Information about Bystolic (Nebivolol)
Bystolic is a prescription medication that contains nebivolol, a beta-blocker used primarily to treat high blood pressure (hypertension). It works by relaxing blood vessels and slowing the heart rate, which helps to improve blood flow and lower blood pressure. In some cases, Bystolic is also used to manage heart failure. Unlike traditional beta-blockers, nebivolol has vasodilating properties due to its effect on nitric oxide, making it a unique and often well-tolerated option for cardiovascular treatment.
Product Highlights
- Bystolic is primarily prescribed to lower high blood pressure, helping reduce the risk of strokes, heart attacks, and kidney problems.
- In certain cases, especially in Europe, nebivolol is also indicated for treating mild to moderate heart failure in older adults.
- May sometimes be used for anxiety-related palpitations or to manage certain arrhythmias, at the discretion of a healthcare provider.
Key Ingredient
Key Benefits
- Lowers both systolic and diastolic blood pressure, reducing the risk of heart-related complications.
- Due to its selective action and nitric oxide–mediated vasodilation, Bystolic may cause fewer side effects like fatigue or cold extremities compared to older beta-blockers.
- Helps reduce resting heart rate, which is beneficial in patients with elevated heart rates or cardiovascular stress.
- Thanks to its nitric oxide effects, Bystolic may improve vascular health.
- Can be taken chronically for ongoing blood pressure management under medical supervision.
Direction of Use
- Typically, Bystolic is started at 5 mg once daily, but the dose may be adjusted based on individual response, ranging from 2.5 mg to 40 mg daily.
- Take orally with or without food, at the same time each day to maintain consistent levels in the blood.
- If a dose is missed, take it as soon as remembered. If it's near the time of the next dose, skip the missed one—do not double up.
- Do not stop taking Bystolic abruptly, as this can cause serious heart-related complications. Always taper down under medical guidance.
Safety Concerns
- May cause a significant drop in heart rate, particularly in sensitive individuals or those on other heart medications.
- Common side effects, especially during initial treatment or dose adjustments.
- Although beta-1 selective, nebivolol can still affect the lungs and should be used cautiously in patients with asthma or chronic obstructive pulmonary disease (COPD).
- Like other beta-blockers, Bystolic can mask symptoms of low blood sugar (e.g., rapid heartbeat), particularly in diabetics.
- Some patients may experience decreased libido or erectile dysfunction.
- Bystolic may interact with other medications, including calcium channel blockers, certain antidepressants, and other antihypertensives.
Avoid Bystolic (Nebivolol) If
- Do not use if you’ve had an allergic reaction to this class of drugs.
- Bystolic is metabolized in the liver; impaired function may lead to elevated levels and increased side effects.
- Avoid in patients with a heart rate below 60 bpm, 2nd or 3rd-degree AV block, or sick sinus syndrome (unless a pacemaker is present).
- Not advised in cases of decompensated or uncontrolled heart failure without medical supervision.
- Although beta-1 selective, it may still exacerbate bronchospasm in susceptible individuals.
- Should be used during pregnancy or breastfeeding only if clearly needed and prescribed by a healthcare provider.
- Use with caution, as it may worsen circulation in patients with poor peripheral blood flow.
