Nebivolol

What it is used for

Nebivolol tablets are a kind of prescription medicine called a “beta-blocker”. Nebivolol tablets treats:

• High blood pressure (hypertension)
• Nebivolol tablets can lower blood pressure when used by itself and with other medicines.
• Nebivolol tablets are not approved for children less than 18 years of age.

Active Ingredient: Nebivolol

Inactive Ingredients: colloidal silicon dioxide, croscarmellose sodium, D&C Red #27 Lake (10 mg only), FD&C Blue #2 Lake, FD&C Yellow #6 Lake (5 mg only), lactose monohydrate, magnesium stearate, microcrystalline cellulose, pregelatinized starch, crospovidone, povidone and talc.

Blood pressure is the force in your blood vessels when your heart beats and when your heart rests. You have high blood pressure when the force is too great.

High blood pressure makes the heart work harder to pump blood through the body and causes damage to the blood vessels. Nevivolol tablets can help your blood vessels relax so your blood pressure is lower. Medicines that lower your blood pressure lower your chance of having a stroke or heart attack.

Manufactured by: Glenmark Pharmaceuticals Limited Pithampur, Madhya Pradesh 454775, India

Manufactured for: AvKARE Pulaski, TN 38478 Trademarks are the property of their respective owners. April 2024

How to take it

• Do not suddenly stop taking nebivolol tablets. You could have chest pain or a heart attack. If your doctor decides to stop nebivolol tablets, your doctor may slowly lower your dose over time before stopping it completely.
• Take nebivolol tablets every day exactly as your doctor tells you. Your doctor will tell you how much nebivolol tablets to take and how often. Your doctor may start with a low dose and raise it over time.
• Do not stop taking nebivolol tablets or change your dose without talking with your doctor.
• Take nebivolol tablets with or without food.
• If you miss a dose, take your dose as soon as you remember, unless it is close to the time to take your next dose. Do not take 2 doses at the same time. Take your next dose at the usual time.
• If you take too many nebivolol tablets, call your doctor or poison control center right away.

Side effects, and when to stop

• Low blood pressure and feeling dizzy. If you feel dizzy, sit or lie down and tell your doctor right away.
• Tiredness
• Slow heartbeat
• Headache
• Leg swelling due to fluid retention (edema). Tell your doctor if you gain weight or have trouble breathing while taking nebivolol tablets.
• If you are diabetic or take medicine for high blood sugar or if you have a tendency to have low blood sugar, nebivolol tablets can mask/cover some of the signs and symptoms that would tell you that your blood sugar may be low, like heart palpitations or rapid heart beating. Ask your doctor for other signs that may alert you when having low blood sugar.

Tell your doctor if you have any side effects that bother you or don’t go away.

Who should not take it

Do not take nebivolol tablets if you:

• Have heart failure and are in the ICU or need medicines to keep up your blood circulation
• Have a slow heartbeat or your heart skips beats (irregular heartbeat)
• Have severe liver damage
• Are allergic to any ingredient in nebivolol tablets. The active ingredient is nebivolol. See the end of this leaflet for a list of ingredients.

What to say before you start

Tell your doctor about all of your medical problems, including if you:

• Have asthma or other lung problems (such as bronchitis or emphysema)
• Have problems with blood flow in your feet and legs (peripheral vascular disease) nebivolol tablets can make symptoms of blood flow problems worse.
• Have diabetes and take medicine to control blood sugar
• Have thyroid problems
• Have liver or kidney problems
• Had allergic reactions to medications or have allergies
• Have a condition called pheochromocytoma
• Are pregnant or trying to become pregnant. It is not known if nebivolol tablets are safe for your unborn baby. Talk with your doctor about the best way to treat high blood pressure while you are pregnant.
• Are breastfeeding. It is not known if nebivolol pass into your breast milk. You should not breastfeed while using nebivolol tablets.
• Are scheduled for surgery and will be given anesthetic agents

Tell your doctor about all the medicines you take. Include prescription and non-prescription medicines, vitamins, and herbal products. Nebivolol tablets and certain other medicines can affect each other and cause serious side effects.

Keep a list of all the medicines you take. Show this list to your doctor and pharmacist before you start a new medicine.

Storing it

• Store nebivolol tablets between 68°F to 77°F (20°C to 25°C).
• Safely throw away nebivolol tablets that are out of date or no longer needed.
• Keep nebivolol tablets and all medicines out of the reach of children.

GENERAL INFORMATION ABOUT NEBIVOLOL TABLETS

Doctors sometimes prescribe medicines for conditions not included in the patient information leaflets.

• Only use nebivolol tablets for the medical problem they were prescribed for.
• Do not give nebivolol tablets to other people, even if they have the same symptoms. It may harm them.

This leaflet summarizes the most important information about nebivolol tablets. For more information:

• Talk with your doctor.
• Ask your doctor or pharmacist for information about nebivolol tablets that is written for healthcare professionals.
• Call AvKARE at 1-855-361-3993.