Nebivolol Tablet: Uses, Dosage, Side Effects, Precautions and Alternates

Quick overview

Nebivolol Tablet is a prescription cardioselective beta blocker used to treat high blood pressure. It works by slowing the heart rate and relaxing blood vessels, which helps lower blood pressure and ease the heart's workload. It is taken as a swallowed tablet, usually once daily, and must be used exactly as your doctor prescribes.

What is Nebivolol Tablet

Nebivolol is a prescription medicine used to treat high blood pressure. It belongs to a group of medicines called beta blockers and comes as a tablet you swallow. The generic name is nebivolol or nebivolol hydrochloride, and it belongs to the drug class of beta-1 selective beta-adrenergic blocking agents (cardioselective beta blockers).

Nebivolol Tablet uses

• Treating high blood pressure (hypertension)
• Preventing complications linked to high blood pressure such as heart attack, stroke, and migraine

Benefits of Nebivolol Tablet

• Helps lower high blood pressure (hypertension).
• Slows the heart rate and reduces the heart's workload.
• Helps relax blood vessels, which can improve blood flow.
• Helps reduce the risk of complications from uncontrolled hypertension, such as stroke or heart problems.
• May be used in some patients with heart failure, depending on local guidelines and clinical judgment.
• Often has a relatively selective effect on beta-1 receptors, which may make it better tolerated in some patients than non-selective beta-blockers.

How Nebivolol Tablet works

Nebivolol blocks certain receptors in the heart that normally speed up and strengthen heartbeats. This makes the heart beat more slowly. It also relaxes blood vessels. Together, these actions lower blood pressure and make it easier for the heart to pump blood through the body.

Nebivolol Tablet dosage

Nebivolol can be taken with or without food. Take it around the same time every day, exactly as your doctor tells you; do not take more, less, or more often than prescribed. Your doctor may start you on a low dose and slowly raise it, no more than once every two weeks. Continue taking it even if you feel well, since it controls but does not cure high blood pressure. It may take about two weeks before you see the full effect on your blood pressure. Do not stop taking it suddenly without talking to your doctor first.

If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed one and continue your regular schedule; do not double up. Use in children must be decided by a doctor, as safety and effectiveness have not been established in children. No specific dosing changes have been shown to be needed for elderly patients, but your doctor will monitor your response.

Available forms and strengths

• Tablet

Side effects of Nebivolol Tablet

Common

• Headache
• Tiredness
• Weakness
• Dizziness
• Nausea, diarrhea, stomach pain
• Difficulty falling asleep or staying asleep
• Numbness, burning, or tingling in the hands, arms, feet, or legs
• Rash
• Bloating

Serious

• Chest pain
• Slow or irregular heart rate
• Difficulty breathing or wheezing
• Unusual weight gain or loss
• Shortness of breath
• Swelling of the hands, feet, ankles, or lower legs
• Rapid, pounding, or irregular heartbeat
• Vomiting
• Lightheadedness, dizziness, or fainting
• Confusion
• Signs of a severe allergic reaction such as swelling of the face, lips, mouth, tongue, or throat, trouble swallowing, hives, or itching

Warnings and precautions

• Do not stop taking nebivolol suddenly without talking to your doctor, as this can cause chest pain, heart attack, or dangerous heart rhythms, especially in people with heart disease.
• Nebivolol should not be used if your heart beats too slowly, if you have certain heart rhythm problems, severe or worsening heart failure, or a life-threatening condition where the heart cannot pump enough blood.
• This medicine can hide the warning signs of low blood sugar, such as a fast heartbeat, which is especially important for people with diabetes to know.
• Nebivolol may cause serious allergic reactions, including swelling of the face, lips, or throat, trouble breathing, or hives; stop the medicine and get help right away if these occur.
• If you have allergic reactions to other substances, those reactions may be worse while using nebivolol, and standard doses of emergency allergy treatment may not work as well.
• Tell your doctor if you are having any surgery, including dental surgery, because you may need to stop this medicine beforehand.
• Nebivolol is not recommended during pregnancy because it may harm an unborn baby. Tell your doctor if you are or plan to become pregnant so you can discuss the risks and benefits.
• Nebivolol can pass into breast milk, so it is generally not recommended while breastfeeding unless your doctor decides the benefits outweigh the risks.
• Nebivolol is removed from the body by the kidneys, so it should be used carefully if you have severe kidney problems, as it may build up and increase side effect risk.
• Nebivolol should not be used if you have severe liver disease, since the liver may not clear the medicine properly, raising the risk of side effects.
• Drinking alcohol may cause an extra drop in blood pressure while taking nebivolol, especially when starting the medicine or changing the dose.
• Nebivolol may cause dizziness or reduced alertness, so avoid driving or operating machinery until you know how the medicine affects you.

Storage

• Store at 20–25°C (68–77°F) at controlled room temperature.
• Keep in a cool, dry place away from excessive heat.
• Protect the tablets from moisture and direct light.
• Keep in the original packaging or a tightly closed container.
• Avoid storing in bathrooms or other humid areas.
• Keep out of reach of children and pets.

When to see a doctor

• Get medical help right away if you have chest pain, a very slow heartbeat, trouble breathing, sudden swelling of the hands, feet, or legs, or a rapid, pounding, or irregular heartbeat.
• Seek emergency care if you notice signs of a serious allergic reaction such as breathing problems, wheezing, swelling of the face, lips, mouth, tongue or throat, or trouble swallowing.
• Stop taking the medicine and contact your health care provider right away if you have trouble breathing, as this could be a sign of a serious breathing problem.
• If you think you or someone else has taken too much nebivolol, get emergency medical help right away, especially if the person has collapsed, had a seizure, is having trouble breathing, or cannot be woken up.

Alternatives

• Amlodipine
• Propranolol
• Carvedilol
• Metoprolol
• Bisoprolol