Product image of Nebivolol Comp. Ratiopharm (Hydrochlorothiazide, Nebivolol) supplied by GNH India

Nebivolol Comp. Ratiopharm

Active Ingredient:
Hydrochlorothiazide, Nebivolol
Origin:
EU

Nebivolol Comp. Ratiopharm (Hydrochlorothiazide, Nebivolol)

Nebivolol and hydrochlorothiazide, the active ingredients in Nebivolol Comp. Ratiopharm, are a beta‑blocker and a thiazide diuretic presented as tablets for oral use. They lower blood pressure in adult patients with hypertension, combining vasodilation and diuresis to achieve effective control.

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

Manufacturer / TM Owner

Ratiopharm Gmbh

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Indications & Clinical Uses

  • Nebivolol Comp. Ratiopharm is used in the management of hypertension, targeting elevated systemic blood pressure.
  • Essential hypertension: reduces systolic and diastolic pressure in patients with primary high blood pressure.
  • Secondary hypertension: assists in controlling blood pressure when hypertension is caused by another condition.
  • Hypertension with fluid retention: provides combined beta‑blockade and diuretic action to manage blood pressure and excess fluid.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors, decreasing heart rate and contractility while also stimulating endothelial nitric‑oxide synthase to cause vasodilation. Hydrochlorothiazide acts on the distal convoluted tubule by inhibiting the Na⁺/Cl⁻ cotransporter, promoting sodium and water excretion, which lowers plasma volume. The combined actions reduce cardiac output and peripheral resistance, producing an overall antihypertensive effect.

Side Effects

Nebivolol Comp. Ratiopharm may cause a range of adverse reactions, which are generally classified by frequency and severity.

Common Side Effects

  • Dizziness
  • Headache
  • Fatigue
  • Increased urinary frequency

Serious or Rare Side Effects

  • Severe hypotension
  • Electrolyte disturbances (e.g., low potassium)
  • Allergic reactions such as rash or angioedema
  • Acute kidney injury

Precautions & Warnings

  • When prescribing Nebivolol Comp. Ratiopharm, clinicians should observe several precautionary measures to ensure safe use.
  • Monitor blood pressure: verify adequate control and avoid excessive drops.
  • Assess renal function: adjust use in patients with impaired kidney function.
  • Check electrolytes: watch for potassium or sodium imbalances.
  • Avoid abrupt discontinuation: taper to prevent rebound hypertension.
  • Use caution in asthma: β1‑selectivity may still affect bronchial tone.
  • Store at room temperature: keep in the original container, protect from moisture.

Avoid Interactions

Nebivolol Comp. Ratiopharm can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Concomitant use with other antihypertensives may cause excessive hypotension.
  • Potassium‑sparing diuretics can lead to hyperkalemia when combined with hydrochlorothiazide.
  • Non‑steroidal anti‑inflammatory drugs may reduce the diuretic effect of hydrochlorothiazide.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers may enhance the blood‑pressure‑lowering effect.
  • Beta‑agonist inhalers can diminish nebivolol’s β‑blockade.
  • Lithium therapy may have increased serum levels.

Frequently Asked Questions

Nebivolol Comp. Ratiopharm is indicated for the treatment of hypertension. The combination of nebivolol, a β1‑selective blocker, and hydrochlorothiazide, a thiazide diuretic, works together to lower elevated blood pressure in adult patients, providing both reduced cardiac output and decreased plasma volume.

Nebivolol blocks β1‑adrenergic receptors in the heart, which slows heart rate and reduces contractility. It also enhances nitric‑oxide release from the endothelium, causing vasodilation. This dual action lowers systemic vascular resistance and contributes to overall blood‑pressure reduction.

The dosage of Nebivolol Comp. Ratiopharm is individualized by the prescribing healthcare professional based on the patient’s blood‑pressure profile, renal function, and other clinical factors. Patients should follow the exact regimen provided by their prescriber and not adjust the dose on their own.

Safety data for nebivolol and hydrochlorothiazide during pregnancy and lactation are limited. The medication should only be used if the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning to become pregnant, 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.

Compared with single‑agent therapies, the nebivolol/hydrochlorothiazide combination offers both β‑blockade and diuretic effects in one tablet, which can simplify regimens and improve adherence. It may be preferred when a patient needs both heart‑rate control and volume reduction, whereas other classes such as ACE inhibitors or ARBs act through different pathways.

Store the tablets at room temperature, preferably below 25 °C. Keep them in the original blister pack or container, protect from moisture and direct sunlight, and ensure they are out of reach of children. Do not use the product after the expiry date printed on the packaging.

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

Serious risks include severe hypotension, electrolyte disturbances such as low potassium, acute kidney injury, and rare allergic reactions like angioedema. Patients should seek immediate medical attention if they experience fainting, rapid weight loss, swelling, rash, or difficulty breathing.

The medication is contraindicated in patients with known hypersensitivity to nebivolol, hydrochlorothiazide, or any excipients, as well as those with severe bradycardia, uncontrolled heart failure, or significant electrolyte imbalances. Caution is also advised for individuals with asthma, severe liver disease, or chronic kidney disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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