nebivolol

Brand names: Bystolic

What is nebivolol?

Bystolic is used to treat high blood pressure.

What is the most important information I should know about nebivolol?

Patients with coronary artery disease treated with Bystolic should not discontinue therapy abruptly as it may result in angina and heart attack.

Patients with history of severe allergic reactions will be more prone to allergies and may not respond to the usual dose of epinephrine used to treat these allergic episodes.

Who should not take nebivolol?

Patients with severe bradycardia (slow heart rate), heart block greater than a first degree block, cardiogenic shock, severe liver disease, sick sinus syndrome (patients with irregular heart rate requiring a pacemaker) should not use Bystolic.

What should I tell my doctor before I take the first dose of nebivolol?

Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Bystolic. Also, talk to your doctor about your complete medical history, especially if you have any preexisting bradycardia (slow heart rate), heart block greater than a first degree block, cardiogenic shock, severe liver disease, sick sinus syndrome (an irregular heart rate requiring a pacemaker), bronchospastic disorders (breathing problems), diabetes, thyrotoxicosis (increased thyroid hormone levels), peripheral vascular disease, kidney problems, and any upcoming surgery.

What is the usual dosage?

The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

Adults: The recommended starting dosage of Bystolic is 5 milligrams once daily.

How should I take nebivolol?

Take Bystolic as prescribed by your doctor. It is to be taken orally with or without food.

What should I avoid while taking nebivolol?

Do not drive a car or use heavy machinery until you know how Bystolic affects you, as it may impair your ability to perform these tasks. Do not discontinue therapy abruptly.

What are possible food and drug interactions associated with nebivolol?

If Bystolic is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Bystolic with the following: beta-blockers, clonidine, digitalis glycosides, fluoxetine, paroxetine, propafenone, quinidine

What are the possible side effects of nebivolol?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking nebivolol.

• Side effects may include:Headache, chest pain, fatigue, nausea, dizziness, insomnia (reduced sleep), abdominal pain, weakness, increased likelihood of allergic reactions (eg, hives, difficulty breathing, and swelling of the throat), reduced heart rate, reduced blood pressure, congestive heart failure, bronchospasm (constriction of air tubes), hypoglycemia (reduced glucose levels)

Can I receive nebivolol if I am pregnant or breastfeeding?

Bystolic is to be avoided during pregnancy and in nursing mothers.

What should I do if I miss a dose of nebivolol?

If you miss a dose, take the next scheduled dose; do not double the dose.

Where should I keep my supply of nebivolol?

Store at room temperature.