Nebivolol is a beta-blocker primarily used to treat hypertension (high blood pressure) and chronic heart failure. It’s unique among beta-blockers because it also possesses vasodilating properties, meaning it widens blood vessels.
How Nebivolol Works
Nebivolol selectively blocks beta-1 receptors in the heart, reducing heart rate and contractility. This lowers blood pressure and reduces the workload on the heart. Its vasodilating action further contributes to blood pressure reduction by relaxing blood vessels.
Common Uses and Dosage
Doctors commonly prescribe Nebivolol for hypertension, often starting with a low dose (2.5 mg once daily) and gradually increasing it based on individual response and blood pressure readings. For chronic heart failure, Nebivolol is typically added to other heart failure medications under strict medical supervision. Always follow your doctor’s instructions regarding dosage.
Potential Side Effects
- Common side effects: Dizziness, fatigue, nausea, headache, and cold hands and feet.
- Less common but serious side effects: Slow heart rate (bradycardia), worsening heart failure, bronchospasm (in individuals with asthma or COPD), and allergic reactions.
If you experience any concerning side effects, immediately contact your doctor.
Important Considerations
- Inform your doctor about all medications you are currently taking, including over-the-counter drugs and supplements, as interactions are possible.
- Do not abruptly stop taking Nebivolol without consulting your doctor. Sudden cessation can worsen your condition.
- Regular blood pressure monitoring is crucial while taking this medication.
Who Shouldn’t Take Nebivolol?
People with certain conditions, such as severe bradycardia, severe heart block, cardiogenic shock, and untreated pheochromocytoma, should generally avoid Nebivolol. Your doctor will assess your suitability for this medication.
Additional Information
This information is for educational purposes only and should not be considered medical advice. Always consult your doctor or other qualified healthcare professional before starting or stopping any medication.
Potential Side Effects and Precautions
Consult your doctor immediately if you experience severe dizziness or fainting. These can be signs of low blood pressure, a potential Nebivolol side effect.
Slow heart rate (bradycardia) is another possibility. Monitor your pulse regularly, especially at the start of treatment. Report any unusually slow heartbeats to your physician.
Breathing difficulties or wheezing warrant immediate medical attention. Nebivolol can exacerbate existing respiratory conditions in some individuals.
Cold extremities and swelling in your hands or feet are relatively common side effects. If these symptoms are severe or persistent, seek medical advice.
Fatigue, nausea, and headache are possible. These typically lessen as your body adjusts to the medication. Discuss persistent symptoms with your doctor.
Before starting Nebivolol, inform your doctor about all other medications you are taking, including over-the-counter drugs and herbal supplements. Certain combinations can interact negatively.
Patients with a history of heart block, severe heart failure, or very slow heart rate should use caution. Your doctor will assess your suitability for this medication.
If you are planning surgery, notify the anesthesiologist that you are taking Nebivolol, as it may affect anesthesia.
Pregnancy and breastfeeding require careful consideration. Discuss the risks and benefits of Nebivolol with your doctor before making any decisions during these periods.
Sudden cessation of Nebivolol should be avoided. Always follow your doctor’s instructions for tapering off the medication to prevent potential withdrawal symptoms.
