Nevilob Plus – 5mg/25mg Tablets
Available at Pharmaegy Pharmacy. Use as directed by your doctor.
Intro: Nevilob Plus 5/25 is a dual-action cardiovascular treatment manufactured by Marcyrl. It combines Nebivolol (5mg), a third-generation beta-blocker that helps relax blood vessels via nitric oxide, with Hydrochlorothiazide (25mg), a strong diuretic (water pill). This "Plus" combination is designed for patients who need more than just a heart-rate regulator to keep their blood pressure stable, specifically by removing excess salt and water from the body.
Indications:
Hypertension (High Blood Pressure): Specifically for cases where blood pressure is not controlled by a single medication.
Fluid Retention (Edema): Helps reduce swelling and fluid buildup associated with high blood pressure.
Cardiovascular Risk Reduction: Lowering long-term risks of stroke and heart failure.
How to Use:
Dosage: Usually one tablet daily, taken in the morning.
Morning Routine: Due to the diuretic (Hydrochlorothiazide), it is highly recommended to take this in the morning. Taking it at night may lead to frequent bathroom trips, disrupting your sleep.
Administration: Swallow the tablet whole. It can be taken with or without food.
Crucial Rules:
Do Not Stop Suddenly: Abruptly stopping Nevilob Plus can cause a "rebound" effect, leading to a rapid heart rate or a sudden, dangerous spike in blood pressure.
Potassium & Electrolytes: The 25mg diuretic component can lower your potassium levels. Your doctor may monitor your blood work periodically to ensure your minerals stay balanced.
Uric Acid & Gout: This medication can increase uric acid in the blood. If you have a history of gout, watch for joint pain and inform your doctor.
Diabetes Masking: Like other beta-blockers, it can hide the symptoms of low blood sugar (hypoglycemia), such as a fast heart rate.
Generic International Brands: Nebilet Plus (Original Reference), Nebispes Plus.