You should not use this medicine if you have had an allergic reaction to nebivolol or to any other type of beta-blocker medicine (such as atenolol, metoprolol, propranolol, Corgard®, Inderal®, Lopressor®, Toprol®, Tenormin®). Do not use this medicine if you have severe liver disease or certain heart problems. Talk with your doctor about what these heart problems are.
Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to.
You may take this medicine with or without food.
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are using digoxin (Lanoxin®, Digitek®), guanethidine, reserpine, medicine to treat depression (such as fluoxetine, paroxetine, Paxil®, Prozac®), medicine for heart rhythm problems (such as disopyramide, propafenone, quinidine, Norpace®, Rhythmol®), or other blood pressure medicine (such as clonidine, diltiazem, verapamil, Calan®, Cardizem®, Cartia®, Catapres®, Isoptin®, Tiazac®, Verelan®).
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have severe chest pain, a recent heart attack, blood vessel disease, diabetes, an overactive thyroid, kidney disease, liver disease, asthma, emphysema, bronchitis, or an adrenal gland tumor.
Do not stop using this medicine suddenly without asking your doctor, or you may develop life-threatening heart problems. You may need to slowly decrease your dose before stopping it completely.
Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests.
This medicine may raise or lower your blood sugar, or it may cover up symptoms of very low blood sugar (hypoglycemia). If you have diabetes, report any changes in your blood sugar to your doctor.
This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
If you stop using this medicine, your blood pressure may go up. High blood pressure usually has no symptoms. Even if you feel well, do not stop using the medicine without asking your doctor.