Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Nebivolol Berolina may be taken before, during or after the meal, but, alternatively, you can take it without a meal. The tablet is best taken with some water (e.g. one glass of water).
Treatment of raised blood pressure (hypertension)
- The recommended dose is 1 tablet per day. The dose should be taken preferably at the same time of the day.
- Elderly patients over 65 years and patients with a kidney disorder will usually start with ½ (half) tablet daily. If needed, the daily dose may be increased to 1 tablet.
- 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 started and closely supervised by an experienced physician.
- Your doctor will start your treatment with ¼ (quarter) tablet per day. This may be increased after 1- 2 weeks to ½ (half) tablet per day, then to 1 tablet per day and then to 2 tablets per day until the correct dose is reached for you. Your doctor will prescribe the dose that is right for you at each step and you should closely follow his/her instructions.
- The maximum recommended dose is 2 tablets (10mg) a day.
- You will need to be under the close supervision for at least 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.
- Take your medicine once daily, preferably at about the same time of day.
Patients with serious kidney problems should not take Nebivolol Berolina, as there is no clinical experience in these patients.
If you have been told by your doctor to take ¼ (quarter) or ½ (half) tablet daily, you will need to break the tablet along the ‘score’ lines before taking. The tablet can be divided into equal doses. Please refer to the instructions below on how to break Nebivolol Berolina tablets.
- Place the tablet on a hard surface with the center groove facing upward.
- Exert pressure from the top with your thumb and the tablet will break into four equal pieces.
Your doctor may decide to combine Nebivolol Berolina with other medicines to treat your condition.
Use in children and adolescents
Do not use Nebivolol Berolina in children or adolescents younger than 18 years.
If you take more Nebivolol Berolina than you should
If you accidentally take an overdose of this medicine, tell your doctor or pharmacist immediately. The most frequent symptoms and signs of a Nebivolol Berolina overdose are very slow heart beat (bradycardia), low blood pressure with possible fainting (hypotension), breathlessness such as in asthma (bronchospasm), and acute heart failure.
If you forget to take Nebivolol Berolina
If you forget a dose of Nebivolol Berolina, 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, 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 Nebivolol Berolina
You should always consult with your doctor before stopping Nebivolol Berolina treatment, whether you are taking it for high blood pressure or chronic heart failure.
You should not stop Nebivolol Berolina treatment abruptly as this can temporarily make your heart failure worse. If it is necessary to stop Nebivolol Berolina 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 product, ask your doctor or pharmacist.