{"id":59417,"date":"2024-02-28T05:57:20","date_gmt":"2024-02-28T05:57:20","guid":{"rendered":"https:\/\/medsname.com\/nilol\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"nilol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/nilol\/","title":{"rendered":"Nilol"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Nilol?<\/h3>\n<p style=\"margin:0;\"><strong>Nilol<\/strong> is een <strong>fixed-dose combination of atenolol (beta-blocker) + nifedipine (dihydropyridine calcium-channel blocker)<\/strong> from a WHO-GMP certified manufacturer &mdash; widely prescribed in India and the subcontinent for combined hypertension and angina, particularly in patients where a single-drug regimen has failed. The two drugs work via complementary mechanisms: atenolol reduces cardiac output and heart rate (beta-1 blockade); nifedipine causes direct arterial vasodilation via L-type calcium channel blockade. The beta-blocker blunts the reflex tachycardia that bare nifedipine would otherwise produce. Typical dose: <strong>\u00e9\u00e9n tablet eenmaal per dag<\/strong>. Contraindications inherit from both components: <strong>asthma \/ severe COPD \/ second-third degree heart block \/ acute heart failure \/ severe aortic stenosis \/ recent MI \/ cardiogenic shock<\/strong>.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What Is Nilol?<\/h2>\n<p>Nilol is an oral tablet from a WHO-GMP certified manufacturer containing:<\/p>\n<ul>\n<li><strong>Atenolol 50 mg<\/strong> &mdash; a cardioselective beta-1 blocker (the same molecule in <a href=\"https:\/\/medsbase.com\/nl\/atenheal\/\">Atenheal<\/a>)<\/li>\n<li><strong>Nifedipine 20 mg<\/strong> &mdash; a dihydropyridine calcium-channel blocker (extended-release; same molecule in <a href=\"https:\/\/medsbase.com\/nl\/depin\/\">Depin<\/a>, <a href=\"https:\/\/medsbase.com\/nl\/nicardia-retard\/\">Nicardia Retard<\/a>)<\/li>\n<\/ul>\n<p>The combination originated in 1980s European cardiology (brand Tenif, Tenoretic) and remains popular in India for patients with both hypertension and stable angina. The two drugs target different mechanisms: atenolol for heart-rate and contractility reduction; nifedipine for direct arterial vasodilation. The beta-blocker prevents the reflex tachycardia that nifedipine monotherapy would otherwise cause.<\/p>\n<h2 class=\"wp-block-heading\">How Nilol Works<\/h2>\n<ul>\n<li><strong>Atenolol<\/strong> &mdash; beta-1 blockade in the SA node reduces heart rate; blockade in ventricular myocardium reduces contractility. Lower cardiac output = lower blood pressure; lower myocardial oxygen demand = less angina.<\/li>\n<li><strong>Nifedipine<\/strong> &mdash; L-type calcium channel blockade in arterial smooth muscle causes direct arterial dilation. Reduces systemic vascular resistance and coronary vasospasm.<\/li>\n<li><strong>Complementaire combinatie<\/strong> &mdash; bare nifedipine would cause reflex tachycardia (sympathetic response to vasodilation); atenolol blocks that reflex, giving smoother BP control without the palpitation side effect.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Toepassingen &amp; Dosering<\/h2>\n<ul>\n<li><strong>Combined hypertension + stable angina<\/strong> \u2014 primaire indicatie<\/li>\n<li><strong>Resistente hypertensie<\/strong> &mdash; step-up therapy when single-agent has failed<\/li>\n<li><strong>Hypertension with coronary artery disease<\/strong><\/li>\n<\/ul>\n<p><strong>Dosering:<\/strong> one tablet once daily, usually morning. Maximum 2 tablets\/day. Target BP &lt;140\/90 (or &lt;130\/80 with comorbidity).<\/p>\n<p><strong>Monitoring:<\/strong> baseline + periodic ECG (atenolol bradycardia \/ nifedipine effect on PR interval), pulse, BP, peripheral oedema (nifedipine commonly causes ankle swelling).<\/p>\n<h2 class=\"wp-block-heading\">Bijwerkingen<\/h2>\n<p><strong>Atenolol-related:<\/strong> fatigue, cold extremities, bradycardia, exercise intolerance, mild fatigue, erectile dysfunction, masked hypoglycaemia in diabetics.<\/p>\n<p><strong>Nifedipine-related:<\/strong><\/p>\n<ul>\n<li><strong>Enkeloedeem<\/strong> (peripheral swelling) &mdash; dose-related; occurs in up to 25% of long-term users<\/li>\n<li>Flushing, headache (vasodilation)<\/li>\n<li>Gingival hyperplasia (gum overgrowth)<\/li>\n<li>Obstipatie<\/li>\n<li>Hot flashes, particularly at onset of therapy<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contra-indicaties<\/h2>\n<ul>\n<li>Asthma \/ severe COPD (atenolol component)<\/li>\n<li>Second\/third-degree heart block, sinus bradycardia &lt;50, sick sinus syndrome<\/li>\n<li>Acute decompensated heart failure, cardiogenic shock<\/li>\n<li>Severe aortic stenosis (nifedipine can worsen)<\/li>\n<li>Recent myocardial infarction, unstable angina (short-acting nifedipine concern; the ER form is safer)<\/li>\n<li>Severe renal impairment (eGFR &lt;15 &mdash; atenolol dose reduction needed; prefer non-renally-cleared beta-blocker)<\/li>\n<li>Pregnancy (both components)<\/li>\n<li>Overgevoeligheid voor een van de bestanddelen<\/li>\n<\/ul>\n<h2>Opslag<\/h2>\n<p>Store below 25&deg;C; protect from light.<\/p>\n<h3 class=\"wp-block-heading\">Why combine atenolol with nifedipine?<\/h3>\n<p>Complementary mechanisms and side-effect-mitigation. Bare nifedipine causes reflex tachycardia (sympathetic response to vasodilation); atenolol blocks that reflex, giving smoother BP control. For patients with both hypertension AND stable angina, the two drugs target both diseases simultaneously.<\/p>\n<h3 class=\"wp-block-heading\">What about the ankle swelling from nifedipine?<\/h3>\n<p>Dose-related peripheral oedema occurs in up to 25% of long-term nifedipine users. It is NOT from fluid overload &mdash; it is from pre-capillary vasodilation increasing hydrostatic pressure in the lower legs. Treatment: dose reduction, leg elevation, compression stockings, or switch to a non-dihydropyridine CCB (verapamil, diltiazem) or a different vasodilator class (ACE inhibitor, ARB).<\/p>\n<h3 class=\"wp-block-heading\">Why not use this in pregnancy?<\/h3>\n<p>Atenolol is associated with intrauterine growth restriction in pregnancy (more so than other beta-blockers) and neonatal bradycardia\/hypoglycaemia. For antihypertensive use in pregnancy, <a href=\"https:\/\/medsbase.com\/nl\/labebet\/\">labetalol<\/a>, methyldopa, and nifedipine-monotherapy (not this FDC) are the preferred options.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Nilol online?<\/h3>\n<p>You can buy Nilol (atenolol + nifedipine 50 mg + 20 mg, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.<\/p>\n<h2 class=\"wp-block-heading\">Gerelateerde b\u00e8tablokkers &amp; antihypertensiva<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/beloc\/\">Beloc \u2014 Propranolol 10\/20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/betapro-sr\/\">Betapro SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/metolar\/\">Metolar \u2014 Metoprololtartraat 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/metomac\/\">Metomac \u2014 Metoprolol 25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/p-nolol\/\">P-Nolol \u2014 Propranolol 20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/topme\/\">Topme \u2014 Metoprolol 50 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/high-blood-pressure-medication\/\"><strong>Bekijk alle hoge bloeddruk medicijnen<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Medisch disclaimer.<\/strong> Deze pagina is alleen voor informatieve doeleinden en vervangt geen medisch advies van een gekwalificeerde zorgverlener. Hypertensie, hartfalen en aritmie\u00ebn vereisen diagnose, monitoring en doseringsindividualisatie door een arts \u2014 gebruik b\u00e8tablokkers altijd onder medische begeleiding.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Gerelateerde alternatieven<\/h3>\n<p>Andere producten in <strong>Chronische aandoeningen<\/strong> die klanten ook bekijken:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/gtn-spray\/\">GTN-spray<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/vilano\/\">Vilano<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/symbicort-turbohaler\/\">Symbicort Turbohaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/olmezest-am\/\">Olmezest AM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/cosart\/\">Cosart<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Nilol is a fixed-dose combination of atenolol 50 mg + nifedipine 20 mg \u2014 beta-blocker plus dihydropyridine calcium-channel blocker for combined hypertension and stable angina. Complementary mechanisms; atenolol blocks reflex tachycardia from nifedipine vasodilation. Once daily, morning. Not for pregnancy.<\/p>","protected":false},"featured_media":59418,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3365,3390,4693],"class_list":{"0":"post-59417","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-atenolol","11":"product_tag-nifedipine","12":"product_tag-nilol","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/59417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=59417"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/59418"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=59417"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=59417"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=59417"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=59417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}