Nebivolol - a beta-blocker

About nebivolol

Nebivolol belongs to the group of medicines known as betabloqueantes. It works on the heart and blood vessels. You will have been prescribed nebivolol either because your blood pressure is too high (hypertension), or because your heart is not working as well as it should (insuficiencia cardíaca).

Nebivolol slows down the activity of your heart by stopping messages sent by some nerves to your heart. It does this by blocking tiny areas (called beta-adrenergic receptors) where the messages are received by your heart. Nebivolol also widens (relaxes) some blood vessels. These two things together allow the pressure of blood within your blood vessels to be reduced and make it easier for your heart to pump blood around your body.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking nebivolol it is important that your doctor knows:

• Si estás embarazada, intentando tener un bebé o amamantando.

• Si tienes algún problema con el funcionamiento de tu hígado, o con el funcionamiento de tus riñones.

• If you have asthma or any other breathing disorder.

• Si tienes diabetes (diabetes mellitus).

• If you have been told you have a slow heartbeat or a slow and irregular heartbeat (heart block).

• If you have been told you have chest pain caused by spasms of your heart's blood vessels, a condition called Prinzmetal's angina.

• If you have poor circulation.

• If you have a skin problem called psoriasis.

• Si tienes una condición que causa debilidad muscular, llamada miastenia gravis.

• Si está tomando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.

• If you have ever had an allergic reaction to a medicine, or if you have ever had any other serious allergic reaction.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about nebivolol and will provide you with a full list of the side-effects which you may experience from taking it.

• Nebivolol tablets are available in several different strengths. When starting your treatment your doctor may give you a small dose and then gradually increase the strength of the tablets. Each time you collect a fresh supply of tablets, it's a good idea to check the strength on the packet to make sure they are what you are expecting.

• The usual dose is one tablet each day. Take the tablet exactly as your doctor tells you to.

• Swallow the tablet with a drink of water. You can take nebivolol either before or after a meal. Try to take your doses of nebivolol at the same time each day. This will help you to remember to take it regularly.

• Si olvida tomar una dosis, tómela tan pronto como lo recuerde. Si no lo recuerda hasta el día siguiente, omita la dosis olvidada. No tome dos dosis al mismo tiempo para compensar una dosis perdida.

• Intenta mantener tus citas regulares con tu médico. Esto es para que tu médico pueda verificar tu progreso.

• Treatment with nebivolol can often be long-term. Continue to take the tablets unless your doctor tells you to stop. Stopping treatment suddenly can cause problems in some people, so your doctor may want you to reduce your dose gradually if this becomes necessary.

• If you are due to have an operation or dental treatment, it is important to tell the person carrying out the treatment that you are taking a beta-blocker. This is because some anaesthetics may increase the risk of unwanted effects.

• If you drink alcohol, ask your doctor for advice about taking nebivolol and alcohol. Alcohol will add to the blood pressure-lowering effect of nebivolol and so may not be advisable for you.

• If you have diabetes, nebivolol can block the symptoms of low blood sugar. Your doctor will advise you about this.

• If you buy any medicines, check with a pharmacist that they are suitable for you to take. Some medicines (including some cough, cold and flu remedies) may not be.

• Your doctor may give you dietary and lifestyle advice about eating a healthy diet, not smoking, and taking regular exercise. If so, it is important that you follow the advice you are given.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with nebivolol. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Si experimenta cualquier otro síntoma que crea que puede deberse a las tabletas, hable con su médico o farmacéutico para obtener más consejos.

• Mantenga todos los medicamentos fuera del alcance y la vista de los niños.

• Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.