Nebivel® 5mg
Nebivel® 5mg
Antihypertensive/Antianginal
Indication
- Nebivel® prevents increased heart rate, controls heart pumping strength.
- It also exerts a dilating action on blood vessels, which contributes as well to lower blood pressure.
- Nebivel® is also used to treat mild and moderate chronic heart failure in patients aged 70 or over, in addition to other therapies.
Composition
Each film coated tablet of Nebivel® contains:
- Nebivolol 2.5 mg
- Nebivolol 5 mg
- Nebivolol 10 mg
- Nebivolol 20 mg (as Nebivolol Hcl).
Dosage
- Always take this medicine exactly as your doctor has told you.
- Check with your doctor or pharmacist if you are not sure.
- Nebivel® may be taken before, during or after the meal, but, alternatively, you can take it independently of meals,the tablet is best taken with some water.
Usual Adult dose:
- Starting daily dose: 5 mg once a day
- Maximum daily dose: 20 mg once a day
Your doctor may:
- start you on a different dose or change your dose over time depending on how Nebivel® works for you.
- add another medicine like a diuretic (water pill) or an ACE inhibitor for you to take along with Nebivel® to treat your high blood pressure.
- Do not stop taking Nebivel® or change your dose without consulting your doctor because this can be dangerous.
- Nebivel® belongs to a group of drugs called “beta blockers.”
- It makes your heart beat more slowly and less forcefully.
- It lowers your blood pressure by relaxing your blood vessels so that your blood flows more easily.
- This medicine does not cure your disease but helps to control it.
Each film coated tablet of Nebivel® contains:
- Nebivolol 2.5 mg
- Nebivolol 5 mg
- Nebivolol 10 mg
- Nebivolol 20 mg (as Nebivolol Hcl).
- Nebivel® prevents increased heart rate, controls heart pumping strength.
- It also exerts a dilating action on blood vessels, which contributes as well to lower blood pressure.
- Nebivel® is also used to treat mild and moderate chronic heart failure in patients aged 70 or over, in addition to other therapies.
do not take this medcine if you:
- Are allergic to nebivolol or any of the other ingredients in Nebivel® .
- Have heart failure and you notice that your symptoms are getting worse. For example you feel more tired, are out of breath more often, or have
swelling of the ankles. - Have severe heart damage and your heart is not able to pump enough blood to meet your body’s needs.
- Have a slow or irregular heart beat.
- Have an abnormal heart rate or rhythm.
- Have a problem with your heart’s electrical conduction (that causes you to have chest pain, difficulty breathing, nausea, fatigue and fainting).
- Have severe liver disease.
- Have serious problems with blood flow in your feet and legs (peripheral artery disease).
Have one of the following rare hereditary diseases:
- Galactose intolerance.
- Lapp lactase deficiency.
- Glucose Galactose malabsorption.
- You are 18 years and younger.
the following drugs may ineract with Nebivel® :
- Drugs used for lowering blood pressure (such as ACE inhibitors (such as lisinopril), Calcium channel blockers (such as verapamil and diltiazem) and Clonidine.
- Drugs used to treat depression and mood disorders (such as fluoxetine, paroxetine, and venlafaxine)
- Anesthetic drugs used during surgery (such as ether and cyclopropane)
- Drugs used to treat diabetes such as insulin and oral medicines.
- Drugs used to treat heartburn and ulcers (such as cimetidine)
- Antidiuretic drugs used to reduce the fluid build-up in your body (such ashydrochlorothiazide, furosemide and spironolactone)
- Sildenafil, a drug used to treat erectile dysfunction
- Drugs used to treat HIV/AIDS
- Drugs used to treat heart rhythm disorders (such as amiodarone، disopyramide، flecainide and digoxin)
- Dexamethasone, a steroid drug used to treat inflammation
- Rifampin used to treat tuberculosis
- Fingolimod, a medicine used to treat multiple sclerosis
- Nebivel® should not be used during pregnancy, unless clearly necessary.
- It is not recommended for use while breast-feeding.
- If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby,ask your doctor or pharmacist for advice before taking this medicine.
¤ These are not all the possible side effects you may feel when you are taking Nebivel®.If you experience any side effects not listed here, contact your healthcare professional.
Side effects may include:
- Cough
- Diarrhea
- Dizziness
- Dry mouth
- Headache
- Joint and back pain
- Nausea
- Stuffy nose and colds
- Tiredness
- Trouble sleeping
- Serious side effects:
Common:
- Bradycardia: decreased heart rate that causes you to be dizzy or faint.
- Chest pain.
Uncommon:
- Allergic reactions: rash, swelling of the lips, face or neck, difficulty breathing or speaking.
- Heart attack: chest pain, squeezing or pressure, fast or irregular heartbeat,nausea, trouble breathing, sweating.
- Heart conduction disorders: feeling lightheaded, dizzy, or passing out.
- Hypotension (low blood pressure):dizziness or lightheadedness leading to fainting can occur when changing positions, for example from lying down to standing up.
- Irregular heart beats or heart palpitations (skipped beats).
- Leg swelling from fluid retention .
- Memory problem
- Shortness of breath
- Skin reactions: rash
- Vision problems
- Always take this medicine exactly as your doctor has told you.
- Check with your doctor or pharmacist if you are not sure.
- Nebivel® may be taken before, during or after the meal, but, alternatively, you can take it independently of meals,the tablet is best taken with some water.
Usual Adult dose:
- Starting daily dose: 5 mg once a day
- Maximum daily dose: 20 mg once a day
Your doctor may:
- start you on a different dose or change your dose over time depending on how Nebivel® works for you.
- add another medicine like a diuretic (water pill) or an ACE inhibitor for you to take along with Nebivel® to treat your high blood pressure.
- Do not stop taking Nebivel® or change your dose without consulting your doctor because this can be dangerous.
- Have asthma or other lung problems (like bronchitis or emphysema).
- Have a history of heart problems.
- Have a history of fainting.
- Have diabetes and take medicine to control your blood sugar or have low blood sugar (hypoglycemia).
- Have a condition called pheochromocytoma (a tumour of the adrenal gland).
- Have thyroid problems.
- Have liver or kidney problems.
- Have had allergic reactions or have allergies.
- Are scheduled for surgery and will be given an anesthetic.
- Develop a skin rash while taking Nebivel®.
Other warnings you should know about:
- Do not stop taking Nebivel® suddenly. This could cause chest pain or a heart attack. If your doctor decides that you should stop taking Nebivel®, your dose may be reduced so that you need to use less and less before you stop the medication completely.
Children and adolescents:
- Because of the lack of data on the use of the product in children and adolescents, Nebivel® is not recommended for use in them.
- Nebivel® film coated tablets (Blister of 10 tablets, pack of 2 blisters).
- Store at a temperature below 25 °C.
- Protect from light