Bystolic, also known by its generic name nebivolol, is a prescription beta-blocker. It treats hypertension by blocking epinephrine’s effect on the heart and blood vessels. This action can lower blood pressure, heart rate and reduce strain on the heart.
Chemical structure of Bystolic (nebivolol)
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Do not take Bystolic without a prescription from your doctor. When taking Bystolic, the patient must adhere to his or her doctor’s orders. Do not take the medicine in smaller or larger amounts than prescribed. Follow the instructions on the prescription label or given in the patient information leaflet. If you have any questions, consult your doctor or pharmacist. Dosage and strength depend on patient and condition. You may take it by mouth with or without food as instructed by your physician.
This medication may take several weeks for you to experience the full benefits. It should be taken daily and at the same time each time. If you miss a dose, take the next scheduled dose only; never double up on a dose. If you see no results, or if your blood pressure increases, inform your doctor immediately.
Dosage and Strength
Doctors prescribe Bystolic in 2.5mg, 5mg, 10mg and 20mg tablets. For patients who require additional blood pressure reduction, increased doses may be available through your doctor. Some healthcare providers may prescribe you another blood pressure medicine along with Bystolic. In this case, you may take it in combination with the other medicine.
Bystolic may cause side effects in some patients. Most of these side effects are rare; however, some may be more serious. The most common effects include:
In most cases, the effects will fade over time. If any of the effects worsen, tell your physician or pharmacist.
Bystolic can reduce blood flow to your hands and feet, causing them to feel cold. Dress warmly to counter the effect, and be sure to avoid tobacco use.
Some patients have reported serious side effects. These include blue fingers/toes, very slow heartbeat, fainting, symptoms of heart failure and mood changes. Any patients who experience these effects should report it to their doctor immediately.
While an allergic reaction is rare, dial 9-1-1 right away if you experience any of the following symptoms: swelling of face, tongue or throat; severe dizziness; trouble breathing; or rash.
Patients should speak to their healthcare provider if they are taking drugs that can raise their heart rate or blood pressure. This includes:
In addition, Bystolic may interact with the drug Fingolimod, often used to treat multiple sclerosis.
Interactions with other drugs may alter how your medications work or increase side effect risks. Other beta-blockers, mood disorder medications and heart rhythm medications interact with Bystolic; however, this is not a conclusive list. When telling your physician about the medications you use, make sure to include prescription, over-the-counter, herbal products and vitamins. Likewise, do not start a new medication without a medical consult.
Before taking Bystolic, inform your doctor or pharmacist of any allergies you may have. Some types of heart rhythm problems, blood circulation issues, asthma, bronchitis, kidney disease, liver disease, mood disorders, muscle diseases and hyperthyroidism may worsen due to the medication.
This prescription may also cause dizziness and impaired thinking. Patients should avoid alcohol and operating heavy machinery while taking Bystolic.
Bystolic should be stored in a tightly closed, light-resistant container at room temperature. Do not expose the container to excessive heat, cold or moisture. Always store it in a high cabinet away from children, and dispose of medication after its expiration date.
Bystolic contains the generic drug nebivolol. Other beta-blocker medications include:
Unless prescribed by your doctor, do not take more than one of these medications at any one time. If for some reason you feel like your medicine is not working for you, speak to your doctor about changing to another option.