Nebivolol

Nebivolol

Cardiovascular Prescription only ATC code: C07AB12

Prescription status is set country by country — the label where you live is the one that applies.

Beta: the medication section is still being tested, and its data may contain errors. Do not rely on it for a decision about your own treatment.

What it is

Nebivolol is a highly cardioselective beta blocker that also promotes nitric oxide release from the vessel lining. It slows the heart and reduces its workload while allowing blood vessels to relax. Where it is marketed, it is prescription-only and used for hypertension; where a label also carries heart failure, as in the EU and UK, it is restricted to elderly patients.

Typical dose
2.5–10 mg
1× a day

A usual adult range, not a national label — the dose and the timing differ by country and by product.

Used for

  • Hypertension
  • Heart failure

Approved uses differ by country — some of these may be off-label or unapproved where you live.

What to know while taking it

Food makes no difference to it. It is never stopped abruptly, because the heart becomes temporarily oversensitive to adrenaline and chest pain or rhythm disturbance can follow; changes are made by a doctor and tapered. Slowing of the heart rate is the expected pharmacology, not a fault, but it can go further than intended, especially alongside other drugs that slow conduction.

When to see a doctor

A pulse that stays slow, fainting or near-fainting, growing breathlessness or swelling ankles are reasons to see a doctor, as is any run of missed doses that has left the drug effectively stopped.

Worth knowing

  • Do not stop abruptly
  • Can slow the heart rate

Nutrients affected

  • coq10 — depleted by

Reference information, not medical advice. Discuss any change with your doctor.