Product image of Nebilet Plus (Hydrochlorothiazide, Nebivolol) supplied by GNH India

Nebilet Plus

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Nebilet Plus (Hydrochlorothiazide, Nebivolol)

Hydrochlorothiazide / Nebivolol, the active ingredients in Nebilet Plus, constitute a thiazide diuretic and a beta‑1 selective blocker presented as a tablet formulation for oral use. The combination is indicated for the management of hypertension in adult patients.

GNH India supplies Nebilet Plus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing consistent quality and regulatory compliance for global distribution across regions, and the company adheres to WHO GMP standards and offers reliable logistics for timely delivery.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

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Indications & Clinical Uses

  • Nebilet Plus, a combination antihypertensive, acts on blood pressure regulation pathways.
  • Hypertension: reduces elevated blood pressure in adults.
  • Essential hypertension: helps achieve target blood pressure levels.
  • High blood pressure: contributes to cardiovascular risk reduction.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors, decreasing heart rate and contractility, while also stimulating endothelial nitric‑oxide release for vasodilation. Hydrochlorothiazide inhibits Na⁺/Cl⁻ reabsorption in the distal convoluted tubule, increasing urinary sodium and water excretion, which lowers plasma volume and peripheral resistance. The complementary actions produce an additive antihypertensive effect.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Fatigue or weakness
  • Increased urination
  • Electrolyte disturbances such as low potassium
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe hypotension
  • Acute electrolyte imbalance (e.g., hyponatremia, hypokalemia)
  • Gout attacks
  • Pancreatitis
  • Allergic reactions including rash, angioedema, or anaphylaxis

Precautions & Warnings

  • Nebilet Plus should be used with clinical monitoring and patient education.
  • Monitor blood pressure regularly: ensure therapeutic control and avoid excessive drops.
  • Assess renal function: adjust therapy if renal impairment is present.
  • Check electrolytes: especially potassium and sodium levels during treatment.
  • Avoid abrupt discontinuation: taper under medical supervision to prevent rebound hypertension.
  • Use caution in diabetes: monitor glucose as diuretics may affect glycemic control.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Nebilet Plus may interact with several medicines that affect blood pressure or electrolyte balance.

Major Interactions (Avoid)

  • Concurrent use with other potent antihypertensives may cause severe hypotension.
  • Lithium: increased risk of lithium toxicity.
  • NSAIDs: may reduce diuretic efficacy and impair renal function.
  • Potassium‑sparing diuretics: risk of hyperkalemia.
  • Strong CYP2D6 inhibitors: may increase nebivolol plasma levels.

Moderate Interactions (Monitor Closely)

  • Other diuretics: monitor electrolytes and volume status.
  • Additional beta‑blockers: assess for additive bradycardia.
  • Antidiabetic agents: watch for hypoglycemia.
  • Digoxin: increased risk of arrhythmia.
  • ACE inhibitors or ARBs: monitor renal function and potassium.

Frequently Asked Questions

Nebilet Plus is an oral combination medication containing hydrochlorothiazide and nebivolol. It is prescribed to lower high blood pressure (hypertension) in adult patients, helping to reduce the risk of cardiovascular complications associated with sustained elevated blood pressure.

Nebivolol blocks β1‑adrenergic receptors, decreasing heart rate and contractility while enhancing nitric‑oxide mediated vasodilation. Hydrochlorothiazide acts on the distal convoluted tubule to inhibit sodium‑chloride reabsorption, promoting diuresis and reducing plasma volume. Together they lower peripheral resistance and blood pressure.

The specific dose of Nebilet Plus is determined by the prescribing healthcare professional based on the individual’s blood pressure, medical history, and response to therapy. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety of Nebilet Plus in pregnancy or while breastfeeding has not been fully established. Healthcare providers usually weigh the benefits against potential risks and may recommend alternative treatments if safer options are available.

To request Nebilet Plus, 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 Plus combines a thiazide diuretic with a β1‑selective blocker, offering dual mechanisms that can be more effective than monotherapy for some patients. Compared with single‑agent ACE inhibitors or calcium‑channel blockers, the combination may provide better blood‑pressure control but requires monitoring for electrolyte changes and heart‑rate effects.

Nebilet Plus tablets should be stored at room temperature, below 25 °C, in the original blister or bottle, protected from moisture and direct sunlight. Keep the product out of reach of children and do not use after the expiration date.

Nebilet Plus is taken orally, usually once daily, with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water and do not crush or chew it unless instructed otherwise.

Serious risks include severe hypotension, marked electrolyte disturbances (especially low potassium or sodium), gout attacks, and rare allergic reactions such as angioedema. Patients should seek immediate medical attention if they experience fainting, rapid heartbeat, severe muscle cramps, or signs of an allergic response.

Nebilet Plus is contraindicated in patients with known hypersensitivity to either component, severe renal impairment, uncontrolled electrolyte abnormalities, or those taking certain interacting medications such as potent CYP2D6 inhibitors without medical supervision. A healthcare professional should evaluate suitability before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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