Nebivolol is a drug to treat high blood pressure (hypertension).. Controlled blood pressure can reduce the risk of stroke, heart attack, or kidney problems. This medication can be used alone or in combination with other medications.
Nebivolol belongs to the class of beta blockers (beta blockers). This drug works by blocking beta receptors in the blood vessels and heart muscle, thereby reducing tension in the heart and blood vessels, slowing the heart rate, and lowering blood pressure.
In addition to treating hypertension, nebivolol can also be used to treat heart failure. This medicine is only used with a doctor's prescription.
Nebivolol trademark:Linoven, Nebilet, Nebivolol, Nebivolol Hydrochloride, Nevodio
What is Nebivolol
|Category||Beta blockers (beta blockers)|
|Benefit||Treat hypertension and heart failure|
|Consumed by||Adults and seniors over 65 years old|
Nebivolol for pregnant and lactating women
|Category C:Animal studies have shown adverse effects on the fetus, but there are no controlled studies in pregnant women. Drugs should only be used if the expected benefit outweighs the risk to the fetus. |
It is not known whether Nebivolol is absorbed through breast milk or not. If you are breastfeeding, do not use this medicine without telling your doctor.
Precautions Before Taking Nebivolol
Nebivolol should only be used as prescribed by a doctor. The following are things you need to pay attention to before using nebivolol:
- Tell your doctor about any allergies you have. Nebivolol should not be used by patients who are allergic to this drug.
- Tell your doctor if you have severe liver disease, severe heart failure, or a severe heart rhythm disorder, including severe bradycardia or AV block. Nebivolol should not be used by patients with these conditions.
- Tell your doctor if you have or have recently had a heart attack.
- Tell your doctor if you have or are currently suffering from asthma, kidney disease, liver disease, heart failure, depression, hyperthyroidism, diabetes, myasthenia gravis, pheochromocytoma, or Raynaud's syndrome.
- Do not drive a vehicle or do activities that require alertness after taking nebivolol, as this medicine can cause dizziness.
- Tell your doctor if you are taking nebivolol before any surgical procedure, including dental surgery.
- Tell your doctor if you are pregnant, breastfeeding, or planning a pregnancy.
- Tell your doctor if you are taking certain medications, supplements, or herbal products.
- See your doctor right away if you experience an allergic drug reaction, serious side effect or overdose after taking nebivolol.
Dosage and Rules for Use Nebivolol
The dose of nebivolol is determined based on the age, condition of the patient, and the body's response to the drug. The following are nebivolol dosages for adults based on their condition:
- Mature: Initial dose 5 mg, once a day. The dose may be increased after 2 weeks of treatment, according to the patient's response. The maximum dose is 40 mg, once a day.
- Elderly over 65 years: The initial dose is 2.5 mg, once a day. The dose may be increased to 5 mg, once daily.
Condition: Heart failure
- Mature: Initial dose 1.25 mg, once a day. The maximum dose is 10 mg, once a day.
How to Take Nebivolol Correctly
Use nebivolol as recommended by the doctor and don't forget to read the information on the drug packaging. Do not increase or decrease your dose, and do not stop nebivolol treatment without consulting your doctor first.
Take nebivolol at the same time every day for optimal treatment. Nebivolol can be taken before or after meals. Swallow nebivolol tablets with the help of water.
If you forget to take nebivolol, take this drug immediately if the interval between the next consumption schedule is not too close. If it is close, ignore it and do not double the dose.
Nebivolol can only control blood pressure, not to cure hypertension. Therefore, to maximize the effect of treatment, you are advised to adopt a healthy lifestyle, limit the consumption of foods that contain a lot of salt (sodium), and exercise regularly.
Store nebivolol in a closed container at room temperature, in a dry place, and away from direct sunlight. Keep this medicine out of reach of children.
Nebivolol Interactions with Other Drugs
The use of nebivolol together with other drugs can cause several interactions, including:
- Increased effectiveness of aminophylline, dyphylline, and theophylline, which can increase the risk of side effects, such as tremors or insomnia
- Increased risk of heart rhythm disturbances when used with atazanavir, ceritinib, dolasetron, or saquinavir
- Increased risk of hypotension and bradycardia when used with verapamil, reserpine, or clonidine
- Increased levels and effects of disoptramide
- Increased risk of severe bradycardia which can be fatal when used with fingolimod
- Increased risk of side effects when used with diltiazem, digoxin, or amiodarone
- Decreased effectiveness of nebivolol when used with nonsteroidal anti-inflammatory drugs, such as ibuprofen
Side Effects and Dangers of Nebivolol
The following are some of the side effects that can occur after taking nebivolol:
- Dizziness or headache
- Unusual tired
- Heart rate is slow
Check with your doctor if these side effects don't go away or get worse. See a doctor immediately if you experience an allergic reaction to the drug or any of the following serious side effects:
- Swelling in the legs
- Slow or irregular heartbeat
- Hands and feet feel cold, blue, or numb
- Chest pain
- Hard to breathe
- Dizzy like going to faint