Viboliv Tab 10S

Tablet

Treatment of hypertension (high blood pressure); may be used in stable mild to moderate chronic heart failure as advised by a doctor

Nebivolol is a cardioselective beta-1 blocker that reduces heart rate and the force of contraction, lowering blood pressure. It also promotes nitric oxide–mediated vasodilation, improving blood flow and further reducing vascular resistance.

Take orally as prescribed, usually once daily at the same time each day, with or without food. Swallow whole with water. Do not stop suddenly without medical advice.

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

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.

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)

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

Nebicard 5 Tablet,Nebilet 5 Tablet,Nebistar 5 Tablet,Nebivol 5 Tablet,Nebilong 5 Tablet