Description
Nebilong 5mg Tablets – Nebivolol 5mg, 30 Tablets
If you are looking for a medication that can effectively treat high blood pressure and improve your cardiovascular health, Nebilong 5mg Tablets may be the perfect option for you. This medication contains nebivolol 5mg, a drug belonging to the group of selective beta-blocking agents, which means it specifically targets the cardiovascular system. Nebilong 5mg Tablets helps to prevent an increased heart rate and controls the strength of heart pumping, as well as dilating blood vessels to lower blood pressure. With its many benefits, Nebilong 5mg Tablets may be just what you need to improve your overall cardiovascular health. Speak to your doctor about Nebivolol 5mg.
What is Nebivolol 5mg used for?
Nebilong 5mg Tablets – Nebivolol 5mg is used to treat raised blood pressure (hypertension).
Nebivolol Tablets is also used to treat mild and moderate chronic heart failure in patients aged 70 years or over, in addition to other therapies.
Nebilong 5mg Tablets – Nebivolol 5mg Reviews
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What is the price of Nebilong 5mg Tablets – Nebivolol 5mg in Nigeria?
The price of Nebilong 5mg Tablets – Nebivolol 5mg is N3,550
Where can you buy Nebilong 5mg Tablets – Nebivolol 5mg In Nigeria?
You can Buy Nebilong 5mg Tablets – Nebivolol 5mg at Asset Pharmacy Lagos Nigeria, Nigeria\’s Largest Online Pharmacy.
Nebilong 5mg Tablets – Nebivolol 5mg is not available to buy over the counter. You need a prescription to buy Nebilong 5mg Tablets – Nebivolol 5mg
How to Use
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Nebivolol Tablets may be taken before, during or after the meal but alternatively, you can take this medicine independently of meals. The tablet is best taken with some water.
- The usual dose is 5mg (one 5mg tablet or two 2.5mg tablets) per day. The dose should be taken preferably at the same time of the day.
- Elderly patients and patients with a kidney disorder will usually start with 2.5mg (half a 5mg tablet or one 2.5mg tablet) daily.
- The therapeutic effect on blood pressure becomes evident after 1-2 weeks of treatment. Occasionally, the optimal effect is reached only after 4 weeks.
Your treatment will be started and closely supervised by an experienced physician.
- Your doctor will start your treatment with 1.25mg (half a 2.5mg tablet) per day. This may be increased after 1-2 weeks to 2.5mg (one 2.5mg tablet or half a 5mg tablet) per day, then to 5mg (two 2.5mg tablets or one 5mg tablet) per day and then to 10mg (four 2.5mg tablets or two 5mg tablets) per day until the correct dose is reached for you. Your doctor will prescribe the dose that is right for you at each step and you should closely follow your doctor‘s instructions.
- The maximum recommended dose is 10 mg.
- You will need to be under the close supervision for 2 hours by an experienced physician when you start treatment and every time your dose is increased.
- Your doctor may reduce your dose if necessary.
- You should not stop treatment abruptly as this can make your heart failure worse.
- Patients with serious kidney problems should not take this medicine.
- Take your medicine once daily, preferably at about the same time of day.
- Your doctor may decide to combine your tablets with other medicine for your condition.
If you have been told by your doctor to take ½ (half) tablet daily, please refer to the instructions below on how to break Nebivolol 2.5mg and Nebivolol 5mg scored tablets into equal doses.
- Place the tablets onto a flat, hard surface (e.g. a table or worktop), with the break line facing up.
- Break the tablet by pushing it with the index fingers of both hands placed along break line (Diagrams 1 and 2).
Diagrams 1 and 2: Easy breaking of the Nebivolol 2.5mg and Nebivolol 5mg scored tablets into equal doses.
Do not use in children or adolescents.
If you accidentally take an overdose of this medicine, tell your doctor or pharmacist immediately. The most frequent symptoms and signs of a Nebivolol Tablets overdose are very slow heart beat (bradycardia), low blood pressure with possible fainting (hypotension), breathlessness such as in asthma (bronchospasm), and acute heart failure.
You can take activated charcoal (which is available at your pharmacy) while you wait for the arrival of the doctor.
If you forget a dose of Nebivolol Tablets, but remember a little later on that you should have taken it, take that day’s dose as usual.. However, if a long delay has occurred (e.g. several hours), so that the next due dose is near, skip the forgotten dose and take the next, scheduled, normal dose at the scheduled usual time. Do not take a double dose. Repeated skipping, however, should be avoided.
You should always consult with your doctor before stopping treatment with Nebivolol Tablets, whether you are taking it for high blood pressure or chronic heart failure.
You should not stop Nebivolol Tablets treatment abruptly as this can temporarily make your heart failure worse.
If it is necessary to stop Nebivolol Tablets treatment for chronic heart failure, the daily dose should be decreased gradually, by halving the dose at weekly intervals. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Product Details
- If you are allergic to nebivolol or any of the other ingredients of this medicine (listed in section 6).
- If you have one or more of the following disorders:
- low blood pressure
- serious circulation problems in the arms or legs
- very slow heartbeat (less than 60 heart beats per minute)
- certain other serious heart rhythm problems (e.g. 2nd and 3rd degree atrioventricular block, heart conduction disorders)
- heart failure, which has just occurred or which has recently become worse, or you are receiving treatment for circulatory shock due to acute heart failure by intravenous drip feed to help your heart work
- asthma or wheezing (now or in the past) untreated phaeochromocytoma, a tumour located on top of the kidneys (in the adrenal glands)
- liver function disorder
- a metabolic disorder (metabolic acidosis), for example, diabetic ketoacidosis.
Talk to your doctor or pharmacist before taking Nebivolol Tablets.
Inform your doctor if you have or develop one of the following problems:
- abnormally slow heartbeat
- a type of chest pain due to spontaneously occurring heart cramp called Prinzmetal angina
- untreated chronic heart failure
- 1st degree heart block (a kind of light heart conduction disorder that affects heart rhythm)
- poor circulation in the arms or legs, e.g. Raynaud’s disease or syndrome, cramp-like pains when walking
- prolonged breathing problems
- diabetes: this medicine has no effect on blood sugar, but it could conceal the warning signs of a low sugar level (e.g. palpitations, fast heartbeat)
- overactive thyroid gland: this medicine may mask the signs of an abnormally fast heart rate due to this condition
- allergy: this medicine may intensify your reaction to pollen or other substances you are allergic to
- if you have or previously had psoriasis (a skin disease – scaly pink patches)
- if you intend to have surgery, tell your doctor that you are taking Nebivolol Tablets before undergoing any surgery.
If you have serious kidney problems do not take Nebivolol Tablets for heart failure and tell your doctor.
You will be regularly monitored at the beginning of your treatment for chronic heart failure by an experienced physician (see section 3).
This treatment should not be stopped abruptly unless clearly indicated and evaluated by your doctor (see section 3).
Because of the lack of data on the use of the product in children and adolescents, Nebivolol Tablets is not recommended for use in them.
Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.
Always tell your doctor if you are using or receiving any of the following medicines in addition to Nebivolol Tablets:
- Medicines for controlling the blood pressure or medicines for heart problems (such as amiodarone, amlodipine, cibenzoline, clonidine, digoxin, diltiazem, disopyramide, felodipine, flecainide, guanfacin, hydroquinidine, lacidipine, lidocaine, methyldopa, mexiletine, moxonidine, nifedipine, nicardipine, nimodipine, nitrendipine, propafenone, quinidine, rilmenidine, verapamil).
- Sedatives and therapies for psychosis (a mental illness) e.g. barbiturates (also used for epilepsy), phenothiazine (also used for vomiting and nausea) and thioridazine.
- Medicines for depression e.g. amitriptyline, paroxetine, fluoxetine.
- Medicines used for anaesthesia during an operation.
- Medicines for asthma, blocked nose or certain eye disorders such as glaucoma (increased pressure in the eye) or dilation (widening) of the pupil.
- Baclofen (an antispasmodic drug); Amifostine (a protective medicine used during cancer treatment).
All of these medicines as well as nebivolol may influence the blood pressure and/or your heart function if you are using or receiving any of the following medicines:
- Anti malarials (mefloquine).
- Medicines for treating excessive stomach acid or ulcers (antacid drug), you should take Nebivolol Tablets during a meal and the antacid medicine between meals.
Please refer to section 3.
Pregnancy
Nebivolol Tablets should not be taken during pregnancy unless clearly necessary.
Breast-feeding
It is not recommended for use while breast-feeding.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
This medicine may cause dizziness or fatigue. If affected, do not drive or operate machinery.
This medicine contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.
Side Effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop taking Nebivolol and talk to your doctor immediately if you have any of the following side effects:
- whole-body allergic reactions, with generalised skin eruption (hypersensitivity reactions)
- rapid-onset of swelling, especially around the lips, eyes, or of the tongue with sudden difficulties in breathing (angioedema).
- kind of skin rash notable for pale red, raised, itchy bumps of allergic or non allergic causes (urticaria).
- Breathlessness such as in asthma, due to sudden cramps in the muscles around the airways. Tightening of the chest, difficulty in breathing or wheezing (bronchospasm)
When Nebivolol Tablets is used for the treatment of raised blood pressure, the possible side effects are:
Common side effects (may affect up to 1 in 10 people):
- Headache
- Dizziness
- Tiredness
- An unusual itching or tingling feeling
- Diarrhoea
- Constipation
- Nausea
- Shortness of breath
- Swollen hands or feet
Uncommon side effects (may affect up to 1 in 100 people):
- Slow heartbeat or other heart complaints
- Low blood pressure
- Cramp-like leg pains on walking
- Abnormal vision
- Impotence (difficulty in getting an erection)
- Feeling of depression
- Digestive difficulties (dyspepsia), gas in stomach or bowel (indigestion)
- Vomiting
- Skin rash, itchiness
- Breathlessness such as in asthma, due to sudden cramps in the muscles around the airways. Tightening of the chest, difficulty in breathing or wheezing (bronchospasm)
- Nightmares
Very rare side effects (may affect up to 1 in 10,000 people):
- Fainting
- Worsening of psoriasis (a skin disease – scaly pink patches).
The following side effects have been reported only in some isolated cases during treatment with this medicine:
- whole-body allergic reactions, with generalised skin eruption (hypersensitivity reactions)
- rapid-onset of swelling, especially around the lips, eyes, or of the tongue with sudden difficulties in breathing (angioedema).
- kind of skin rash notable for pale red, raised, itchy bumps of allergic or non allergic causes (urticaria).
In a clinical study for chronic heart failure, the following side effects were seen:
Very common side effects (may affect more than 1 in 10 people):
- slow heart beat
- dizziness
Common side effects (may affect up to 1 in 10 people)
- worsening of heart failure
- low blood pressure(such as feeling faint when getting up too quickly)
- inability to tolerate this medicine
- a kind of light heart conduction disorder that affects the heart rhythm (1st degree AV-block)
- swelling of the lower limbs (such as swollen ankles)
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.
Ingredients
The active substance is nebivolol.
Each tablet contains 2.5mg of nebivolol equivalent to 2.725mg of nebivolol hydrochloride.
Or
Each tablet contains 5mg nebivolol equivalent to 5.45mg nebivolol hydrochloride
The other ingredients are:
lactose monohydrate; maize starch; croscarmellose sodium; hypromellose; microcrystalline cellulose; silica colloidal anhydrous; magnesium stearate.
How to store
Keep out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and on the blister after <EXP>.
The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
If the medicine becomes discoloured or shows any other signs of deterioration, you should seek the advice of your pharmacist who will tell you what to do.
Prescription Product
This product requires a prescription from your Doctor.
Please follow the instruction received from the pharmacy on how to forward your prescription to the pharmacy after you have paid for the medicine.
A prescription drug is a pharmaceutical medication that legally requires a medical prescription to be dispensed.
To order this product you confirm that you are under the care of your doctor or consultant and have been given permission by them for purchase, fulfillment & use in treatment with their written consent
Delivery
Delievry time are estimates. Can vary due to the time of day you order.
Delivery time estimate are subject to the courier company.
Shipping to Lagos cost starts from N1850 Next day delivery
Shipping to Rest Of Nigeria – 2-3 days cost starts from N2000
Shipping to Rest of Africa – 5-7 working days Cost starts from N12000
Shipping to Europe 7 – 14 working days Cost srats from N18000
Shipping to Rest of the world – 7 – 14 days Cost starts from N18000
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