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 and heart failure in adult patients.

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

Manufacturer / TM Owner

Berlin-Chemie Ag

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Indications & Clinical Uses

  • Nebivolol is a selective β1‑adrenergic blocker used in cardiovascular disease management.
  • Hypertension: lowers systolic and diastolic blood pressure, reducing cardiovascular risk.
  • Heart failure: improves left‑ventricular function and may decrease hospitalization rates.
  • Cardiovascular risk management: contributes to overall risk reduction in patients with multiple risk factors.

How It Works

  • Nebivolol selectively antagonizes β1‑adrenergic receptors, decreasing heart rate and myocardial contractility while lowering peripheral resistance. In addition, it stimulates endothelial nitric oxide synthase, leading to nitric‑oxide‑mediated vasodilation, which further contributes to blood‑pressure reduction and improved cardiac output.

Side Effects

Nebivolol may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Dizziness or light‑headedness, especially on standing.
  • Fatigue or general tiredness.
  • Bradycardia: heart rate slower than normal.
  • Nausea or mild gastrointestinal upset.

Serious or Rare Side Effects

  • Severe bradycardia or heart block requiring medical attention.
  • Marked hypotension leading to syncope.
  • Bronchospasm in patients with reactive airway disease.
  • Allergic reactions such as rash, angioedema, or anaphylaxis.
  • Worsening heart failure symptoms.

Precautions & Warnings

Before initiating Nebivolol, consider the following safety measures.

  • Renal impairment: dose adjustment may be required in severe dysfunction.
  • Hepatic impairment: use with caution; monitor liver function.
  • Asthma or COPD: avoid in patients with active bronchospasm.
  • Concomitant beta‑blockers: assess risk of additive bradycardia.
  • Pregnancy and lactation: safety not established; avoid unless clearly needed.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Nebivolol can interact with several drug classes; monitoring is essential.

Major Interactions (Avoid)

  • Non‑selective beta‑blockers: risk of excessive β‑blockade.
  • Calcium‑channel blockers (verapamil, diltiazem): may cause profound bradycardia or AV block.
  • Clonidine withdrawal: can precipitate severe hypertension.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: additive hypotensive effect.
  • Diuretics: may enhance blood‑pressure lowering.
  • Antidiabetic agents: monitor glucose as beta‑blockade can mask hypoglycaemia symptoms.

Frequently Asked Questions

Nebilet contains nebivolol, a selective β1‑adrenergic blocker indicated for the treatment of hypertension and for managing chronic heart failure in adult patients. It helps lower blood pressure and improve cardiac output, thereby reducing the risk of cardiovascular complications.

Nebivolol blocks β1‑adrenergic receptors in the heart, decreasing heart rate and contractility, which lowers blood pressure. It also stimulates endothelial nitric‑oxide synthase, causing nitric‑oxide‑mediated vasodilation that further reduces peripheral vascular resistance and supports heart‑failure management.

The dose of Nebilet is individualized by a qualified prescriber based on the patient’s clinical condition, age, renal and hepatic function, and response to therapy. Physicians typically start with a low dose and titrate as needed, following current clinical guidelines.

Safety data for nebivolol in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and alternative therapies are preferred when possible.

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 properties, which may result in fewer metabolic side effects compared with older non‑selective beta‑blockers. Its dual action can provide effective blood‑pressure control while offering potential benefits in endothelial function.

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 if the packaging is damaged.

Nebilet is taken orally, usually once daily, with or without food, as directed by the prescribing clinician. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed.

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

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 severe hepatic impairment. Caution is also advised for patients with asthma or chronic obstructive pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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