Telma NB 5mg/40mg Tablet

Telma NB 5mg/40mg Tablet acts as a beta blocker, thus effectively controlling high blood pressure levels in the body. The drug lowers hypertension and thus preventing heart attacks or strokes and the onset of kidney problems. The drug is known to slow down the action of a few naturally occurring body chemicals, like epinephrine, on organs like the heart and the blood vessels of the body.

The action of the drug effectively helps lower heart strain and blood pressure as well. Telma NB 5mg/40mg Tablet is meant to be consumed orally and may be taken before or after a meal. The dosage should be taken precisely as mentioned on the prescription. Your doctor may initially prescribe a low dose, increasing it gradually as per the drug’s effect on your body.

When it comes to the consumption of Telma NB 5mg/40mg Tablet there are a couple of precautions that’s should be adhered to. For instance-

• Inform the doctor about any allergies you have,
• Give your doctor detailed information about the current medicines or supplements you are taking. This is primarily because some medicines may hinder the effect of Telma NB 5mg/40mg Tablet resulting in complications. Such medicines include: amiodarone, sotalol, calcium channel blockers, insulin, digoxin etc.
• The doctor should be informed about any medical issues that you already have. This may include- diabetes, thyroid, kidney or liver disease, or blood circulation issues.
• Inform the doctor if you are pregnant or breast feeding as consumption of Telma NB 5mg/40mg Tablet may otherwise harm the child.

Some common side effects of Telma NB 5mg/40mg Tablet include fatigue, weakness, headache, nausea, pain in the stomach and problems with sleep. In case these symptoms become very severe contact your doctor. It is to be noted that while the drug controls hypertension it does not cure the condition. Thus, blood pressure should be regularly checked.

Do not take Telma NB 5mg/40mg Tablet if you:

• Have heart failure and are in the ICU or need medicines to keep up your blood circulation,
• Have a slow heartbeat or your heart skips beats (irregular heartbeat),
• Have severe liver damage,
• Are allergic to any ingredient in nebivolol tablets. The active ingredient is nebivolol. See the end of this leaflet for a list of ingredients.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

• Hypertension

  Telma NB 5mg/40mg Tablet is used for lowering high blood pressure in patients suffering from hypertension.

• Heart Failure

  Telma NB 5mg/40mg Tablet is also used to relieve the symptoms of heart failure by improving the blood flow to the heart.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

• Allergy

  Telma NB 5mg/40mg Tablet is not recommended for people who have a known history of allergy to this medication or any other medicines belonging to the group Beta Blockers. (Eg: Atenolol, Labetalol etc).

• Liver Disease

  Telma NB 5mg/40mg Tablet is not recommended for people having a severe liver impairment.

• Circulatory Disorders

  Telma NB 5mg/40mg Tablet is not recommended for people suffering from blood circulation disorders or cardiogenic shock.

• Heart Failure

  Telma NB 5mg/40mg Tablet is not recommended for use in people suffering from severe heart failure or people receiving emergency attention.

• Heart Diseases

  Telma NB 5mg/40mg Tablet is not recommended for people who have serious heart problems like heart block and Sick Sinus Syndrome, especially if no pacemaker has been implanted to correct the defect.

• Bronchial Asthma

  Telma NB 5mg/40mg Tablet is not recommended for use in people having a history of bronchial asthma and bronchospasm or any other condition in which the airway is obstructed.

• Heart Rhythm Disorders

  Telma NB 5mg/40mg Tablet is not recommended for use in people having heart rhythm disorders like Bradycardia.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

• Headache

• Dizziness

• Unusual Tiredness And Weakness

• Diarrhoea

• Increase In Body Fat And Cholesterol

• Sleeplessness

• Swelling Of Face, Lips, Eyelids, Tongue, Hands And Feet

• Chest Pain

• Decreased Blood Pressure

• Difficulty In Breathing

• Weight Gain

• Burning, Numbness, Tingling In The Arms And Feet

• Allergic Skin Reaction

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

• How long is the duration of effect?

  The effect of this medicine lasts for an average duration of 10-12 hours.

• What is the onset of action?

  The effect of this medicine can be observed within 1-2 hours of administration.

• Are there any pregnancy warnings?

  This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.

• Is it habit forming?

  No habit forming tendencies were reported.

• Are there any breast-feeding warnings?

  This medicine is not recommended for use by breastfeeding women unless absolutely necessary. The infant should be monitored for adverse effects like changes in pulse rate, respiratory changes, and low blood sugar levels. Consult your doctor before taking this medicine.

• Does this affect kidney function?

  In patients with severe renal impairment (ClCr less than 30 mL/min) the recommended initial dose is 2.5 mg once daily; titrate up slowly if needed. Telma NB 5mg/40mg Tablet have not been studied in patients receiving dialysis

• Does this affect liver function?

  In patients with moderate hepatic impairment, the recommended initial dose is 2.5 mg once daily; titrate up slowly if needed. Telma NB 5mg/40mg Tablet have not been studied in patients with severe hepatic impairment and therefore it is not recommended in that population

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

Below is the list of medicines, which have the same composition, strength and form as Telma NB 5mg/40mg Tablet , and hence can be used as its substitute.

• Nebicard T Tablet

  Torrent Pharmaceuticals Ltd

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

• Missed Dose instructions

  Take the missed dose as soon as you remember. However, the missed dose can be skipped if it is almost time for the next scheduled dose.

• Are there any overdose instructions?

  An overdose of this medication can cause some serious effects on the heart, blood vessels, and nerve conduction. Report the incidence as soon as possible so that medical intervention can begin. Supportive measures like Gastric lavage and symptomatic treatment might be required based on severity.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

• India

• United States

• Japan

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

Telma NB 5mg/40mg Tablet specifically blocks beta receptors sites in the heart, blood vessels, and lungs. This results in inhibition of epinephrine which relaxes blood vessels, lowering the pressure and improving blood flow to the heart.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Hematologist before using this medicine.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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• Interaction with Alcohol

  Ethanol

  Use of alcohol should be avoided while taking Telma NB 5mg/40mg Tablet especially when you start taking the medicine or change the dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.

• Interaction with Lab Test

  Lab

  Information not available.

• Interaction with Medicine

  Amlodipine

  Report the usage of either of these medicines to the doctor. Dose adjustment and safety monitoring may be required in such cases. Symptoms like headache, fainting, decrease in pulse or heart rate should be reported to the doctor.

  Diltiazem

  Report the use of either of these medicines to the doctor. Dose adjustment and safety monitoring may be required in such cases. Symptoms like fatigue, headache, fainting, an increase in weight, chest pain should be reported to the doctor.

  Fluoxetine

  Report the use of either of these medicines to the doctor. A dose adjustment and safety monitoring may be required in such cases. Symptoms like cold and numb hands and feet, blue color fingernails, muscle pain, and weakness, severe headache etc. should be reported to the doctor.

  Amiodarone

  Report the use of either of the medication to the doctor. A dose adjustment and clinical safety monitoring may be needed while taking these medicines together. Symptoms like headache, dizziness, shortness of breath, fainting etc should be reported to the doctor on priority.

  Aminophylline

  Report the usage of either of these medicines to the doctor. Dose adjustments and safety monitoring may be required in such cases. Contact your doctor if you experience nausea, vomiting, lack of sleep, and uneven heartbeat. Do not discontinue the usage of any medicine without consulting your doctor.

  Ergotamine

  Report the use of either of these medicines to the doctor. A dose adjustment and safety monitoring may be required in such cases. Symptoms like cold and numb hands and feet, muscle pain and weakness, severe headache etc. should be reported to the doctor.

• Interaction with Disease

  Asthma

  Telma NB 5mg/40mg Tablet should not be used in patients suffering from bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the incidence of Asthma to your doctor so that Telma NB 5mg/40mg Tablet can be substituted with another medication.

  Heart Block

  Telma NB 5mg/40mg Tablet should not be used in patients having a heart block greater than first degree. However, it can be used in this case if a pacemaker is present to correct the disorder.

  Diabetes

  Telma NB 5mg/40mg Tablet should be administered with caution in patients suffering from diabetes or a condition where blood sugar level is likely to get low. You should consult a doctor if any symptom indicating a lowered blood sugar level is suspected while using this medicine.

  Liver Disease

  Telma NB 5mg/40mg Tablet should be administered with caution in patients having a liver disease. Suitable dose adjustment and safety monitoring are advised in cases where the impairment is severe.

  Glaucoma

  Telma NB 5mg/40mg Tablet should be administered with caution in a patient suffering from Glaucoma. A change in the dose of current Glaucoma medicine may be required. In some cases, your doctor may advise the use of another medicine in place of a beta blocker.

  High Cholesterol And Fat

  Telma NB 5mg/40mg Tablet should be administered with caution in a patients having high levels of cholesterol and fat in their body. Suitable dose adjustment and safety monitoring may be required in such cases.

  Hyperthyroidism

  Telma NB 5mg/40mg Tablet should be used with caution in patients having high thyroid hormone levels. Special caution should be taken while withdrawing this medicine. The dosing and effects of the medicine should be closely monitored.

  Myasthenia Gravis

  Telma NB 5mg/40mg Tablet should be used with caution in patients suffering from this condition characterized by severe muscle weakness.

  Pheochromocytoma

  Telma NB 5mg/40mg Tablet should be used with caution in patients suffering from this condition. The treatment should be suitably combined with an alpha-blocker with appropriate dosing and clinical monitoring.

• Interaction with Food

  Food

  Information not available.

• Nebivolol-Drug Information Portal [Internet].druginfo.nlm.nih.gov 2022 [Cited 1 June 2022].Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/nebivolol

• Nebivolol-DrugBank Online [Internet].go.drugbank.com 2022 [Cited 1 June 2022].Available from:

  https://go.drugbank.com/drugs/DB04861

• Nebivolol Tablet,solution-DailyMed [Internet].dailymed.nlm.nih.gov 2022 [Cited 1 June 2022].Available from:

  https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=all&query=Nebivolol