Beta-nicardia Capsule Sr: Complete Medicine Guide
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 (less than 50 beats per minute)
- Severe dizziness or fainting
- Chest pain that worsens or is not relieved by rest
- Shortness of breath or difficulty breathing
- Swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is nilol tablet sr used for?
This medicine is a combination of Atenolol and Nifedipine used to treat high blood pressure and prevent angina. It works by slowing the heart rate and relaxing blood vessels. It is taken once daily as prescribed by a doctor.
- Generic Name: Atenolol (50mg) + Nifedipine (20mg)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nilol tablet sr के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) और एंजाइना (सीने में दर्द) के इलाज के लिए इस्तेमाल की जाती है। यह एटेनोलोल और निफेडिपिन का संयोजन है, जो हृदय की गति को धीमा करके और रक्त वाहिकाओं को आराम देकर रक्तचाप को कम करती है। इसे डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में थकान, चक्कर आना, सिरदर्द, पैरों में सूजन और धड़कन धीमी होना शामिल हैं। गंभीर दुष्प्रभावों में बहुत धीमी धड़कन, बहुत कम रक्तचाप, और सांस लेने में कठिनाई हो सकती है। कोई भी गंभीर लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे एंजाइना या दिल का दौरा पड़ सकता है। शराब न पिएं। गाड़ी चलाने या मशीन चलाने से बचें जब तक आपको इसका असर पता न चल जाए। गर्भावस्था में इसका उपयोग न करें जब तक डॉक्टर सलाह न दें। नियमित रूप से रक्तचाप और हृदय गति की जांच कराएं।
💊 nilol tablet sr Uses & Benefits
[{"condition":"Hypertension","description":"Used to lower high blood pressure in adults when a single agent is insufficient.","evidence":"Well-established"},{"condition":"Angina pectoris","description":"Used to prevent chest pain episodes in patients with stable angina.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Hypertensive urgency","description":"Sometimes used in specific clinical settings under close supervision.","evidence":"Limited"}]
Primary treatment for: Hypertension
Also treats: Angina pectoris
📋 Drug Information
| Generic Name(s) | Atenolol (50mg) + Nifedipine (20mg) |
| Brand Name | nilol tablet sr |
| Manufacturer | Intas Pharmaceuticals 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. 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 actions. Atenolol selectively blocks beta-1 adrenergic receptors in the heart, reducing heart rate, contractility, and cardiac output, which lowers blood pressure and decreases myocardial oxygen demand. Nifedipine blocks L-type calcium channels in vascular smooth muscle, causing vasodilation and reduced peripheral resistance. The combined effect provides more effective blood pressure control and anti-anginal protection than either agent alone.
Mechanism Steps
💡 How to Take nilol tablet sr
Strength: Sustained-release capsule containing Atenolol 50 mg and Nifedipine 20 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one capsule once daily, taken orally, preferably at the same time each day. 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 closely for hypotension and bradycardia. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Atenolol is excreted renally; dose adjustment is required in patients with renal impairment. Consult your doctor for appropriate dosing. |
| Hepatic Impairment | Nifedipine is metabolized in the liver; use with caution in patients with hepatic impairment. Dose adjustment may be needed. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one capsule (Atenolol 50 mg + Nifedipine 20 mg) once daily. Do not exceed without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nilol tablet sr
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Verapamil | Major | |
| Clonidine | Major | |
| Ketoconazole | Major | |
| Digoxin | Moderate | |
| NSAIDs | Moderate | |
| Salbutamol | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Verapamil or diltiazem
- Clonidine
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
⚡ Moderate Interactions
- Digoxin
- NSAIDs
- Beta-agonists (e.g., salbutamol)
🍷 Alcohol Interaction
Alcohol may increase the blood pressure-lowering effect of this medicine, leading to dizziness, fainting, and increased risk of falls. 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 asthma or COPD","Second- or third-degree heart block","Severe bradycardia","Cardiogenic shock","Severe hypotension","Pregnancy (unless advised by specialist)","Hypersensitivity to atenolol or nifedipine"]
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly; taper gradually under medical supervision.","Use with caution in patients with diabetes, as it may mask hypoglycemia symptoms.","May worsen heart failure; monitor closely.","Use with caution in patients with peripheral vascular disease.","May cause dizziness; avoid driving or operating machinery until effects are known.","Avoid alcohol while taking this medicine.","Inform your doctor if you have kidney or liver problems."]
🤱 Lactation Safety
Atenolol and nifedipine are excreted in breast milk. Breastfeeding is not recommended while taking this medicine. Consult your doctor for safe alternatives.
💊 Overdose Management
Overdose may cause severe hypotension, bradycardia, heart failure, and shock. Seek immediate medical attention. Treatment is supportive and may include intravenous fluids, atropine, vasopressors, and glucagon. Hemodialysis may be considered for atenolol removal.
⏰ 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 double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, as abrupt withdrawal of Atenolol can worsen angina or cause a heart attack. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not drink alcohol while taking this medicine, as it can increase dizziness and low blood pressure. Inform your doctor if you have asthma, diabetes, kidney problems, liver problems, or heart failure. Do not use this medicine during pregnancy unless specifically advised by your doctor. Keep all follow-up appointments for blood pressure and heart rate monitoring.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to dizziness, falls, and electrolyte imbalances. Start with a lower dose and monitor closely. Regular follow-up is essential.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. Consult your doctor to switch to a safer alternative before conception.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may interact with anesthetic agents and affect blood pressure and heart rate during surgery.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may cause dry mouth or affect blood pressure during the procedure. Local anesthetics with epinephrine should be used with caution.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise initially as it may cause dizziness or fainting due to lowered blood pressure. Gradually increase activity as tolerated. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when starting treatment. Avoid driving or operating heavy machinery until you know how it affects you. It is usually safe to continue desk jobs, but take breaks if you feel dizzy.
🛑 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 provide a tapering schedule. Abrupt withdrawal can worsen angina or cause a heart attack.
📅 Long-Term Use Effects
Long-term use of this medicine may require regular monitoring of blood pressure, heart rate, and kidney function. It may also cause fluid retention and swelling. Periodic eye exams are recommended as nifedipine may rarely cause gum hyperplasia. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can help manage blood pressure.
Evidence: Well-establishedACE inhibitors, ARBs, or diuretics may be alternatives if this medicine is not suitable.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, inform your doctor about this medicine before receiving any vaccine.
📦 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 cold. If crossing time zones, consult your doctor about adjusting the timing of your dose. Check local 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 full effects may take 1-2 weeks. It is important to take it regularly.
A: No, you should not stop this medicine without consulting your doctor. Stopping suddenly can cause serious heart problems.
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 the dose.
🤔 Common Patient Concerns
🔄 Substitutes for nilol tablet sr
View AllAlternative brands with exact same active ingredient:
-
depten 50 mg/20 mg tabletZydus Cadila ₹20.18 81.1% CHEAPER
-
nifetex tr 50mg/20mg tabletRecon Healthcare Ltd ₹22.03 79.4% CHEAPER
-
selca 50 mg/20 mg capsuleS H Pharmaceuticals Ltd ₹23.33 78.2% CHEAPER
-
systonorm nf 50mg/20mg tabletAcron Pharmaceuticals ₹25.00 76.6% CHEAPER
-
beta nifedine 50 mg/20 mg capsuleAbbott ₹26.25 75.4% 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 serious heart problems. Continue as prescribed. - Myth: This medicine is safe to take during pregnancy.
Fact: This medicine is not recommended during pregnancy unless specifically advised by a doctor.
🔄 Alternative Options
Generic Alternatives
- Atenolol + Nifedipine combination generics
Brand Alternatives
- Beta-Nicardia Capsule SR