Uses / Indications: Before starting Nexovas 10 Tablet-15, it is important to consult your doctor to ensure the medicine is safe and appropriate for you, especially if you are taking other medicines or have existing health issues.

Drug Interactions

- Tell your doctor if you are taking medicines for irregular heartbeat, seizures, tuberculosis, infections (antibiotics), other blood pressure medications, or mental health conditions, as Nexovas may interact with them.
- Do not combine Nexovas with other blood pressure drugs without medical supervision, as this can affect how well your treatment works.
- Avoid doubling doses if you miss one; take it as soon as you remember or skip if it’s close to your next dose.
- Inform your healthcare provider before taking herbal supplements or other remedies that might interact with Nexovas.

Food and Lifestyle Interactions

- Avoid smoking and drinking alcohol while taking Nexovas because they can increase side effects such as dizziness, drowsiness, and low blood pressure.
- Avoid grapefruit juice, as it can increase the medicine's level in your body, potentially leading to more side effects like swelling, headaches, or dizziness.
- You can take Nexovas with or without food, but try to take it at the same time every day for best results.
- Be cautious when driving or operating machines until you know how Nexovas affects you, as it may cause dizziness or tiredness.

Medical Conditions and Warnings

- Consult your doctor before use if you have liver, kidney, or heart problems, as Nexovas might affect these organs.
- Pregnant or breastfeeding women should only take this medication under medical advice.
- Nexovas is not recommended for children and is not addictive.
- Monitor your blood pressure regularly to check how well the medicine is working.
- Stop taking Nexovas and consult your doctor immediately if you experience serious side effects such as severe swelling, unusual heartbeats, or fainting.

By following these guidelines and maintaining open communication with your healthcare provider, you can use Nexovas safely and effectively.

Product composition:
• Cilnidipine(10.0 Mg)

Pregnancy interaction:
• Nexovas 10 Tablet is a medication used primarily to treat high blood pressure by relaxing blood vessels. However, its use during pregnancy is not well-documented, and it is generally advised that pregnant women should consult their healthcare provider before taking it. The safety of Nexovas during pregnancy is not established, and it is crucial for pregnant women to discuss potential risks and benefits with their doctor. Here are key points regarding the use of Nexovas 10 Tablet during pregnancy:
  
  - Safety Concerns: There is limited information available about the safety of Nexovas 10 Tablet in pregnant women. It is not recommended unless prescribed by a healthcare provider due to potential risks.
  - Purpose: If prescribed, it would be used to manage high blood pressure, which can be harmful if left untreated. Proper management is essential to prevent complications during pregnancy.
  - Importance of Medical Supervision: Pregnant women should consult their doctor before taking Nexovas 10 Tablet to evaluate the benefits versus risks. Medical supervision is crucial to ensure the medication is used safely and effectively.
  - General Precautions: Avoid stopping the medication suddenly without consulting a doctor. Regular monitoring and lifestyle changes, like a healthy diet and regular exercise, may also be recommended to manage blood pressure effectively.

Expert advice:
• - Take Nexovas 10 Tablet exactly as prescribed by your doctor, ideally at the same time every day to maintain consistent blood levels for optimal effectiveness.
  
  - Swallow the tablet whole with water; it can be taken with or without food based on your comfort or doctor’s advice.
  
  - Do not skip doses or stop taking the medication even if you feel well, as high blood pressure often has no noticeable symptoms but requires continuous management.
  
  - To minimize dizziness or lightheadedness, especially when starting treatment or after a missed dose, rise slowly from sitting or lying positions.
  
  - Be aware that common side effects include flushing, swelling of ankles or feet, dizziness, fatigue, palpitations, headache, and nausea; these often diminish as your body adjusts.
  
  - If you experience severe side effects such as chest pain, allergic reactions (rash, difficulty breathing), or persistent swelling, contact your healthcare provider immediately.
  
  - To reduce swelling in the feet or ankles, try to elevate your legs when sitting.
  
  - Avoid driving or operating heavy machinery until you know how Nexovas affects your mental alertness, as it may cause dizziness or fatigue.
  
  - Maintain a heart-healthy lifestyle: follow a balanced diet, limit salt intake, exercise regularly, avoid smoking, and control weight to enhance the benefits of Nexovas.
  
  - Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding before starting Nexovas.
  
  - Discuss all current medications and health conditions with your doctor to avoid potential interactions and contraindications, especially if you have a history of heart disease.
  
  - Store the medication properly, keeping it sealed in its original packaging and away from moisture or direct heat, and always check the expiry date before use.

Side Effects:
• Nexovas 10 Tablet can cause certain side effects, some of which are common and mild, while others are more serious and require immediate medical attention.
  
  Common Side Effects
  - Fatigue or feeling very tired
  - Sleepiness or drowsiness
  - Dizziness or lightheadedness
  - Flushing (a warm or red feeling in the face, ears, neck, or chest)
  - Headache
  - Palpitations (unusual or fast heartbeat)
  - Swelling in the feet, ankles, or legs (edema)
  - Abdominal pain or upset stomach
  - Muscle pain or cramps
  - Itching or rash
  - Tremors (shaking of hands or feet)
  
  These side effects often subside as your body adjusts to the medication but should be reported to your doctor if they persist or worsen.
  
  Serious Side Effects That Require Medical Attention
  - Severe swelling of the face, lips, eyelids, tongue, hands, or feet, which may indicate an allergic reaction
  - Very low blood pressure causing fainting or weakness
  - Rapid or irregular heartbeat that is severe
  - Signs of cardiogenic shock (extreme symptoms due to poor heart function)
  - Difficulty breathing or swallowing
  - Persistent severe dizziness or fainting
  
  If you experience any of these serious symptoms, seek medical help immediately. Always inform your healthcare provider about any unusual or severe side effects while taking Nexovas 10 Tablet.

How to use:
• - Take Nexovas 10 Tablet exactly as prescribed by your doctor; usually, this is once daily at the same time each day.
  
  - Swallow the tablet whole with a glass of water; do not chew, crush, or break it.
  
  - You can take the tablet with or without food, but try to be consistent by taking it the same way every day.
  
  - If you miss a dose, take it as soon as you remember; if it is almost time for your next dose, skip the missed dose and do not double up.
  
  - Continue taking the medicine regularly even if you feel well, since high blood pressure often has no symptoms.
  
  - Store the tablets in a cool, dry place away from direct sunlight, moisture, and heat.
  
  - Keep the medicine out of reach of children and pets.
  
  - Do not use the medicine past its expiry date or if the tablet is damaged.
  
  - Consult your doctor if you experience troublesome side effects, such as swelling in the feet or unusual heartbeats.
  
  - Inform your doctor about any other health conditions or medications you are taking before starting Nexovas.

How it works:
• Nexovas 10 Tablet helps lower high blood pressure and improve heart health by relaxing blood vessels and reducing the heart’s workload. Its key active ingredient primarily acts to open up blood vessels, making it easier for blood to flow and for the heart to pump efficiently.
  
  Here’s how the main component works:
  
  - Cilnidipine (10 mg): This is a calcium channel blocker, which means it stops calcium from entering the muscle cells of the heart and blood vessels. Since calcium causes the muscles to contract (tighten), blocking its entry helps these muscles relax. Relaxed blood vessels widen, which lowers blood pressure and reduces the strain on the heart.
  
  - Cilnidipine also blocks a type of calcium channel in the nerves that control blood vessel tightening, reducing stress-related nerve signals that can raise blood pressure. This dual action helps maintain a steady and safer blood pressure.
  
  - By relaxing blood vessels, the heart can pump blood more easily, which lowers the oxygen demand of the heart muscle, reducing the risk of chest pain (angina) and other complications like heart attack or stroke.
  
  - Additionally, this medication can protect kidney cells and reduce kidney damage often caused by high blood pressure, especially in patients with diabetes.
  
  Taking Nexovas regularly as prescribed helps keep blood pressure controlled, improving overall cardiovascular health and reducing risks linked to hypertension.

Faq for medicine:
• What is Nexovas 10 Tablet used for?
  Nexovas 10 Tablet is mainly used to manage high blood pressure (hypertension), reduce the risk of heart disease, stroke, and angina (chest pain), and improve blood flow to the heart.
  
  How should I take Nexovas 10 Tablet?
  Take Nexovas 10 Tablet exactly as your doctor advises, usually once daily at the same time each day. You can swallow it with or without food, and it's important to take it regularly even if you feel well.
  
  What are the common side effects of Nexovas 10 Tablet?
  Common side effects include dizziness, flushing or redness of the skin, swelling in the ankles or feet, fatigue, palpitations, headache, and sometimes nausea. If severe side effects like chest pain or allergic reactions occur, contact your doctor immediately.
  
  What should I do if I miss a dose of Nexovas 10 Tablet?
  If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed one and continue with your regular schedule. Do not double the dose to catch up.
  
  Are there any important precautions while taking Nexovas 10 Tablet?
  Yes, avoid driving or operating heavy machinery until you know how the medicine affects you since it can cause dizziness. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Also, rise slowly from sitting or lying down to reduce dizziness or fainting risk.
  
  Can Nexovas 10 Tablet be taken with other medicines or food?
  You can take Nexovas 10 Tablet with or without food, but tell your doctor about all other medicines or supplements you are taking to avoid interactions. Always follow your doctor's guidance on combining medicines.

Medicine interaction:
• When taking Nexovas 10 Tablet, it is crucial to inform your doctor about all other medications, supplements, and foods you are consuming. This is because certain interactions can either enhance or reduce the effectiveness of Nexovas, potentially leading to adverse effects. Here is a list of potential interactions to consider:
  
  - Beta-blockers (e.g., Atenolol, Metoprolol): These medications, also used to manage high blood pressure, can enhance the effects of Nexovas on lowering blood pressure. However, they may also increase the risk of side effects like dizziness or hypotension.
  
  - Other blood pressure medications: Combining Nexovas with other antihypertensive drugs can lead to an additive effect, potentially causing blood pressure to drop too low. Monitoring blood pressure regularly is essential.
  
  - Medications for brain-related disorders: Some neurological medications may interact with Nexovas, potentially affecting its efficacy or increasing the risk of side effects.
  
  - Medications for uneven heart rhythm: Since Nexovas affects heart function, combining it with medications that regulate heart rhythm could lead to adverse cardiac effects.
  
  - Grapefruit juice: Consuming grapefruit juice can increase the concentration of Nexovas in the body, leading to enhanced side effects like dizziness, headache, or swelling.
  
  - Other calcium channel blockers: Taking multiple calcium channel blockers together can intensify their effects, increasing the risk of hypotension and other cardiovascular side effects.
  
  Always consult with your healthcare provider before starting or stopping any medication or dietary supplement.