NEBIVOLOL

(ne BIV oh lol) Brand: Bystolic

What is the most significant information I must know about nebivolol?

• Do not skip doses or stop taking nebivolol without first talking to your doctor. Stopping suddenly may create your condition worse or reason another serious heart problems such as severe chest pain or heart onslaught. You may need to use smaller and smaller till you stop the medicine completely.

• If you need surgery, speak the surgeon onward of time that you are using nebivolol.

• Nebivolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

• Nebivolol is only part of a complete program of treatment that also includes diet, exercice, and weight control. Follow your diet, medicine, and exercice routines very closely.

• Hold using this medication as directed, even if you feel well. Tall blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

What is nebivolol?

• Nebivolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

• Nebivolol is used to treat hypertension (high blood pressure). Lowering blood pressure may lower your risk of a stroke or heart attack.

• Nebivolol may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking nebivolol?

• You must not take nebivolol if you are allergic to it, or if you have:

· severe liver malady; or

· a heart problem such as heart block, sick sinus syndrome, slow heart course, or heart failure.

• To create certain you can safely take nebivolol, speak your doctor if you have any of these another conditions:

· asthma, bronchitis, emphysema;

· liver or kidney disease;

· diabetes;

· a thyroid disorder;

· a history of allergies;

· problems with circulation (such as Raynaud's syndrome);

· pheochromocytoma (tumor of the adrenal gland); or

· if you have recently had a heart attack.

• FDA pregnancy category C. It is not known whether nebivolol will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• It is not known whether nebivolol passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

How must I take nebivolol?

• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.

• Take nebivolol at the same time each day. You may take the medicine with or without food.

• Your blood pressure will need to be checked often. Visit your doctor regularly.

• If you need surgery, speak the surgeon onward of time that you are using nebivolol.

• Nebivolol is only part of a complete program of treatment that also includes diet, exercice, and weight control. Follow your diet, medicine, and exercice routines very closely.

• Hold using this medication as directed, even if you feel well. Tall blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include slow heart course, dizziness, vomiting, trouble breathing, or feeling like you might pass out.

What must I avoid while taking nebivolol?

• Nebivolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of nebivolol?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have a serious side effect such as:

· feeling short of breath, even with mild exertion;

· swelling of your ankles or feet;

· slow or uneven heartbeats; or

· numbness or cool feeling in your hands and feet.

• Smaller serious side effects may include:

· headache;

· weary feeling;

· nausea, stomach pain;

· diarrhea; or

· sleep problems (insomnia).

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect nebivolol?

• Speak your doctor about all another medicines you use, especially:

· cimetidine (Tagamet);

· clonidine (Catapres);

· digitalis (digoxin, Lanoxin);

· isoniazid (for treating tuberculosis);

· methimazole (Tapazole);

· reserpine;

· ropinirole (Requip);

· ticlopidine (Ticlid);

· other beta-blocker such as atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others;

· an antibiotic such as terbinafine (Lamisil);

· an antidepressant such as clomipramine (Anafranil), desipramine (Norpramin), duloxetine (Cymbalta), fluoxetine (Prozac, Rapiflux, Sarafem, Selfemra, Symbyax), imipramine (Tofranil), paroxetine (Paxil, Pexeva), sertraline (Zoloft), or tranylcypromine (Parnate);

· anti-malaria medicine such as chloroquine (Aralen) or pyrimethamine (Daraprim), or quinine (Qualaquin);

· heart or blood pressure medication such as amlodipine (Norvasc, Caduet, Exforge, Lotrel, Tekamlo, Tribenzor, Twynsta, Amturnide), clonidine (Catapres, Clorpres, Kapvay, Nexiclon), diltiazem (Cardizem, Cartia, Dilacor, Diltia, Diltzac, Taztia, Tiazac), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan, Tarka), and others;

· heart rhythm medication such as amiodarone (Cordarone, Pacerone), quinidine (Quin-G), procainamide (Pronestyl), disopyramide (Norpace), flecaininde (Tambocor), mexiletine (Mexitil), propafenone, (Rythmol), and others;

· HIV or AIDS medication such as delavirdine (Rescriptor) or ritonavir (Norvir, Kaletra); or

· medication to treat psychiatric disorders, such as aripiprazole (Abilify), chlorpromazine (Thorazine), clozapine (Clozaril, FazaClo), fluphenazine (Permitil, Prolixin), haloperidol (Haldol), perphenazine (Trilafon), or thioridazine (Mellaril).

• This list is not complete and another drugs may interact with nebivolol. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about nebivolol.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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