NEBIX-V
NEBIVOLOL AND VALSARTAN · by HIGHNOON
Composition
Tab: Nebivolol 5 mg and Valsartan 80 mg
Indications & Dosage
Essential hypertension not adequately controlled by Nebivolol alone: Adult: 1 Tab once daily (consult product literature). Children: Not recommended.
Contraindications
Acute or decompensated heart failure requiring intravenous inotropes, 2nd or 3rd degree AV block (without pacemaker), severe bradycardia, sick sinus syndrome, uncontrolled heart failure, cardiogenic shock, severe peripheral arterial disease, hypotension, metabolic acidosis, untreated pheochromocytoma, Diabetes, severe renal failure, severe asthma or COPD.
Precautions
1st degree AV block, heart failure (avoid if un-controlled), Prinzmetal's angina, myasthenia gravis, ischaemic heart disease, withdraw gradually, history of bronchospasm, hyperthyroidism, renal or hepatic impairment, psoriasis, elderly, anaphylaxis risk due to increased sensitivity to allergens, withdraw gradually over period of 1-2 weeks. Initiaite alpha blocker prior to the use of beta blocker.
Interactions
Ca+ + antagonists, antihypertensives, antiarrhythmics, antipsychotics. TCADs, MAOls, fluvoxamine, barbiturates, sympathomimetics, CYP2D6 enzyme inhibitors, hydralazine, rifampicin, insulin/oral hypoglycaemics, NSAIDs, ergot derivatives, erythromycin, anaesthetics, diuretics, Reserpine, Guanethidine, Clonidine, Digitalis glycosides, Mavorixafor, Sparsentan.
Pregnancy
Contraindicated
Lactation
Contraindicated