Nebivolol Teva 5 mg. 28 tablets

WHAT nebivolol-TEVA 5 mg TABLETS AND WHAT IT IS USED?
Nebivolol-Teva tablet contains nebivolol, a cardiovascular drug that belongs to the group of selective beta-blocking drugs. It prevents acceleration of the heartbeat, controls the pumping force of the heart. Moreover, it dilates blood vessels, which contributes to lowering blood pressure.
Nebivolol is used to treat patients with:
- high blood pressure
- mild and moderate chronic heart failure in patients and over 70 years of age, as an adjunct to other therapy.

BEFORE YOU TAKE nebivolol
- If you are allergic to nebivololov hydrochloride or any of the other ingredients of nebivolol tablet
- if you have liver problems
- if you suffer from heart failure, which has just occurred or which soon deteriorated, or receive treatment for circulatory shock due to acute heart failure or intravenous drip infusion to support the work of the heart
- if you have heart rhythm disturbances
- if you have impaired cardiac conduction
- if you have asthma or have ever had difficulty breathing or wheezing
- if you have high blood pressure, flushing or diarrhea caused by untreated tumor of the adrenal medulla
- if you have a metabolic disorder with a change in acid-base balance of the body
- if you have a slow heartbeat
- if you have low blood pressure
- if you have poor circulation in the arms or legs
- if you are treated with floctafenine or sultopride

Pregnancy and lactation
Nebivolol should not be taken during pregnancy or breastfeeding. If you find that you are pregnant while taking nebivolol, tell your doctor. Ask your doctor or pharmacist before taking any medicine.

DRIVE AND USE MACHINES
No studies on the effects of nebivolol on the ability to drive and use machines. Nebivolol can cause dizziness and fatigue. If this happens, do not drive or perform any activities where impaired attention may put you or others at risk of serious injury or death as dizziness and fatigue do not disappear.

Important information about some of the ingredients of Nebivolol
Patients who do not tolerate lactose should know that the tablets contain lactose monohydrate 142.21. If your doctor has told you that you have an intolerance to some sugars, consult him before taking this medicine.

HOW TO TAKE nebivolol
Method of administration
The tablets should be swallowed with a sufficient amount of liquid. The tablet can be taken with or without food.
hypertension
Adults
The usual dose is 5 mg per day, preferably at the same time of day.
The blood pressure lowering effect occurs 1-2 weeks after starting treatment. Sometimes the optimal effect is achieved after four weeks.

Combination with other antihypertensives
Beta-blocking agents may be used alone or concomitantly with other antihypertensive agents. So far additional antihypertensive effect has been seen only in the combination of nebivolol with hydrochlorothiazide 12.5 / 25 mg.
Patients with kidney problems
If you have kidney problems, the recommended starting dose is 2.5 mg daily. If necessary, your doctor will increase your daily dose to 5 mg

Patients with liver problems
It should not take this drug.

Elderly
If you are over 65 years, the recommended starting dose is 2.5 mg daily. If necessary, your doctor will increase your daily dose to 5 mg. If you are over 75 years, the doctor will monitor you while you are taking this medicine.

Children and adolescents
Nebivolol is not recommended for use in children and adolescents below 18 years due to lack of data on safety and efficacy.
Abruptly stopping treatment with nebivolol is not recommended as this may lead to a transient worsening of heart failure. If interruption is necessary, the dose should be decreased gradually, by halving each week.

Chronic heart failure
Treatment of stable chronic heart failure with nebivolol is generally a continuous process.
Adults
The starting dose is 1.25 mg per day. The dose may be increased up to the right for you. The dose may be increased after 1-2 weeks to 2.5 mg daily, then to 5 mg per day and then to 10 mg per day. The maximum recommended dose is 10 mg nebivolol once daily. At the start of treatment and after each dose increase, you will need close supervision of an experienced physician for two hours.

Patients with kidney problems
No dose adjustment is required.

Patients with liver problems
Patients with severe liver problems should not take this medicine.

Elderly
No dose adjustment is required as you will be closely monitored by your doctor until calculate your dose.

Children and adolescents
Nebivolol is not recommended for children and adolescents under 18 years.

POSSIBLE SIDE EFFECTS
common:
- headache or dizziness
- Tingling and numbness in the hands or feet
- shortness of breath
- constipation, nausea or diarrhea
- tiredness or fluid

Uncommon:
- slow heart
- heart problems, which may cause shortness of breath or swelling around your ankles
- vision problems
- difficulty breathing or wheezing
- indigestion, gas or nausea
- itching, rash, redness of the skin
- low blood pressure
- painful cramping of the muscles of the lower legs
- impotence
- nightmares
- depression

Very rare:
- fainting
- worsening of psoriasis

MORE INFORMATION
What nebivolol?
The active substance is nebivolol. Each tablet contains 5.45 mg nebivololov hydrochloride equivalent to 5 mg of nebivolol.
The other ingredients are lactose monohydrate, corn starch, croscarmellose, microcrystalline cellulose, hypromellose, silica colloidal anhydrous, magnesium stearate.

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