Product image of Nebilet (Nebivolol) supplied by GNH India

Nebilet

Active Ingredient:
Nebivolol
Origin:
EU

Nebilet (Nebivolol)

Nebivolol, the active ingredient in Nebilet, is a beta blocker presented as an oral tablet for oral use. It selectively blocks β1‑adrenergic receptors and also promotes nitric‑oxide mediated vasodilation, contributing to its antihypertensive effect in adult patients with hypertension.

GNH India supplies Nebilet as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and procurement teams worldwide.

Manufacturer / TM Owner

Berlin-Chemie Menarini Hrvatska D.O.O.

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Indications & Clinical Uses

  • Nebilet is a beta‑blocker indicated for the management of elevated blood pressure within the hypertension disease family.
  • Essential hypertension: reduces systolic and diastolic blood pressure in adults.
  • Primary hypertension: helps achieve target blood pressure levels as part of therapy.
  • High blood pressure: contributes to cardiovascular risk management in hypertensive patients.

How It Works

  • Nebivolol acts as a selective β1‑adrenergic receptor antagonist, decreasing heart rate and myocardial contractility. In addition, it enhances endothelial nitric‑oxide release, producing vasodilation that further lowers peripheral vascular resistance and blood pressure.

Side Effects

Nebilet may cause a range of adverse reactions, which are grouped by frequency.

Common Side Effects

  • Dizziness
  • Headache
  • Fatigue
  • Bradycardia
  • Nausea
  • Flushing

Serious or Rare Side Effects

  • Severe bradycardia or heart block
  • Marked hypotension
  • Bronchospasm in susceptible individuals
  • Allergic reactions such as rash or angioedema
  • Hepatic dysfunction
  • Syncope

Precautions & Warnings

  • Before prescribing Nebilet, clinicians should consider several safety aspects.
  • Blood pressure monitoring: check baseline and periodically during therapy.
  • Heart rate assessment: observe for bradycardia, especially in patients with conduction disorders.
  • Renal impairment: use with caution and adjust if necessary.
  • Hepatic impairment: consider dose reduction or close monitoring.
  • Concomitant beta‑blockers: avoid duplication to prevent excessive β‑blockade.
  • Pregnancy and lactation: safety not established; weigh benefits against potential risks.
  • Store at ambient temperature: keep below 25°C in the original container, protect from moisture and light.

Avoid Interactions

Nebilet can interact with several drug classes; interactions vary in clinical significance.

Major Interactions (Avoid)

  • Other β‑blockers: additive β‑blockade may cause severe bradycardia.
  • Calcium channel blockers (verapamil, diltiazem): increase risk of heart block and bradycardia.
  • Strong CYP2D6 inhibitors (paroxetine, fluoxetine): raise nebivolol plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Diuretics: may enhance hypotensive effect.
  • ACE inhibitors or ARBs: monitor blood pressure for additive lowering.
  • NSAIDs: can attenuate antihypertensive response.
  • Antidiabetic agents: monitor glucose as beta‑blockade may mask hypoglycemia symptoms.

Frequently Asked Questions

Nebilet contains nebivolol, a selective β1‑adrenergic blocker that is prescribed to lower high blood pressure in adults diagnosed with hypertension. By reducing vascular resistance and heart rate, it helps achieve target blood pressure levels and lowers the risk of cardiovascular complications.

Nebivolol blocks β1‑adrenergic receptors in the heart, decreasing heart rate and contractility. It also stimulates endothelial nitric‑oxide production, causing vasodilation. The combined effect reduces cardiac output and peripheral resistance, leading to a sustained decrease in blood pressure.

The dose of Nebilet is individualized by the prescribing clinician based on the patient’s blood pressure, age, renal and hepatic function, and concomitant medications. The prescriber determines the appropriate starting dose and any subsequent titration.

Safety data for nebivolol during pregnancy and lactation are limited. It is classified as a drug with unknown pregnancy category, and the decision to use it should be based on a careful risk‑benefit assessment by the healthcare provider.

To order Nebilet, 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.

Nebilet (nebivolol) is a third‑generation β1‑selective blocker with additional nitric‑oxide‑mediated vasodilatory activity, which may result in fewer metabolic side effects compared with older non‑selective beta blockers. Its profile is often considered advantageous for patients who need both heart‑rate control and improved endothelial function.

Nebilet should be stored at ambient temperature, preferably below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain stability and potency.

Nebilet 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 specifically instructed.

Serious adverse events include severe bradycardia, heart block, marked hypotension, bronchospasm in patients with reactive airway disease, and rare cases of hepatic dysfunction or allergic reactions. Patients should seek immediate medical attention if they experience fainting, rapid weight gain, swelling, or difficulty breathing.

Nebilet is contraindicated in patients with known hypersensitivity to nebivolol or any excipients, those with severe bradycardia, second‑ or third‑degree atrioventricular block without a pacemaker, and individuals in cardiogenic shock. Caution is also advised for patients with uncontrolled asthma or severe chronic obstructive pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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