Nebivolol

• Do not take Nebivolol if you are allergic to Nebivolol or any of its ingredients.
• Inform your doctor about your complete medical history, especially if you have heart rhythm disorders, liver or kidney problems, asthma, diabetes, circulation issues, or an overactive thyroid.
• Consult your doctor before using Nebivolol if you are pregnant, planning to become pregnant, or breastfeeding, as it may affect the baby’s heart rate, growth, or nursing safety.
• Use caution if you are taking medications for high blood pressure, heart conditions, antidepressants, or other medicines that can slow your heart rate, as interactions may occur.
• Avoid alcohol while taking Nebivolol, as it may enhance side effects such as dizziness or low blood pressure.
• Tell your doctor about all prescription, over-the-counter, or herbal medicines you are taking to prevent possible drug interactions.
• Let your doctor know if you are scheduled for any surgery, including dental procedures, as Nebivolol may interfere with anaesthesia or your heart’s response to stress.
• Nebivolol is not recommended for use in children, as its safety and effectiveness have not been established.
• Rise slowly from a sitting or lying position to prevent dizziness or fainting, as Nebivolol may cause sudden drops in blood pressure.
• Regular monitoring of blood pressure, heart rate, kidney function, and blood sugar levels may be advised while using Nebivolol.

Drug-Drug Interactions: Nebivolol may interact with pain killers (aspirin, ibuprofen), diuretics (chlorthalidone, indapamide, furosemide, hydrochlorothiazide), anti-hypertensives (amlodipine, valsartan), PDE5 inhibitors (tadalafil, sildenafil), anxiolytics (alprazolam, diazepam), drugs used to treat heart problems (digoxin, epinephrine).

Drug-Food Interactions: Maintain low salt and low-fat diet while taking Nebivolol. Avoid alcohol consumption while taking Nebivolol as it might lower the blood pressure than normal. Avoid foods containing high cholesterol while taking Nebivolol.

Drug-Disease Interactions: Inform your doctor if you have diabetes, hypersensitivity, liver impairment, high cholesterol, hyperthyroidism, psoriasis, kidney impairment, asthma, heart problems such as bradyarrhythmia, cardiogenic shock, low blood pressure, fast heart rate, ischemic heart disease, or congestive heart failure.

• Following a healthy diet and lifestyle plays a key role in controlling blood pressure and supporting heart function.
• Limit salt intake to less than 2 grams per day to help control blood pressure and reduce fluid retention.
• Eat a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats like nuts and olive oil.
• Avoid processed, packaged, and fried foods, which are often high in sodium and unhealthy fats.
• Follow your doctor’s advice on fluid intake, especially if you have heart failure, to prevent swelling and breathing difficulty.
• Limit or avoid alcohol, as it can interfere with Nebivolol and increase blood pressure.
• Quit smoking and stay away from tobacco in any form to protect your heart and blood vessels.
• Stay physically active with 30 minutes of moderate exercise, like walking or cycling, most days of the week.
• Check your weight daily, report any sudden gain of more than 2 kg in 2–3 days to your doctor.
• Practice relaxation techniques like deep breathing or meditation to manage stress, which can affect heart health.
• Take Nebivolol exactly as prescribed, at the same time each day, and do not stop or change the dose without consulting your doctor.

• Monitor your blood pressure regularly to avoid episodes of low blood pressure (hypotension).
• Rise slowly from a sitting or lying position, as Nebivolol may cause dizziness or lightheadedness.
• Your doctor may recommend periodic tests to check kidney function and potassium levels while you are on Nebivolol.
• Maintain a gap of at least two hours between taking Nebivolol and any multivitamins or mineral supplements, as they may reduce the effectiveness of the medicine.