continued long-term
• Not recommended for use in pregnancy or for children unless specifically advised by a doctor

Side Effects of NEBISTAR-T TABLET (Telmisartan 40mg + Nebivolol 5mg)

COMMON SIDE EFFECTS

• Dizziness
• Tiredness or fatigue
• Headache
• Slow heart rate
• Low blood pressure symptoms like lightheadedness

LESS COMMON SIDE EFFECTS

• Cold hands or feet
• Nausea or upset stomach
• Diarrhoea
• Sleep disturbances
• Muscle cramps

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Fainting or severe dizziness
• Very slow or irregular heartbeat
• Swelling of face, lips, tongue, or throat (allergic reaction)
• Difficulty breathing or wheezing
• Signs of high potassium such as muscle weakness or irregular heartbeat
• Yellowing of skin or eyes (liver problems)
• Reduced urine output

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use NEBISTAR-T TABLET (Telmisartan 40mg + Nebivolol 5mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Take at the same time every day to maintain steady levels in the body
• Can be taken with or without food, unless your doctor advises otherwise
• Swallow the tablet whole with water; do not crush or chew unless instructed
• Do not stop taking suddenly without consulting your doctor, especially the beta-blocker component
• Continue taking it even if you feel well, as blood pressure control needs regular use

IF YOU MISS A DOSE

• Take it as soon as you remember on the same day
• If it is almost time for your next dose, skip the missed one
• Do not take a double dose to make up for a missed one
• If you miss doses often, set a reminder or speak to your doctor about adjusting your routine

STORAGE

• Store at room temperature, away from direct heat, light, and moisture
• Keep in original packaging until ready to use
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for NEBISTAR-T TABLET (Telmisartan 40mg + Nebivolol 5mg)

This is a prescription-only medicine in India and should not be used without a doctor's prescription.

DO NOT TAKE THIS MEDICINE IF YOU

• Are pregnant or planning pregnancy
• Are breastfeeding
• Have severe liver disease
• Have a very slow heart rate, heart block, or uncontrolled heart failure
• Have severe asthma or bronchospasm
• Have known allergy to Telmisartan, Nebivolol, or similar medicines

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney disease
• Have diabetes
• Have a history of low blood pressure or fainting
• Have any heart rhythm problems
• Are taking potassium supplements or potassium-sparing diuretics
• Are elderly or have other chronic illnesses

MEDICINES THAT CAN INTERACT

• Other blood pressure-lowering medicines
• Diuretics (water pills)
• Potassium supplements or salt substitutes
• NSAIDs (painkillers like ibuprofen) used regularly
• Other beta-blockers or calcium channel blockers
• Lithium
• Diabetes medicines, as blood sugar-lowering effects may change

FREQUENTLY ASKED QUESTIONS

Can I stop taking this medicine once my blood pressure is normal?

No, stopping suddenly can be harmful; blood pressure medicines are usually needed long-term and any changes should be guided by your doctor.

Can this medicine make me feel dizzy?

Yes, especially when standing up quickly; rise slowly and avoid driving until you know how it affects you.

Is it safe to take this with alcohol?

• Alcohol can increase dizziness and lower blood pressure further, so it is best to limit or avoid it.
• Doctor ya pharmacist se salah lein.