Nelstar Tablet 40/10 mg

Adult dose

The recommended dosage of this medication is one tablet once daily, taken with water regardless of meals. It is suggested to take it at the same time each day (e.g., in the morning). If blood pressure control is inadequate, dosage adjustments may be made according to ingredient-specific amounts such as 40/5 mg, 80/5 mg, or 40/10 mg. For patients with renal impairment, a lower dose should be initiated in severe cases, gradually increasing the dose as needed.

Child dose

The safety and efficacy of this medication in pediatric patients under 18 years old have not been established, and therefore its use is not recommended.

This medication may cause serious damage to the fetus if taken during pregnancy, especially during the second and third trimesters, so it must be discontinued immediately upon confirmation of pregnancy. This medication should not be administered to individuals with known allergies to the active ingredients or similar substances, pregnant or potentially pregnant women, nursing mothers, individuals with severe liver or heart problems, severe hypotension, patients in cardiac shock, or those with unstable heart failure after acute myocardial infarction. Patients with impaired liver function or biliary tract obstruction, heart valve diseases, gastrointestinal disorders, renal artery stenosis, those undergoing dialysis, and the elderly should use this medication with extra caution. Common side effects such as dizziness or edema may occur when taking this medication, and in rare cases, serious side effects may arise, so it is crucial to promptly consult a physician if any abnormal symptoms appear. Taking this drug during pregnancy can lead to serious issues such as decreased fetal kidney function, reduced amniotic fluid, and delayed formation of the skull, therefore it should not be used if planning a pregnancy or if already pregnant. This medication can interact with other drugs, so it is essential to inform the healthcare provider of any ongoing medications, especially potassium supplements, diuretics, lithium, digoxin, and cardiovascular drugs. As an antihypertensive medication, caution is required to avoid excessively low blood pressure, and immediate action should be taken if symptoms of hypotension occur. This medication is not recommended for children due to insufficient evidence of safety and effectiveness. Elderly patients may have more sensitive responses, so it is advised to start at a lower dose and gradually increase it when beginning treatment. In case of overdose, severe hypotension, tachycardia, dizziness, or acute renal failure may occur, requiring immediate medical attention.

Serious side effects

• Urticaria, severe swelling (angioedema), chest tightness, shortness of breath, cold sweat, pallor, severe allergic reaction
• Severe rash with high fever, blisters, shedding skin, sore mouth/eyes mucosa, severe skin adverse reactions
• Shortness of breath, asthma attack, respiratory issues accompanied by cough and fever
• Yellowing of skin or eyes (jaundice), extreme fatigue, liver dysfunction (jaundice)
• Sudden and very severe headache, lightning headache, vomiting.

Mild side effects

• Dizziness
• peripheral edema
• upper respiratory tract infection
• urinary tract infection
• anemia
• hyperkalemia
• hypoglycemia
• hyponatremia
• hyperglycemia
• depression

This medication may be sensitive to light and should be stored in a container that protects it from light. Additionally, it is advisable to store the medication at a cool room temperature between 1 to 30 degrees Celsius. Proper storage will maintain the effectiveness of the medication.

Appearance

Biconvex oval double tablet in white and light blue color

Package unit

30 tablets (10 tablets/PTP*3)