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 a tablet for oral use. It treats hypertension in adults and may be used in certain cases of heart failure.
GNH India supplies Nebilet as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

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Indications & Clinical Uses

  • Nebivolol is indicated for conditions related to elevated blood pressure and cardiac function.
  • Hypertension: lowers systolic and diastolic blood pressure, reducing cardiovascular risk.
  • Chronic heart failure: improves left‑ventricular ejection fraction and symptoms in patients with reduced‑ejection‑fraction heart failure.
  • Stable angina (off‑label in some regions): may reduce myocardial oxygen demand by decreasing heart rate.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors in cardiac tissue, decreasing heart rate and contractility. Concurrently, it stimulates endothelial nitric‑oxide synthase, promoting nitric‑oxide‑mediated vasodilation, which lowers peripheral vascular resistance and contributes to blood‑pressure reduction.

Side Effects

Nebivolol is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Fatigue or tiredness.
  • Headache.
  • Dizziness or light‑headedness.
  • Bradycardia (slow heart rate).
  • Nausea or abdominal discomfort.
  • Mild cold extremities.

Serious or Rare Side Effects

  • Severe bradycardia or heart block.
  • Acute hypotension with syncope.
  • Bronchospasm in patients with asthma or COPD.
  • Allergic reactions including rash, itching, or angioedema.
  • Cardiogenic shock in compromised patients.

Precautions & Warnings

Before initiating Nebivolol, clinicians should consider several safety aspects.

  • Assess cardiovascular status: evaluate baseline heart rate and blood pressure.
  • Monitor respiratory disease: use cautiously in asthma or COPD.
  • Review concomitant beta‑blockers: avoid additive effects.
  • Adjust for renal/hepatic impairment: dose may need modification.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Nebivolol can interact with several medication classes; awareness helps prevent adverse events.

Major Interactions (Avoid)

  • Non‑selective beta‑blockers: additive bradycardia.
  • Calcium‑channel blockers (verapamil, diltiazem): increased risk of AV block.
  • Clonidine abrupt withdrawal: rebound hypertension.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: enhanced hypotensive effect.
  • Diuretics: potential electrolyte disturbances.
  • Antidiabetic agents: may mask hypoglycemia symptoms.

Frequently Asked Questions

Nebilet contains nebivolol, a selective β1‑adrenergic blocker that is prescribed primarily to lower high blood pressure (hypertension) and, in some regions, to improve symptoms in patients with chronic heart failure.

Nebivolol blocks β1‑adrenergic receptors in the heart, reducing heart rate and contractile force. At the same time it enhances nitric‑oxide release from the endothelium, causing vasodilation and lowering peripheral vascular resistance, which together lower blood pressure.

The appropriate dose of Nebilet is determined by the prescribing clinician based on the individual’s medical condition, age, renal function, and response to therapy. Patients should follow the dose and titration schedule provided by their healthcare professional.

Safety data for nebivolol in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To request 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 required import documentation.

Nebilet (nebivolol) is a β1‑selective blocker with added nitric‑oxide‑mediated vasodilation, which may offer better tolerability regarding metabolic effects compared with non‑selective beta‑blockers. It is often considered when patients need heart‑rate control without the adverse metabolic profile seen with some older agents.

Nebilet tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and do not use after the expiry date printed on the packaging.

Nebilet is taken orally as a tablet, usually with or without food, as directed by the prescribing clinician. The tablet should be swallowed whole with a glass of water and not chewed or crushed unless specifically instructed.

Serious risks include severe bradycardia, heart block, marked hypotension, bronchospasm in patients with reactive airway disease, and rare allergic reactions such as angioedema. Patients should seek immediate medical attention if they experience fainting, severe dizziness, difficulty breathing, or swelling of the face or throat.

Nebilet is contraindicated in patients with known hypersensitivity to nebivolol or any excipients, in those with severe bradycardia, second‑ or third‑degree atrioventricular block without a pacemaker, and in individuals with uncompensated heart failure or cardiogenic shock. Clinicians should also exercise caution in patients with asthma, COPD, or significant liver impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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