| Usage |
Nebivolol is available in tablet form for oral administration. Typically, it is ingested once daily, either with or without food. To ensure consistency, try to take Nebivolol at the same time every day. It's essential to adhere closely to the instructions on your prescription label and don't hesitate to seek clarification from your doctor or pharmacist if any aspect remains unclear.
Take Nebivolol precisely as prescribed—avoid increasing or decreasing the dosage or altering the frequency without your doctor's guidance. Your doctor might initiate your treatment with a low Nebivolol dose and may gradually adjust it, but not more frequently than once every two weeks.
While Nebivolol effectively manages high blood pressure, it does not provide a cure. It may take up to two weeks before you observe the full benefits of Nebivolol reflected in your blood pressure readings. It's crucial to continue taking Nebivolol even if you feel well; do not discontinue the medication without consulting your doctor. Abruptly stopping Nebivolol could lead to adverse effects such as angina (chest pain), heart attacks, or irregular heartbeats. In case your doctor decides to discontinue Nebivolol, they will likely do so gradually throughout one to two weeks to ensure a safe transition.
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| Side Effects |
Nebivolol has the potential to induce side effects. If you encounter any of these symptoms and they are either severe or persist:
• Headaches
• Fatigue
• Weakness
• Dizziness
• Diarrhea
• Nausea
• Abdominal discomfort
• Difficulty falling asleep or staying asleep
• Numbness, burning, or tingling sensations in the hands, arms, feet, or legs
While uncommon, certain side effects can be severe. If you experience any of the following symptoms, contact your doctor promptly:
• Chest pain
• Slower heart rate
• Breathing difficulties
• Unusual weight gain
• Skin rash
• Edema in the hands, feet, ankles, or lower legs.
It's important to note that Nebivolol may lead to other side effects not listed here. If you encounter any unusual issues while taking this medication, do not hesitate to reach out to your doctor for guidance and assessment. Your well-being is our priority.
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| Special Precautions |
Before initiating nebivolol, it is essential to communicate the following information with your doctor and pharmacist:
1. Disclose any allergies you have, whether to nebivolol, other medications, or any components within nebivolol tablets. If needed, request a list of these ingredients from your pharmacist.
2. Inform your doctor and pharmacist about all prescription and over-the-counter medications, vitamins, dietary supplements, and herbal products you are currently taking or plan to use. Specifically, mention any of the following:
• Amiodarone (Cordarone, Pacerone)
• Beta blockers like acebutolol (Sectral), atenolol (Tenormin), betaxolol, bisoprolol (Zebeta), carvedilol (Coreg), labetalol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard), pindolol, propranolol (Inderal, InnoPran XL), sotalol (Betapace, Betapace AF, Sorine), timolol
• Bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban)
• Calcium channel blockers like diltiazem (Cardizem) and verapamil (Calan, Covera)
• Chlorpheniramine (found in allergy and cold medications)
• Cimetidine
• Clomipramine (Anafranil)
• Clonidine (Catapres, Kapvay)
• Digoxin (Lanoxin)
• Disopyramide (Norpace)
• Duloxetine (Cymbalta)
• Fluoxetine (Prozac, Sarafem, Selfemra, Symbyax)
• Haloperidol (Haldol)
• Insulin
• Oral diabetes medications
• Methadone (Dolophine, Methadose)
• Paroxetine (Paxil)
• Propafenone (Rythmol)
• Quinidine
• Reserpine
• Ritonavir (Norvir, Kaletra)
• Sildenafil (Revatio, Viagra)
Your doctor may need to adjust medication dosages or closely monitor you for potential side effects.
3. If you have a slow heart rate, heart disease, liver disease, or heart failure, inform your doctor, as they may advise against using nebivolol.
4. Notify your doctor if you have a history of asthma, lung diseases, diabetes, hyperthyroidism, circulatory problems, kidney disease, severe allergies, or pheochromocytoma (a tumor near the kidneys that can elevate blood pressure and heart rate).
5. If you are pregnant, planning pregnancy, or breastfeeding, disclose this information to your doctor. In case you become pregnant while on nebivolol, promptly contact your doctor.
6. If you anticipate any surgical procedures, including dental surgery, inform the medical professionals involved that you are taking nebivolol.
7. Be aware that nebivolol may cause drowsiness. Do not operate vehicles or machinery until you understand how this medication affects you.
8. If you have a history of allergic reactions to various substances, be aware that your reactions may intensify while using nebivolol, and standard doses of injectable epinephrine may not be as effective in managing these reactions.
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