Do you also have high blood pressure, or "pressure" as we all know it? If so, your doctor may have prescribed you more than one type of medication. Today we are going to talk about a special medicine that is made by combining two such medications and is used to control blood pressure. It is a combination called Nebivolol and Valsartan. If you have also been prescribed this medicine, this article will be very important for you.
What kind of medicine is this?
Simply put, this is a combination of two types of medication.
1. Nebivolol: This is a drug in a class of drugs called ``beta-blockers.'' It works by controlling your heart rate a little and helping your blood vessels relax and not strain. It's like giving a runner a little more time to recover.
2. Valsartan: This belongs to a class of drugs called angiotensin II antagonists. There is a chemical in our body that causes the blood vessels to constrict, that is, to become narrow. This medicine works by stopping the action of that chemical. Then the blood vessels open up well and blood can flow without any obstruction.
These two medications work together to control your high blood pressure. Sometimes this medication can be used for other things as well. If you have any questions about it, ask your doctor.
Things you need to tell your doctor before taking medicine
Before starting this medication, it is important to tell your doctor if you have any of the following conditions. This is very important for your safety.
| Inform your doctor if you have these conditions. |
|---|
| - Diabetes |
| - If you have heart disease or a heart attack |
| - Kidney disease |
| - Liver disease |
| - Lung or respiratory diseases such as asthma |
| - A condition called Pheochromocytoma |
| - Thyroid disease |
| - If you have an allergy to Nebivolol, Valsartan or any other medicine, food, or dye |
| - If you are pregnant or trying to get pregnant |
| - If you are a breastfeeding mother |
How should I use this medicine?
It is very important to know exactly how to use this medicine.
- Take this medicine by mouth with a glass of water. Follow the instructions given by your doctor exactly as prescribed.
- You can take this before or after meals. However, if you feel any stomach discomfort or discomfort, it is better to take it with food.
- Take your medicine at the right time, at the right intervals. Do not take more than the doctor tells you to.
- The most important thing is, do not stop taking this medication suddenly without your doctor's advice. Doing so can cause your blood pressure to suddenly increase and other complications to occur.
What to do if you miss a dose of medication?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take double doses.
What if I take too much medicine?
If you think you have taken too much medicine, don't panic. Immediately call the National Poisons Information Centre at the Colombo National Hospital , or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
This medicine has been prescribed for you only. Do not share it with anyone else, even if your symptoms are the same as yours.
Other medications that may interact with this medicine
When taking this medicine, some other medications may cause problems. Therefore, you should tell your doctor about all the medications you are taking.
| Special warning for patients with diabetes | |
|---|---|
| The medicine that should never be taken | Aliskiren |
| Other medications that can cause problems | |
| Other beta-blockers | Ex: Metoprolol, Propranolol |
| Other blood pressure medications | Ex: Benazepril, Captopril, Lisinopril |
| Diuretics (water pills) | Ex: Amiloride, Spironolactone |
| Painkillers (NSAIDS) | Ex: Ibuprofen, Naproxen |
| Potassium supplements | |
| Other medications | Digoxin, Diltiazem, Lithium, Fluoxetine, Paroxetine, Verapamil, Clonidine, Heparin |
This list is not complete. Tell your doctor about all medications, vitamins, herbal remedies, and supplements you take. Also, tell your doctor if you smoke or drink alcohol.
What are the things to consider when taking the medicine?
- Go for regular check-ups: See your doctor regularly to get your blood pressure checked. If you are checking your blood pressure at home, get advice on what levels to expect and when to call your doctor.
- Drowsiness and dizziness: This medicine may make you feel drowsy and dizzy. So , do not drive or operate machinery until you know how it affects you. Do not get up suddenly from a sitting position, especially if you are elderly. Get up slowly. This will reduce the risk of dizziness and falling.
- Alcohol: Drinking alcohol can increase drowsiness and dizziness. Therefore, avoid drinking alcohol while taking this medication.
- Pregnancy: This is a very important point.
- Diabetes: If you have diabetes, this medicine may slightly increase your blood sugar levels. So ask your doctor if you need to make any changes to your diet or diabetes medication.
- Other medications: Always consult your doctor before taking any over-the-counter medications for coughs, colds, or pain while taking this medication. Some medications can increase your blood pressure.
- Nebivolol and Valsartan are a combination of two drugs that control high blood pressure.
- Take the medicine exactly as prescribed by your doctor, at the right time. Do not stop taking the medicine or change the dosage for any reason without medical advice.
- Tell your doctor about all other medications you are taking and any other medical conditions you have (especially diabetes, kidney, or liver disease).
- Be aware of possible drowsiness and dizziness after taking the medication. Avoid driving until you know how it affects you.
- If you are pregnant, planning to become pregnant, or are breastfeeding, be sure to inform your doctor before starting this medication.
- If you experience any severe side effects such as facial swelling, difficulty breathing, or severe dizziness, seek medical advice immediately or go to the nearest hospital's Emergency Department (ETU).
It is imperative for pregnant women or those who are planning to become pregnant to inform their doctor about this. Especially during the second and third trimesters of pregnancy, it can cause serious harm to the unborn child.
What side effects might I experience?
Like any medicine, this one can cause some side effects. Some of them are serious, some of them are common.
| Side effects that should be reported to the doctor immediately | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue |
| Breathing difficulties | Difficulty breathing |
| Symptoms of liver damage | Dark yellow or brown urine, yellowing of the eyes or skin, pain in the upper right side of the stomach, fever, nausea |
| Symptoms of kidney damage | Difficulty urinating, change in the amount of urine produced |
| Symptoms of excessive low blood pressure | Severe dizziness, fainting, falls, extreme fatigue |
| Other serious symptoms | Unusual bleeding or bruising, chest pain, fast or irregular heartbeat |
| Tell your doctor if it persists or is bothersome. | |
| Headache, vomiting, decreased sexual function | |
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