Product image of Nebibeta (Nebivolol Hydrochloride) supplied by GNH India

Nebibeta

Active Ingredient:
Nebivolol Hydrochloride
Origin:
EU

Nebibeta (Nebivolol Hydrochloride)

Nebivolol, the active ingredient in Nebibeta, is a beta blocker presented as an oral dosage form for oral use. It is employed to lower high blood pressure and to improve outcomes in patients with heart failure, particularly in adults and is generally well tolerated.

GNH India supplies Nebibeta as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards, provides batch‑specific certificates of analysis, and offers logistics support for global distribution.

Manufacturer / TM Owner

Gedeon Richter Plc.

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Indications & Clinical Uses

Nebivolol acts on the cardiovascular system to control blood pressure and support cardiac function.

  • Hypertension: lowers both systolic and diastolic blood pressure, aiding patients in reaching guideline‑recommended targets and reducing cardiovascular risk.
  • Heart failure: improves left ventricular ejection fraction, reduces symptoms such as dyspnea, and decreases the likelihood of hospitalization in patients with reduced‑ejection‑fraction heart failure.
  • Left ventricular dysfunction: enhances cardiac output and may slow progression of ventricular remodeling, supporting overall heart performance.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors in cardiac tissue, decreasing heart rate and contractility. It also stimulates endothelial nitric‑oxide synthase, leading to nitric‑oxide release and vasodilation of peripheral vessels. This combined β1 antagonism and nitric‑oxide‑mediated vasodilatory effect lowers systemic vascular resistance and blood pressure while preserving cardiac output.

Side Effects

Nebivolol may be associated with several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Headache
  • Dizziness
  • Fatigue
  • Bradycardia

Serious or Rare Side Effects

  • Severe hypotension
  • Heart block
  • Bronchospasm
  • Allergic reactions (rash, angioedema)

Precautions & Warnings

When prescribing Nebivolol, clinicians should consider the following precautions to ensure safe use.

  • Monitor blood pressure: adjust therapy if readings remain uncontrolled.
  • Assess heart rate: avoid use in patients with baseline bradycardia (<60 bpm).
  • Caution in hepatic impairment: dose may require adjustment in moderate to severe liver disease.
  • Avoid abrupt discontinuation: sudden stop can precipitate rebound hypertension.
  • Use cautiously in asthma or COPD: β‑blockade may provoke bronchospasm.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Nebivolol can interact with several medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Other β‑blockers: additive cardiac depression and risk of severe bradycardia.
  • Non‑dihydropyridine calcium channel blockers (verapamil, diltiazem): may cause marked AV‑node block.
  • Strong CYP2D6 inhibitors (paroxetine, fluoxetine): increase nebivolol plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Diuretics: combined effect may lead to excessive hypotension.
  • ACE inhibitors or ARBs: additive blood‑pressure lowering effect.
  • Digoxin: increased risk of bradyarrhythmias when used together.

Frequently Asked Questions

Nebibeta contains nebivolol, a beta‑blocker indicated for the treatment of hypertension and for the management of heart failure with reduced ejection fraction. It helps lower blood pressure and improve cardiac function, reducing the risk of cardiovascular events when used as part of a comprehensive treatment plan.

Nebivolol selectively blocks β1‑adrenergic receptors in the heart, decreasing heart rate and contractility. Simultaneously it stimulates endothelial nitric‑oxide synthase, causing nitric‑oxide release that relaxes vascular smooth muscle. This dual action lowers systemic vascular resistance and blood pressure while preserving cardiac output.

The dose of Nebibeta is individualized by the prescribing clinician based on the patient’s condition, age, renal and hepatic function, and response to therapy. The prescriber determines the appropriate starting dose and any subsequent titration, following local prescribing guidelines and product labeling.

Safety of nebivolol during pregnancy or lactation has not been established, and it is generally classified as contraindicated or to be used only if the potential benefit outweighs the risk. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternative therapies with their healthcare provider.

To request Nebibeta, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with older non‑selective β‑blockers, nebivolol offers high β1 selectivity and an additional nitric‑oxide‑mediated vasodilatory effect, which may result in better tolerability and a lower incidence of metabolic side effects. It is often chosen when a patient requires blood‑pressure control with minimal impact on lipid or glucose metabolism.

Nebibeta should be stored at ambient temperature, below 25 °C, in the original packaging to protect it from moisture, light and excessive heat. Do not store in a bathroom or near a heat source, and keep the container tightly closed when not in use.

Nebibeta is taken orally, usually once daily, with or without food as directed by the prescriber. The tablet should be swallowed whole with a glass of water and not chewed or crushed unless the product label specifically permits such modification.

The most serious adverse reactions include severe hypotension, marked bradycardia, heart block, and bronchospasm, especially in patients with underlying conduction disorders or reactive airway disease. Prompt medical attention is required if symptoms such as fainting, chest pain, severe shortness of breath, or swelling of the face occur.

Nebivolol is contraindicated in patients with known hypersensitivity to nebivolol or any excipients, in those with severe bradycardia (heart rate <60 bpm), second‑ or third‑degree atrioventricular block without a pacemaker, and in individuals with uncompensated heart failure or severe hepatic impairment. Consultation with a healthcare professional is essential before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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