Generic Name: nebivolol (ne BIV oh lol)Brand Names: Bystolic
Nebivolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Nebivolol is used to treat hypertension (high blood pressure).
Nebivolol may also be used for other purposes not listed in this medication guide.
Nebivolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
severe liver disease; or
a heart problem such as heart block, sick sinus syndrome, slow heart rate, or heart failure.
Before taking nebivolol, tell your doctor if you are allergic to any drugs, or if you have:
asthma, bronchitis, emphysema;
liver or kidney disease;
diabetes;
a thyroid disorder;
problems with circulation (such as Raynaud's syndrome);
pheochromocytoma; or
if you have recently had a heart attack.
If you have any of these conditions, you may not be able to use nebivolol, or you may need a dose adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether nebivolol passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.Take nebivolol exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.
Take nebivolol at the same time every day. You may take the medication with or without food.
Do not skip doses or stop taking nebivolol without first talking to your doctor. Stopping suddenly may make your condition worse or cause other serious heart problems such as severe chest pain or heart attack. You may need to use less and less before you stop the medication completely.To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Do not miss any scheduled appointments.
If you need to have any type of surgery, tell the surgeon ahead of time that you are using nebivolol. You may need to stop using the medicine for a short time.Nebivolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Keep using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
Store nebivolol at room temperature away from moisture and heat.See also: Bystolic dosage in more detail
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Overdose symptoms may include slow heart rate, dizziness, vomiting, trouble breathing, or feeling like you might pass out.
feeling short of breath, even with mild exertion;
swelling of your ankles or feet;
slow or uneven heartbeats; or
numbness or cold feeling in your hands and feet.
Less serious side effects may include:
headache;
tired feeling;
nausea, stomach pain;
diarrhea; or
sleep problems (insomnia).
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
Before taking nebivolol, tell your doctor if you are using:
digitalis (digoxin, Lanoxin);
clonidine (Catapres);
reserpine;
guanethidine (Ismelin);
a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem);
heart rhythm medicine such as amiodarone (Cordarone, Pacerone), disopyramide (Norpace), procainamide (Procan, Pronestyl), propafenone (Rythmol), quinidine (Quinidex, Quin-Release Quin-G), and others;
an antidepressant such as fluoxetine (Prozac), paroxetine (Paxil), and others; or
another beta-blocker such as atenolol (Tenormin), bisoprolol (Zebeta), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), sotalol (Betapace), or timolol (Blocadren), and others.
This list is not complete and there may be other drugs that can interact with nebivolol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.