Product image of Nebivolol Accord (Nebivolol Hydrochloride) supplied by GNH India

Nebivolol Accord

Active Ingredient:
Nebivolol Hydrochloride
Origin:
EU

Nebivolol Accord (Nebivolol Hydrochloride)

Nebivolol, the active ingredient in Nebivolol Accord, is a beta blocker presented as an oral tablet for oral use. It selectively lowers elevated blood pressure and is indicated for adult patients with hypertension. The drug works by blocking β1‑adrenergic receptors while promoting nitric‑oxide mediated vasodilation, which reduces cardiac output and peripheral resistance.

GNH India supplies Nebivolol Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company follows GMP standards, provides batch‑tested products, and ensures reliable global logistics.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Nebivolol is a selective β1‑adrenergic receptor antagonist used in the management of hypertension, helping to achieve target blood pressure levels.

  • Hypertension: reduces systolic and diastolic blood pressure in adult patients with high blood pressure.

How It Works

  • Nebivolol binds selectively to β1‑adrenergic receptors on cardiac tissue, inhibiting sympathetic stimulation and decreasing heart rate and contractility. Concurrently, it enhances endothelial nitric‑oxide release, causing vasodilation of peripheral vessels. The combined effect lowers cardiac output and systemic vascular resistance, resulting in an overall reduction of arterial blood pressure.

Side Effects

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

Common Side Effects

  • Headache: mild to moderate pain in the head.
  • Dizziness: sensation of light‑headedness, especially on standing.
  • Fatigue: unusual tiredness or lack of energy.
  • Nasal congestion: blocked or runny nose.
  • Diarrhea: loose, frequent stools.
  • Insomnia: difficulty falling or staying asleep.

Serious or Rare Side Effects

  • Bradycardia: abnormally slow heart rate.
  • Severe hypotension: marked drop in blood pressure leading to fainting.
  • Heart block: impaired electrical conduction in the heart.
  • Bronchospasm: tightening of airway muscles, especially in asthmatic patients.
  • Allergic reactions: rash, itching, swelling, or anaphylaxis.
  • Liver enzyme elevation: abnormal liver function tests.

Precautions & Warnings

Before initiating therapy with Nebivolol, certain precautions should be considered.

  • Blood pressure monitoring: check baseline and periodic readings.
  • Cardiac assessment: evaluate heart rate and rhythm, especially in patients with conduction disorders.
  • Asthma/COPD caution: use carefully in patients with reactive airway disease.
  • Gradual discontinuation: avoid abrupt stopping to prevent rebound hypertension.
  • Renal impairment adjustment: consider dose modification in severe kidney dysfunction.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Nebivolol can interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Other beta‑blockers: additive cardiac depression.
  • Calcium channel blockers (verapamil, diltiazem): increased risk of bradycardia and AV block.
  • Anti‑arrhythmic agents (amiodarone): enhanced negative chronotropic effect.

Moderate Interactions (Monitor Closely)

  • Insulin or oral hypoglycemics: may mask hypoglycemia symptoms.
  • NSAIDs: can reduce antihypertensive efficacy.
  • ACE inhibitors or ARBs: monitor for excessive blood pressure lowering.

Frequently Asked Questions

Nebivolol Accord contains the beta‑blocker nebivolol and is prescribed to lower elevated blood pressure in adult patients with hypertension. By reducing systemic vascular resistance, it helps achieve target blood pressure levels and lowers the risk of cardiovascular complications.

Nebivolol selectively blocks β1‑adrenergic receptors in the heart, decreasing heart rate and contractility. It also stimulates endothelial nitric‑oxide release, causing vasodilation of peripheral vessels. The combined actions lower cardiac output and peripheral resistance, resulting in reduced arterial pressure.

The appropriate dose of Nebivolol Accord is determined by the prescribing clinician based on the patient’s blood pressure, age, renal function, and overall health. Dosage adjustments are made individually; patients should follow the prescriber’s instructions and not alter the dose on their own.

Safety data for nebivolol in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss alternatives with their healthcare provider.

To request Nebivolol Accord, 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.

Nebivolol is a third‑generation beta‑blocker that offers both β1‑selectivity and nitric‑oxide‑mediated vasodilation, which may provide better tolerability compared with older non‑selective beta‑blockers. Unlike some calcium‑channel blockers, it does not cause significant peripheral edema, making it a useful alternative for patients who experience that side effect.

Nebivolol Accord should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Nebivolol Accord is taken orally, usually once daily, with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water and not chewed or crushed unless specifically instructed.

Serious risks include marked bradycardia, severe hypotension, heart 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 weight gain, swelling, or difficulty breathing.

Nebivolol should be avoided in patients with severe bradycardia, second‑ or third‑degree atrioventricular block, uncompensated heart failure, or a known hypersensitivity to nebivolol or any excipients. Caution is also advised for individuals with asthma, chronic obstructive pulmonary disease, or significant liver impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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