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

Nebiretic

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Nebiretic (Hydrochlorothiazide, Nebivolol)

Hydrochlorothiazide and Nebivolol, the active ingredients in Nebiretic, are a thiazide diuretic and a beta‑blocker presented as oral tablets for systemic use. They treat hypertension in adult patients. GNH India supplies Nebiretic 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

Nebiretic, a combination of a thiazide diuretic and a beta‑blocker, is used to manage hypertension.

  • Hypertension: lowers systolic and diastolic blood pressure, helping to reduce the risk of cardiovascular events.

How It Works

  • Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, increasing urinary excretion of water and electrolytes, which reduces plasma volume. Nebivolol selectively blocks β₁‑adrenergic receptors, decreasing heart rate and contractility, while also stimulating endothelial nitric‑oxide release, producing vasodilation and further lowering blood pressure.

Side Effects

Nebiretic may cause a range of adverse reactions, from mild to serious.

Common Side Effects

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

Serious or Rare Side Effects

  • Severe dehydration or electrolyte imbalance
  • Acute gout attacks
  • Pancreatitis
  • Marked hypotension
  • Anaphylactic or severe allergic reactions
  • Renal function impairment

Precautions & Warnings

Before initiating Nebiretic, clinicians should consider several safety measures.

  • Blood pressure monitoring: ensure adequate control and avoid excessive drops.
  • Renal function assessment: adjust therapy in patients with impaired kidney function.
  • Electrolyte surveillance: watch for hypokalemia or hyponatremia.
  • Diabetes caution: monitor blood glucose as diuretics may affect glycemic control.
  • Concomitant β‑blocker use: avoid abrupt discontinuation to prevent rebound tachycardia.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Nebiretic can interact with several medicines; some require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Lithium: increased risk of lithium toxicity.
  • NSAIDs: may blunt diuretic effect and worsen renal function.
  • ACE inhibitors or ARBs: heightened risk of hyperkalemia and renal impairment.
  • Other diuretics: can cause excessive fluid loss and electrolyte disturbances.
  • CYP2D6 inhibitors: may increase nebivolol plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Antidiabetic agents: diuretic‑induced changes in glucose may require dose adjustment.
  • Calcium channel blockers: additive blood‑pressure‑lowering effect.
  • Warfarin: possible alteration of INR values.
  • Digoxin: enhanced risk of bradycardia.
  • Alcohol: may increase hypotensive effect.

Frequently Asked Questions

Nebiretic is prescribed to lower high blood pressure (hypertension). It combines a thiazide diuretic with a beta‑blocker to reduce plasma volume and decrease cardiac output, helping to achieve target blood‑pressure levels and lower the risk of cardiovascular complications.

Hydrochlorothiazide blocks sodium‑chloride reabsorption in the kidney’s distal tubule, promoting water loss and reducing blood volume. Nebivolol selectively blocks β₁‑adrenergic receptors, slowing heart rate and contractility, while also enhancing nitric‑oxide release for vasodilation. Together they provide complementary blood‑pressure‑lowering effects.

The specific dose of Nebiretic is determined by the prescribing clinician based on the patient’s medical condition, response to therapy, and other individual factors. Dosage adjustments are made according to blood‑pressure targets and tolerability.

Safety of Nebiretic in pregnancy or while breastfeeding has not been definitively established. Healthcare providers should weigh potential benefits against risks and consider alternative treatments if appropriate. Pregnant or nursing patients should discuss options with their physician.

To order Nebiretic, 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.

Nebiretic offers a dual mechanism by combining a thiazide diuretic and a β₁‑selective blocker, which can be more effective for patients needing both volume reduction and heart‑rate control. Compared with single‑agent therapies, it may simplify regimens but requires careful monitoring for combined side‑effects.

Nebiretic tablets should be stored at temperatures below 25 °C, in their original container, protected from moisture and direct sunlight. Keep out of reach of children and do not use if the packaging is damaged.

Nebiretic 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 unless specifically instructed.

Serious risks include severe dehydration, marked electrolyte imbalances (especially low potassium), acute gout, significant hypotension, and rare allergic reactions such as anaphylaxis. Patients should seek immediate medical attention if they experience symptoms like fainting, rapid heartbeat, severe muscle pain, or swelling.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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