asivol a 5mg/2.5mg tablet - Nebivolol (5mg) + S-Amlodipine (2.5mg) medicine

asivol a 5mg/2.5mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ AS Pharmaceutical (India) Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 27, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 27, 2026

What is asivol a 5mg/2.5mg tablet used for?

Asivol A 5mg/2.5mg Tablet (Nebivolol + S-Amlodipine) is used to treat CARDIAC. It contains Nebivolol (5mg) + S-Amlodipine (2.5mg), which Nebivolol: Selective beta1-blocker with vasodilatory effects via NO; S-Amlodipin. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Nebivolol + S-Amlodipine
  • Manufacturer: AS Pharmaceutical (India) Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

๐Ÿ’Š asivol a 5mg/2.5mg tablet Uses & Benefits

Hypertension

Off-label uses: Angina, heart failure (Nebivolol), arrhythmias

๐Ÿ“‹ Drug Information

Generic Name(s)Nebivolol + S-Amlodipine
Brand NameAsivol A 5mg/2.5mg Tablet
ManufacturerAS Pharmaceutical (India) Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassAntihypertensive combination (Beta-blocker + Calcium channel blocker)
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF); protect from light and moisture
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionNebivolol: Rapidly absorbed; S-Amlodipine: Slowly absorbed
DistributionNebivolol: Widely distributed; S-Amlodipine: Large volume of distribution
Protein BindingNebivolol: 98% (to albumin); S-Amlodipine: 93%
MetabolismNebivolol: Hepatic via CYP2D6; S-Amlodipine: Hepatic via CYP3A4
Half-LifeNebivolol: 10-12 hours; S-Amlodipine: 30-50 hours
ExcretionNebivolol: Urine (38% unchanged) and feces; S-Amlodipine: Urine (10% unchanged) and feces
BioavailabilityNebivolol: 12-96% (first-pass effect); S-Amlodipine: 64-90%
Onset of ActionNebivolol: 1-2 hours; S-Amlodipine: 2-4 hours
Peak Plasma TimeNebivolol: 1.5-4 hours; S-Amlodipine: 6-12 hours
Duration of ActionNebivolol: 24 hours; S-Amlodipine: 24 hours

How It Works

Nebivolol: Selective beta1-blocker with vasodilatory effects via NO; S-Amlodipine: Dihydropyridine calcium channel blocker inhibiting calcium influx

Mechanism Steps

1Nebivolol selectively blocks beta1-adrenergic receptors in the heart, reducing heart rate and contractility
2Nebivolol also stimulates endothelial nitric oxide release, causing vasodilation
3S-Amlodipine binds to L-type calcium channels in vascular smooth muscle and cardiac muscle

๐Ÿ’ก How to Take asivol a 5mg/2.5mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of asivol a 5mg/2.5mg tablet

โœ… Common Side Effects

  • Headache
  • Dizziness
  • Fatigue
  • Edema (ankle swelling)
  • Nausea
  • Bradycardia

๐Ÿšจ Serious Side Effects

  • Heart block
  • Severe hypotension
  • Bronchospasm
  • Hepatotoxicity
  • Stevens-Johnson syndrome

โš ๏ธ Rare Side Effects

  • Thrombocytopenia
  • Leukopenia
  • Angioedema
  • Gynecomastia

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Moderate Increased INR (rare)
Insulin Moderate Masking of hypoglycemia symptoms
Clonidine Major Rebound hypertension if clonidine withdrawn

๐Ÿšจ Major Interactions

  • CYP2D6 inhibitors (e.g., paroxetine, quinidine)
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
  • Other antihypertensives (additive hypotension)
  • Beta-blockers (additive bradycardia)

โšก Moderate Interactions

  • NSAIDs (reduced antihypertensive effect)
  • Digoxin (increased bradycardia risk)
  • Calcium channel blockers (additive effects)

โ„น๏ธ Minor Interactions

  • Cimetidine (increased nebivolol levels)
  • Grapefruit juice (increased amlodipine levels)

๐Ÿฝ๏ธ Food Interactions

Avoid grapefruit juice (increases amlodipine levels); take with or without food

๐Ÿท Alcohol Interaction

May enhance hypotensive effect; avoid excessive alcohol

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Sinus bradycardia, heart block, cardiogenic shock, severe hypotension, sick sinus syndrome, hypersensitivity

๐Ÿ“Š Monitoring Parameters

Blood pressure, heart rate, ECG, renal function, hepatic function, blood glucose (in diabetics)

๐Ÿคฑ Lactation Safety

Excreted in breast milk; avoid or use with caution

๐Ÿ’Š Overdose Management

Symptomatic and supportive; atropine for bradycardia, vasopressors for hypotension, calcium gluconate for calcium channel blocker overdose

โฐ Missed Dose

Take as soon as remembered; skip if almost time for next dose; do not double dose

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 27, 2026

๐Ÿ”— View Profile

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