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Nebivolol

Latest prescription information about Nebivolol. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Nebivolol
Pronunciation : ne-BIV-oh-lol
Therapeutic Classification : Anti- Hypertensives
ICD Code : Y51.7
Trade Name(s): 
India- Asivol Tab, Endolol Tab, Nebest Tab, Nebicard Tab, Nebilol Tab, Nebilong Tab, Nebimac Tab, Nebinex Tab, Nebinex-Am Tab, Nebipil Tab, Nebistar Tab, Nebiten Tab, Nebivas Tab, Nebula Tab, Nevol Tab, Niavas Tab, Nodon Tab, Nubeta Tab, Nyfe Tab, Zenebi Tab, Zinebi Tab.
International- Bystolic.
Why it is prescribed (Indications) : 
This medication is a beta-blocker, prescribed for hypertension and also for left ventricular failure either alone or combined with other medications. It decreases the amount of blood pumped out from heart. This helps to decrease blood pressure, helps the heart pump more efficiently, and reduces the workload on the heart. 
When it is not to be taken (Contraindications): 
Hypersensitivity.

Pregnancy Category :

A B C D X
Category C : Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Dosage & When it is to be taken : 
Adult: Hypertension- The recommended starting dose is 5 mg once daily, alone or in combination with other agents. It may be increased up to 40 mg once daily, if needed.
Heart failure: The recommended starting dose is 1.25 mg once daily. May double dose 1-2 weekly up to a max of 10 mg once daily.
How it should be taken : 
It comes as a tablet to take by mouth, with or without food once a day.
Warnings and Precautions : 
*Caution should be exercised in patients with history of liver disease, sick sinus syndrome, 2nd and 3rd degree heart block (without a pacemaker), history of asthma, myasthenia gravis, diabetes, metabolic acidosis, severe peripheral arterial disease, severe slow heart rate, cardiogenic shock or decompensated heart failure, untreated phaeochromocytoma (neuroendocrine tumor of the medulla of the adrenal glands), elderly, pregnancy and breastfeeding.
*Avoid abrupt withdrawal .
*It may hide signs of low blood sugar, such as a rapid heartbeat.
Side Effects : 
Heart- Slow heart beat, chest pain.
Most Common- Headache, fatigue, nausea.
Gastrointestinal- Diarrhea, abdominal pain.
Central Nervous System- Dizziness, sleeplessness, weakness, tingling.
Respiratory- Difficulty in breathing.
Skin- Rash.
Metabolic - Increased level of cholesterol, and uric acid in the blood .
Other Precautions : 
*Avoid excess dosage.
*It may cause dizziness, do not drive a car or operate machinery while taking this medication.
Storage Conditions : 
Oral: Store it at room temperature (20-25°C) and in an airtight container. Keep away from excess heat and moisture.

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Member Comments ( 1 )
I AM TAKING NEBULA AM FOR LAST 2 YEARS. I WANT TO KNOW THE ADVERSE EFFECTS IT MAY CAUSE.
BIJAYA LAXMI MISHRA
MOBILE

(Posted by skmishra607, India Date : 5/7/2013 )

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Reference  

  • Food and Drug Administration (FDA)
  • National Institutes of Health (NIH)
  • PubMed
  • CIMS
  • Indian Pharma Reference Guide 2012
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