Nebicard 5 mg Tablet – Patient Information Leaflet

Nebicard contains Nebivolol, a cardiovascular drug belonging to the group of selective beta-blocking agents (i.e. with a selective action on the cardiovascular system). It prevents increased heart rate, controls heart pumping strength. It also exerts a dilating action on blood vessels, which contributes as well to lower blood pressure.

It is used to treat raised blood pressure (hypertension). Nebicard is also used to treat mild and moderate chronic heart failure in patients aged 70 or over, in addition to other therapies.

How To Take Nebicard

Always take Nebicard exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

Nebicard may be taken before, during or after the meal, but, alternatively, you can take it independently of meals. The tablet is best taken with some water.

Treatment Of Raised Blood Pressure (Hypertension)

  • The usual dose is 5 mg per day.
  • Elderly patients and patients with a kidney disorder will usually start with 2.5 mg (half a 5 mg tablet or one 2.5 mg tablet) daily.
  • It may take up to 4 weeks for this medicine to have full effect.
  • If you are aged over 75 years, your doctor may need to monitor you more closely
  • The therapeutic effect on blood pressure becomes evident after 1-2 weeks of treatment. Occasionally, the optimal effect is reached only after 4 weeks.

Treatment Of Chronic Heart Failure

  • Your treatment will be and closely supervised by an experienced physician.
  • Your doctor will start your treatment with 1.25 mg (half a 2.5 mg tablet) per day. This may be increased after 1-2 weeks to 2.5 mg (one 2.5 mg tablet or half a 5 mg tablet) per day, then to 5 mg (two 2.5 mg tablets, one 5 mg tablet or half a 10 mg tablet) per day and then to 10 mg (four 2.5 mg tablets, two 5 mg tablets or one 10 mg tablet) per day until the correct dose is reached for you.
  • The maximum recommended dose is 10 mg.
  • You will need to be under the close supervision for 2 hours by an experienced physician when you start treatment and every time your dose is increased.
  • Your doctor may reduce your dose if necessary. You should not stop treatment abruptly as this can make your heart failure worse.
  • Patients with serious kidney problems should not take this medicine.
  • Take your medicine once daily, preferably at about the same time of day.
  • Your doctor may decide to combine your tablets with other medicines for your condition.

Use In Children And Adolescents

Nebicard is not recommended in children and adolescents.

If You Take More Nebicard Than You Should

If you accidentally take an overdose of this medicine, tell your doctor of pharmacist immediately. The most frequent symptoms and signs of a Nebicard overdose are very slow heart beat (bradycardia), low blood pressure with possible fainting (hypotension), breathlessness such as in asthma (bronchospasm), and acute
heart failure.

You can take activated charcoal (which is available at your pharmacy) while you wait for the arrival of the doctor.

If You Forget To Take Nebicard

If you forget to take your medicine, but remember a little later on that you should have taken it, take that day’s dose as usual. However, if a long delay has occurred (e.g. several hours), so that the next due dose is near, skip the forgotten dose and take the next dose the next, scheduled, normal dose at the usual time. Do not take a double dose to make up for a forgotten dose. Repeated skipping, however, should be avoided.

If You Stop Taking Nebicard

  • You should always consult with your doctor before stopping Nebicard treatment, whether you are taking it for high blood pressure or chronic heart failure.
  • You should not stop Nebicard treatment abruptly as this can temporarily make your heart failure worse.
  • If it is necessary to stop Nebicard treatment for chronic heart failure, the daily dose should be decreased gradually, by halving the dose, at weekly intervals.
  • If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Possible Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. When Nebicard tablets are used for the treatment of raised blood pressure, the possible common side effects are:

  • Headache
  • Dizziness
  • Tiredness
  • An unusual itching or tingling feeling
  • Diarrhoea
  • Constipation
  • Nausea
  • Shortness of breath
  • Swollen hands or feet

When Nebicard tablets are used for the treatment of chronic heart failure, the possible common side effects are:

  • Slow heart beat
  • Dizziness
  • Worsening of heart failure
  • Low blood pressure (such as feeling faint when getting up too quickly)
  • Inability to tolerate this medicine
  • kind of light heart conduction disorder that affects heart rhythm (1st degree AV-block)
  • Swelling of the lower limbs (such as swollen ankles)


Our goal is to provide you with the most relevant and up-to-date information. However, because pharmaceutical products affect each person differently, we cannot guarantee that this article includes all the information you should know, and you should always consult your doctor, pharmacist or health provider. Copyright: “All rights reserved (c) pharmacia1 .com” – Contact us via the contact form, or simply write a comment at the bottom of the page.atc code: C07AB12 – nebivolol – BETA BLOCKING AGENTS

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