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

Nebivolol Cinfa

Active Ingredient:
Nebivolol Hydrochloride
Origin:
EU

Nebivolol Cinfa (Nebivolol Hydrochloride)

Nebivolol, the active ingredient in Nebivolol Cinfa, is a beta blocker presented as an oral tablet for oral use. It is used to treat hypertension in adult patients and works by selectively blocking β1‑adrenergic receptors while promoting nitric‑oxide mediated vasodilation.

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

Manufacturer / TM Owner

Laboratorios Cinfa S.A.

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Indications & Clinical Uses

  • Nebivolol is a selective β1‑adrenergic blocker indicated for conditions within the hypertension disease family.
  • Hypertension: lowers systolic and diastolic blood pressure in patients with primary hypertension.
  • Essential hypertension: provides sustained blood pressure control in adults.
  • Isolated systolic hypertension: reduces elevated systolic pressure in elderly patients.

How It Works

  • Nebivolol selectively antagonizes β1‑adrenergic receptors in cardiac tissue, decreasing heart rate and contractility. Concurrently, it stimulates endothelial nitric‑oxide synthase, enhancing nitric‑oxide release and causing vasodilation. This dual action reduces peripheral vascular resistance and lowers arterial blood pressure without significant β2‑receptor blockade.

Side Effects

Nebivolol may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Dizziness or light‑headedness: especially after the first dose.
  • Fatigue: general feeling of tiredness.
  • Nasal congestion: mild blockage of nasal passages.
  • Gastrointestinal discomfort: nausea or mild abdominal pain.

Serious or Rare Side Effects

  • Bradycardia: heart rate markedly below normal.
  • Severe hypotension: dangerous drop in blood pressure.
  • Heart block: impaired electrical conduction.
  • Acute bronchospasm: sudden narrowing of airways.
  • Allergic reactions: rash, itching, or swelling.

Precautions & Warnings

Before initiating therapy, consider patient‑specific factors and monitor for adverse events.

  • Cardiovascular assessment: evaluate baseline heart rate and blood pressure.
  • Concomitant β‑blockers: avoid duplicate therapy to prevent excessive bradycardia.
  • Renal or hepatic impairment: adjust monitoring frequency as needed.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

Nebivolol can interact with several drug classes; awareness helps prevent clinically significant events.

Major Interactions (Avoid)

  • Strong CYP2D6 inhibitors (e.g., paroxetine, quinidine): may increase nebivolol plasma levels.
  • Other β‑blockers: additive negative chronotropic effects.
  • Calcium channel blockers (verapamil, diltiazem): can enhance bradycardia.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (ACE inhibitors, ARBs): may cause excessive blood pressure reduction.
  • Diuretics: risk of orthostatic hypotension.
  • Antidiabetic agents: possible masking of hypoglycemia symptoms.

Frequently Asked Questions

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

Nebivolol selectively blocks β1‑adrenergic receptors in the heart, decreasing heart rate and contractility. At the same time, it stimulates endothelial nitric‑oxide production, causing vasodilation. This combined effect reduces cardiac output and peripheral resistance, leading to a fall in arterial blood pressure.

The appropriate dose of Nebivolol Cinfa is determined by the prescribing clinician based on the patient’s clinical condition, age, renal and hepatic function, and response to therapy. The prescriber will select the strength and titration schedule that best meets the individual’s therapeutic needs.

Nebivolol is classified as a pregnancy category with limited data. It should be used only if the potential benefit justifies any potential risk to the fetus. Likewise, caution is advised during breastfeeding, as the drug may be excreted in breast milk. Consultation with a healthcare professional is essential.

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, verifying trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Nebivolol offers a unique combination of β1‑selectivity and nitric‑oxide‑mediated vasodilation, which can provide better tolerability compared with non‑selective β‑blockers. Unlike ACE inhibitors or ARBs, it does not interfere with the renin‑angiotensin system, making it a suitable alternative for patients who cannot tolerate those agents.

Nebivolol Cinfa should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and avoid storing in humid or excessively hot environments.

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

Serious adverse events, though uncommon, include marked bradycardia, severe hypotension, heart block, and acute bronchospasm. Patients should be monitored for symptoms such as faintness, slow heart rate, or difficulty breathing, and medical attention should be sought promptly if these occur.

Nebivolol is contraindicated in patients with known hypersensitivity to nebivolol or any excipients, those with severe bradycardia, second‑ or third‑degree heart block without a pacemaker, and individuals experiencing cardiogenic shock. It should also be used with caution in patients with severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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