Product image of Nebivolol 089pharm (Nebivolol) supplied by GNH India

Nebivolol 089pharm

Active Ingredient:
Nebivolol
Origin:
EU

Nebivolol 089pharm (Nebivolol)

Nebivolol, the active ingredient in Nebivolol 089pharm, is a beta blocker presented as a tablet for oral use. It treats hypertension and heart failure in adult patients.

GNH India supplies Nebivolol 089pharm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

089pharm Gmbh

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Indications & Clinical Uses

  • Nebivolol is a selective β1‑adrenergic antagonist used in cardiovascular disease management.
  • Hypertension: lowers systolic and diastolic blood pressure in adults.
  • Heart failure: improves left‑ventricular ejection fraction and reduces symptoms in chronic heart failure.
  • Elderly patients with hypertension: provides effective blood pressure control with added vasodilatory benefit.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors, reducing heart rate and myocardial contractility, which lowers cardiac output and blood pressure. In addition, it stimulates endothelial nitric oxide synthase, leading to nitric‑oxide‑mediated vasodilation that further contributes to its antihypertensive effect without significant β2 antagonism.

Side Effects

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

Common Side Effects

  • Headache: mild to moderate intensity.
  • Dizziness or light‑headedness, especially on standing.
  • Fatigue or tiredness during daily activities.
  • Nasal congestion or rhinorrhea.
  • Bradycardia: heart rate below normal resting levels.
  • Gastrointestinal discomfort such as nausea.

Serious or Rare Side Effects

  • Severe bradycardia leading to syncope.
  • Marked hypotension causing fainting.
  • Atrioventricular block or other conduction abnormalities.
  • Bronchospasm in patients with reactive airway disease.
  • Allergic reactions including rash, angioedema, or anaphylaxis.
  • Elevated liver enzymes indicating hepatic stress.

Precautions & Warnings

  • Before initiating Nebivolol, clinicians should consider several safety measures.
  • Monitor blood pressure: ensure adequate control without excessive drop.
  • Assess cardiac function: evaluate for existing bradyarrhythmias.
  • Review concomitant beta‑blockers: avoid additive effects.
  • Use caution in asthma or COPD: risk of bronchospasm.
  • Adjust dose in renal impairment: consider reduced clearance.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Nebivolol can interact with several drug classes; awareness helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Other beta‑blockers: additive negative chronotropic effects.
  • Potent CYP2D6 inhibitors (e.g., quinidine, paroxetine): increase nebivolol plasma levels.
  • Calcium‑channel blockers that affect AV node (e.g., verapamil, diltiazem): risk of severe bradycardia.
  • Clonidine abrupt withdrawal: may precipitate hypertensive crisis.
  • Antiarrhythmic class IA agents: enhanced conduction disturbances.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may blunt antihypertensive response.
  • Diuretics: monitor electrolytes and volume status.
  • ACE inhibitors or ARBs: watch for additive hypotension.
  • Other antihypertensives: adjust dose to avoid over‑lowering BP.
  • Certain antidepressants (e.g., SSRIs): observe for heart rate changes.

Frequently Asked Questions

Nebivolol 089pharm is prescribed to manage high blood pressure (hypertension) and to treat chronic heart failure in adult patients. By lowering systemic vascular resistance and improving cardiac output, it helps reduce cardiovascular risk and alleviate symptoms associated with these conditions.

Nebivolol selectively blocks β1‑adrenergic receptors, decreasing heart rate and contractility, which reduces cardiac output. It also enhances nitric‑oxide release from the endothelium, causing vasodilation of peripheral vessels. The combined effect lowers both systolic and diastolic blood pressure without significant β2 blockade.

The dosage of Nebivolol 089pharm is determined by the prescribing clinician based on the patient’s medical condition, age, renal function, and response to therapy. Physicians typically start with a low dose and titrate upward as needed to achieve target blood pressure or heart‑failure goals.

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. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To place an order, 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 (including any cold‑chain requirements), and necessary import documentation.

Nebivolol is a highly selective β1‑blocker with additional nitric‑oxide‑mediated vasodilation, which may result in fewer metabolic side effects and better tolerability compared with non‑selective beta‑blockers. Its dual mechanism can provide effective blood‑pressure control while preserving peripheral circulation.

Nebivolol 089pharm should be stored at room temperature, below 25 °C. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

Nebivolol 089pharm is taken orally, usually once daily with or without food. The tablet should be swallowed whole with a glass of water. Patients should follow the dosing schedule prescribed by their clinician and not alter the timing without medical advice.

Serious risks include severe bradycardia, marked hypotension, atrioventricular block, bronchospasm in patients with reactive airway disease, and rare allergic reactions such as anaphylaxis. Patients should seek immediate medical attention if they experience fainting, rapid heartbeat changes, difficulty breathing, or signs of an allergic response.

Nebivolol is contraindicated in patients with known hypersensitivity to nebivolol or any excipients, those with severe bradycardia, second‑ or third‑degree AV block without a pacemaker, cardiogenic shock, or uncontrolled heart failure. Caution is also advised for individuals with severe asthma or chronic obstructive pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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