Lnbeta 5 Tablet: Complete Guide To Uses, Side Effects, And Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Very slow heartbeat or irregular heartbeat
- Severe dizziness or fainting
- Shortness of breath or difficulty breathing
- Sudden swelling of face, lips, or throat
- Chest pain or worsening angina
- Yellowing of skin or eyes
- Decreased urine output or swelling in legs
If experiencing severe symptoms, call emergency services immediately.
What is maxivas 5mg/10mg tablet used for?
This medicine is a combination of Nebivolol and Cilnidipine used to treat high blood pressure. It works by relaxing blood vessels and slowing the heart rate, which lowers blood pressure and reduces the risk of heart attack and stroke.
- Generic Name: Nebivolol (5mg) + Cilnidipine (10mg)
- Manufacturer: Hauz Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 maxivas 5mg/10mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) के इलाज के लिए इस्तेमाल की जाती है। यह नेबिवोलोल और सिल्निडिपिन का संयोजन है, जो रक्त वाहिकाओं को आराम देकर और हृदय की गति को धीमा करके रक्तचाप को कम करती है। यह दिल के दौरे और स्ट्रोक के जोखिम को कम करने में मदद करती है। यह दवा एनजाइना (सीने में दर्द) और हृदय विफलता के इलाज में भी उपयोगी हो सकती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, थकान, और टखनों में सूजन शामिल हैं। कुछ लोगों को धीमी हृदय गति, मतली, या चेहरे पर लालिमा का अनुभव हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अत्यधिक चक्कर आना, बेहोशी, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे रक्तचाप खतरनाक रूप से बढ़ सकता है। शराब का सेवन न करें क्योंकि इससे चक्कर आ सकते हैं। उठते समय धीरे-धीरे उठें। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 maxivas 5mg/10mg tablet Uses & Benefits
[{"condition":"Hypertension","description":"This medicine is used to lower high blood pressure in adults, reducing the risk of heart attack, stroke, and kidney problems.","evidence":"Well-established"},{"condition":"Angina pectoris","description":"The nebivolol component helps reduce the frequency of angina attacks by decreasing heart rate and oxygen demand.","evidence":"Well-established"},{"condition":"Heart failure","description":"Nebivolol is sometimes used in stable heart failure to improve heart function and reduce hospitalizations.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Beta blockers like nebivolol are sometimes used off-label to prevent migraines, but evidence for this combination is limited.","evidence":"Limited"},{"condition":"Anxiety with palpitations","description":"The beta-blocking effect may help reduce physical symptoms of anxiety such as rapid heartbeat, but this is not a primary approved use.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Angina pectoris, Heart failure
📋 Drug Information
| Generic Name(s) | Nebivolol (5mg) + Cilnidipine (10mg) |
| Brand Name | maxivas 5mg/10mg tablet |
| Manufacturer | Hauz Pharma Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary mechanisms. Nebivolol is a cardioselective beta-1 adrenergic receptor blocker that also causes vasodilation by increasing nitric oxide release. Cilnidipine is a calcium channel blocker that inhibits L-type and N-type calcium channels, leading to relaxation of blood vessels and reduced peripheral resistance. Together, they lower blood pressure effectively while minimizing reflex tachycardia.
Mechanism Steps
💡 How to Take maxivas 5mg/10mg tablet
Strength: Tablet containing Nebivolol 5 mg and Cilnidipine 10 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet once daily, preferably in the morning. The dose may be adjusted by your doctor based on your blood pressure response and tolerance. Do not exceed the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and monitor blood pressure and heart rate closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Dose adjustment may be needed in patients with severe renal impairment. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Dose adjustment may be needed in patients with hepatic impairment. Use with caution in severe liver disease. Consult your doctor for personalized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (nebivolol 5 mg + cilnidipine 10 mg) once daily. Do not exceed this dose unless directed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of maxivas 5mg/10mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Fluoxetine | Major | |
| Ketoconazole | Major | |
| Digoxin | Moderate | |
| Salbutamol | Moderate | |
| Ibuprofen | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
- CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
- Other antihypertensives
⚡ Moderate Interactions
- Digoxin
- Beta-agonists (e.g., salbutamol)
- NSAIDs
🍷 Alcohol Interaction
Alcohol may increase the blood pressure-lowering effect of this medicine and cause dizziness, drowsiness, or fainting. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe bradycardia","Second or third-degree heart block","Cardiogenic shock","Decompensated heart failure","Severe liver disease","Allergy to nebivolol or cilnidipine","Pregnancy and breastfeeding (unless advised by doctor)"]
⚠️ Warnings & Precautions
["Do not stop this medicine suddenly without consulting your doctor.","Avoid alcohol while taking this medicine.","Use with caution in patients with asthma or COPD.","Monitor blood pressure and heart rate regularly.","Inform your doctor if you have diabetes, as beta-blockers may mask symptoms of low blood sugar.","Use with caution in patients with kidney or liver disease.","Avoid driving or operating machinery if you feel dizzy."]
🤱 Lactation Safety
Not established from the available information. It is not known whether nebivolol and cilnidipine pass into breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose of this medicine may cause severe low blood pressure, slow heart rate, heart failure, or shock. Seek immediate medical attention. Treatment is supportive and symptomatic, including monitoring of vital signs and administration of intravenous fluids, atropine, or vasopressors as needed. Contact a poison control center or emergency room immediately.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, as this can cause a dangerous rise in blood pressure or worsen heart conditions. Avoid alcohol while taking this medicine because it can increase dizziness and lower blood pressure further. Stand up slowly from a sitting or lying position to prevent dizziness. Inform your doctor about all other medicines you are taking, especially other blood pressure medicines, heart medicines, and certain antidepressants. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Keep this medicine out of reach of children and store it in its original packaging at room temperature.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering effects of this medicine. Start with a lower dose and monitor blood pressure and heart rate closely. Falls due to dizziness are a risk; take precautions.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Alternative treatments may be recommended to ensure the safety of both mother and baby.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthesia and affect heart rate and blood pressure during surgery. Your doctor may advise temporary discontinuation or dose adjustment.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it may affect blood pressure and heart rate during dental procedures. Local anesthetics with epinephrine should be used with caution.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Regular exercise is beneficial for blood pressure control, but avoid sudden strenuous activities. If you experience dizziness, chest pain, or shortness of breath during exercise, stop and consult your doctor. Beta-blockers may reduce your heart rate response to exercise, so monitor your exertion level.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work activities with dose adjustment and lifestyle modifications.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects or your doctor decides to change your treatment, they will guide you on how to safely discontinue. Sudden withdrawal can cause rebound hypertension, angina, or heart attack.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored by a doctor. Regular check-ups of blood pressure, heart rate, kidney function, and liver function are recommended. Do not stop the medicine without medical advice, as uncontrolled hypertension can lead to heart attack, stroke, and kidney damage.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can help lower blood pressure and complement medicine.
Evidence: Well-establishedIf combination therapy is not tolerated, a single antihypertensive may be used.
Evidence: Well-establishedAlternative combinations like ARB + CCB or ACE inhibitor + diuretic may be considered.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established from the available information. Continue routine vaccinations as recommended by your doctor.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If traveling across time zones, consult your doctor about adjusting the dosing schedule. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering blood pressure within a few hours, but the full effect may take several days to weeks. Your doctor will monitor your blood pressure and adjust the dose if needed.
A: No, do not stop taking this medicine without consulting your doctor. High blood pressure often has no symptoms, and stopping suddenly can cause a dangerous rise in blood pressure.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine should be used during pregnancy only if clearly needed and prescribed by your doctor. Consult your doctor for personalized advice.
A: It is advisable to avoid alcohol while taking this medicine, as it can increase dizziness and lower blood pressure further.
🤔 Common Patient Concerns
🔄 Substitutes for maxivas 5mg/10mg tablet
View AllAlternative brands with exact same active ingredient:
-
cinod-n 10/5 tabletAjanta Pharma Ltd ₹117.19 16.3% CHEAPER
-
twinnebi 5 tabletCadila Pharmaceuticals Ltd ₹117.19 16.3% CHEAPER
-
nebifid cn 5mg/10mg tabletFidelity Lifesciences Pvt Ltd ₹120.00 14.3% CHEAPER
-
cilnipres n 5mg/10mg tabletEast West Pharma ₹128.91 7.9% CHEAPER
-
clindoz-n tabletCare Formulation Labs Pvt Ltd ₹137.00 2.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure is normal.
Fact: High blood pressure often has no symptoms, and stopping this medicine suddenly can cause a dangerous rise in blood pressure. Always consult your doctor before stopping. - Myth: This medicine causes kidney damage.
Fact: This medicine is used to protect the kidneys from damage caused by high blood pressure. Regular monitoring is important, but it does not inherently damage the kidneys. - Myth: Taking this medicine means you can eat whatever you want.
Fact: A healthy diet low in salt and fat is still essential for controlling blood pressure and reducing the risk of heart disease.
🔄 Alternative Options
Generic Alternatives
- Nebivolol 5 mg + Cilnidipine 10 mg tablet (generic)
Brand Alternatives
- Lnbeta 5 Tablet