OTC · No prescriptionAntihypertensive

Viboliv Tab 10S — Side Effects & Warnings

Known side effects of Viboliv Tab 10S include Headache,dizziness,fatigue,slow heart rate (bradycardia),low blood pressure,nausea,diarrhoea,constipation,cold hands/feet,sleep disturbances. Not everyone experiences these side effects.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated August 2026

Common Side Effects

Headache
dizziness
fatigue
slow heart rate (bradycardia)
low blood pressure
nausea
diarrhoea
constipation
cold hands/feet
sleep disturbances

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

Do not stop abruptly (may worsen angina or cause rebound hypertension). Use with caution in asthma/COPD, diabetes (may mask hypoglycaemia symptoms), thyroid disorders, peripheral vascular disease, severe liver/kidney impairment, and in the elderly. Contraindicated in severe bradycardia, cardiogenic shock, severe hypotension, certain heart block/SA node disorders unless paced, and acute decompensated heart failure. Monitor BP and pulse regularly.

Drug Interactions

Viboliv Tab 10S may interact with the following:

Other antihypertensives (additive hypotension)
calcium channel blockers like verapamil/diltiazem (bradycardia/heart block)
digoxin (bradycardia)
antiarrhythmics like amiodarone (conduction issues)
clonidine (rebound hypertension on withdrawal)
NSAIDs (may reduce antihypertensive effect)
CYP2D6 inhibitors like fluoxetine/paroxetine/quinidine (increase nebivolol levels)
insulin/oral antidiabetics (masked hypoglycaemia)
anaesthetic agents (enhanced hypotension)

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Consult doctor (use with caution; generally avoid unless clearly needed)

Alcohol Interaction

Use with caution (may increase dizziness and low blood pressure)

Habit Forming

Storage

Store below 25°C in a cool, dry place. Protect from moisture and light. Keep out of reach of children.

Viboliv Tab 10S — Safety Summary

Composition: Metadoxine (500mg)
Prescription: Not required (OTC)
Pregnancy: Consult doctor (use with caution; generally avoid unless clearly needed)
Alcohol: Use with caution (may increase dizziness and low blood pressure)
Habit forming: No

Viboliv Tab 10S — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.

Viboliv Tab 10S — Side Effects & Warnings

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated August 2026