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The product code(s) for this leaflet is: PL 16363/0520.
Nebivolol 2.5mg and 5mg tablets
Nebivolol 2.5 mg tablets
Nebivolol 5 mg tablets
nebivolol
1. What Nebivolol is and what it is used for
2. What you need to know before you take Nebivolol
3. How to take Nebivolol
4. Possible side effects
5. How to store Nebivolol
6. Contents of the pack and other information
Nebivolol tablets contains nebivolol, a cardiovascular drug belonging to the group of selective beta-blocking agents (i.e. with a selective action on the cardiovascular system). It prevents increased heart rate, controls heart pumping strength. It also exerts a dilating action on blood vessels, which contributes as well to lower the blood pressure.
It is used to treat raised blood pressure (hypertension).
Nebivolol is also used to treat mild and moderate chronic heart failure in patients aged 70 years or over, in addition to other therapies.
Talk to your doctor or pharmacist before taking Nebivolol.
Inform your doctor if you have or develop any one of the following problems:
If you have a serious kidney problems do not take Nebivolol for heart failure and tell your doctor.
You will be regularly monitored at the beginning of your treatment for chronic heart failure by an experienced physician (see section 3).
This treatment should not be stopped abruptly unless clearly indicated and evaluated by your doctor (see section 3).
Nebivolol is not recommended for use in children and adolescents because of the lack of data on the use of this medicine.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Always tell your doctor if you are using or receiving any of the following medicines in addition to Nebivolol:
All of these medicines as well as nebivolol may influence the blood pressure and/or heart function.
Please refer to section 3.
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.
Pregnancy
Nebivolol should not be used during pregnancy unless clearly necessary.
Breast-feeding
Breast-feeding is not recommended during treatment with Nebivolol.
This medicine may cause dizziness or fatigue. If affected, do not drive or operate machinery.
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Nebivolol may be taken before, during or after the meal. But alternatively, you can take this medicine independently of meals. The tablet is best taken with some water.
For 5 mg
If you have been told by your doctor to take ¼ (i.e 1.25 mg-quarter) or ½ (i.e 2.5 mg-half) tablet daily, please refer to the instructions below on how to break Nebivolol 5 mg cross-scored tablets.
Nebivolol is not recommended in children and adolescents.
If you accidentally take an overdose of this medicine, tell your doctor or pharmacist immediately. The most frequent symptoms and signs of a Nebivolol overdose are very slow heart beat (bradycardia), low blood pressure with possible fainting (hypotension), breathlessness such as in asthma (bronchospasm), and acute heart failure.
You can take activated charcoal (which is available at your pharmacy) while you are waiting for your doctor to arrive.
If you forget to take your medicine, but remember a little later that you should have taken it, take that day’s dose as usual. However, if a long delay has occurred (e.g. after several hours), so that the next due dose is near, skip the forgotten dose and take the next, scheduled, normal dose at the usual time. Do not take a double dose to make up for a forgotten dose. Repeated skipping, however, should be avoided.
You should always consult with your doctor before stopping treatment with Nebivolol, whether you are taking it for high blood pressure or chronic heart failure.
You should not stop Nebivolol treatment abruptly as this can temporarily make your heart failure worse.
If it is necessary to stop Nebivolol treatment for chronic heart failure, the daily dose should be decreased gradually, by halving the dose in weekly intervals.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
When Nebivolol is used for the treatment of raised blood pressure, the possible side effects are:
Common (may affect up to 1 in 10 people):
Uncommon (may affect up to 1 in 100 people):
Very rare (may affect up to 1 in 10,000 people):
The following side effects have been reported only in some isolated cases during treatment with this medicine:
In a clinical study for chronic heart failure, the following side effects were seen:
Very common (may affect more than 1 in 10 people):
Common (may affect up to 1 in 10 people)
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Yellow Card Scheme, Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the label, carton or bottle after EXP. The expiry date refers to the last day of that month.
This medicine does not require any special storage conditions.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
Tablet.
Nebivolol 2.5 mg tablets:
White to off white, round shaped (diameter is 9.1 mm), biconvex uncoated tablets debossed with ‘NL’ on one side and ‘2 5’ separated by score line on another side. The tablet can be divided into equal doses (halves).
Nebivolol 5 mg tablets:
White to off white, round shaped (diameter is 9.1 mm), biconvex uncoated tablets debossed with N L 5 separated by cross score line on one side of the tablet and plain on another side. The tablet can be divided into equal doses (halves and quarters).
Nebivolol tablets are available in blister pack and HDPE bottle pack with polypropylene closure.
Pack sizes:
Blister packs: 14, 28, 30, 50, 60, 90 and 100 tablets
HDPE packs (only for 5 mg): 250 tablets
Not all pack sizes may be marketed.
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This leaflet was last revised in 03/2025.
P15XXXXX