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INTRODUCTION
NEBIVOL 2.5MG TABLET contains Nebivolol which belongs to the group of medicines called Anti-hypertensives. It is used in the treatment of essential hypertension (high blood pressure). It also controls heart pumping strength and in the treatment of mild and moderate chronic heart failure (above 70 years of age).
Along with NEBIVOL 2.5MG TABLET your doctor might advise you to make certain lifestyle changes such as healthy eating, sleep, weight and stress management, quitting smoking and alcohol. Your doctor may ask you to undergo some blood tests before starting the treatment with NEBIVOL 2.5MG TABLET.
NEBIVOL 2.5MG TABLET is not recommended for use in patients having liver, kidney, lungs or heart disease, circulation problems, untreated pheochromocytoma, or diabetic ketoacidosis.
Before starting the treatment with NEBIVOL 2.5MG TABLET inform your doctor if you have diabetes or an overactive thyroid gland.
Use of NEBIVOL 2.5MG TABLET is not recommended in children, pregnant or breast-feeding women. Consult your doctor before taking.
Some of the most common side effects of taking NEBIVOL 2.5MG TABLET are headache, dizziness, fatigue, weakness, and insomnia. Inform your doctor if any of the above side effects worsen.
USES OF NEBIVOL 2.5MG TABLET
- Treats high blood pressure (hypertension)
HOW NEBIVOL 2.5MG TABLET WORKS
NEBIVOL 2.5MG TABLET works specifically on the heart by slowing down the heart rate and makes the heart more efficient at pumping blood around the body. This results in lowering down of the blood pressure.
DIRECTIONS FOR USE
Take NEBIVOL 2.5MG TABLET as advised by your doctor. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
SIDE EFFECTS OF NEBIVOL 2.5MG TABLET
COMMON
- headache
- dizziness
- tiredness
- itching or tingling feeling
- diarrhoea
- constipation
- nausea
- shortness of breath
- swelling in feet and hands
UNCOMMON
- slow heartbeat
- low blood pressure
- cramp-like leg pains on walking
- abnormal vision
- impotence
- feeling of depression
- digestive difficulties (dyspepsia), gas in stomach or bowel
- nightmares
RARE
Stop taking NEBIVOL 2.5MG TABLET and contact your doctor immediately if you experience any of the following side effects:
- severe allergic reactions, with generalised skin eruption (hypersensitive reactions)
- rapid onset of swelling, around the lips, eyes, or of the tongue with sudden difficulties in breathing (angioedema)
- skin rash involving pale red, raised, itchy bumps of allergic or non-allergic causes
- breathlessness such as in asthma, tightening of the chest, difficulty in breathing or wheezing
HOW TO MANAGE SIDE EFFECTS
Nausea or Vomiting:
Take this medicine with, or just after meals. Stick to simple meals. Avoid eating oily or spicy foods.
Constipation:
Eat plenty of fiber rich foods such as fresh fruits, vegetables, and cereals and drink plenty of water. Exercise more regularly.
Diarrhea:
Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor.
Headache:
Try to rest and relax. Do not involve yourself in exertive activities. Apply a pain-relieving balm on your forehead. Ask your doctor if it doesn’t improve.
Dizziness:
Get plenty of sleep. Drink enough water and keep yourself hydrated. Do not consume any medication on your own. Ask your doctor if it doesn’t improve.
WARNING & PRECAUTIONS
PREGNANCY
NEBIVOL 2.5MG TABLET is not recommended for use in pregnant women unless considered clearly necessary. Consult your doctor if you are, planning to or become pregnant during while taking NEBIVOL 2.5MG TABLET.
BREASTFEEDING
NEBIVOL 2.5MG TABLET is not recommended for use in breastfeeding women. Consult your doctor before taking it.
DRIVING AND USING MACHINES
Do not drive or operate any machines if you experience dizziness or fatigue after taking NEBIVOL 2.5MG TABLET.
KIDNEY
NEBIVOL 2.5MG TABLET should be used with caution in patients with severe kidney disease or patients who undergoing dialysis. Consult your doctor before taking NEBIVOL 2.5MG TABLET.
LIVER
NEBIVOL 2.5MG TABLET is not recommended for use in patients with liver disease. Consult your doctor before taking.
ALLERGY
Do not take NEBIVOL 2.5MG TABLET if you are allergic to Nebivolol or to any other ingredients of this medicine.
LUNGS
NEBIVOL 2.5MG TABLET is not recommended for use in patients with lung disease such as asthma or wheezing. Consult your doctor before taking.
HEART DISEASE
NEBIVOL 2.5MG TABLET is not recommended in patients having heart diseases such as low blood pressure, very slow heartbeat, heart rhythm problems, or heart failure and should be used with caution in patients having prinz metal angina, untreated chronic heart failure, and first degree heart block. Consult your doctor before taking.
OTHERS
NEBIVOL 2.5MG TABLET is not recommended for use if you:
- have serious circulation problems in arms or legs
- have untreated pheochromocytoma (tumor of adrenal gland)
- have diabetic ketoacidosis
Before taking NEBIVOL 2.5MG TABLET, inform your doctor if you:
- have diabetes
- have overactive thyroid gland
- have planned surgery and require anesthesia
- have lactose intolerance
Use in pediatrics:
NEBIVOL 2.5MG TABLET is not recommended for use in children and adolescents due to lack of data. Consult your doctor before taking the medicine.
Use in geriatrics:
Your doctor will decide the correct dose and duration depends on your age, body weight and disease condition. Consult your doctor before taking.
INTERACTIONS
A. Drug-Drug interactions:
Before taking NEBIVOL 2.5MG TABLET, inform your doctor if you are taking any of the following medicine:
- medicines used for controlling blood pressure or used for heart problems (Ex. amiodarone, amlodipine, cibenzoline, clonidine, digoxin, diltiazem, disopyramide, felodipine, flecainide, guanfacin, nicardipine, nimodipine, nitrendipine, propafenone, quinidine, rilmenidine, verapamil, hydroquinidine, lacidipine, lidocaine, methyldopa, mexiletine, moxonidine, nifedipine)
- medicines used as sedatives and therapies for psychosis (Ex. barbiturates, phenothiazine, thioridazine)
- medicines used in the treatment of depression (Ex. amitriptyline, paroxetine, fluoxetine)
- medicines used for anesthesia during operation
- medicines used for asthma, blocked nose, glaucoma or dilation
- antispasmodic drug (Ex. baclofen)
- antacids (Ex. cimetidine)
- medicines used during cancer treatment (Ex. amifostine)
- medicines used in the treatment of malaria (Ex. mefloquine)
Overdosage:
If you or anyone else accidentally takes too much of NEBIVOL 2.5MG TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
| Drug | : | Nebivolol |
| Pharmacological Category | : | Selective Beta-Blockers |
| Therapeutic Indication | : | Hypertension |
| Dosage Forms | : | Tablet |
MORE INFORMATION
- Keep NEBIVOL 2.5MG TABLET out of reach of children
- Store at room temperature below 30°C
FAQs ABOUT NEBIVOL 2.5MG TABLET
What is NEBIVOL 2.5MG TABLET used for?
NEBIVOL 2.5MG TABLET used in the treatment of essential hypertension (high blood pressure). It also controls heart pumping strength and in the treatment of mild and moderate chronic heart failure (above 70 years of age).
Can I stop taking NEBIVOL 2.5MG TABLET on my own?
No, do not alter or discontinue the daily dose of NEBIVOL 2.5MG TABLET after feeling better without consulting your doctor. Your doctor will decide the correct dose and duration of NEBIVOL 2.5MG TABLET for you depending upon your age, body weight and disease condition.
Does NEBIVOL 2.5MG TABLET have side effects?
NEBIVOL 2.5MG TABLET can cause headache, dizziness, tiredness, itching or tingling feeling, diarrhoea, constipation, nausea, shortness of breath and swelling in feet and hands. Consult a doctor immediately if any of the effects worsens or continues for a long time.
Can NEBIVOL 2.5MG TABLET cause constipation?
Yes, constipation is a common side effect of taking NEBIVOL 2.5MG TABLET. In case you are suffering from constipation, take foods rich in fibre in your diet for better digestion such as such as fresh fruits, vegetables and whole grain cereals, and drink plenty of fluids. Exercise more regularly and stay active. Consult your doctor if symptom worsens.
How and when NEBIVOL 2.5MG TABLET should be taken?
Take NEBIVOL 2.5MG TABLET as advised by your doctor. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Can NEBIVOL 2.5MG TABLET cause headache?
Yes, headache is one of the most common side effects of taking NEBIVOL 2.5MG TABLET. In case if you are experiencing a headache after taking NEBIVOL 2.5MG TABLET, try to rest and relax. Keep drinking plenty of fluids such as water or electrolytes. Apply a pain-relieving balm on the forehead if needed. Do not consume too much of alcohol. Consult your doctor if headache persists for a long time.
Can NEBIVOL 2.5MG TABLET be taken by pregnant or breast-feeding women?
No. NEBIVOL 2.5MG TABLET is not recommended for use in pregnant and breast-feeding women. unless clearly necessary. Consult with your doctor if you are pregnant or breast-feeding, think you might be pregnant or are planning to have a baby.
REFERENCES
1. KD. Tripathi. Antiadrenergic Drugs and Drugs for Glaucoma. Essentials of medical pharmacology. Seventh edition. 2013. Page – 149.
2. Shivani Priyadarshni, Bryan H. Curry. Nebivolol. NIH. National Library of Medicine, National center for biotechnology information. Nov 2021. [Accessed 12th May 2022] https://www.ncbi.nlm.nih.gov/books/NBK551582/
3. Glenmark Pharmaceuticals Europe Limited. Electronic Medicines Compendium (EMC). [Revised in July 2019] [Accessed 11th May 2022] https://www.medicines.org.uk/emc/files/pil.9966.pdf
4. Glenmark Pharmaceuticals Europe Limited. Electronic Medicines Compendium (EMC). [Revised in Dec 2018] [Accessed 11th May 2022] https://www.medicines.org.uk/emc/files/pil.9967.pdf
USEFUL DIAGNOSTIC TESTS
- Kidney function test
- Liver function test
- Cholesterol test
AUTHOR DETAILS
Written By Dr. Janet.C, Pharm.D
Last updated on 22 Oct 2022 | 12:02 PM(IST)
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