Treatment of Hypertension (high blood pressure)

In Treatment of Hypertension (high blood pressure) Both of the medicines in this combination work to lower blood pressure but in different ways. Together they help to relax blood vessels and make it easier for your heart to pump blood around your body. This lowers blood pressure. If your blood pressure is controlled you are less at risk of having a heart attack stroke or kidney problems. The medicine must be taken regularly as prescribed to be effective. You do not usually feel any direct benefit from taking this medicine but it works in the long term to keep you well.

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew crush or break it. Dibto-AM Tablet may be taken with or without food but it is better to take it at a fixed time.

Dibto-AM Tablet contains two medicines both of which help to control high blood pressure. It lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body. This will reduce your risk of having a heart attack or a stroke.Dibto-AM Tablet may be taken on an empty stomach or along with food. However it is better to take it regularly at a fixed time each day as prescribed by your doctor. The dose will depend on your condition and how you respond to the medicine. It’s important to keep taking this medicine even if you feel well. By lowering your blood pressure it is reducing your risk of heart attack or stroke so do not stop taking it unless your doctor tells you to. You can help this medication work better by making a few changes to your lifestyle such as keeping active stopping smoking and eating a low salt and low-fat diet.The most common side effects of this medicine include swelling in your ankles or feet (edema) headache sleepiness dizziness tiredness and upset stomach. Since it may cause sleepiness and dizziness do not drive or do anything requiring concentration until you know how it affects you. Talk to your doctor if any of the side effects bother you or will not go away.Before taking this medicine let your doctor know if you have any kidney or liver problems or severe dehydration. Pregnant or breastfeeding women should also consult their doctor before taking it. While using this medicine your blood pressure will need to be checked often and your kidney function may also need to be tested.

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew crush or break it. Dibto-AM Tablet may be taken with or without food but it is better to take it at a fixed time.

- Alcohol : UNSAFE <p> It is unsafe to consume alcohol with Dibto-AM Tablet. | - Pregnancy : CONSULT YOUR DOCTOR <p> Dibto-AM Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor. | - Breast feeding : SAFE IF PRESCRIBED <p> Dibto-AM Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby. | - Driving : UNSAFE <p> Dibto-AM Tablet may cause side effects which could affect your ability to drive.It may cause dizziness headaches nausea or tiredness all of which could affect your ability to concentrate and drive. | - Kidney : SAFE IF PRESCRIBED <p> Dibto-AM Tablet is safe to use in patients with kidney disease. No dose adjustment of Dibto-AM Tablet is recommended. | - Liver : CAUTION <p> Dibto-AM Tablet should be used with caution in patients with liver disease. Dose adjustment of Dibto-AM Tablet may be needed. Please consult your doctor.

If you miss a dose of Dibto-AM Tablet take it as soon as possible. However if it is almost time for your next dose skip the missed dose and go back to your regular schedule. Do not double the dose.

Habit Forming :: No|Therapeutic Class :: CARDIAC

Treatment of Hypertension (high blood pressure)

Sleepiness | Ankle swelling | Headache | Dizziness | Tiredness | Upset stomach | Peripheral edema | Sudden decrease in blood pressure

UNSAFE

CONSULT YOUR DOCTOR

SAFE IF PRESCRIBED

UNSAFE

SAFE IF PRESCRIBED

CAUTION

Q. What should I avoid while taking Dibto-AM Tablet?::: You should avoid potassium supplements or salt substitutes unless advised by your doctor. Also avoid alcohol consumption as doing so can further lower your blood pressure and may cause some side effects. In addition to that avoid getting dehydrated drink enough fluids during exercise and in hot weather. The medicine may make you dizzy so avoid driving using machinery or doing anything that needs concentration unless you know how this medicine affects you. If you feel dizzy lie down so you do not faint. Then sit for a few moments before standing to prevent feeling dizzy again.| Q. What happens if I take too much of Dibto-AM Tablet?::: If you accidentally take too much of Dibto-AM Tablet you may experience symptoms such as low blood pressure dizziness lightheadedness weakness vomiting and rapid heartbeat. However in some cases slow heartbeat reduced kidney function including kidney failure (e.g. reduced urine output) have also been reported. If you experience any of such symptoms contact your doctor immediately and seek medical help.| Q. Can I come off Dibto-AM Tablet when my blood pressure is under control or normal?::: Even if your blood pressure is successfully lowered by this medicine it is advised to continue your medication. If you stop taking Dibto-AM Tablet your blood pressure could rise back up again. Blood pressure lowering medicines only help to control your condition but do not cure it. You will probably need to take them for the rest of your life. Remember by keeping your blood pressure controlled you are reducing your risk of having a heart attack or stroke.| Q. What happens if I forget to take Dibto-AM Tablet?::: If you forget to take a dose take it as soon as you remember. However if it is close to the time of your next dose skip the missed one and take the next scheduled dose. Do not take a double dose to make up for the one you missed. If you often forget doses it may help to set an alarm to remind you. If not sure then you can consult your doctor for other ways to help you remember.| Q. What will happen if I stop taking Dibto-AM Tablet?::: You should not stop taking Dibto-AM Tablet without talking to your doctor first. If you do stop taking it your blood pressure may rise and you may put yourself at greater risk of having a heart attack or a stroke. If you experience side effects such as dizziness nausea diarrhea etc. talk to your doctor.| Q. Is it safe to take Dibto-AM Tablet for a long time?::: Dibto-AM Tablet is generally safe to take for a long time. Remember to follow your doctor's advice/instructions.| Q. How long will I be taking Dibto-AM Tablet for?::: You may have to take Dibto-AM Tablet for a long-term or even lifelong. The medicine only keeps your blood pressure under control for as long as you are taking it. Therefore it is advised to continue your medication and follow your doctor's advice.| Q. What if Dibto-AM Tablet doesn’t make me feel any better?::: High blood pressure does not usually have any symptoms so you may not feel ill if there is any change in the blood pressure. Therefore this medicine may not make you feel “better”. This does not mean that you can stop the medicine as they are working in the background to reduce your risk of serious illness.| Q. Can Dibto-AM Tablet affect my fertility or sex life?::: Dibto-AM Tablet may very rarely lead to erectile dysfunction (inability to gain or maintain an erection). Consult your doctor if you are worried or notice some changes. However untreated hypertension (high blood pressure) itself can lead to erectile dysfunction therefore it is important that you take your medicine regularly and keep track of your blood pressure.| Q. What other lifestyle changes should I make while taking Dibto-AM Tablet?::: Lifestyle changes play a major role in keeping you healthy if you are taking Dibto-AM Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains fresh fruits vegetables and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Dibto-AM Tablet and to keep yourself healthy.