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

Nebol

Active Ingredient:
Nebivolol Hydrochloride
Origin:
EU

Nebol (Nebivolol Hydrochloride)

Nebivolol, the active ingredient in Nebol, is a beta‑1 selective adrenergic receptor blocker presented as an oral tablet for oral use. It reduces systemic vascular resistance and lowers elevated blood pressure in adult patients with hypertension, offering a vasodilatory effect through nitric oxide enhancement while maintaining cardiac output.

GNH India supplies Nebol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing quality‑assured products that meet European Union standards. The company ensures consistent batch release testing and regulatory compliance for global distribution.

Manufacturer / TM Owner

Rowex Ltd

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Indications & Clinical Uses

  • Nebivolol is indicated for conditions related to elevated arterial pressure and cardiovascular regulation.
  • Hypertension: reduces systolic and diastolic blood pressure, improving overall cardiovascular risk profile.
  • Essential hypertension: provides long‑term blood pressure control with a favorable effect on heart rate.
  • High blood pressure: assists in maintaining target blood pressure levels as part of antihypertensive therapy.

How It Works

  • Nebivolol selectively antagonizes β1‑adrenergic receptors in cardiac tissue, decreasing heart rate and myocardial contractility, which lowers cardiac output. Concurrently, it stimulates endothelial nitric oxide synthase, enhancing nitric oxide release and causing peripheral vasodilation. The combined effect reduces systemic vascular resistance and arterial pressure without significant β2‑receptor blockade, preserving bronchial tone. Additionally, the drug’s high β1 affinity results in a prolonged duration of action, allowing once‑daily dosing in most patients.

Side Effects

Nebivolol may be associated with several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Headache
  • Dizziness
  • Fatigue
  • Bradycardia
  • Nausea

Serious or Rare Side Effects

  • Severe bradycardia or heart block
  • Acute hypotension
  • Bronchospasm in susceptible individuals
  • Allergic reactions such as rash or angioedema

Precautions & Warnings

  • When prescribing Nebivolol, clinicians should consider several precautionary measures to ensure patient safety.
  • Blood pressure monitoring: regularly assess blood pressure and heart rate after initiation.
  • Cardiac function assessment: evaluate for existing heart failure or conduction disorders before use.
  • Respiratory caution: use with care in patients with asthma or chronic obstructive pulmonary disease.
  • Discontinuation: avoid abrupt cessation; taper dose to prevent rebound hypertension.
  • Renal/hepatic impairment: adjust dosing in moderate to severe renal or hepatic dysfunction.
  • Store at below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Combined use with other β‑blockers: may cause excessive bradycardia or AV block.
  • Calcium channel blockers verapamil or diltiazem: increase plasma levels and risk of cardiac conduction disturbances.
  • Strong CYP2D6 inhibitors (e.g., paroxetine, fluoxetine): raise nebivolol concentrations, enhancing adverse effects.

Moderate Interactions (Monitor Closely)

  • Diuretics: additive blood pressure lowering may lead to hypotension.
  • ACE inhibitors or ARBs: monitor for excessive hypotensive response.
  • NSAIDs: may reduce antihypertensive effect of nebivolol.

Frequently Asked Questions

Nebol contains nebivolol, a beta‑1 selective adrenergic blocker that is approved for the treatment of hypertension in adult patients. By lowering elevated blood pressure, it helps reduce the risk of cardiovascular events associated with uncontrolled hypertension.

Nebivolol works by selectively blocking β1‑adrenergic receptors in the heart, which slows heart rate and reduces contractility. At the same time it stimulates endothelial nitric oxide synthase, increasing nitric oxide release and causing peripheral vasodilation, together lowering systemic vascular resistance and arterial pressure.

The appropriate dose of Nebol is determined by the prescribing healthcare professional based on the individual’s blood pressure, age, renal function and other clinical factors. Physicians typically start with a low dose and may adjust it to achieve target blood pressure, but exact dosing regimens should not be inferred without a prescription.

Safety of nebivolol during pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider after careful evaluation.

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

Nebivolol offers a unique combination of β1‑blockade and nitric‑oxide‑mediated vasodilation, which can provide better heart‑rate control and fewer metabolic side effects compared with non‑selective beta‑blockers. Compared with ACE inhibitors or calcium‑channel blockers, its mechanism is distinct, and choice of therapy depends on patient comorbidities, tolerance and physician preference.

Store Nebol below 25 °C in its original packaging, protecting it from moisture and direct light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Nebol is taken orally as a tablet. The tablet should be swallowed whole with a glass of water, preferably at the same time each day. It can be taken with or without food, but patients should follow the specific instructions provided by their prescriber.

Serious adverse events include severe bradycardia, heart block, acute hypotension, bronchospasm in patients with reactive airway disease, and allergic reactions such as rash or angioedema. Patients should seek immediate medical attention if they experience fainting, rapid heartbeat, difficulty breathing or signs of an allergic reaction.

Nebol should be avoided in patients with known hypersensitivity to nebivolol, severe bradycardia (heart rate < 45 bpm), second‑ or third‑degree atrioventricular block, cardiogenic shock, uncontrolled heart failure, or severe hepatic impairment. A thorough medical assessment is required before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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