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Nebula-D Tablet is used to treat high blood pressure (hypertension). It contains Nebivolol and Indapamide, which relaxes and widens the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Also, it inhibits excess salt absorption in the body. It may cause side effects such as nausea, constipation, fatigue, headache, stomach pain, diarrhoea, indigestion, weakness, dizziness, cough, peripheral oedema (swelling in feet and hands), nervousness, and hypertonia (increased muscle tone). Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Zydus Healthcare Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nebula-D Tablet

Nebula-D Tablet is a prescription medicine used to treat high blood pressure (hypertension). Its primary medical purpose is to lower elevated blood pressure, which helps protect your heart and blood vessels from long-term damage. By keeping your blood pressure in a healthy range, this medicine helps reduce the risk of serious complications like heart attacks, strokes, and kidney problems.

For this medicine to work effectively, you must take it consistently once a day, preferably at the same time every day. You can take Nebula-D Tablet with or without food, but keeping a regular daily routine helps you remember your dose. Combining this medication with healthy lifestyle choices such as eating a low-salt diet, managing stress, and staying physically active will help you achieve the best possible results.

Most people tolerate this medication well, but some may experience mild side effects like dizziness, fatigue, or headaches. These symptoms often improve as your body adjusts to the medicine. However, you must contact your doctor immediately if you experience serious side effects, such as an unusually slow heartbeat, severe dizziness, or signs of an allergic reaction.

Before you start taking this medicine, talk to your doctor if you have a history of diabetes, kidney problems, or thyroid disorders. Do not take this if you have severe asthma, serious blood circulation issues, a very slow heart rate, or severe liver damage. Your doctor will help determine if this medication is safe and appropriate for your specific health profile.

This medicine can interact with other substances, including certain heart medications, pain relievers like ibuprofen, and lithium. Avoid drinking alcohol while taking this medication, as it can cause your blood pressure to drop too low and make you feel extremely dizzy. If you are pregnant, planning to become pregnant, breastfeeding, or are an older adult, consult your doctor before starting this treatment to ensure it is handled safely.

Uses of Nebula-D Tablet

Nebula-D Tablet is used to treat high blood pressure. The detailed uses of Nebula-D Tablet are as follows:

  • High blood pressure (hypertension): Nebula-D Tablet helps relax blood vessels and reduce excess fluid in the body, making it easier for your heart to pump blood and lowering overall blood pressure.

Key Benefits

Nebula-D Tablet helps manage high blood pressure effectively, reducing the strain on the heart and circulatory system. It supports healthy organ function and helps lower the risk of complications associated with uncontrolled blood pressure. Benefits may include:

  • Provides effective 24-hour blood pressure control with once-daily dosing.
  • Helps lower blood pressure through a dual-action approach.
  • Reduces strain on the heart and supports healthy cardiovascular function.
  • Helps protect the kidneys, brain, and blood vessels from damage caused by high blood pressure.
  • Lowers the risk of serious complications such as stroke, heart failure, and other cardiovascular events.
  • Supports long-term heart health and greater peace of mind through consistent blood pressure management.
Side effects of Nebula-D Tablet
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Directions for Use

To get the most benefit from your medication, follow these simple steps:

  • Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet.
  • Take your dose at the same time every day to keep a steady level of medicine in your body.
  • You can take this medicine with or without food.
  • Always follow your doctor's exact instructions regarding your treatment plan. Do not change your dose or stop taking the medicine without consulting them first.

How Nebula-D Tablet Works

Nebula-D Tablet contains Nebivolol and Indapamide. • Nebivolol: It helps lower blood pressure by slowing the heart rate and reducing the force with which the heart pumps blood. This helps reduce the strain on the heart and blood vessels. • Indapamide: It helps the body remove excess salt and water through urine. This reduces the amount of fluid in the blood vessels, helping to lower blood pressure and improve circulation.
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Alcohol

Unsafe

Alcohol may lower your blood pressure. It would help if you avoided or limit consuming alcohol whilst taking this medicine

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Pregnancy

Caution

It is not recommended to take Nebula-D Tablet while pregnant as it is a pregnancy category C drug, and it is unknown whether it will harm the baby. Please consult your doctor if you have any concerns regarding this; your doctor will prescribe you Nebula-D Tablet only if the benefits outweigh the risks.

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Breast Feeding

Caution

There are limited studies on how Nebula-D Tablet affects the breastfed infants. However, Indapamide in Nebula-D Tablet may pass into the breast milk during breastfeeding. Please consult your doctor before using Nebula-D Tablet if you are a lactating mother.

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Driving

Caution

Nebula-D Tablet may cause side effects due to lowering of the blood pressure such as dizziness or tiredness. If you feel dizzy or tired when taking this medicine, do not drive or use any tools or machines.

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Liver

Caution

Dose adjustment may be needed. Nebula-D Tablet should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Nebula-D Tablet should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

Nebula-D Tablet is not recommended for use in people below 18 years of age.

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Heart

Safe if prescribed

Nebula-D Tablet is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Nebula-D Tablet should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Nebula-D Tablet

If you suspect an overdose, seek emergency medical attention immediately. Signs of an overdose may include severe dizziness, feeling faint, an extremely slow heart rate, or difficulty breathing.

Diet & Lifestyle Advise

  • Reduce salt intake: Eat less sodium by avoiding processed foods and not adding extra salt to your meals, as sodium can raise blood pressure.
  • Stay moderately active: Aim for at least 30 minutes of moderate exercise, like brisk walking, most days of the week, as approved by your doctor.
  • Eat a heart-healthy diet: Focus on meals rich in vegetables, fruits, whole grains, and lean proteins.
  • Limit alcohol and avoid smoking: Both habits can damage your blood vessels and make it harder to control your blood pressure.
health query

Have a query?

How Soon It Starts Working

  • The time required for Nebula-D Tablet to start to work: The time required for Nebula-D Tablet to show its action is unknown.
  • The time for which the effects of Nebula-D Tablet last: The duration of action for Nebula-D Tablet is unknown.

What if you forget to take Nebula-D Tablet

If you miss a dose, take it as soon as you remember. However, if your next scheduled dose is only a few hours away, skip the missed dose and resume your regular schedule. Never take two doses at the same time to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Change positions slowly: Stand up gradually from a sitting or lying position to help reduce the risk of dizziness, lightheadedness, and falls.
  • Monitor your blood pressure regularly: Check your blood pressure at home, keep a record of your readings, and share them with your healthcare provider during follow-up visits.
  • Do not stop treatment abruptly: Continue taking Nebula-D Tablet as prescribed. If treatment needs to be stopped, your doctor may recommend gradually reducing the dose.
  • Consult your healthcare provider before taking other medicines: Some over-the-counter cough, cold, or pain relief medicines may affect blood pressure control or interact with this treatment.
  • Attend regular monitoring appointments: Your doctor may perform blood tests to check kidney function, fluid balance, and electrolyte levels such as sodium and potassium to ensure the medicine remains safe and effective.
  • Use caution if you have gout, kidney disease, or are older: This medicine may increase uric acid levels and may require additional monitoring in people with gout. Older adults and patients with kidney impairment may be more sensitive to its effects and may need closer monitoring.
  • Avoid use in certain medical conditions and during pregnancy: Do not take Nebula-D Tablet if you are allergic to its ingredients, have a very slow heart rate, serious heart rhythm problems, severe asthma, COPD, severe liver or kidney disease, inability to pass urine, or untreated low potassium or sodium levels. Avoid use during pregnancy unless specifically advised by a specialist healthcare provider.

Drug-Drug Interactions

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Drug-Drug Interactions

  • Other blood pressure-lowering medicines: Taking these alongside Nebula-D Tablet may cause your blood pressure to drop too low, leading to dizziness, lightheadedness, or fainting.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen): These medicines may reduce the effectiveness of Nebula-D Tablet and increase the risk of kidney problems.
  • Medicines for bipolar disorder (e.g., Lithium): Combining lithium with Nebula-D Tablet may increase lithium levels in the blood, raising the risk of lithium toxicity.
  • Certain heart medicines (e.g., digoxin): Taking these alongside Nebula-D Tablet may increase the risk of a dangerously slow heart rate and other heart-related complications.

Drug-Food Interactions

  • Alcohol: Avoid consuming alcohol while taking Nebula-D Tablet , as it can increase the risk of severe dizziness, drowsiness, and fainting.

Drug-Disease Interactions

  • Severe asthma or chronic lung disease: Nebula-D Tablet may worsen breathing problems and should generally be avoided in patients with severe respiratory conditions.
  • Heart block or certain heart rhythm disorders: This medicine may further slow the heart rate and worsen existing conduction abnormalities.
  • Diabetes: Nebula-D Tablet may mask warning signs of low blood sugar, such as a rapid heartbeat, making hypoglycemia more difficult to recognize.
  • Kidney disease: Patients with kidney impairment may require closer monitoring, as Nebula-D Tablet can affect kidney function and increase the risk of side effects.
  • Liver disease: Reduced liver function may affect how Nebula-D Tablet is processed in the body, requiring careful monitoring during treatment.
Critical

Drug-Drug Interactions

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Critical
How does the drug interact with Nebula-D Tablet:
Taking Droperidol with Nebivolol and Indapamide can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Droperidol with Nebivolol and Indapamide is not recommended, but can be taken if prescribed by the doctor. Consult a doctor if you experience dizziness, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.
How does the drug interact with Nebula-D Tablet:
Taking Nebivolol and Indapamide with Thioridazine can increase the risk of heart problems.

How to manage the interaction:
Taking Thioridazine with Nebivolol and Indapamide is not recommended, but can be taken if prescribed by the doctor. Do not stop using any medications without talking to a doctor.
Critical
How does the drug interact with Nebula-D Tablet:
Taking Protriptyline along with Nebivolol and Indapamide can lead to serious heart problems.

How to manage the interaction:
Taking Protriptyline with Nebivolol and Indapamide is not recommended, but can be taken if prescribed by the doctor. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Nebula-D Tablet:
Co-administration of Nebivolol and Indapamide with Dolasetron can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Nebivolol and Indapamide with Dolasetron together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience irregular heartbeat, chest tightness, blurred vision, consult a doctor. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nebula-D Tablet:
Co-administration of Amiodarone together with Nebivolol and Indapamide may raise the risk of an abnormal heart rhythm.

How to manage the interaction:
Even though Amiodarone with Nebivolol and Indapamide interact, they can be used if prescribed by a doctor. If you experience dizziness, shortness of breath, rapid heartbeat, painful muscle cramping, or vomiting, get medical attention. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nebula-D Tablet:
Taking Nebivolol and Indapamide with Diltiazem may increase the risk or severity of side effects.

How to manage the interaction:
Taking Nebivolol and Indapamide with Diltiazem together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience headache, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, contact a doctor. Do not discontinue any medications without a doctor's advice.
Nebivolol + IndapamideAminolevulinic acid
Severe
How does the drug interact with Nebula-D Tablet:
Taking Aminolevulinic acid with Nebivolol and Indapamide may increase the risk of a severe sunburn.

How to manage the interaction:
Although taking Aminolevulinic acid with Nebivolol and Indapamide together can cause an interaction, it can be taken if a doctor has suggested it. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nebula-D Tablet:
Coadministration of atazanavir with nebivolol and Indapamide can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking atazanavir with nebivolol and Indapamide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness, irregular heartbeat consult a doctor. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nebula-D Tablet:
using nebivolol and Indapamide together with aminophylline can make nebivolol less effective and increase the effects of aminophylline.

How to manage the interaction:
Although Nebivolol and Indapamide together with aminophyllin can result in an interaction, it can be taken if a doctor has prescribed it. Contact a doctor if you experience vomiting, irregular heartbeats, or difficulty breathing. Do not stop using any medications without talking to a doctor.
How does the drug interact with Nebula-D Tablet:
Co-administration of clonidine and nebivolol and Indapamide together may lower the blood pressure and slow your heart rate.

How to manage the interaction:
Taking clonidine and nebivolol and Indapamide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness, shortness of breath, chest pain or tightness, rapid heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

FAQs

Nebula-D Tablet is used to treat high blood pressure (hypertension).
Nebula-D Tablet contains Nebivolol and Indapamide. Nebivolol works by relaxing and widening the blood vessels making it easier for the heart to pump blood to all parts of the body. This helps in decreasing the blood pressure and the risk of having a heart attack or stroke. Indapamide inhibits excess salt absorption in the body, resulting in increased chloride, sodium, and water excretion through urine. This diuresis process (increased urine production) and excess salts and fluid removal help lower blood pressure.
No, you should not stop taking Nebula-D Tablet without consulting your doctor. High blood pressure usually has no noticeable symptoms, and this medicine works by controlling your blood pressure rather than curing it. Stopping suddenly can lead to a dangerous spike in your blood pressure. Talk to your doctor.
Yes, this medicine can occasionally affect blood sugar control and may also mask the physical signs of low blood sugar, such as a rapid heart rate, in patients with diabetes. If you have diabetes, monitor your blood sugar closely while on this medication. Talk to your doctor.
Nebula-D Tablet may cause swelling of hands or feet. This could be due to edema (fluid retention). Talk to your doctor if you think you have gained weight or have trouble breathing while taking Nebula-D Tablet .
Do not overdose on Nebula-D Tablet or any medicine, which could lead to very unpleasant side effects. Take Nebula-D Tablet only as prescribed by your doctor. An overdose of Nebula-D Tablet can cause a very slow heartbeat, low blood pressure, breathlessness, and acute heart failure. Rush to your nearest doctor as early as possible if you have overdosed on Nebula-D Tablet .
You may notice a reduction in your blood pressure within a few days of starting this medicine, but it can take up to several weeks of consistent use to see the full therapeutic effect. Continue taking it as prescribed even if you feel well. Talk to your doctor.
No, this medication is generally not recommended for use during pregnancy or breastfeeding, as it may affect the baby's development or pass into breast milk. If you are pregnant or planning to become pregnant, talk to your doctor.
Yes, because this medicine contains a mild diuretic, it helps your body remove excess water and salt through your urine. You may notice an increase in urination, especially when you first start taking it. To avoid waking up at night, it is best to take your dose in the morning. Talk to your doctor.
It is highly recommended to avoid or strictly limit alcohol while taking Nebula-D Tablet . Alcohol can increase the blood pressure-lowering effect of the medicine, which may cause you to feel severely dizzy, lightheaded, or faint. Talk to your doctor.
Muscle cramps can sometimes be a sign of low potassium or sodium levels, which can happen when taking a diuretic. If you experience persistent or severe muscle cramps, do not ignore them. Talk to your doctor.
It is usually best to take Nebula-D Tablet in the morning. Since it increases urination, taking it early in the day helps prevent you from having to get up during the night to use the bathroom. Talk to your doctor.

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Country of origin

India

Manufacturer/Marketer address

Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
Other Info - NEB0112
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