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  • Do not stop taking this medicine without speaking to your doctor first as this can cause problems.

About nebivolol

Type of medicine Beta-blocker
Used for Hypertension (high blood pressure)
Heart failure (alongside other medicines in people over 70 years of age)
Also called Nebilet®
Available as Tablet

Nebivolol works by blocking the transmission of messages to the beta receptors in the heart which slows down the activity of the heart, decreasing blood pressure. It is also of benefit in some types of heart failure (a condition where the pumping action of the heart is reduced).

Before taking nebivolol

Before taking nebivolol make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you suffer from liver or kidney problems.
  • If you suffer from low blood pressure, poor circulation or a slow heart beat.
  • If you suffer from asthma or breathing difficulties.
  • If you suffer from phaeochromocytoma (a growth of the adrenal gland).
  • If you suffer from diabetes.
  • If you have heart block (a slow and irregular heart beat) or other heart problems.
  • If you suffer from myasthenia gravis (a muscle weakening disease).
  • If you have ever had an allergic reaction to this or any other medicine.
  • If you are taking any other medicines, including those available to buy without a prescription, herbal or complementary medicines.

How to take nebivolol

  • Take nebivolol exactly as directed by your doctor.
  • Always read the manufacturer's information leaflet, if possible before beginning treatment.
  • Do not stop taking nebivolol without speaking to your doctor first.
  • Try to take nebivolol at the same time each day to avoid missing any doses.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of nebivolol contact your doctor or go to the accident and emergency department of your local hospital at once. Where possible take the container with you, even if it is empty.
  • Nebivolol is for you. Never give it to others even if their condition appears to be the same as yours.

Getting the most from your treatment

  • It is very important to follow any dietary advice that you may have been given by your doctor.
  • If you have diabetes: check your blood glucose levels regularly as this preparation can affect the levels of sugar in your blood.
  • Before taking any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take alongside nebivolol.
  • Keep your regular doctors appointments so your progress can be monitored.
  • Before having any kind of surgery, including dental or emergency treatment, tell the doctor, dentist or surgeon that you are taking nebivolol.

Can nebivolol cause problems

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this
Tiredness, coldness of the extremities (fingers, toes, and nose), disturbed sleep, or nightmares Speak with your doctor if you suffer from these effects
Shortness of breath Speak with your doctor as soon as possible if you suffer from this effect
Headache Ask your pharmacist to recommend a suitable pain killer. If the headache continues speak with your doctor
Feeling or being sick Eat little and often. Stick to simple foods such as dry toast and drink plenty of water to replace any lost fluids
Dizziness, drowsiness, light-headedness or fainting (especially when getting up from a sitting or lying down position) Getting up slowly may help. If you begin to feel dizzy, lie down so that you do not faint, then sit for a few moments before standing. If this continues, speak with your doctor as soon as possible

Other less common side effects include: swollen feet and ankles, mood changes, 'pins and needles', visual disturbances, breathing difficulties, changes in sexual functions, skin rash and loss of hair.

How to store nebivolol

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • Keep all medicines out of the sight and reach of children.
  • Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Where possible take the container with you, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • British National Formulary; 54th Edition (September 2007) British Medical Association and Royal Pharmaceutical Society of Great Britain, London.
  • Manufacturer's PIL, Nebilet Tablets ®, Menarini International Operations, electronic Medicines Compendium. Text revised March 2006, accessed 29 November 2007.
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2009 DocID: 3687 DocRef: dils3653 Last Reviewed: 4 Feb 2008 Version: 24

The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.

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