NEBIVOLOL- MEDICINES ABOUT,CHEMICAL FORMULA,USES,MECHANISM,RECOMMENDED DOSAGE OF,ADVISE,AVAILABILITY,SIDE EFFECT,DRUG INTERACTION,MARKETED WITH OTHER DRUGS,EXAMPLES.


NEBIVOLOL



Nebivolol


NEBIVOLOL CHEMICAL FORMULA :

C22H25F2NO4



NEBIVOLOL USES :


Used in the treatment

Hypertension (high blood pressure)

lower your risk of a stroke or heart attack




NEBIVOLOL MECHANISM OF ACTION :

NEBIVOLOL-HOW ITS WORK BY IMAGE?



Nebivolol belongs to the third generation of β-blockers
Nebivolol has the highest β1-receptor affinity among β-blockers

Nebivolol is mixture of 2 enantiomers .

D-nebivolol and l-nebivolol 


D-nebivolol: Beta-1 adrenergic receptors blocker

decreased heart rate, myocardial contracility, systolic blood pressure, and diastolic blood pressure.

l-nebivolol: Beta-3 adrenergic receptor agonist

stimulates endothelial nitric oxide synthase, increasing nitric oxide levels, lead to vasodilation,


Nebivolol and other beta blockers are not first line therapies in patients. first line therapies in patients are thiazide diuretics.
Nebivolol also inhibits aldosterone leads to decreased blood volume.
Nebivolol inhibits the release of renin leads to reduced vasoconstriction.
Nebivolo is the only beta blocker that causes nitric oxide mediated vasodilation.




NEBIVOLOL RECOMMENDED DOSAGE :

(This is ideal dose for your knowledge.Do not take without consult your DOCTOR or PHARMACIST)

As per body weight and conditions.






NEBIVOLOL ADVISE:

SCHEDULE H PRESCRIPTION DRUG-mean- Not to be sold by retail without the prescription of a Registered Medical Practitioner.

NEBIVOLOL Tablet should be taken regularly at the same time.

Don’t take this drug again if you’ve ever had an allergic reaction.

Don’t stop taking NEBIVOLOL suddenly. If you do, you may experience getting high blood pressure.

Stopping NEBIVOLOL is not recommended.

If you need to stop taking the drug, first talk to your doctor.

Nebivolol passes into your breast milk.so do not use for feeding mother.

During pregnancy or plan for baby consult with doctor before use nebivolol.



NEBIVOLOL AVAILABILITY :

Tablet 2.5 mg, 5 mg, 10 mg, 20 mg




NEBIVOLOL SIDE EFFECT :


Constipation

Diarrhea

Dizziness

Headache

Tiredness

Pain

Low blood pressure




NEBIVOLOL DRUG INTERACTION :


Depression drugs

fluoxetine

paroxetine


Heart rhythm class drugs:

Digitalis

Diltiazem

quinidine

propafenone




other beta blocker class drugs:

atenolol

bisoprolol

labetalol

propranolol

timolol





NEBIVOLOL MARKETED WITH OTHER DRUGS:


Nebivolol  + S-Amlodipine

Nebivolol  +Hydrochlorothiazide

Nebivolol  +Valsartan

Nebivolol  + Amlodipine


















nebivolol

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