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

Nebilet Plus

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Nebilet Plus (Hydrochlorothiazide, Nebivolol)

Nebivolol and Hydrochlorothiazide, the active ingredients in Nebilet Plus, are a beta‑blocker and a thiazide diuretic presented as tablets for oral use. They work together to lower blood pressure by reducing heart rate and decreasing plasma volume, providing antihypertensive therapy for adult patients with primary hypertension.

GNH India supplies Nebilet Plus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with manufacturing adhering to EU standards and rigorous quality control through reliable distribution networks and timely delivery.

Manufacturer / TM Owner

Menarini International Operations Luxembourg S.A.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Nebilet Plus combines a beta‑blocker and a thiazide diuretic to manage hypertension, a major cardiovascular condition.

  • Hypertension: lowers systolic and diastolic blood pressure in adults with primary hypertension.
  • Hypertensive edema: reduces fluid retention associated with elevated blood pressure.
  • Cardiovascular risk reduction: helps decrease the likelihood of stroke and heart attack in patients with uncontrolled hypertension.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors, decreasing heart rate and myocardial contractility, while also stimulating endothelial nitric oxide release for vasodilation. Hydrochlorothiazide inhibits Na⁺/Cl⁻ reabsorption in the distal convoluted tubule, promoting diuresis and reducing plasma volume. The combined actions result in lowered systemic vascular resistance and blood pressure.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Fatigue or weakness
  • Increased urination
  • Electrolyte disturbances (e.g., low potassium)
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe hypotension
  • Acute kidney injury or worsening renal function
  • Significant electrolyte imbalance (hyper‑ or hypokalemia)
  • Allergic reactions such as rash, angioedema, or anaphylaxis
  • Pancreatitis (rare)

Precautions & Warnings

Nebilet Plus should be used under medical supervision with regular monitoring.

  • Blood pressure monitoring: ensure target levels are achieved without excessive drop.
  • Renal function: assess creatinine and eGFR before and during therapy.
  • Electrolyte assessment: check serum potassium and sodium periodically.
  • Diabetes: monitor blood glucose as beta‑blockers may mask hypoglycaemia symptoms.
  • Abrupt discontinuation: taper dose to avoid rebound hypertension.
  • Store at ambient temperature: keep below 25°C, retain in original packaging, protect from moisture.

Avoid Interactions

Nebilet Plus may interact with several medicines; careful review is required.

Major Interactions (Avoid)

  • Other antihypertensives (e.g., ACE inhibitors, ARBs) – risk of profound hypotension.
  • NSAIDs – may diminish diuretic efficacy and affect renal function.
  • Lithium – increased lithium levels leading to toxicity.
  • Potassium‑sparing diuretics – risk of hyperkalaemia.
  • Strong CYP2D6 inhibitors – elevate nebivolol plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers – additive blood‑pressure lowering effect.
  • Other beta‑blockers – may cause excessive β‑blockade.
  • Antidiabetic agents – monitor glucose as beta‑blockers can mask hypoglycaemia.
  • Antidepressants (e.g., SSRIs) – watch for additive bradycardia.
  • Diuretics of other classes – monitor electrolytes and renal function.

Frequently Asked Questions

Nebilet Plus is an oral tablet that combines nebivolol and hydrochlorothiazide to treat high blood pressure (hypertension) and associated fluid retention. It is prescribed for adult patients who need both a beta‑blocker and a thiazide diuretic to achieve adequate blood‑pressure control.

Nebivolol selectively blocks β1‑adrenergic receptors, slowing heart rate and reducing cardiac output. It also enhances nitric‑oxide release from the endothelium, causing blood‑vessel relaxation. This dual action lowers systemic vascular resistance and helps control hypertension.

The specific dose of Nebilet Plus is determined by the prescribing clinician based on the patient’s medical condition, response to therapy, and other medications. Dosage adjustments are made individually; patients should follow the prescriber’s instructions and not alter the dose on their own.

Safety of Nebilet Plus in pregnancy or while breastfeeding has not been fully established. Healthcare providers usually weigh potential benefits against risks before prescribing. Women who are pregnant, planning pregnancy, or nursing should discuss alternative treatments with their doctor.

To order 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 offers a fixed‑dose combination of a selective β1‑blocker and a thiazide diuretic, simplifying therapy compared with taking two separate tablets. This can improve adherence and provide complementary mechanisms—heart‑rate control and diuresis—whereas other classes such as ACE inhibitors or calcium‑channel blockers act through different pathways.

Nebilet Plus tablets should be stored at ambient temperature, below 25 °C, in their original packaging. Keep them away from moisture, direct sunlight, and out of reach of children to maintain potency and stability.

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

Serious risks include severe hypotension, acute kidney injury, significant electrolyte disturbances (especially low potassium), and rare allergic reactions such as angioedema. Patients should report symptoms like dizziness, fainting, rapid weight gain, muscle weakness, or rash to their physician promptly.

Nebilet Plus is contraindicated in patients with known hypersensitivity to nebivolol, hydrochlorothiazide, or any component of the formulation. It should also be avoided in individuals with severe renal impairment, uncontrolled electrolyte imbalances, or those taking certain interacting medications without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.