Nodon AM 5/5 Tablet (Nebivolol 5mg / Amlodipine 5mg)

Description

Nodon Am (5/5 mg) Tablet is a combination of Amlodipine and Nebivolol. It is an anti-hypertensive medicine used for the treatment of high blood pressure. This medicine works by relaxing and widening the blood vessels and improves blood flow, thus it lowers your blood pressure. This will also reduce the risk of having a heart attack or a stroke by making it easier for your heart to pump blood around your body.

Nodon Am (5/5 mg) Tablet shows some common side effects like swelling in your ankles or feet, headache, constipation, dizziness, tiredness, nausea and diarrhoea. Most of these are temporary and usually resolve with time.

Nodon Am (5/5 mg) Tablet can be taken with or without food. The dose will depend on your blood pressure. If you forget to take a dose of this medicine, then skip the missed dose and take the next scheduled dose instead. Do not stop the treatment abruptly as it can cause unwanted side effects.

Nodon Am (5/5 mg) Tablet is not recommended if you are allergic to it. This medicine is not recommended if you have severe liver and heart problems as it can worsen your condition. If you have any pre-existing kidney and liver problems, or other medical conditions, inform your doctor about them. You should tell your doctor about all the medications and supplements you are taking as this medicine can interact with them and can cause side effects.

Nodon Am (5/5 mg) Tablet is not recommended in children below 18 years, if you are pregnant, or are breastfeeding unless prescribed by your doctor.

Side effects

Major & minor side effects for Nodon Am (5/5 mg) Tablet
Headache
Dizziness
Unusual tiredness and weakness
Diarrhoea
Sleeplessness
Swelling of face, lips, eyelids, tongue, hands and feet
Chest pain and discomfort
Decreased blood pressure
Difficulty in breathing
Weight gain
Burning, numbness, tingling in the arms and feet
Allergic Skin Reaction
Muscle pain
Heartburn
Nausea
Constipation

Uses of Nodon Am (5/5 mg) Tablet

What is it prescribed for?
Essential hypertension
Essential hypertension is high blood pressure that doesn’t have a clearly identifiable cause but maybe due to various factors such as genetics, poor diet, obesity or lack of exercise. Over time, high blood pressure can cause blood vessel damage that leads to heart problems, kidney problems, stroke, and other medical conditions. Nodon Am (5/5 mg) Tablet is used in the treatment of high blood pressure which may be caused by genetic or environmental factors.

When not to use?

Allergy
Avoid taking Nodon Am (5/5 mg) Tablet if you have a known allergy to Nebivolol, and other medicines used for heart conditions (beta-blockers, Amlodipine, or other calcium channel blockers). This could lead to symptoms like redness, swelling, breathing difficulty, hives (painful eruptions that itch and sting), etc.
Severe liver impairment
Nodon Am (5/5 mg) Tablet is not recommended for use in people with severe liver problems. This medicine is broken down and absorbed in the liver. Taking this medicine while you have a pre-existing liver problem may damage your liver further and worsen your condition.
Heart Failure
Heart failure is a condition in which your heart muscle is unable to pump sufficient amount of blood throughout the body. Nodon Am (5/5 mg) Tablet should not be used in people having heart failure. This medicine weakens the contractions of your heart and slows down the heart rate. Using this medicine when you already have heart failure could lead to excessive lowering of blood pressure and reduced blood flow to the organs, which could be fatal.
Heart diseases
Nodon Am (5/5 mg) Tablet is not recommended for use if you have any heart problems. This includes heart block greater than first degree (a condition where the heartbeats are slow or abnormal), cardiogenic shock (a condition where your heart can’t pump enough blood to your body), sick sinus syndrome (inability to create an adequate heart rate by the heart’s natural pacemaker), sinus bradycardia (slow heartbeat), etc. This medicine weakens the contractions of your heart and reduces your blood pressure. Using it while you have heart problems will worsen your condition.
Lung disease
Nodon Am (5/5 mg) Tablet is not recommended for use in people with lung problems such as asthma and chronic obstructive pulmonary disease (COPD, a condition where airflow from the lungs is obstructed) as this medicine has the potential to cause bronchospasm (narrowing of the airways in your lungs). Using this medicine while you have pre-existing lung problems can worsen your condition.

Warnings

Warnings for special population
Pregnancy
Nodon Am (5/5 mg) Tablet is not recommended for use during pregnancy as it can harm your foetus. Consult your doctor before taking the medicine if you are pregnant.
Breast-feeding
Nodon Am (5/5 mg) Tablet is not recommended for use while breastfeeding as it passes into the breastmilk in some amounts which may harm your baby. Consult your doctor before taking this medication.
General warnings
Coronary artery diseases
Nodon Am (5/5 mg) Tablet should be used with extreme caution if you have coronary artery diseases (a condition where the blood vessels of your heart are damaged, mainly due to build-up of plaque). It may weaken the contractions of your heart and slows down the heart rate, which may further depress cardiac output (amount of blood pumped by the heart in a minute) and blood pressure. Your doctor will suggest tests to closely monitor your heart function while you are on treatment with this medicine.
Major surgery
Nodon Am (5/5 mg) Tablet can interact with anaesthesia and excessively lower the blood pressure. Furthermore, this medicine also affects the working of the heart, which is not suitable for a major surgery. Consult your doctor before undergoing any surgery while you are on this medication. Your doctor may replace this medicine with another suitable medicine as required.
Hyperthyroidism
Abrupt withdrawal of Nodon Am (5/5 mg) Tablet can lead to thyrotoxicosis (an excess of thyroid hormone in the body) and thyroid storm (severe complications of untreated hyperthyroidism). To minimize this risk, your doctor will slowly stop this medicine by reducing the dose over a period of 1 to 2 weeks.
Peripheral vascular diseases
Nodon Am (5/5 mg) Tablet should be used with caution if you have peripheral vascular diseases (blood circulation problems) as it weakens the contractions of your heart and slows down the heart rate which may further depress cardiac output (amount of blood pumped by the heart in a minute) and blood pressure. Your doctor will suggest tests to regularly monitor your heart function while you are on this medication. He may also adjust the dose as necessary.
Hypotension
Nodon Am (5/5 mg) Tablet is not recommended for use if you have hypotension (low blood pressure) as it has the potential to lower your blood pressure even further. Also, if you have any condition that can cause volume depletion (excess loss of salt and fluid from the body due to severe vomiting, diarrhoea, burns, kidney problems) or if you are being treated with high doses of diuretics (medicines that increase the production of urine), avoid taking this tablet as it will worsen your condition further.
Impaired liver function
Nodon Am (5/5 mg) Tablet should be used with caution if you have severe liver damages. This medicine is absorbed in the liver. Using it while your liver is already damaged will lead to the accumulation of this medicine inside your liver. This could increase the risk of hepatotoxicity (toxic liver damage) which could lead to liver failure as well.
Use in children
Nodon Am (5/5 mg) Tablet is not recommended for use in children below 18 years of age since the safety and efficacy of use are not clinically established.
Impaired kidney function
Nodon Am (5/5 mg) Tablet should be used with caution if you have severe kidney problems. This medicine is excreted from your kidneys and using it while you have pre-existing kidney damage will lead to the accumulation of this medicine in your kidneys. This may increase the risk of toxicity and kidney failure. Your doctor will suggest tests to monitor your kidney functions regularly. He will also adjust the dose as necessary.

Dosage

Missed Dose
If you forget to take the dose of Nodon Am (5/5 mg) Tablet at a given time, then take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose
Never take more than the dose prescribed by your doctor. If you have intentionally or accidentally consumed more than the prescribed amount of Nodon Am (5/5 mg) Tablet, contact your doctor immediately for further guidance.

Interactions

General Instructions
Nodon Am (5/5 mg) Tablet may be taken orally with or without food. Do not crush, break or chew the tablet. Avoid taking more or less than the dose prescribed by your doctor.
You should not stop taking the medicine abruptly without your doctor’s consultation as it can cause withdrawal symptoms.

Lifestyle modification, eating a balanced diet, and exercising regularly will help you to have better control over your blood pressure.

Avoid taking grapefruit juice with Nodon Am (5/5 mg) Tablet as it can increase the risk of side effects. Using Nodon Am (5/5 mg) Tablet together with multivitamins containing minerals may decrease the effects of this medicine. Keep a two-hour gap between the intake of both medicines.

Be careful while standing up from a sitting or lying down position as this medicine may sometimes cause a sudden drop in your blood pressure, which can make you dizzy.

This medicine causes swelling in your ankles and feet, so try raising your legs when you are sitting. Consult a doctor if this swelling worries you.

This medicine may cause dizziness so try to avoid activities that require mental focus like driving and operating machines.