Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription or the following.

• medicines to lower your blood pressure such as verapamil, diltiazem, clonidine, guanfacine
• medicines containing floctafenine or sulpiride
• medicines to treat abnormal heart rhythms such as amiodarone, quinidine, hydroquinidine, disopyramide
• medicines to treat depression or other mental problems such as paroxetine, fluoxetine, thioridazine
• barbiturates (used for epilepsy, anxiety or insomnia)
• baclofen (a muscle relaxant)
• amifostine (used in cancer therapy)
• mefloquine (antimalaria drug)
• organic nitrates (to treat chest pain)
• quinidine (used to slow down the heart)
• terbinafine (for fungal or yeast infections)
• bupropion (to help in cessation of smoking)
• chloroquine (for malaria or rheumatoid arthritis)
• levomepromazine (for mental health problems)
• stimulants containing dopamine
• insulin or any oral anti-diabetic medicines

• Always take this medicine exactly as your doctor has told you
• Try to take your tablets at the same time each day
• Swallow the tablet with a glass of water
• You may take your tablets with or without food
• The tablet can be divided into 4 equal doses

Treatment for high blood pressure

Use in adults: 

• The usual dose is 5 mg of NEBILOC 5MG once a day. It usually takes 1 – 2 weeks for the medicine to work but occasionally it may take up to 4 weeks

Elderly: 

• If you are over 65 years and taking NEBILOC 5MG to lower your blood pressure the usual starting dose is 2.5 mg per day. However, your doctor may increase this to 5 mg per day if they feel this is necessary

Patients with kidney disease: 

• The usual dose is 2.5 mg once a day. However, your doctor may increase your dose to 5 mg per day if required

Patients taking NEBILOC 5MG and another medicine to lower your blood pressure

• When taken with hydrochlorothiazide the usual daily dose is 5 mg of Nebivolol and 12.5 – 25 mg of hydrochlorothiazide per day

Treatment for heart failure:

• Your doctor will start you on a low dose and gradually increase your dose over 1 – 2 weekly intervals until your condition has stabilised. The usual starting dose is 1.25 mg once daily for 1 –2 weeks, this may be increased to 2.5 mg once daily, then to 5 mg once daily and then to 10 mg once daily. The maximum recommended dose is 10 mg once daily. Your doctor will tell you how much to take

Patients with kidney disease

• NEBILOC 5MG is not recommended for use in patients with severe kidney disease

Patients with liver disease

• If you suffer from liver disease do not take NEBILOC 5MG

If you take more NEBILOC 5MG

• Contact your doctor or casualty department immediately. Take the container and any remaining tablets with you

If you forget to take NEBILOC 5MG

• If you forget to take a dose of NEBILOC 5MG do not take a double dose to make up for a forgotten dose. Take the next dose on time. If you miss several doses, contact your doctor

If you stop taking NEBILOC 5MG

• If you suddenly stop taking NEBILOC 5MG you are likely to suffer from side effects, or your illness may get worse. If you need to stop taking this medicine your doctor will reduce your dose slowly over a 2week period