Product image of Nesyrgy (Amlodipine Besilate, Nebivolol Hydrochloride) supplied by GNH India

Nesyrgy

Active Ingredient:
Amlodipine Besilate, Nebivolol Hydrochloride
Origin:
EU

Nesyrgy (Amlodipine Besilate, Nebivolol Hydrochloride)

Amlodipine besilate and nebivolol hydrochloride, the active ingredient in Nesyrgy, is a calcium channel blocker / beta‑blocker combination presented as a tablet for oral use. It treats hypertension in adult patients.

GNH India supplies Nesyrgy 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

  • Nesyrgy is a dual‑action antihypertensive that acts on the vascular and cardiac pathways to lower elevated blood pressure.
  • Essential hypertension: lowers systolic and diastolic pressure in patients with primary hypertension.
  • Stage 1 hypertension: helps achieve target blood pressure in early‑stage disease.
  • Stage 2 hypertension: provides additional control when monotherapy is insufficient.

How It Works

  • Amlodipine besilate blocks L‑type calcium channels in vascular smooth muscle, reducing calcium influx and causing vasodilation. Nebivolol hydrochloride selectively antagonises β1‑adrenergic receptors, decreasing heart rate and contractility, while also stimulating endothelial nitric‑oxide release, which further relaxes peripheral vessels and lowers systemic vascular resistance.

Side Effects

Common Side Effects

  • Headache
  • Peripheral edema
  • Dizziness
  • Flushing
  • Fatigue
  • Palpitations

Serious or Rare Side Effects

  • Severe hypotension
  • Bradycardia or heart block
  • Angioedema
  • Liver enzyme elevation
  • Allergic reactions such as rash or urticaria
  • Syncope

Precautions & Warnings

  • Before initiating therapy, clinicians should assess cardiovascular status and monitor for adverse reactions.
  • Monitor blood pressure: adjust dose based on response.
  • Assess cardiac function: avoid in patients with severe heart failure.
  • Use caution in hepatic impairment: dose may need adjustment.
  • Avoid abrupt discontinuation: taper to prevent rebound hypertension.
  • Review concomitant medications: consider additive effects.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Nesyrgy may interact with several drug classes; careful review is required.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole) may increase amlodipine levels.
  • Non‑dihydropyridine calcium channel blockers (verapamil, diltiazem) can raise nebivolol concentrations.
  • Concurrent use with other antihypertensives may cause excessive hypotension.
  • Grapefruit juice can elevate plasma levels of both components.
  • Alpha‑blockers may lead to marked blood pressure drops.

Moderate Interactions (Monitor Closely)

  • Diuretics may increase risk of electrolyte imbalance.
  • NSAIDs can blunt antihypertensive effect.
  • Antidiabetic agents may require dose adjustment due to enhanced glucose lowering.
  • Lithium levels may rise, necessitating monitoring.
  • CYP2D6 substrates (e.g., metoprolol) may need dose modification.

Frequently Asked Questions

Nesyrgy is a prescription antihypertensive that combines amlodipine besilate and nebivolol hydrochloride. It is indicated for the treatment of hypertension in adult patients, helping to lower both systolic and diastolic blood pressure and reduce cardiovascular risk.

Amlodipine blocks calcium entry into vascular smooth muscle, causing vasodilation, while nebivolol selectively blocks β1‑adrenergic receptors and enhances nitric‑oxide release. Together they reduce peripheral resistance and heart rate, producing an additive blood‑pressure‑lowering effect.

The appropriate dose of Nesyrgy is determined by the prescribing clinician based on the individual’s blood‑pressure profile, age, renal and hepatic function, and tolerance. Patients should follow the specific dosing instructions provided by their healthcare professional.

Safety of Nesyrgy during pregnancy or lactation has not been fully established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and only under direct medical supervision.

To order Nesyrgy, 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 monotherapy using either amlodipine or nebivolol alone, the combination offers complementary mechanisms—vascular dilation and heart‑rate reduction—potentially achieving better blood‑pressure control with a single tablet. It may reduce the need for multiple separate agents, but individual response varies.

Nesyrgy tablets should be stored at below 25 °C in a dry place. Keep them in the original container, protect from moisture and direct sunlight, and keep out of reach of children.

Nesyrgy is taken orally as a tablet. Swallow the tablet whole with a glass of water, with or without food, as directed by the prescribing clinician.

Serious adverse events include severe hypotension, marked bradycardia, heart block, and angioedema. Patients should seek immediate medical attention if they experience fainting, rapid heartbeat, swelling of the face or throat, or any signs of an allergic reaction.

Nesyrgy is contraindicated in patients with severe hypotension, cardiogenic shock, advanced atrioventricular block, or known hypersensitivity to amlodipine, nebivolol or any excipients. Clinicians should also avoid use in patients with uncontrolled heart failure without careful monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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