Bystolic

nebivolol

Nebivolol Tablets

What is Nebivolol?

Nebivolol is a beta-blocker medication. Beta-blockers work by reducing the workload on your heart and helping it beat more steadily. This medication is primarily used to treat high blood pressure (hypertension).

Important Information for Your Healthcare Provider

Before starting nebivolol, it's crucial to inform your doctor or healthcare provider about any pre-existing conditions you may have. This includes:

• Diabetes: Nebivolol can affect blood sugar levels.
• Heart or Vascular Disease: Conditions such as slow heart rate (bradycardia), worsening heart failure, heart block, sick sinus syndrome, or Raynaud's disease.
• Kidney Disease: Nebivolol is processed by the kidneys.
• Liver Disease: Nebivolol is metabolized by the liver.
• Lung Disease: Such as asthma or emphysema.
• Pheochromocytoma: A rare tumor of the adrenal gland.
• Thyroid Disease: Nebivolol can interact with thyroid medications.
• Allergies: To nebivolol, other beta-blockers, or any other medications, food, dyes, or preservatives.
• Pregnancy or Plans to Become Pregnant: Use during pregnancy requires careful consideration.
• Breastfeeding: Nebivolol can pass into breast milk.

How to Take Nebivolol

Take nebivolol tablets by mouth with a glass of water. You can take it with or without food. It's important to take your doses at evenly spaced intervals as prescribed by your doctor. Do not increase the dosage or frequency on your own. Never stop taking nebivolol suddenly, as this can lead to serious heart problems. Consult your pediatrician before giving this medication to children, as special precautions might be necessary.

Overdosage: In case of suspected overdose, immediately contact a poison control center or emergency room.

Important Note: This medication is prescribed specifically for you and should not be shared with others.

Missed Dose

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for a missed one.

Potential Drug Interactions

Do not take nebivolol with:

• Sotalol

Nebivolol may interact with the following medications:

• Cimetidine
• Clonidine
• Diltiazem
• Digoxin
• Fluoxetine
• Guanethidine
• Other beta-blockers used for blood pressure
• Paroxetine
• Propafenone
• Quinidine
• Reserpine
• Sildenafil
• Verapamil

This list might not be exhaustive. Always provide your doctor or pharmacist with a complete list of all medications, herbs, over-the-counter drugs, and dietary supplements you are using. Also inform them about smoking, alcohol consumption, or illegal drug use, as these can affect the medication's efficacy.

Monitoring While Taking Nebivolol

Regular check-ups with your doctor are essential to monitor your progress. Monitor your heart rate and blood pressure regularly as instructed by your doctor. They will provide guidance on the expected ranges and when to contact them.

You may experience drowsiness or dizziness. Avoid driving, operating machinery, or engaging in activities requiring alertness until you understand how the drug affects you. Avoid sudden changes in posture (sitting or standing), especially if you are elderly, to prevent dizziness or fainting. Limit alcohol consumption as it can worsen drowsiness.

Nebivolol can influence blood sugar levels. If you have diabetes, consult your doctor before adjusting your diet or diabetes medication.

Do not self-treat coughs, colds, or pain while on nebivolol without consulting your doctor, as some over-the-counter medications may raise blood pressure.

Possible Side Effects

Side effects requiring immediate medical attention:

• Allergic reactions (skin rash, itching, hives, facial swelling)
• Breathing difficulties
• Chest pain
• Cold, tingling, or numb hands or feet
• Dark urine
• Flu-like symptoms
• Irregular heartbeat
• Light-colored stools
• Loss of appetite, nausea
• Right upper abdominal pain
• Slow heart rate
• Swollen legs or ankles
• Unusual bleeding or bruising
• Extreme weakness or fatigue
• Vomiting
• Yellowing of eyes or skin (jaundice)

Side effects that usually don't require immediate medical attention (but report to your doctor if they persist or are bothersome):

• Diarrhea
• Dizziness
• Dry or burning eyes
• Headache
• Nausea
• Tiredness
• Trouble sleeping

This list might not include all possible side effects.

Storage Instructions

Keep out of reach of children. Store at room temperature between 20°C and 25°C (68°F and 77°F). Protect from light. Keep the container tightly closed. Discard any unused medication after the expiration date.

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