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Generic Name: Nebivolol [ne-BIV-oh-lol]
The Brand Name is Bystolic.
Dosage format: Oral tablet (10 mg; 2.5 mg; 20 mg; 5 mg)
Drug Class: Cardioselective beta blockers

What is Nebivolol?

Nebivolol is a beta-blocker that can be used to treat hypertension (high blood pressure). Lowering blood pressure could reduce the risk of suffering a stroke or heart attack.Nebivolol can also be used for reasons not mentioned in this medication guide.

Side effects of Nebivolol

See a doctor immediately. Get medical attention immediately if you notice symptoms that indicate an allergic reaction, such as difficulty breathing, hives, or swelling of your lips, face, or tongue.

Nebivolol may cause serious side effects. Consult your doctor immediately if you experience:

  • You feel lightheaded, like you're about to pass out.
  • Rapid weight increase;
  • Breathlessness;
  • Unsteady or irregular heartbeats
  • A numbness, feeling of numbness, or sensation in your feet and hands.

HTML0: Common adverse effects of nebivolol could be:

  • Dizziness;
  • Swelling in your legs;
  • Heartbeats that are slow
  • Tiredness;
  • Headache.

It's not a comprehensive listing of all possible adverse reactions, as other consequences could also occur. Consult your physician for advice regarding medical effects. You can report symptoms to the FDA at 1-800-FDA-1088.


Do not miss doses or stop taking nebivolol before consulting with your physician.

Before you Take this Drug

Nebivolol should not be taken. If you're allergic to the drug or suffer from:

  • A serious heart problem that is serious, such as the heart's failure, "AV block" (2nd or 3rd degree), and sick sinus syndrome (unless you are wearing the pacemaker);
  • Very slow heartbeats
  • Serious chronic liver illness severe liver disease
  • If your heart isn't pumping blood in a proper manner.

Inform your doctor if you have ever suffered from:

  • Asthma, bronchitis, and emphysema;
  • An attack on the heart;
  • Issues related to circulation (especially problems with circulation in your legs and feet);
  • Diabetic (taking the drug nebivolol could make it more difficult for you to recognize when you've got insufficient levels of blood sugar);
  • A thyroid disorder
  • Kidney or liver disease;
  • Allergies
  • Pheochromocytoma (a tumor that affects the adrenal gland)

Consult your physician if you are expecting or planning to become pregnant. It's not clear if nebivolol could harm the unborn baby. But having an elevated blood pressure in pregnancy can result in complications like diabetes or eclampsia (dangerous hypertension that could cause medical issues in both the mother and baby). The advantages of treating hypertension could outweigh the risks for the baby.

You shouldn't breastfeed when using nebivolol.

How to Take Nebivolol?

Follow the directions on your prescription label, and review all medication guides and instructions. Your doctor might alter your dosage. Make sure you take the medication exactly as prescribed.

Nebivolol is a medicine that can be taken with or without mealsYour blood pressure is likely to be monitored regularly.If you are in need of surgery, be sure to inform your surgeon beforehand that you're using the drug nebivolol.

Do not miss doses or stop taking the drug nebivolol suddenly. Stopping suddenly may increase the severity of your condition or trigger serious heart issues, which could lead to a heart attack. Follow the instructions of your physician when increasing your dosage.

Continue to take nebivolol as prescribed, regardless of whether you are feeling well. High blood pressure is often accompanied by no signs. It is possible that you will need blood pressure medication throughout your life.Place it in a cool, dry place free of heat and moisture.

Details on Dosage

Usual Adult Dose for Hypertension:

Initial dosage: 5 mg orally at least once per day.
Dose adjustment: Adjust dosage at intervals of 2 weeks at 40mg per day, as required.
Maximum dose: 40 mg per day.
Dosing more often than every two weeks is not likely to yield benefits.
The dose should be adjusted to the requirements of the patient.
Use: To manage the symptoms of hypertension either by itself or in combination with an antihypertensive drug.

What Happens if I Miss the Dose?

You should take the medication as quickly as you are able, but avoid your missed dose if you are close to the time of the next dose. Don't take two doses at once.

What Happens If I Overdose?

Get medical attention in an emergency or contact the Poison Help line toll-free at 1-800-222-1222.

Some signs of an overdose include an affected heart as well as dizziness, vomiting, breathing problems, or feeling as if you could faint.

What Should be Avoided?

Avoid driving and other hazardous activities until you understand how nebivolol affects your body. The way you react could be affected.

Interaction with Other Drugs

It is sometimes not safe to take certain medications simultaneously. Certain drugs may affect your blood levels and the other medications you are taking, which could create side effects or render the medication less effective.

Numerous drugs can interact with nebivolol. This includes prescription as well as over-the-counter medicine, vitamins, and herbal products. Not all interactions are included in this list. Inform your doctor of all the medicines you are currently taking and any medication you begin or stop taking.



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