Not medical advice. This information is for educational purposes only. Always consult a qualified doctor or pharmacist before taking any medicine. Nebivolol requires a valid prescription.
Nebivolol
Generic Name: NEBIVOLOL
The chemical name for the active ingredient in nebivolol tablets is (1RS,1’RS)-1,1’-[(2RS,2’SR)-bis(6-fluoro-3,4-dihydro-2H-1-benzopyran-2-yl)]-2,2' iminodiethanol hydrochloride.
Data last updated: 30 March 2026 · Source: openFDA.gov, DailyMed (NLM/NIH)
Common Brand Names in India:
What is Nebivolol Used For?
- Hypertension
How Does It Work?
In poor metabolizers and at higher doses, nebivolol inhibits both β 1 and β 2 - adrenergic receptors.
Dosage & Administration
- Individualize to the needs of the patient and monitor during up-titration. ( 2 ) Hypertension: Most patients start at 5 mg once daily.
- Dose can be increased at 2-week intervals up to 40 mg. 2.1 Hypertension The dose of nebivolol tablets must be individualized to the needs of the patient.
Side Effects
Common Side Effects
Serious Side Effects (seek immediate medical attention)
Warnings & Precautions
- Acute exacerbation of coronary artery disease upon cessation of therapy: Do not abruptly discontinue. Diabetes: May mask symptoms of hypoglycemia and alter glucose levels; monitor 5.1 Abrupt Cessation of Therapy Do not abruptly discontinue nebivolol therapy in patients with coronary artery disease.
- Caution patients without overt coronary artery disease against interruption or abrupt discontinuation of therapy.
- If β-blocking therapy is withdrawn prior to major surgery, the impaired ability of the heart to respond to reflex adrenergic stimuli may augment the risks of general anesthesia and surgical procedures.
Who Should NOT Take This?
- Severe bradycardia ( 4 ) Heart block greater than first degree ( 4 ) Patients with cardiogenic shock ( 4 ) Decompensated cardiac failure ( 4 ) Sick sinus syndrome (unless a permanent pacemaker is in place) ( 4 ) Patients with severe hepatic impairment (Child-Pugh >B) ( 4 ) Hypersensitive to any component of this product ( 4 )
Drug Interactions
Nebivolol may interact with the following medicines. Always inform your doctor about all medications you are taking.
Storage Instructions
Store at room temperature, away from moisture and heat.
Speak to a cardiologist on Zospital
Consult a cardiologist on Zospital before starting Nebivolol. Verified Indian specialists available for in-clinic and online consultations.
Other Blood Pressure Medicines
Sources: openFDA.gov · dailymed.nlm.nih.gov · nlm.nih.gov (RxNorm). Information is for educational purposes only. Consult a doctor before use.
FAQS
Nebivolol – Frequently Asked Questions
Common questions about Nebivolol, its uses, dosage and safety.
Nebivolol is commonly prescribed in India for: Hypertension. Always confirm the indication with a registered medical practitioner before starting any course.
Nebivolol is sold in India under brand names such as Nebicard, Bystolic, Nodon, Nebilong, Nebivolol. You can also find it on online pharmacies like 1mg, Pharmeasy and Apollo Pharmacy.
Nebivolol is a prescription-only (Schedule H) medicine in India. You will need a valid prescription from a registered MBBS / MD doctor to purchase it from a licensed pharmacy.
Common side effects of Nebivolol can include: Nausea, Vomiting, Diarrhea, Headache, Dizziness, Fatigue, Insomnia, Rash. Less common but serious side effects can include: Serious, Renal failure. Stop the medicine and contact your doctor immediately if any of these appear.
In poor metabolizers and at higher doses, nebivolol inhibits both β 1 and β 2 - adrenergic receptors.
Nebivolol can interact with: Reserpine, Verapamil, Clinical, Nebivolol. Tell your doctor about every medicine, supplement and herbal product you take — including ayurvedic and homeopathy preparations — before starting Nebivolol.
Indian guidelines often recommend lower starting doses of Nebivolol for patients above 60-65, since kidney and liver function decline with age. A doctor should review the dose, especially if the patient already takes BP, sugar or heart medicines.
Pregnancy safety of Nebivolol depends on the trimester and individual case. Indian gynaecologists usually avoid Category C/D drugs unless benefit clearly outweighs risk. Speak to your obstetrician before taking Nebivolol during pregnancy or while planning conception.
Prices in India typically range from ₹30 – ₹250 per strip of 10 tablets depending on brand. Generic versions tend to cost 30-60% less than branded ones, and Jan Aushadhi outlets often stock the lowest-priced equivalents. Check 1mg or Pharmeasy for live MRP.
If you remember within a few hours of the missed dose, take it. If it is nearly time for the next dose, skip the missed one — never double up. Frequent missed doses reduce Nebivolol's effectiveness, so consider setting a reminder or speaking to your doctor about a simpler schedule.
You can book an in-person or online consultation with a verified Indian specialist on Zospital — visit the doctor directory at https://zospital.com/doctor to find one near you.
Medical Disclaimer
The content provided on Zospital is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. If you think you may have a medical emergency, call your doctor or emergency services immediately.