Product image of Hyporetic (Hydrochlorothiazide, Nebivolol) supplied by GNH India

Hyporetic

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Hyporetic (Hydrochlorothiazide, Nebivolol)

Hydrochlorothiazide and Nebivolol, the active ingredients in Hyporetic, are a thiazide diuretic and a beta‑blocker presented as tablets for oral use. The combination treats hypertension in adult patients by promoting diuresis and vasodilation, helping to lower blood pressure and reduce cardiovascular risk.

GNH India supplies Hyporetic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution, including temperature‑controlled shipping where required, and compliance with local regulatory requirements.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

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Indications & Clinical Uses

  • Hyporetic, a combined thiazide diuretic and beta‑blocker, is used to manage conditions related to elevated blood pressure.
  • Essential hypertension: lowers systolic and diastolic blood pressure, reducing strain on the cardiovascular system.
  • Secondary hypertension: assists in controlling blood pressure when it results from renal, endocrine, or vascular disorders.
  • High cardiovascular risk patients with hypertension: helps decrease the risk of stroke, myocardial infarction, and heart failure.

How It Works

  • Hydrochlorothiazide acts on the distal convoluted tubule of the kidney, inhibiting the Na⁺/Cl⁻ cotransporter, which reduces sodium and water reabsorption and promotes diuresis. Nebivolol selectively blocks β1‑adrenergic receptors on cardiac tissue, decreasing heart rate and contractility, while simultaneously stimulating endothelial nitric oxide synthase, leading to nitric‑oxide mediated vasodilation. The combined actions lower circulating blood volume and peripheral resistance, resulting in an overall reduction of arterial pressure.

Side Effects

Common and serious adverse reactions have been reported with the components of Hyporetic.

Common Side Effects

  • Increased urination
  • Dizziness or light‑headedness
  • Electrolyte disturbances (e.g., low potassium)

Serious or Rare Side Effects

  • Severe hypotension
  • Acute allergic reactions (rash, angioedema, anaphylaxis)
  • Pancreatitis

Precautions & Warnings

Before prescribing Hyporetic, several safety considerations should be reviewed.

  • Electrolyte monitoring: check serum potassium and sodium regularly.
  • Renal function assessment: evaluate creatinine clearance before initiation.
  • Diabetes management: monitor blood glucose as thiazides may raise glucose levels.
  • Concurrent antihypertensives: adjust doses to avoid excessive blood pressure drop.
  • Avoid abrupt discontinuation: taper gradually to prevent rebound hypertension.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Hyporetic may interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Lithium: concurrent use can increase lithium levels and toxicity.
  • NSAIDs: may reduce the diuretic effect and impair blood pressure control.
  • Other antihypertensives (e.g., ACE inhibitors, ARBs): additive hypotensive effect.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., paroxetine, fluoxetine): can raise nebivolol concentrations.
  • ACE inhibitors or ARBs: may increase risk of hyperkalemia when combined with thiazide.
  • Digoxin: enhanced risk of arrhythmias due to electrolyte shifts.

Frequently Asked Questions

Hyporetic is prescribed to lower high blood pressure in adults. By combining a thiazide diuretic with a beta‑blocker, it helps reduce fluid volume and relaxes blood vessels, providing effective control of hypertension and lowering the risk of cardiovascular complications.

Hydrochlorothiazide blocks sodium‑chloride reabsorption in the kidney’s distal tubule, increasing urine output and decreasing blood volume. Nebivolol selectively inhibits β1‑adrenergic receptors, slowing heart rate and contractility, while also stimulating nitric‑oxide release for vasodilation. Together they lower systemic vascular resistance and arterial pressure.

The appropriate dose of Hyporetic is individualized by a qualified prescriber based on the patient’s blood pressure, renal function, electrolyte status, and overall health. Clinicians consider these factors and may adjust the dose over time to achieve target blood‑pressure goals.

Safety data for Hydrochlorothiazide and Nebivolol in pregnancy and lactation are limited. The medication should only be used if the potential benefit justifies any potential risk to the fetus or infant. Patients who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To request Hyporetic, 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 and any necessary import documentation.

Compared with single‑agent therapies, Hyporetic offers a dual mechanism—diuresis from Hydrochlorothiazide and β1‑blockade plus nitric‑oxide‑mediated vasodilation from Nebivolol. This can provide more robust blood‑pressure reduction in patients who need both volume control and heart‑rate reduction, potentially reducing the need for multiple separate pills.

Hyporetic tablets should be stored at ambient temperature, below 25 °C, in the original container. Protect them from moisture, direct sunlight and excessive heat to maintain stability and potency throughout the shelf‑life.

Hyporetic is taken orally as a tablet, usually with a full glass of water. It may be taken with or without food, but patients should follow the prescriber’s instructions regarding timing and whether to take it at the same time each day for consistent blood‑pressure control.

Serious risks include severe hypotension, acute allergic reactions such as anaphylaxis, and pancreatitis. Electrolyte disturbances, particularly low potassium, can also become dangerous if not monitored. Patients should seek immediate medical attention if they experience symptoms like fainting, severe rash, or abdominal pain.

Hyporetic should be avoided in patients with known hypersensitivity to either component, severe renal or hepatic impairment, uncontrolled electrolyte imbalances, or those taking contraindicated medications such as certain lithium regimens. Clinicians must assess each individual’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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