Nebivolol is used on its own or together with other medicines to help keep your blood pressure under control.
This medicine is also used to treat heart failure (weakness and inability of the heart to pump blood) in the elderly.
Take Nebivolol exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
Nebivolol must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it suddenly as this may worsen your condition.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- acute heart failure or worsening heart failure that requires an injection of medicines into a vein
- sick sinus syndrome (abnormal heart rhythms due to problems with your heart's natural pacemaker)
- 2nd- or 3rd-degree heart block (without a pacemaker)
- untreated phaeochromocytoma (a rare tumour of the adrenal gland causing high blood pressure)
- metabolic acidosis (a condition when there is too much acid in the blood)
- slow heartbeat
- low blood pressure
- history of asthma or bronchospasm (breathing distress caused by narrowing of the airways)
- severe blockage or narrowing of an artery in the legs or the arms
- liver disease
as Nebivolol may not be suitable for you.
Inform your doctor if you have the following conditions:
- 1st-degree heart block
- Prinzmetal's angina (a rare type of chest pain that occurs when a person is at rest)
- Raynaud's disease (poor blood circulation which makes the toes and fingers numb and pale when feeling cold or stressed)
- thyroid problems
- diabetes
- chronic obstructive pulmonary disease (long-term lung disease that causes airflow obstruction making it hard to breathe)
- history of psoriasis (a type of skin disease that causes itchy patches of thick, red skin and silvery scales)
- history of severe allergic reaction to allergens
- myasthenia gravis (muscle weakness disorder)
- kidney disease
Let your doctor know if you are pregnant or breastfeeding.
Be sure to check with your doctor or pharmacist before giving Nebivolol to the elderly. Elderly people may be more sensitive to the side effects.
If you are going to have an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking this medicine.
Why is it important to keep my appointments with the doctor?
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- Routine tests (kidney or liver function) may be done while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
- Your blood pressure may fall to unsafe levels without you noticing it. Monitor your blood pressure and heart rate before and after treatment.
What lifestyle changes can I make to improve my blood pressure?
Regular exercise and eating a healthy diet will help control your blood pressure and improve your overall health. Engage in physical activity like walking for at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains, and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol, and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart, and overall health. Speak to your doctor or pharmacist about ways to stop your smoking habit.
Nebivolol may cause any of the following side effects: headache, nausea, diarrhoea, constipation, vomiting, stomach discomfort, indigestion, tiredness, dizziness, difficulty sleeping, rash, and numbness or tingling sensation in the hands and feet.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- slow or irregular heartbeat
- shortness of breath, tightness in your chest, coughing, wheezing
- unusual changes in mood (being too depressed)
- itchy patches of thick, red skin and silvery scales
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking or using any of these medicines:
- other medicines for high blood pressure e.g. clonidine, verapamil, amlodipine, reserpine
- medicines for irregular heartbeat e.g. quinidine, digoxin, propafenone, amiodarone
- medicines for diabetes e.g. insulin, glibenclamide, metformin
- medicines to block pain and other sensations
- baclofen (medicine used to relax the muscle)
- medicines to treat depression e.g. fluoxetine, paroxetine, sertraline
- medicines for mood disorders e.g. chlorpromazine, thioridazine
- cimetidine (medicine for stomach ulcer)
This list does not include all medicines that may interact with Nebivolol.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.
Avoid alcohol.
Cut down on your salt intake. This may help lower your blood pressure and improve your overall health. Discuss with your doctor or dietitian ways to cut down on your salt intake.
Store in a cool, dry place away from the reach of children. Protect from light.
Medicines must not be used past the expiry date.
Sign Out
