

| Dosage | Package | Price per Dose | Price | |
|---|---|---|---|---|
| 2,5mg | 360 pill | NZD0.71 | NZD317.43 NZD253.95 Best Price | |
| 2,5mg | 270 pill | NZD0.94 | NZD317.43 NZD253.95 | |
| 2,5mg | 180 pill | NZD1.18 | NZD264.52 NZD211.62 | |
| 2,5mg | 120 pill | NZD1.41 | NZD211.61 NZD169.29 | |
| 2,5mg | 90 pill | NZD1.65 | NZD185.16 NZD148.13 | |
| 2,5mg | 60 pill | NZD1.88 | NZD141.07 NZD112.85 | |
| 2,5mg | 30 pill | NZD2.35 | NZD88.15 NZD70.52 | |
| 5mg | 360 pill | NZD1.18 | NZD529.08 NZD423.26 | |
| 5mg | 270 pill | NZD1.46 | NZD490.86 NZD392.69 | |
| 5mg | 180 pill | NZD1.81 | NZD408.56 NZD326.85 | |
| 5mg | 120 pill | NZD1.93 | NZD288.04 NZD230.43 | |
| 5mg | 90 pill | NZD2.35 | NZD264.52 NZD211.62 | |
| 5mg | 60 pill | NZD2.59 | NZD193.98 NZD155.18 | |
| 5mg | 30 pill | NZD3.06 | NZD114.61 NZD91.69 | |
| 10mg | 270 pill | NZD4.70 | NZD1,587.29 NZD1,269.83 Popular | |
| 10mg | 180 pill | NZD5.17 | NZD1,164.00 NZD931.20 | |
| 10mg | 120 pill | NZD5.88 | NZD881.81 NZD705.45 | |
| 10mg | 90 pill | NZD6.35 | NZD714.26 NZD571.41 | |
| 10mg | 60 pill | NZD6.82 | NZD511.44 NZD409.15 | |
| 10mg | 30 pill | NZD7.05 | NZD264.52 NZD211.62 |
Disclaimer: This information is for general guidance and does not replace medical advice from a healthcare professional. Always discuss your treatment with your doctor or pharmacist, especially if your situation changes.
Bystolic is the brand name for the medicine nebivolol. It is a prescription medicine that belongs to the beta-blocker class. It is used to help manage high blood pressure and certain heart conditions as advised by a clinician.
Nebivolol works by blocking certain signals in the heart. This can slow the heart rate and reduce the force of contraction. As a result, blood pressure can fall to a safer level and the heart may work less hard.
Unlike some other beta-blockers, nebivolol may also cause blood vessels to widen in some people, through a mechanism involving nitric oxide. This can contribute to lower blood pressure in addition to the heart-rate effects. Your prescriber will decide if nebivolol is appropriate for you based on your medical history.
The primary use of nebivolol is to treat high blood pressure (hypertension). Maintaining a normal blood pressure helps protect against heart disease, stroke and kidney problems over time.
Nebivolol may be prescribed for other heart-related conditions as part of a broader treatment plan. Your doctor will determine the best approach for you based on your symptoms, blood tests and heart rhythm assessments.
In all cases, the decision to start nebivolol should be guided by a healthcare professional. If you have questions about whether this medicine is right for you, discuss them with your doctor or pharmacist.
Nebivolol selectively blocks beta-1 receptors in the heart. This reduces heart rate and the amount of work the heart must do, which helps lower blood pressure in many people.
In addition to the heart-rate effect, nebivolol can cause some blood vessels to widen. This vasodilation is linked to the drugβs action on nitric oxide, a natural substance that helps arteries relax. The combined effects can contribute to a smoother lowering of blood pressure for some patients.
The exact response to nebivolol varies between individuals. Some people notice changes in blood pressure and heart rate quickly, while others may take longer. Your doctor will monitor your response and adjust treatment if needed.
It is important to take nebivolol exactly as prescribed. Do not adjust the dose or stop the medicine without medical advice, as this can cause a rise in blood pressure or other heart-related symptoms.
Take nebivolol exactly as your clinician has told you. The medicine is usually taken once a day, but your doctor will specify the frequency for your situation. Use it regularly to get the best effect.
Swallow the tablet whole with a glass of water. You can take nebivolol with or without food, but try to take it at about the same time each day to help you remember.
If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. Do not take a double dose to make up for a missed one. If you are unsure what to do, contact your pharmacist or doctor for guidance.
Do not stop nebivolol suddenly without medical advice. Stopping abruptly can lead to a sudden return of high blood pressure or other heart-related symptoms. If your doctor decides to stop treatment, they will guide you on how to taper the medicine gradually.
Store nebivolol at room temperature, away from moisture and heat. Keep it out of reach of children. Check the packaging for any specific storage instructions provided by your pharmacist.
Nebivolol is not suitable for everyone. People with certain medical conditions should avoid or use extra caution. A doctor will assess your full medical history before starting treatment.
If you have very slow heart rate (bradycardia), certain types of heart block, or decompensated heart failure, nebivolol may not be appropriate. Your clinician will check your heart rhythm and function before and during treatment.
Severe asthma or chronic lung disease with wheeze can be affected by beta-blockers. If you have ongoing lung symptoms, discuss this with your doctor before starting nebivolol.
Let your healthcare provider know if you have kidney or liver problems, low blood pressure, or a history of fainting. Some conditions may require dose adjustments or closer monitoring.
If you are pregnant, planning to become pregnant, or breastfeeding, talk with your doctor about the risks and benefits. Other options may be considered in these situations.
Before starting nebivolol, inform your doctor about all medications you take, including over-the-counter products and herbal supplements. Some medicines can interact with nebivolol and affect how well it works or increase the risk of side effects.
Be cautious if you drink alcohol while taking nebivolol. Alcohol can enhance certain side effects such as dizziness or light-headedness and may affect blood pressure control.
If you have diabetes, nebivolol may affect blood sugar symptoms. Some warning signs of low blood sugar can be less noticeable. Regular monitoring of blood sugar is important if you have diabetes and take nebivolol.
Tell your doctor if you have a history of heart rhythm problems, severe allergic reactions, or any other significant health issues. Your clinician may adjust treatment or choose a different medicine based on your situation.
Seek urgent medical help if you develop severe symptoms such as very slow heartbeat, fainting, chest pain, trouble breathing, or signs of an allergic reaction. These could require immediate assessment.
Like all medicines, nebivolol can cause side effects in some people. Many people tolerate it well and only have mild reactions.
Common side effects include feeling light-headed or dizzy, especially when standing up, tiredness, or headache. Some people may notice cold hands or feet, or an overall sense of weakness.
Less common effects can involve stomach upset, nausea, or diarrhoea. In rare cases, people may experience changes in heart rate or sleep disturbances. If any side effects are troubling or do not go away, discuss them with a healthcare professional.
Serious side effects are uncommon but require prompt medical attention. Contact a clinician if you experience very slow heartbeat, severe dizziness, fainting, shortness of breath, chest pain, or swelling of the legs or ankles.
Tell your doctor about all medicines you take, including prescription drugs, non-prescription medicines, vitamins and herbal products. Some medicines can interact with nebivolol and change its effect or increase side effects.
Nebivolol can interact with other medicines that lower blood pressure or slow the heart. This includes certain calcium channel blockers, other beta-blockers, and some anti-arrhythmics. Your clinician may adjust treatment or monitor you more closely if you take these medications together.
Medicines used to treat diabetes, thyroid problems, or mental health conditions may also interact with nebivolol. It is important to tell your doctor if you have diabetes or thyroid issues so they can manage your treatment safely.
Do not start or stop any medication without first speaking with a healthcare professional. If you notice new symptoms after starting a new medicine, seek advice promptly.
Pregnancy requires careful medical supervision. The safety of nebivolol during pregnancy has not been established for all situations, so a clinician will weigh potential benefits and risks before continuing treatment.
Breastfeeding while taking nebivolol is not well studied. If you are breastfeeding or planning to breastfeed, talk with your doctor about the best approach for you and your baby.
If you become pregnant while taking nebivolol, contact your healthcare provider as soon as possible to discuss whether to continue treatment.
Always inform any health professional you see that you are taking nebivolol, including during visits for pregnancy, surgery, or other medical care.
Many people begin to see changes within days to weeks, but the full effect may take longer. Your doctor will monitor your blood pressure and adjust your plan as needed.
Take the missed dose as soon as you remember unless it is almost time for your next dose. Do not double up to make up for a missed dose. If you are unsure, contact a pharmacist or your clinician for guidance.
Combining Bystolic with other heart or blood pressure medicines is common, but it can increase the risk of low blood pressure or slow heart rate. Your clinician will review all medicines you take to minimize risk.
Moderate or heavy alcohol intake can increase the risk of dizziness or light-headedness and may affect blood pressure. If you drink alcohol, discuss it with your doctor to understand potential interactions.
No. Stopping nebivolol suddenly can cause a rebound rise in blood pressure or other heart-related symptoms. When stopping, your clinician will guide you on a gradual reduction of the dose.
Dizziness and fatigue can occur, especially when starting treatment or after dose changes. Sit or lie down if you feel faint and contact your healthcare provider if symptoms persist or worsen.
Safety in pregnancy or breastfeeding is not guaranteed for all individuals. Discuss your situation with a healthcare professional to weigh benefits and risks and explore alternatives if needed.
Store at room temperature, away from moisture and heat. Keep the medicine in its original container and out of reach of children. Do not use the medicine after the expiry date printed on the packaging.
Beta-blockers can influence some signs of low blood sugar. If you have diabetes, monitor blood sugar as advised by your clinician and discuss any concerns about symptom changes with your doctor.
Regular activity is typically encouraged, but you may notice changes in heart rate response during exercise. Discuss your exercise plan with your clinician, who can tailor advice to your treatment.
Inform all healthcare providers that you are taking nebivolol. Anesthetists and other doctors may need to adjust treatment around the procedure to avoid interactions or excessive changes in blood pressure or heart rate.
Information in this page is based on commonly available product information and general medical guidance. It is intended for patients and is not a substitute for personalised medical advice.
For specific guidance about nebivolol, consult the official patient information leaflets, your doctor, or your pharmacist. Local rules about prescription requirements may vary, and a healthcare professional can confirm how nebivolol is supplied in your area.
When in doubt, rely on your clinicianβs instructions and the information provided with your medicine. Your health and safety come first. If you have questions about Bystolic that are not covered here, talk to your pharmacist before taking or continuing the medicine.
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