Uses / Indications: Before starting Nexovas T Tablet, it is essential to consult with your doctor to ensure you are aware of any potential interactions or warnings that may affect your health.

### Drug Interactions
- Combination with Other Medications: Nexovas T Tablet can interact with other medications, including over-the-counter and herbal products. Inform your doctor about any other medicines you are taking.
- Medications for High Blood Pressure: If you are taking other medications for high blood pressure, especially aliskiren, inform your doctor to avoid potential complications.
- Liver and Kidney Function Affecting Medicines: Certain medications that affect liver or kidney function may need careful monitoring when used with Nexovas T.

### Food and Lifestyle Interactions
- Alcohol Consumption: Avoid consuming alcohol as it may increase dizziness and lower blood pressure further.
- Grapefruit Juice: Do not drink grapefruit juice, as it can interfere with the effectiveness of Nexovas T.
- Regular Lifestyle: Maintain a regular exercise routine and a balanced diet to help manage high blood pressure effectively.

### Medical Conditions and Warnings
- Pregnancy and Breastfeeding: Nexovas T should not be used during pregnancy or breastfeeding unless advised by a doctor.
- Liver and Kidney Disorders: Use with caution if you have liver or kidney problems. Your doctor may need to adjust the dose.
- Heart Conditions: Inform your doctor about any heart-related conditions, such as heart failure, as Nexovas T may need to be used with caution.
- Low Blood Pressure: Be aware of the risk of feeling lightheaded or weak, especially when standing up quickly.
- Allergic Reactions: If you are allergic to any of the ingredients in Nexovas T, consult your doctor before taking the medication.

Product composition:
• Cilnidipine(10.0 Mg) Telmisartan(40.0 Mg)

Pregnancy interaction:
• Nexovas T Tablet-10 is primarily an antihypertensive medication used to manage high blood pressure. Its use during pregnancy is generally not recommended due to potential risks to the unborn baby and should only be considered under strict medical supervision in rare, life-threatening cases.
  
  - Safety during pregnancy: Nexovas T Tablet-10 is contraindicated during pregnancy, especially in the second and third trimesters, as it poses definite risks to fetal development and can harm the unborn baby. Its use should only occur if the potential benefits outweigh these risks and under direct doctor guidance.
  
  - Purpose: It is prescribed to lower high blood pressure by relaxing and widening blood vessels, reducing the heart’s workload. Managing hypertension during pregnancy may be important but must be balanced against potential harm to the fetus.
  
  - Medical supervision importance: Because of possible side effects such as dizziness, headache, swelling, and changes in potassium levels—and the risk of serious complications—medical supervision is essential. Blood pressure and kidney function must be regularly monitored if the drug is used during pregnancy.
  
  - Consultation and disclosure: Pregnant women must inform their healthcare provider about their condition and any other medications or health issues before starting Nexovas T Tablet-10 to avoid harmful interactions and ensure safe management.
  
  - Avoid self-medication: Do not use this medication during pregnancy without explicit doctor approval, and report any side effects or unusual symptoms immediately.
  
  In summary, Nexovas T Tablet-10 is generally unsafe during pregnancy but may be used under stringent medical advice when absolutely necessary, emphasizing the critical need for ongoing medical supervision.

Expert advice:
• - Take Nexovas T Tablet exactly as prescribed by your doctor, without altering the dose or stopping the medication without medical advice.
  
  - Swallow the tablet whole with a glass of water; do not chew, break, or crush it.
  
  - Take the tablet at a fixed time each day, with or without food, to maintain consistent blood levels and effectiveness.
  
  - Maintain regular medical follow-ups for blood pressure monitoring and periodic kidney function tests as advised by your healthcare provider.
  
  - Inform your doctor of any pre-existing conditions such as kidney or liver issues, dehydration, pregnancy, or breastfeeding status before starting the medication.
  
  - Be aware that common side effects may include dizziness, headache, swelling of ankles or feet, fatigue, sleepiness, upset stomach, and skin rash; report any persistent or severe side effects to your doctor promptly.
  
  - Since the medicine may cause dizziness or drowsiness, avoid driving or operating machinery until you know how the tablet affects you.
  
  - Support medication efficacy by adopting healthy lifestyle changes: follow a low-salt, low-fat diet, maintain a healthy weight, engage in regular physical activity, limit alcohol consumption, and avoid smoking.
  
  - Continue taking the medication even if you feel well, as controlling high blood pressure reduces the risk of heart attack, stroke, and kidney damage.
  
  - Store the tablets below 30°C in a dry place away from direct sunlight.

Side Effects:
• Nexovas T Tablet-10 is used to manage high blood pressure and contains a combination of cilnidipine and telmisartan. Like all medications, it can cause side effects, some of which are common and mild, while others are serious and require immediate medical attention.
  
  Common Side Effects
  - Headache
  - Dizziness
  - Fatigue or tiredness
  - Nausea and vomiting
  - Abdominal pain or upset stomach
  - Diarrhea
  - Sleepiness
  - Muscle pain or back pain
  - Sinus inflammation or upper respiratory tract symptoms
  - Cough
  - Ankle or foot swelling (peripheral edema)
  - Flushing (warmth in face, ears, neck)
  - Palpitations
  - Skin rash or mild skin irritation
  - Taste changes
  
  Serious Side Effects that Require Medical Attention
  - Severe allergic reaction (anaphylaxis), including swelling of deeper layers of skin (angioedema)
  - Visual disturbances
  - Abnormal liver function signs (yellowing of the skin or eyes, dark urine)
  - Increased potassium levels in blood
  - Low blood platelet count
  - Depression or fainting
  - Slow heart rate or heart conduction problems (atrioventricular block)
  - Low blood pressure (hypotension) causing weakness or dizziness when standing
  - Heart failure or chest pain (myocardial infarction)
  - Respiratory failure or severe breathing difficulties
  - Skin peeling or severe skin reactions
  - Renal (kidney) impairment or worsening kidney function
  
  If you experience any serious side effects or symptoms worsening, seek medical help immediately. Regular monitoring by your healthcare provider is important while taking this medication.

How to use:
• - Take Nexovas T Tablet exactly as prescribed by your doctor, usually once daily at the same time each day to maintain consistent blood levels.
  
  - The tablet can be taken with or without food, but try to take it the same way every day to help remember your dose.
  
  - Swallow the tablet whole with a full glass of water; do not cut, break, or chew it.
  
  - 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—do not double up to make up for it.
  
  - Avoid or limit alcohol consumption while on this medication, as alcohol can increase blood pressure and reduce the medicine’s effectiveness.
  
  - Store the tablets in a cool, dry place away from direct sunlight and moisture, at room temperature.
  
  - Keep the medicine out of reach of children.
  
  - Continue taking this medicine for the full duration prescribed by your doctor, even if you feel well, to effectively manage your blood pressure.

How it works:
• Nexovas T Tablet-10 works by relaxing and widening your blood vessels, which helps lower high blood pressure and reduces strain on your heart. It combines two main active ingredients that work together to improve blood flow and protect your heart and kidneys.
  
  - Cilnidipine (Calcium Channel Blocker): This ingredient stops calcium from entering the muscle cells in your blood vessel walls. By doing this, it relaxes and widens the vessels, making it easier for blood to flow. This helps lower your blood pressure and reduces the effort your heart needs to pump blood.
  
  - Telmisartan (Angiotensin Receptor Blocker, ARB): Telmisartan blocks a hormone called angiotensin II that normally narrows blood vessels. By blocking this hormone, telmisartan helps keep the vessels relaxed and open. This further reduces blood pressure and protects organs like the kidneys and heart from damage caused by high blood pressure.
  
  Together, these two ingredients work by relaxing your blood vessels in different ways, which improves blood flow, lowers blood pressure, and reduces the risk of heart problems, strokes, and kidney issues. Taking Nexovas T regularly as prescribed helps manage hypertension effectively and supports overall cardiovascular health.

Faq for medicine:
• What is Nexovas T Tablet-10 used for?
  Nexovas T Tablet-10 is mainly used to treat high blood pressure (hypertension) and chest pain related to heart problems. It helps relax and widen blood vessels, which lowers blood pressure and improves heart function.
  
  How should I take Nexovas T Tablet-10?
  Take Nexovas T exactly as your doctor prescribes, usually once daily at the same time each day. Do not change the dose or stop taking it without talking to your doctor.
  
  What are the common side effects of Nexovas T Tablet-10?
  Common side effects include headache, dizziness, tiredness, flushing (warm feeling in face or neck), ankle swelling, stomach upset, and sleepiness. If you experience severe reactions, contact your doctor.
  
  What should I do if I miss a dose of Nexovas T Tablet-10?
  If you miss a dose, take it as soon as you remember unless it is nearly time for your next dose. Do not double the dose to catch up. If unsure, consult your doctor.
  
  Are there any important precautions I need to know before taking Nexovas T Tablet-10?
  Inform your doctor if you have liver problems, are pregnant, planning to become pregnant, or breastfeeding. Avoid alcohol as it can increase the blood pressure-lowering effect. Also, be cautious when standing up quickly to avoid dizziness or fainting.
  
  Can Nexovas T Tablet-10 affect my daily activities?
  This medicine can cause dizziness or sleepiness, so do not drive, operate machinery, or do tasks requiring full attention until you know how it affects you.

Medicine interaction:
• It is very important to tell your doctor about all the medications, supplements, or herbal products you are currently taking before starting Nexovas T Tablet-10. This helps avoid possible interactions that can affect how well the medicine works or increase the risk of side effects.
  
  Here is a list of potential medicine and food interactions with Nexovas T Tablet-10:
  
  - Diuretics (water pills): Can increase the blood pressure-lowering effect and may cause low blood pressure or electrolyte imbalance.
  
  - Digoxin: Nexovas T may change how digoxin works, requiring careful monitoring due to possible heart-related effects.
  
  - Psychiatric medications (antimanic drugs): These can interact and affect blood pressure control or increase side effects.
  
  - Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): May reduce the effectiveness of Nexovas T in lowering blood pressure.
  
  - Other antihypertensive medicines: Taking alongside Nexovas T can intensify blood pressure reduction, increasing the risk of dizziness or fainting.
  
  - Corticosteroids: Can reduce the blood pressure-lowering effect and may increase potassium imbalances.
  
  - Lithium: Nexovas T can increase lithium levels, raising the risk of lithium toxicity.
  
  - Alcohol: May amplify the blood pressure-lowering effect, causing dizziness or lightheadedness.
  
  - Potassium supplements or potassium-rich foods: Since Nexovas T can increase potassium levels, combining it with extra potassium can lead to high potassium, which needs monitoring.
  
  Informing your doctor about all these helps in adjusting doses or monitoring side effects carefully to ensure safe and effective use of Nexovas T Tablet-10.