About Bystolic

3.5 rating based on 64 ratings
Rating: 3.3 Reviews: 64
About Bystolic

manufacturer: Berlin-Chemie AG / Menarini
active substance: Nebivolol

dosage form: tablet

Effect

Bystolic contains the active substance Nebivolol.

Nebivolol is used to lower blood pressure in high blood pressure and normalize blood pressure over time.

Since June 2006, the drug has also been approved for the treatment of mild and moderate chronic cardiac insufficiency. This mainly affects older patients over the age of 70 who use the drug in addition to standard therapy.

For the following application areas of Nebivolol , in-depth information is available:

  • Hypertension
  • heart failure

Please also read the information on the drug groups beta-blockers, antihypertensives, to which the active ingredient nebivolol belongs.

Areas of application according to the manufacturer’s instructions

  • Hypertension with no apparent organic cause
  • Stable mild and moderate chronic myocardial insufficiency, in addition to standard therapy in the elderly (around 70 years old)

Dosage

The tablets contain five milligrams of the active ingredient nebivolol and are in quarters. Thus, a very careful dose adjustment can be done.

Hypertension
Adults take five milligrams of nebivolol (one tablet) daily, alone or in combination with other antihypertensives. The hypotensive effect becomes apparent after one to two weeks of treatment. Occasionally, the optimal effect will only be achieved after four weeks.

For patients with renal impairment and patients over the age of 65, the recommended dose at the start of treatment is 2.5 milligrams of nebivolol (half a tablet) daily. If necessary, the daily dose can be increased to five milligrams (one tablet).

Chronic Myocardial Insufficiency
The treatment of stable chronic myocardial insufficiency must be initiated at a slow dose setting until the optimal individual dose for long-term treatment is achieved. In any case, patients should have been well-blessed in the last six weeks before the start of treatment. The dosages of the other medicines used for cardiac insufficiency must have been stable during the last two weeks before the start of treatment.

Treatment begins with 1.25 milligrams of nebivolol (a quarter tablet) once daily. At intervals of one to two weeks, the dose may then be increased to 2.5 milligrams of nebivolol (half a tablet) once a day, to five milligrams once a day and then to 10 milligrams (two tablets) once a day. 10 milligrams of nebivolol also represent the maximum daily dose.

Preferably take your dose of the drug at the same time each day. The tablets can be taken with meals.

Pack size & Prices

This page gives you an overview of package size, drug content and price of Bystolic. The following listing form is available:
(Please also see our notes on the price and payment details)

Other ingredients

The following non-active ingredients are included in the medicine:

  • cornstarch
  • croscarmellose sodium
  • fumed silica
  • Hypromellose
  • Lactose
  • magnesium
  • microcrystalline cellulose
  • Polysorbate 80

Potential Bystolic side effects may include:

Bystolic used to treat the following diseases:

  1. Annie B. Roberts says:
    3.5 rating

    Bystolic for Asthma

    When taking nebivolol, I had the primary desired effect: Reduction of the RR from an average of 180/100 to an average of 140/90. Side effects: Constipation, drowsiness, dizziness, movement is more severe, slowing down

    Side effects: Dizziness
  2. Jeffrey H. Cisneros says:
    4.5 rating

    Bystolic for Heart failure

    After heart surgery (aortic valve, greatly enlarged aorta) the previously taken, well-acting Blopress was replaced by amlodipine 10mg and enalapril 5mg for cost reasons in the hospital. In addition, I got Nebilet to support the heart. The cardiologist who advised me advised me not to change the well-acting drugs. Since I became increasingly impotent and suffered from an evening / nocturnal coughing, I have omitted without consulting with the doctor Nebilet tentatively. After three days, I had a rest pulse of 90 and more, as before the operation. After taking it again, the pulse is back to normal. With the tiredness and the cough I live now. Coffee and lozenges help a lot.

    Side effects: Fatigue
  3. Fredrick S. Wallis says:
    3.0 rating

    Bystolic for Heart failure; High blood pressure

    Who has the same side effects from ramipril (2.5mg) I am 45 years, 172 cm tall and weigh 72 kg, BMI 24, athletic (daily 60 min cycling or walking) In April of this year I had to go to a hospital, because of my spine , When ECG I was asked if I had ever had a heart attack, which I said no. The next day I was given a heart catheter and attested that I did not have an infarct, but …. Please read the result in the attachment. Then I was treated by the family doctor with metoprolol and ramipril and had pretty much all the side effects that are in the leaflet. Metoprolol was replaced by Nebilet in July. Since then, the side effects are lower, but it has adjusted to a daily irregular heart pressure and a heart piercing around the heart. The main pain is about four fingers above the left nipple, a stabbing pain that lasts about ten minutes and gradually fades away. Sometimes it also starts at the top of the heart and stops after 360 degrees. It means that the pain will march around the heart once within several hours, once it is more of a pressure, the next moment is a sting. Since my last visit to the cardiologist, to whom I have again told everything in detail, I should now additionally take morning and evening 1 PENTALONG tablet. Five months ago, I did not have anything yet and now I swallow six tablets daily. Is that the last word of wisdom? Where does that come from? Is it dangerous? Is it the medication? Are there any alternatives to my medications that will fix the problem? Unfortunately, since I have to take the medication, I do not feel well at all and do not dare to burden myself with cycling like I did before, because I’m afraid that I’m trying too hard and I suffer a heart collapse.

  4. John C. Shipp says:
    4.5 rating

    Bystolic for Coronary heart disease

    hello .. when I took the first time nebilet, the blood pressure fell rapidly … values at 90 to 55 were normal. However, this was stabilized with the time .. what I noticed was that the heart did not regulate as hoped .. According to my cardiologist, the pulse should actually level between 50 and 60 .. it stayed at 65 to 70 later in the time I also had more extrasystoles, anxiety, anxiety in the left breast. pain and a lot more. I was certainly 15 times in the hospital at this time and no doctor came up with the idea that my complaints are side effects of the drug. I was always examined only by heart and was found there of course nothing .. I had, but even today, constant sweating. There was a doctor in the hospital who wanted to dismiss me as a hypochondriac. One could have gained the impression that one simply did not want to help me. lg jürgen

    Side effects: Anxiety states; Sweat
  5. Dawn J. Fosdick says:
    2.5 rating

    Bystolic for Heart rhythm disturbances; High blood pressure

    Since taking Nebilet, after a few months, I noticed strong hypothermia in my hands and my whole body. In the hands the fingertips were quite numb. Even my eyes are very dry and itch in the corner of my eye strong. My doctor said I should take only half a tablet, which I did. but then my arrhythmia started again. Now I take another tablet and must live well with the circumstances.

    Side effects: Eye dryness
  6. Maurice C. Karnes says:
    4.0 rating

    Bystolic for High blood pressure

    Nebilett has lowered the RR and the pulse well. However, side effects occurred which severely limited the quality of life. I was driven, nervous, stood partially completely beside me (as seen through frosted glass), not really there, extreme nightmares, panic attacks, extreme depressive feelings. After cessation of the tablets over 2 weeks, the NW started to fade immediately, but they were completely gone only after 6 weeks.

    Side effects: Nervousness; Nightmares; Unrest
  7. Jerry L. Keller says:
    3.0 rating

    Bystolic for High blood pressure

    Despite nebivolol, the blood pressure is not lowered well and also often have hypertensive derailment and heart stumbling. Do not drink coffee or alcohol. Side effects include: heavy weight gain, hair loss, tiredness, blurred vision, constant phlegm in throat, slowed heartbeat, swollen hands and so on. Legs, sometimes nightmares

  8. Tiffany P. Bomberger says:
    2.5 rating

    Thirst without end, but no adequate excretion headache, dizziness, tingling legs and arms, sleeping hands and legs, sleepless in Seattle, 2 kilos in 2 days increased slack and impotent

  9. Kathleen E. Wilson says:
    3.5 rating

    Bystolic for Heart failure; High blood pressure

    I have had to take ramipril for four months after being diagnosed with heart failure and hypertension during a stay in the hospital (because of the spine). I am 45 years, 172 cm tall and weigh 72 kg. My BMI is 24, I do a lot of cycling and am still desperate. Since taking Ramipril, I’ve had pressure and stitch problems in my heart at irregular intervals. From the family doctor I received after the hospital Metoprolol, which I did not tolerate at all. After that, he granted me Nebilet, so that at least the strong palpitations disappeared. The o.a. Heart problems. Which alternatives are there to the Ramipril ??? Before my stay in the clinic, I was actually fine, I had no heart problems. Who can give me useful advice?

    Side effects: Breast pain
  10. William S. Crews says:
    4.5 rating

    Bystolic for Heart rhythm disturbances

    Complete incompatibility. Effect: None. The blood pressure remains unchanged high, the pulse also (180/110, pulse 100) Side effects: tightness in the chest with shortness of breath, headache, tachycardia, nightmares, sleep disorders. The medicine was taken on the recommendation of the cardiologist. It is the fourth of the group of beta-blockers that I can not endure and drop. In consultation with the family doctor I take again the combination Dilzem (Calium antagonist) and Xenalon (Aldactone). These medications have served me well for over 7 years, and I still can not understand why the cardiologist wanted me to know they were taken away. My blood pressure was 120/80 and a pulse of 70. After discontinuing Dilzem and Xenalon and taking nebivolol, my blood pressure rose to 180/110 with a heart rate of 89 (averages over 21 measurements) as early as one day after stopping nebivolol and taking the old medications, the side effects caused by nebivolol disappeared immediately and the blood pressure dropped to 135/84 pulse 75 on the first day after taking Dilzem + Xenalon. Dilzem lowers the high blood pressure to normal, but it does not go below that. Xenalon (generic from Aldactone) is a potassium-sparing diuretic that also works to lower blood pressure.

  11. Elizabeth R. Scott says:
    2.0 rating

    Bystolic for Heart rhythm disturbances; High blood pressure

    Now and then shortness of breath while lying and thereby restlessness and sweats, severe hair loss, occasionally increased VES, ear noises, weight gain, cold and numbness in the arms and hands, edema on the face and on the fetlock joints, s. In the last 6 months very low sugar and lipase levels increased cholesterol.