Prescription onlyNo lower cost generic available

Bystolic

(Nebivolol)

  • Pill
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Lowers blood pressure and controls heart rate.

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Prescription onlyNo lower cost generic available

Our pharmacists’ bottom line

Bystolic (Nebivolol) is a good blood pressure-lowering medicine for people with heart conditions, and has fewer side effects than other beta blockers, but it's expensive. You can't miss doses.

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Works well?Does it work?
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  • Controls your heart rate to reduce work for your heart.
  • A first-line treatment for heart failure and heart attack.
  • Helps to lower blood pressure if you can't use first-choice treatments or need additional blood pressure control.
  • Many beta blockers can worsen asthma or cause headaches, but Bystolic usually doesn't because it targets the heart more specifically and causes fewer side effects.
  • Not available in less expensive generic form.
  • Taking a beta blocker might make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some might not go away.
  • Can hide symptoms of low blood sugar if you're diabetic.
  • You can't miss doses. Stopping Bystolic suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.

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Side effects for Bystolic (Nebivolol)

From clinical trials of Bystolic / High blood pressure (5 mg) ( 664)

  • HeadacheHeadache9% for Bystolic vs.6% for placebo
  • DiarrheaDiarrhea2% for Bystolic vs.2% for placebo
  • FatigueFatigue2% for Bystolic vs.1% for placebo
  • DizzinessDizziness2% for Bystolic vs.2% for placebo
  • NauseaNausea1% for Bystolic vs.0% for placebo
  • Leg or ankle swellingLeg or ankle swelling1% for Bystolic vs.0% for placebo
  • Sleep difficultySleep difficulty1% for Bystolic vs.0% for placebo

Manufacturers don’t say how common these side effects are

  • Abnormally slow heartbeat
  • Chest pain
  • Rash
  • Shortness of breath

What to expect when you take Bystolic (Nebivolol) for Lowers blood pressure

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Tips from our pharmacists
  • Can cause headache, dizziness, or feeling short of breath in the first few days.
  • Check your blood pressure 1 week after starting this medicine, and tell your doctor if it hasn't improved.
  • If side effects don't go away, talk to your doctor about alternatives.
  • Don't stop taking this medicine suddenly.

Risks and Warnings for Bystolic (Nebivolol)

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    • Higher risk if:
    • Sudden discontinuation of medicine

    Stopping Bystolic (Nebivolol) suddenly can cause irregular fast heartbeat, high blood pressure, poor blood circulation to your heart and increase your risk of chest pain or heart attack. Work with your doctor to gradually reduce your dose.

Means that some groups have a high risk of experiencing this side effect

Tips from pharmacists and people taking Bystolic (Nebivolol)

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The FDA category for this medication is C. It is advised that you: Weigh risks vs. benefits
Pregnancy
Kidneys & liver
  • I became health conscious; lost a bunch of weight; exercise 5-6 days per week and feeling great. Bystolic decreased my urine stream; caused a pain in left kidney area; tried to stop and heart has been skipping beats; cut 5mg in half; stop
    Age: 66
    Gender: Woman
    Taken for: High blood pressure
    Duration taken: Two years or more
Sleep
  • I took one dose and can truthfully compare it to be blackout drunk. I stumbled every step I took and even fell. I slurred my words, couldn't form a coherent thought. I finally went to sleep or blacked out, thankfully. No other meds onboard
    Age: 38
    Gender: Woman
    Taken for: High blood pressure
Weight gain or loss
  • I became health conscious; lost a bunch of weight; exercise 5-6 days per week and feeling great. Bystolic decreased my urine stream; caused a pain in left kidney area; tried to stop and heart has been skipping beats; cut 5mg in half; stop
    Age: 66
    Gender: Woman
    Taken for: High blood pressure
    Duration taken: Two years or more