{"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\/ro\/product\/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\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Nilol?<\/h3>\n<p style=\"margin:0;\"><strong>Nilol<\/strong> este un <strong>combina\u021bie \u00een doz\u0103 fix\u0103 de atenolol (beta-blocant) + nifedipin\u0103 (blocant al canalelor de calciu dihidropiridinic)<\/strong> de la un produc\u0103tor certificat WHO-GMP \u2014 prescris pe scar\u0103 larg\u0103 \u00een India \u0219i subcontinent pentru hipertensiunea arterial\u0103 combinat\u0103 \u0219i angin\u0103, \u00een special la pacien\u021bii \u00een care un tratament cu un singur medicament a e\u0219uat. Cele dou\u0103 medicamente ac\u021bioneaz\u0103 prin mecanisme complementare: atenololul reduce debitul cardiac \u0219i frecven\u021ba cardiac\u0103 (blocare beta-1); nifedipina provoac\u0103 vasodilata\u021bie arterial\u0103 direct\u0103 prin blocarea canalelor de calciu de tip L. Beta-blocantul atenueaz\u0103 tahicardia reflex\u0103 pe care nifedipina pur\u0103 ar produce-o \u00een mod normal. Doza tipic\u0103: <strong>o tablet\u0103 o dat\u0103 pe zi<\/strong>. Contraindica\u021biile sunt mo\u0219tenite de la ambele componente: <strong>astm \/ BPOC sever \/ bloc cardiac de gradul doi-trei \/ insuficien\u021b\u0103 cardiac\u0103 acut\u0103 \/ stenoz\u0103 aortic\u0103 sever\u0103 \/ infarct miocardic recent \/ \u0219oc cardiogen<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Nilol?<\/h2>\n<p>Nilol este un comprimat oral produs de un fabricant certificat WHO-GMP care con\u021bine:<\/p>\n<ul>\n<li><strong>Atenolol 50 mg<\/strong> \u2014 un blocant beta-1 cardioselectiv (aceea\u0219i molecul\u0103 ca \u00een <a href=\"https:\/\/medsbase.com\/ro\/atenheal\/\">Atenheal<\/a>)<\/li>\n<li><strong>Nifedipin\u0103 20 mg<\/strong> \u2014 un blocant al canalelor de calciu dihidropiridinic (eliberare prelungit\u0103; aceea\u0219i molecul\u0103 ca \u00een <a href=\"https:\/\/medsbase.com\/ro\/depin\/\">Depin<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/nicardia-retard\/\">Nicardia Retard<\/a>)<\/li>\n<\/ul>\n<p>Combina\u021bia a ap\u0103rut \u00een cardiologia european\u0103 din anii 1980 (sub denumirile Tenif, Tenoretic) \u0219i r\u0103m\u00e2ne popular\u0103 \u00een India pentru pacien\u021bii cu hipertensiune \u0219i angin\u0103 pectoral\u0103 stabil\u0103. Cele dou\u0103 medicamente ac\u021bioneaz\u0103 prin mecanisme diferite: atenolol reduce frecven\u021ba cardiac\u0103 \u0219i contractilitatea; nifedipina produce vasodilata\u021bie arterial\u0103 direct\u0103. Blocantul beta previne tahicardia reflex\u0103 care ar ap\u0103rea \u00een monoterapia cu nifedipin\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Nilol<\/h2>\n<ul>\n<li><strong>Atenolol<\/strong> \u2014 blocarea beta-1 \u00een nodul SA reduce frecven\u021ba cardiac\u0103; blocarea \u00een miocardul ventricular reduce contractilitatea. Debit cardiac mai mic = tensiune arterial\u0103 mai mic\u0103; cerin\u021b\u0103 de oxigen miocardic mai mic\u0103 = mai pu\u021bin\u0103 angin\u0103.<\/li>\n<li><strong>Nifedipin\u0103<\/strong> \u2014 blocarea canalelor de calciu de tip L \u00een mu\u0219chiul neted arterial provoac\u0103 vasodilata\u021bie arterial\u0103 direct\u0103. Reduce rezisten\u021ba vascular\u0103 sistemic\u0103 \u0219i vasospasmul coronarian.<\/li>\n<li><strong>Pereche complementar\u0103<\/strong> \u2014 nifedipina neatenuat\u0103 ar provoca tahicardie reflex\u0103 (r\u0103spuns simpatic la vasodilata\u021bie); atenolol blocheaz\u0103 acest reflex, oferind un control mai uniform al tensiunii arteriale f\u0103r\u0103 efectul secundar de palpita\u021bii.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i dozare<\/h2>\n<ul>\n<li><strong>Hipertensiune combinat\u0103 + angin\u0103 stabil\u0103<\/strong> \u2014 indica\u021bie principal\u0103<\/li>\n<li><strong>Hipertensiune rezistent\u0103<\/strong> \u2014 terapie intensiv\u0103 atunci c\u00e2nd monoterapia a e\u0219uat<\/li>\n<li><strong>Hipertensiune arterial\u0103 cu boal\u0103 coronarian\u0103<\/strong><\/li>\n<\/ul>\n<p><strong>Doza:<\/strong> o tablet\u0103 o dat\u0103 pe zi, de obicei diminea\u021ba. Maxim 2 tablete\/zi. \u021aint\u0103 TA &lt;140\/90 (sau &lt;130\/80 cu comorbidit\u0103\u021bi).<\/p>\n<p><strong>Monitorizare:<\/strong> evaluare ini\u021bial\u0103 + ECG periodic (bradicardie cu atenolol \/ efectul nifedipinei pe intervalul PR), puls, TA, edem periferic (nifedipina provoac\u0103 frecvent umfl\u0103turi la glezne).<\/p>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<p><strong>Efecte adverse legate de atenolol:<\/strong> oboseal\u0103, extremit\u0103\u021bi reci, bradicardie, intoleran\u021b\u0103 la efort, oboseal\u0103 u\u0219oar\u0103, disfunc\u021bie erectil\u0103, mascarea hipoglicemiei la diabetici.<\/p>\n<p><strong>Efecte adverse legate de nifedipin\u0103:<\/strong><\/p>\n<ul>\n<li><strong>Edem la glezne<\/strong> (edem periferic) \u2014 dependent de doz\u0103; apare la p\u00e2n\u0103 la 25% din utilizatorii pe termen lung<\/li>\n<li>Rubor, cefalee (vasodilata\u021bie)<\/li>\n<li>Hiperplazie gingival\u0103 (cre\u0219tere excesiv\u0103 a gingiilor)<\/li>\n<li>Constipa\u021bie<\/li>\n<li>V\u0103rs\u0103turi de c\u0103ldur\u0103, mai ales la \u00eenceputul terapiei<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Astm \/ BPOC sever\u0103 (componenta de atenolol)<\/li>\n<li>Bloc cardiac de gradul doi\/trei, bradicardie sinusal\u0103 &lt;50, sindromul sinusului bolnav<\/li>\n<li>Insuficien\u021b\u0103 cardiac\u0103 acut\u0103 decompensat\u0103, \u0219oc cardiogen<\/li>\n<li>Stenoaz\u0103 aortic\u0103 sever\u0103 (nifedipina poate agrava)<\/li>\n<li>Infarct miocardic recent, angin\u0103 instabil\u0103 (preocupare cu nifedipina cu ac\u021biune scurt\u0103; forma cu eliberare prelungit\u0103 este mai sigur\u0103)<\/li>\n<li>Insuficien\u021b\u0103 renal\u0103 sever\u0103 (eGFR &lt;15 \u2014 necesit\u0103 reducere de doz\u0103 de atenolol; se prefer\u0103 beta-blocant neeliminat renal)<\/li>\n<li>Sarcin\u0103 (ambele componente)<\/li>\n<li>Hipersensibilitate la oricare component\u0103<\/li>\n<\/ul>\n<h2>Depozitare<\/h2>\n<p>P\u0103stra\u021bi la temperaturi sub 25\u00b0C; proteja\u021bi de lumin\u0103.<\/p>\n<h3 class=\"wp-block-heading\">De ce s\u0103 combina\u021bi atenolol cu nifedipin\u0103?<\/h3>\n<p>Mecanisme complementare \u0219i atenuare a efectelor secundare. Nifedipina pur\u0103 provoac\u0103 tahicardie reflex\u0103 (r\u0103spuns simpatic la vasodilata\u021bie); atenololul blocheaz\u0103 acest reflex, oferind un control mai uniform al tensiunii arteriale. Pentru pacien\u021bii cu at\u00e2t hipertensiune, c\u00e2t \u0219i angin\u0103 pectoral\u0103 stabil\u0103, cele dou\u0103 medicamente \u021bintesc simultan ambele afec\u021biuni.<\/p>\n<h3 class=\"wp-block-heading\">Dar edemul de glezn\u0103 cauzat de nifedipin\u0103?<\/h3>\n<p>Edemul periferic dependent de doz\u0103 apare la p\u00e2n\u0103 la 25% dintre utilizatorii pe termen lung de nifedipin\u0103. NU este cauzat de supra\u00eenc\u0103rcare cu lichide \u2014 se datoreaz\u0103 vasodilata\u021biei pre-capilare care cre\u0219te presiunea hidrostatic\u0103 \u00een membrele inferioare. Tratament: reducerea dozei, ridicarea picioarelor, ciorapi de compresie sau trecerea la un BCC non-dihidropiridinic (verapamil, diltiazem) sau o alt\u0103 clas\u0103 de vasodilatatoare (inhibitor ACE, ARB).<\/p>\n<h3 class=\"wp-block-heading\">De ce s\u0103 nu folosi\u021bi acest tratament \u00een sarcin\u0103?<\/h3>\n<p>Atenololul este asociat cu restric\u021bia de cre\u0219tere intrauterin\u0103 \u00een sarcin\u0103 (mai mult dec\u00e2t alte beta-blocante) \u0219i bradicardie\/hipoglicemie neonatal\u0103. Pentru utilizarea antihipertensiv\u0103 \u00een sarcin\u0103, <a href=\"https:\/\/medsbase.com\/ro\/labebet\/\">labetalol<\/a>, metildopa \u0219i nifedipina-monoterapie (nu aceast\u0103 combina\u021bie fix\u0103) sunt op\u021biunile preferate.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot cump\u0103ra Nilol online?<\/h3>\n<p>Pute\u021bi achizi\u021biona Nilol (atenolol + nifedipin\u0103 50 mg + 20 mg, 30-180 comprimate) de la MedsBase cu ambalaj discret \u0219i livrare la nivel mondial.<\/p>\n<h2 class=\"wp-block-heading\">Beta-Blocante \u0219i Antihipertensive Asem\u0103n\u0103toare<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/beloc\/\">Beloc \u2014 Propranolol 10\/20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/betapro-sr\/\">Betapro SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/metolar\/\">Metolar \u2014 Tartrat de Metoprolol 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/metomac\/\">Metomac \u2014 Metoprolol 25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/p-nolol\/\">P-Nolol \u2014 Propranolol 20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/topme\/\">Topme \u2014 Metoprolol 50 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/high-blood-pressure-medication\/\"><strong>R\u0103sfoi\u021bi toate medicamentele pentru hipertensiune arterial\u0103<\/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 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui medic calificat. Hipertensiunea, insuficien\u021ba cardiac\u0103 \u0219i aritmiile necesit\u0103 diagnostic, monitorizare \u0219i individualizarea dozei de c\u0103tre un medic \u2014 utiliza\u021bi \u00eentotdeauna beta-blocante sub \u00eendrumare medical\u0103.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/gtn-spray\/\">Spray GTN<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vilano\/\">Vilano<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/symbicort-turbohaler\/\">Symbicort Turbohaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/olmezest-am\/\">Olmezest AM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/cosart\/\">Cosart<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Nilol este o combina\u021bie \u00een doz\u0103 fix\u0103 de atenolol 50 mg + nifedipin\u0103 20 mg \u2014 beta-blocant plus blocant al canalelor de calciu dihidropiridinic pentru hipertensiunea arterial\u0103 combinat\u0103 \u0219i angina stabil\u0103. Mecanisme complementare; atenololul blocheaz\u0103 tahicardia reflex\u0103 cauzat\u0103 de vasodilata\u021bia indus\u0103 de nifedipin\u0103. O dat\u0103 pe zi, diminea\u021ba. Nu este recomandat \u00een timpul sarcinii.<\/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\/ro\/wp-json\/wp\/v2\/product\/59417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=59417"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/59418"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=59417"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=59417"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=59417"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=59417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}