Product image of Hypoloc-Plus (Hydrochlorothiazide, Nebivolol) supplied by GNH India

Hypoloc-Plus

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Hypoloc-Plus (Hydrochlorothiazide, Nebivolol)

Hydrochlorothiazide and Nebivolol, the active ingredients in Hypoloc-Plus, are a thiazide diuretic and a beta‑blocker presented as an oral tablet for oral use. They are combined to treat hypertension in adult patients who require both volume reduction and cardiac output control.

GNH India supplies Hypoloc-Plus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

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Indications & Clinical Uses

Hypoloc-Plus is indicated for the management of hypertension, acting on blood‑pressure regulation pathways.

  • Essential hypertension: lowers systolic and diastolic pressure to reduce cardiovascular risk.
  • Secondary hypertension: assists in controlling blood pressure when caused by underlying conditions.
  • General high blood pressure: provides consistent pressure control as part of combination therapy.

How It Works

  • Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, increasing urinary excretion of water and electrolytes, which reduces plasma volume. Nebivolol selectively blocks β1‑adrenergic receptors, decreasing heart rate and contractility, while also stimulating endothelial nitric‑oxide release, producing vasodilation. The combined actions result in lowered cardiac output and peripheral resistance, effectively reducing arterial blood pressure.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Increased urination or nocturia
  • Fatigue or weakness
  • Dry mouth or mild electrolyte imbalance
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe hypotension or syncope
  • Significant electrolyte disturbances (e.g., hyponatremia, hypokalemia)
  • Acute renal impairment or failure
  • Allergic reactions such as rash, angioedema, or anaphylaxis
  • Bradycardia or heart block
  • Pancreatitis (rare)

Precautions & Warnings

Before initiating therapy, clinicians should consider the following precautions:

  • Blood pressure monitoring: ensure adequate control and avoid excessive drops.
  • Electrolyte assessment: regularly check sodium and potassium levels.
  • Renal function: evaluate creatinine clearance, especially in patients with existing kidney disease.
  • Discontinuation: avoid abrupt cessation to prevent rebound hypertension.
  • Diabetes mellitus: monitor blood glucose as diuretics may affect glycemic control.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Hypoloc-Plus may interact with several medicines; careful review is advised.

Major Interactions (Avoid)

  • Lithium: increased risk of lithium toxicity.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may reduce diuretic efficacy and impair renal function.
  • Other antihypertensives (e.g., ACE inhibitors, ARBs): additive blood‑pressure lowering effect leading to hypotension.
  • Potassium‑sparing agents or supplements: risk of hyperkalemia.
  • MAO inhibitors: potential for severe hypertension.

Moderate Interactions (Monitor Closely)

  • Digoxin: enhanced plasma levels due to electrolyte changes.
  • Corticosteroids: may counteract diuretic effect.
  • Alcohol: can increase dizziness and hypotension.
  • Antidiabetic drugs: possible alteration in glucose control.
  • Antidepressants (SSRIs): monitor for additive hypotensive effects.

Frequently Asked Questions

Hypoloc-Plus is a prescription oral tablet that combines hydrochlorothiazide and nebivolol to treat hypertension. The medication helps lower elevated blood pressure by reducing fluid volume and decreasing heart rate, providing a dual mechanism for effective blood‑pressure control in adult patients.

Hydrochlorothiazide acts as a thiazide diuretic, blocking sodium‑chloride reabsorption in the kidney, which increases urine output and reduces plasma volume. Nebivolol is a selective β1‑adrenergic blocker that slows heart rate and contractility while enhancing nitric‑oxide release for vasodilation. Together they lower cardiac output and peripheral resistance, resulting in reduced arterial pressure.

The appropriate dose of Hypoloc-Plus is determined by the prescribing healthcare professional based on the individual’s medical condition, response to therapy, and other medications. Patients should follow the prescriber’s instructions and not adjust the dose without medical guidance.

The safety of Hypoloc-Plus in pregnancy or while breastfeeding has not been definitively established. Healthcare providers should weigh potential benefits against possible risks and consider alternative treatments when appropriate. Women who are pregnant, planning pregnancy, or nursing should discuss options with their physician.

To request Hypoloc-Plus, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Compared with single‑agent therapies, Hypoloc-Plus offers a combined thiazide diuretic and beta‑blocker in one tablet, simplifying regimens and potentially improving adherence. It provides both volume reduction and heart‑rate control, which can be advantageous over agents that address only one pathway. Choice of therapy should be individualized based on patient profile and comorbidities.

Hypoloc-Plus should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the tablet container tightly closed and out of reach of children. No refrigeration is required for this oral tablet.

Hypoloc-Plus is taken orally, usually once daily, with or without food, as directed by the prescriber. Swallow the tablet whole with a full glass of water. Do not crush, split, or chew the tablet unless specifically instructed by a healthcare professional.

Serious risks include severe hypotension, significant electrolyte disturbances (such as hyponatremia or hypokalemia), acute kidney injury, and rare allergic reactions like angioedema or anaphylaxis. Patients should seek immediate medical attention if they experience fainting, rapid weight gain, swelling, severe dizziness, or signs of an allergic response.

Hypoloc-Plus is contraindicated in patients with known hypersensitivity to either hydrochlorothiazide or nebivolol, severe renal impairment, or those taking certain interacting medications such as lithium without close monitoring. Individuals with uncontrolled heart failure, severe bradycardia, or certain cardiac conduction disorders should also avoid this combination unless a physician determines it is safe.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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