Product image of Nebivolol Krka (Nebivolol) supplied by GNH India

Nebivolol Krka

Active Ingredient:
Nebivolol
Origin:
EU

Nebivolol Krka (Nebivolol)

Nebivolol, the active ingredient in Nebivolol Krka, is a beta blocker presented as an oral tablet for oral use. It is indicated for the management of hypertension in adult patients and works by selectively blocking β1‑adrenergic receptors while promoting nitric‑oxide mediated vasodilation. It is marketed within the European Union and is available only by prescription.

GNH India supplies Nebivolol Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved documentation for each batch.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Nebivolol is a selective β1‑blocker used in cardiovascular therapy to lower blood pressure and improve heart function.

  • Hypertension: reduces systolic and diastolic pressure, decreasing cardiovascular risk.
  • Heart failure: enhances left‑ventricular ejection fraction and alleviates symptoms in patients with reduced ejection fraction.
  • Isolated systolic hypertension in the elderly: provides effective blood‑pressure control with a favorable heart‑rate profile.

How It Works

  • Nebivolol selectively antagonizes β1‑adrenergic receptors, decreasing heart rate and myocardial contractility, while simultaneously stimulating endothelial β3 receptors to increase nitric‑oxide release, leading to vasodilation and reduced peripheral resistance.

Side Effects

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

Common Side Effects

  • Headache: mild to moderate intensity.
  • Dizziness or light‑headedness: especially after standing.
  • Fatigue or tiredness: often transient.
  • Bradycardia: heart rate slower than normal.
  • Nausea: occasional gastrointestinal upset.
  • Nasal congestion: mild blockage of nasal passages.

Serious or Rare Side Effects

  • Severe bradycardia: may require medical attention.
  • Symptomatic hypotension: marked drop in blood pressure.
  • Heart block or AV conduction disturbances.
  • Bronchospasm: especially in patients with reactive airway disease.
  • Allergic reactions: rash, itching, or swelling.
  • Hepatic dysfunction: abnormal liver enzymes.

Precautions & Warnings

Before initiating therapy, consider the following safety measures.

  • Blood pressure monitoring: check baseline and periodic readings.
  • Heart rate monitoring: observe for excessive bradycardia.
  • Renal impairment: dose adjustment may be required.
  • CYP2D6 poor metabolizers: consider alternative therapy.
  • Concomitant beta‑blockers: avoid additive cardiac depression.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Nebivolol can interact with several medication classes; awareness helps prevent adverse events.

Major Interactions (Avoid)

  • Combined use with other β‑blockers: risk of excessive bradycardia and hypotension.
  • Strong CYP2D6 inhibitors (e.g., paroxetine, quinidine): may increase nebivolol plasma concentrations.
  • Calcium‑channel blockers affecting AV node (verapamil, diltiazem): additive cardiac depression.

Moderate Interactions (Monitor Closely)

  • Non‑selective β‑blockers: monitor heart rate and blood pressure.
  • Diuretics: may enhance antihypertensive effect, watch for volume depletion.
  • ACE inhibitors or ARBs: monitor for additive blood‑pressure lowering.
  • Antihyperglycemics: nebivolol may mask hypoglycemia symptoms.

Frequently Asked Questions

Nebivolol Krka is a prescription‑only beta‑blocker indicated primarily for the treatment of hypertension and for improving cardiac function in patients with heart failure. It helps lower blood pressure and can enhance left‑ventricular performance, reducing the risk of cardiovascular events when used as part of a comprehensive treatment plan.

Nebivolol works by selectively blocking β1‑adrenergic receptors, which reduces heart rate and myocardial contractility. At the same time, it stimulates endothelial β3 receptors, leading to increased nitric‑oxide production and vasodilation. This dual action lowers peripheral resistance and blood pressure while supporting better blood flow.

The appropriate dose of Nebivolol Krka is determined by the prescribing healthcare professional based on the individual’s medical condition, response to therapy, and any concomitant medications. Dosage may be started low and titrated upward, but exact numbers should only be provided by a qualified prescriber.

Safety data for Nebivolol during pregnancy and lactation are limited, and the drug is generally classified as contraindicated or to be used only if the potential benefit outweighs the risk. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To order Nebivolol Krka, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Nebivolol is distinguished by its high β1‑selectivity and its ability to promote nitric‑oxide‑mediated vasodilation, which can result in fewer metabolic side effects and better tolerability compared with non‑selective beta blockers. It may be preferred in patients where additional vasodilatory effects are beneficial, though individual response varies.

Nebivolol tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container. Protect the product from moisture, direct sunlight, and extreme heat to maintain stability throughout its shelf life.

Nebivolol is taken orally, usually once daily, with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed by a healthcare professional.

Serious risks include severe bradycardia, symptomatic hypotension, heart block, bronchospasm in patients with reactive airway disease, and rare cases of hepatic dysfunction or allergic reactions. Patients should seek immediate medical attention if they experience fainting, rapid weight gain, difficulty breathing, or signs of liver injury.

Nebivolol should be avoided in individuals with known hypersensitivity to the drug, severe bradycardia, advanced atrioventricular block without a pacemaker, decompensated heart failure, or uncontrolled asthma. It is also contraindicated in patients taking certain strong CYP2D6 inhibitors unless a prescriber decides otherwise.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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