Product image of Nolibeta (Nebivolol) supplied by GNH India

Nolibeta

Active Ingredient:
Nebivolol
Origin:
EU

Nolibeta (Nebivolol)

Nebivolol, the active ingredient in Nolibeta, is a beta blocker presented as an oral tablet for oral use. It lowers elevated blood pressure and improves cardiac function in patients with heart failure, offering a selective β1‑adrenergic blockade combined with nitric‑oxide‑mediated vasodilation in adult patients.

GNH India supplies Nolibeta as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to EU GMP standards and provides reliable, bulk shipments to qualified healthcare institutions through a robust quality‑assured supply chain.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

  • Nebivolol is indicated for cardiovascular conditions that involve elevated blood pressure or impaired cardiac output.
  • Hypertension: reduces systolic and diastolic blood pressure, decreasing cardiovascular risk in adults.
  • Heart failure (reduced ejection fraction): improves left‑ventricular function and lowers hospitalization rates in patients with chronic heart failure.
  • Elderly patients with hypertension: provides effective blood pressure control with a favorable tolerability profile in older adults.

How It Works

  • Nebivolol selectively blocks β1‑adrenergic receptors in cardiac tissue, reducing heart rate and myocardial contractility. In addition, it stimulates endothelial nitric‑oxide synthase, increasing nitric‑oxide release which causes vasodilation and lowers peripheral vascular resistance. The combined β1 antagonism and nitric‑oxide‑mediated vasodilatory effect results in decreased arterial pressure and improved cardiac output without significant β2‑receptor blockade. These actions together contribute to better endothelial function and overall cardiovascular stability.

Side Effects

Nebivolol may be associated with a range of adverse reactions, which are classified by frequency and clinical significance.

Common Side Effects

  • Headache
  • Dizziness
  • Fatigue
  • Nasal congestion

Serious or Rare Side Effects

  • Severe bradycardia
  • Heart block
  • Bronchospasm

Precautions & Warnings

  • When prescribing Nebivolol, clinicians should observe several precautionary measures to ensure patient safety.
  • Monitor blood pressure: check baseline and periodic readings to assess therapeutic response.
  • Assess heart rate: observe for excessive bradycardia, especially in patients with conduction disorders.
  • Use caution in asthma: β‑blockade may precipitate bronchospasm in susceptible individuals.
  • Review concomitant beta‑blockers: avoid additive effects that could lead to profound hypotension.
  • Adjust in renal impairment: dose may require modification in patients with reduced kidney function.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • Other beta‑blockers: combined use may cause excessive heart rate reduction and hypotension.
  • Calcium channel blockers verapamil or diltiazem: can increase plasma levels of nebivolol, raising risk of bradycardia.
  • Anti‑arrhythmic agents (e.g., amiodarone): may potentiate cardiac conduction slowing.

Moderate Interactions (Monitor Closely)

  • Insulin or oral hypoglycemics: nebivolol may mask hypoglycemia symptoms, requiring glucose monitoring.
  • NSAIDs: may diminish antihypertensive effect, necessitating blood pressure checks.

Frequently Asked Questions

Nolibeta contains nebivolol, a selective β1‑adrenergic blocker that is prescribed to lower high blood pressure and to treat chronic heart failure with reduced ejection fraction. By reducing vascular resistance and improving cardiac output, it helps manage cardiovascular risk in adult patients.

Nebivolol works by selectively blocking β1‑adrenergic receptors in the heart, which slows heart rate and reduces contractile force. At the same time it stimulates endothelial nitric‑oxide synthase, increasing nitric‑oxide release that relaxes blood vessels. The dual action lowers arterial pressure while supporting better heart function.

The dose of Nolibeta is individualized by the prescribing clinician based on the patient’s blood pressure, heart‑failure status, age, renal function and other medications. The prescriber determines the appropriate strength and titration schedule; patients should follow the written prescription without alteration.

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

To request Nolibeta, 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.

Compared with older non‑selective agents such as propranolol or the cardio‑selective metoprolol, nebivolol offers additional nitric‑oxide‑mediated vasodilation, which may improve endothelial function and cause fewer metabolic side effects. However, clinical choice depends on individual patient characteristics, comorbidities and physician experience.

Nolibeta tablets should be stored at room temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in bathrooms or other humid environments.

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

Serious adverse events, although uncommon, include severe bradycardia, heart block and bronchospasm, especially in patients with pre‑existing conduction disorders or reactive airway disease. Prompt medical attention is required if symptoms such as fainting, marked slow heart rate, or breathing difficulty occur.

Nolibeta is contraindicated in patients with severe bradycardia, second‑ or third‑degree atrioventricular block, cardiogenic shock, uncontrolled heart failure, or severe asthma/COPD where β‑blockade could worsen airway obstruction. It should also be avoided in individuals with known hypersensitivity to nebivolol or any tablet excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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