Brand Name

Bystolic {Forest Pharmaceuticals}

Generic Name

nebivolol, pronounced ne BIV oh lol

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Drug Guide

The information contained in the following drug guide is intended as an educational resource only. This guide is not exhaustive and does not contain all available information about this drug.This guide is not intended as medical advice for individual conditions or treatment.

The information provided in this guide does not replace the need for the advice and services of medical professionals or the need for medical examination. Always talk to your physician or pharmacist before taking any prescription medication or over the counter drugs (including any supplements) or before making any changes to your treatment. Only your doctor, nurse or pharmacist can provide you with safe and effective advice regarding your drug treatment.

The use of the information in this guide is at your sole risk. This information is provided "AS IS" with no warranties to accuracy or timeliness.

**All trademarks and registered trademarks are the property of their respective owners.

What is Bystolic?

Bystolic is a medication that is used to treat hypertension, also known as high blood pressure. Bystolic is in a class of medications called beta blockers, which work to help the blood flow through your arteries and veins. Bystolic may be used for purposes not indicated in this medication guide.

Key Facts About Bystolic

Bystolic is a part of a complete program which your doctor has prescribed for you . This program includes diet, exercise, weight control, and possibly other medications. Follow your diet, medication, and exercise routines closely.

Bystolic is in FDA pregnancy category C. We do not know if Bystolic can harm an unborn baby. Tell your doctor if you are pregnant or if you plan to become pregnant before taking Bystolic. It is also not known whether Bystolic passes into breast milk and could cause harm to a nursing baby. You should not breast-feed while you are taking Bystolic.

While you are taking Bystolic be careful when doing anything that requires you to be alert, such as driving. Bystolic may impair your thinking and reaction time.

Never skip doses of Bystolic or stop taking this medication without first talking to your doctor. Stopping suddenly may make your condition worse or cause other serious heart problems, like severe chest pain or a heart attack. Your doctor may need to taper you off Bystolic slowly if you wish to stop taking Bystolic.

Before You Take Bystolic

You should not take Bystolic if you are allergic to nebivolol.

Tell your doctor if you have liver disease, diabetes, asthma, bronchitis or emphysema.

Before taking Bystolic, tell your doctor if you have a serious heart condition such as heart block, sick sinus syndrome, or slow heart rate (unless you have a pacemaker), angina, low blood pressure or a recent heart attack.

Let your doctor know if you have kidney disease, a thyroid disorder, a pheochromocytoma (tumor of the adrenal gland), circulation problems like ( Raynaud’s syndrome) or a history of allergies.

You will need to have your blood pressure checked regularly while taking Bystolic. Continue using Bystolic even if you feel well. High blood pressure often has no symptoms. You may need to use Bystolic or another blood pressure medication for the rest of your life.

Bystolic Drug Interactions

You should inform your doctor if you are taking any of the following:

• antidepressants like amitriptyline (Elavil, Vanatrip, Limbitrol), bupropion (Wellbutrin, Zyban), clomipramine (Anafranil), desipramine (Norpramin), duloxetine (Cymbalta), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), paroxetine (Paxil), and sertraline (Zoloft)
• anti-malaria medication like chloroquine (Aralen) or pyrimethamine (Daraprim) and quinine (Qualaquin)
• blood pressure or heart medications like amlodipine
• Norvasc, Caduet, Exforge, Lotrel, Tekamlo, Tribenzor, Twynsta), clonidine (Catapres), diltiazem (Cartia, Cardizem), nifedipine (Nifedical, Procardia), reserpine and verapamil (Calan, Covera, Isoptin, Verelan)
• cimetidine (Tagamet)
• clonidine (Catapres)
• heart rhythm medications like amiodarone (Cordarone, Pacerone), digoxin (digitalis, Lanoxin), flecainide (Tambocor), propafenone (Rythmol), and quinidine (Quin-G)
• HIV or AIDS medicine like delavirdine (Rescriptor) and ritonavir (Norvir, Kaletra)
• isoniazid (for treating tuberculosis)
• medications to treat psychiatric disorders like aripiprazole (Abilify), chlorpromazine (Thorazine), fluphenazine (Permitil, Prolixin), haloperidol (Haldol), perphenazine (Trilafon), and thioridazine (Mellaril)
• methimazole (Tapazole)
• reserpine
• ropinirole (Requip)
• terbinafine (Lamisil)
• ticlopidine (Ticlid)

Other drugs you take that are not listed may interact with Bystolic. You should tell your doctor about all of the medications you use. This includes prescription drugs, vitamins, supplements and herbal products, and over the counter medications. You should not begin taking a new medication without telling your doctor first.

Directions for Taking Bystolic

You should follow the instructions on your prescription label and not take Bystolic for longer than recommended by your doctor, or in larger or smaller doses.

Bystolic can be taken with or without food.

Bystolic is only a part of a regimen that your doctor may have prescribed for you. This regimen might include diet, exercise and weight management for healthy living. Be sure to follow your doctor’s instructions.

If you need surgery be sure to tell the surgeon and staff that you are taking Bystolic.

Bystolic should be stored at room temperature, and away from both moisture and heat.

If you miss a dose of Bystolic you should attempt to take the missed dose as soon as you remember. However, if it is almost time for your next scheduled dose do not take the missed dose in addition to your regular dose.

Bystolic Side Effects

If you experience any of the following adverse effects you should stop taking Bystolic and seek emergency medical help immediately:

• allergic reaction such as breathing difficulties, hives and swelling of your face, lips, throat or tongue
• numbness or cold feeling in your hands and feet
• shortness of breath, even with mild exertion
• slow or uneven heartbeats
• swelling of your ankles or feet

Less serious Bystolic side effects may include:

• diarrhea
• drowsiness
• headache
• insomnia
• nausea
• stomach pain

It should be noted that this is not a complete list of possible side effects of Bystolic. You should contact your physician for a complete list and medical advice regarding these effects.

Bystolic Description and Dosing

Bystolic tablets are all triangular-shaped, biconvex, unscored and differentiated by color. They are all engraved with “FL” on one side and the number of milligrams (2 ½ , 5, 10, or 20) on the other side.

2.5 mg is light blue.

5 mg is beige.

10 mg is pinkish-purple

20 mg is light blue.

Consult your doctor for specific dosing pertaining to you. You should take Bystolic exactly as your doctor has prescribed . Do not attempt to alter or change your dose without your physician’s consent.

If you believe you may have overdosed with Bystolic seek emergency medical help immediately.

Ingredients in Bystolic

Bystolic contains the active ingredient nebivolol. Inactive ingredients are colloidal silicon dioxide, croscarmellose sodium, D&C Red #27 Lake, FD&C Blue #2 Lake, FD&C Yellow #6 Lake, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, pregelatinized starch, polysorbate 80, and sodium lauryl sulfate.

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The information contained in this drug guide is intended as an educational resource only. This guide is not exhaustive and does not contain all available information about this drug.This guide is not intended as medical advice for individual conditions or treatment.

The information provided in this guide does not replace the need for the advice and services of medical professionals or the need for medical examination. Always talk to your physician or pharmacist before taking any prescription medication or over the counter drugs (including any supplements) or before making any changes to your treatment. Only your doctor, nurse or pharmacist can provide you with safe and effective advice regarding your drug treatment.

The use of the information in this guide is at your sole risk. This information is provided "AS IS" with no warranties to accuracy or timeliness.

**All trademarks and registered trademarks are the property of their respective owners.