Product image of Nebilet Plus H (Hydrochlorothiazide, Nebivolol) supplied by GNH India

Nebilet Plus H

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Nebilet Plus H (Hydrochlorothiazide, Nebivolol)

Hydrochlorothiazide / Nebivolol, the active ingredient in Nebilet Plus H, is a beta‑blocker / thiazide diuretic presented as a tablet for oral use. It treats hypertension in adults, often as part of combination therapy.

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

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Nebilet Plus H is indicated for the management of hypertension, a condition characterized by elevated arterial blood pressure.

  • Essential hypertension: lowers systolic and diastolic pressure to reduce cardiovascular risk.
  • Stage 1 hypertension: provides blood‑pressure control when lifestyle measures are insufficient.
  • Stage 2 hypertension: used as part of combination therapy to achieve target pressures.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors, reducing heart rate and contractility while enhancing nitric‑oxide‑mediated vasodilation. Hydrochlorothiazide inhibits Na⁺/Cl⁻ reabsorption in the distal convoluted tubule, promoting diuresis, decreasing plasma volume, and contributing to overall blood‑pressure reduction.

Side Effects

Adverse reactions may occur with Nebilet Plus H and are reported in clinical use.

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Fatigue or weakness
  • Increased urinary frequency
  • Electrolyte disturbances (e.g., low potassium)
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe hypotension
  • Acute renal impairment
  • Hyperkalemia or hyponatremia
  • Allergic reactions (rash, angioedema)
  • Pancreatitis
  • Cardiac arrhythmias

Precautions & Warnings

Before prescribing Nebilet Plus H, clinicians should consider several safety aspects.

  • Blood pressure monitoring: check regularly to avoid excessive hypotension.
  • Electrolyte assessment: monitor sodium and potassium levels during therapy.
  • Renal function: evaluate baseline and periodic kidney function.
  • Diabetes management: observe potential rise in blood‑glucose levels.
  • Pregnancy and lactation: use only if clearly indicated after risk‑benefit analysis.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Nebilet Plus H can interact with other medicines; some combinations require avoidance while others need careful monitoring.

Major Interactions (Avoid)

  • Other antihypertensives: may cause additive hypotensive effects.
  • Lithium: increased risk of lithium toxicity.
  • NSAIDs: may blunt diuretic efficacy and affect renal function.
  • Potassium‑sparing diuretics: heightened risk of hyperkalemia.
  • CYP2D6 inhibitors: can raise nebivolol plasma concentrations.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: additive blood‑pressure lowering.
  • Antidiabetic agents: thiazides may impair glucose control.
  • Beta‑agonists: may reduce nebivolol's beta‑blocking action.
  • Alcohol: can enhance hypotensive response.

Frequently Asked Questions

Nebilet Plus H is prescribed to lower high blood pressure in adults. By combining a beta‑blocker with a thiazide diuretic, it helps achieve target blood‑pressure levels and reduces the risk of cardiovascular complications associated with hypertension.

Nebivolol blocks β1‑adrenergic receptors, decreasing heart rate and contractility while promoting nitric‑oxide‑mediated vessel relaxation. Hydrochlorothiazide acts on the kidney’s distal tubule to inhibit sodium‑chloride reabsorption, increasing urine output and lowering plasma volume, together producing a blood‑pressure‑lowering effect.

The dosage of Nebilet Plus H is individualized. A qualified prescriber determines the appropriate strength and frequency based on the patient’s blood‑pressure readings, overall health, and response to therapy.

Nebilet Plus H should be used during pregnancy or lactation only if the potential benefit justifies the potential risk to the fetus or infant. Healthcare providers typically evaluate alternative options before prescribing this combination to pregnant or nursing women.

To request Nebilet Plus H, 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.

Nebilet Plus H combines a selective β1‑blocker with a thiazide diuretic, offering dual mechanisms in a single tablet. Compared with monotherapy agents, it can provide more consistent blood‑pressure control and may reduce pill burden, though individual response and tolerance vary among patients.

Store Nebilet Plus H at ambient temperature, below 25 °C, in its original packaging. Keep the tablets away from moisture, direct sunlight and heat sources to maintain product stability.

Nebilet Plus H is taken orally, usually once daily as directed by a healthcare professional. Tablets should be swallowed whole with a glass of water, and the dose should be taken at the same time each day to maintain consistent blood‑pressure control.

Serious risks include severe hypotension, acute kidney injury, significant electrolyte imbalances such as hyperkalemia or hyponatremia, and rare allergic reactions. Patients should be monitored for symptoms like faintness, rapid weight change, muscle cramps or swelling and seek medical attention promptly if they occur.

Nebilet Plus H is contraindicated in patients with known hypersensitivity to either component, severe renal impairment, uncontrolled heart failure, or those taking certain interacting medications such as potent CYP2D6 inhibitors without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.