Nebilet tabs 5mg #28

Nebilet user manual

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Pharmachologic effect

The active substance of Nebilet has an antianginal, hypotensive and anti-ischemic effect.
The drug effectively lowers blood pressure, heart rate and total peripheral vascular resistance. According to reviews, the antihypertensive effect of Nebilet has a number of advantages over other drugs:
    Smooth and physiological decrease in systolic and diastolic blood pressure;
    Absence of withdrawal syndrome with abrupt discontinuation of the drug;
    Lack of development of resistance to the drug with prolonged use;
    The effectiveness of the drug does not depend on gender, age and meal time.
Also, according to the instructions, the drug has a cardioprotective and angioprotective effect, which manifests itself as a normalization of the basal vascular tone, an improvement in the distensibility of the arteries and inhibition of the progression of atherosclerosis.

Release form

Nebilet is available in the form of round white tablets with a cruciform notch containing 5 mg of the active ingredient. 7 and 14 tablets in a blister.
Various analogues of Nebilet are produced, containing the same active ingredient. These include Binelol, Nebivator, Nebivolol-Chaykapharma, Nebikor Adipharm, Nebilong, Nevotenz, OD-Neb, Nebivolol, Nebivolol Stada, Nebivolol-Teva, Nebilan Lannacher. These preparations also contain 5 mg of the active ingredient. Other analogues of Nebilet are also produced, similar in therapeutic effect, but differing in chemical composition.

Indications for use

According to the instructions, Nebilet is used for:
    Arterial hypertension;
    Chronic heart failure, most often as part of combination therapy;
    Coronary artery disease.

Contraindications

Nebilet is contraindicated for:
    AV blockade II and III degree;
    Severe arterial hypotension;
    Cardiogenic shock;
    Myasthenia gravis;
    Acute heart and chronic heart failure in the stage of decompensation;
    Pheochromocytoma, without the simultaneous use of alpha-blockers;
    Sick sinus syndrome, including sinoatrial block;
    Metabolic acidosis;
    Depression;
    Bradycardia;
    Severe liver dysfunction;
    Intolerance or deficiency of lactase and galactose malabsorption syndrome;
    History of bronchospasm and bronchial asthma;
    Severe obliterating peripheral vascular diseases;
    Hypersensitivity to the active substance - nebivolol or other components of the drug.
During pregnancy, Nebilet is used only under strict indications and under control of uteroplacental blood flow and fetal growth. In this case, the use of the drug must be canceled no later than two days before delivery. Breastfeeding should be interrupted while using Nebilet. According to the instructions, Nebilet is not used under the age of 18 due to the lack of studies on the effectiveness and safety of the drug.
Nebilet tablets should be used with caution in case of thyroid hyperfunction, psoriasis, renal failure, diabetes mellitus, 1st degree AV block, chronic obstructive pulmonary disease, a history of allergic diseases, Prinzmetal's angina pectoris, as well as those over the age of 75 years.

Instructions for use

The tablets are recommended to be taken once a day, regardless of food intake and time of day, but preferably at the same time.
For the treatment of arterial hypertension and coronary heart disease, a daily dose of 2.5-5 mg of the drug is usually prescribed, while the drug can be used both in monotherapy and in combination with other drugs that lower blood pressure.
With renal failure, as well as over the age of 65, the initial dose should not exceed 1.5 mg. If the drug is well tolerated, gradually, at intervals of 1-2 weeks, the dose can be increased to 2 tablets of Nebilet per day.
Before using analogs of the drug, it is imperative to consult a doctor.
In case of an overdose of the drug, a decrease in blood pressure, vomiting, bronchospasm, nausea, cyanosis, AV blockade, loss of consciousness, sinus bradycardia, cardiogenic shock, coma and cardiac arrest are possible.
Nebilet is used with caution with many drugs because of the possibility of increasing side effects and changing the therapeutic effect.

Side effects

According to reviews, the drug most often causes headache and dizziness, diarrhea, increased weakness, constipation and nausea, fatigue, paresthesia.
Much less often, when using the tablets, the following may occur: dyspepsia, flatulence, nightmares, vomiting, erythematous skin rash, bradycardia, depression, AV blockade, orthostatic hypotension, acute heart failure, Raynaud's syndrome, itching, bronchospasm, confusion.
Fainting, hallucinations, aggravation of the course of psoriasis, angioedema and dry eyes, according to reviews, the drug causes only in rare cases.

Storage conditions

Nebilet is a prescription drug. Shelf life is 3 years.

Terms of sell

A prescription is not required to buy Nebilet.