Bivoneb 5mg 30 Tablets

Bivoneb 5mg 30 Tablets

Scientific name: Nebivolol 5 mg tablets.

Uses:

• To treat high blood pressure.

How to use:

• For high blood pressure: Adults over 18 years: The recommended dose is 5 mg once daily.
• For chronic heart failure: Adults over 18 years: The recommended initial dose is 1.25 mg daily, and this can be increased after one to two weeks to half a tablet daily (2.5 mg), then to one tablet daily (5 mg), and this can be increased to the maximum recommended dose, which is 2 tablets daily (10 mg).
• You can take it with or without food.
• If you want to increase your dose for further reduction in blood pressure, wait two weeks.
• If renal or hepatic impairment is present, the starting dose is 2.5 mg.
• Doses may change in special circumstances, so always follow your doctor's instructions.

Side effects:

• fatigue.
• headache.

Stop taking the medicine and tell your doctor immediately or go to the nearest emergency hospital if you experience:

• Whole-body allergic reaction, with generalized skin eruption (hypersensitivity reactions).
• Rapid onset of swelling, especially around the lips, eyes, or tongue with sudden difficulty breathing.

Warnings and precautions:

• Acute exacerbation of coronary artery disease when stopping treatment: Do not stop taking the medication suddenly.
• Diabetes: Monitor glucose because beta blockers may mask symptoms of hypoglycemia.
• Tell your doctor if you are taking any of the following medications:

1. CYP2D6 inhibitors may increase nebivolol levels.
2. Respirin or clonidine may produce an excessive decrease in sympathetic activity.
3. Both digitalis glycosides and beta-blockers slow atrioventricular conduction and reduce heart rate so concomitant use can increase the risk of bradycardia.
4. Calcium channel blockers verapamil or diltiazem may cause excessive decreases in heart rate, blood pressure, and heart contractility.
5. Antacids (such as cimetidine) to treat excessive stomach acid. If you are being treated for excessive stomach acid, you should take nebivolol during a meal, and an antacid between meals.
6. Asthma medicines, medicines for stuffy nose or for certain eye disorders such as glaucoma or dilated pupils.

Preservation method:

• Store at a temperature below 25 degrees Celsius.
• Do not refrigerate the medicine in the refrigerator.
• Keep this medicine out of the sight and reach of children.
• Must be stored in the original packaging to protect it from moisture.
• Do not use this medicine after the expiry date stated on the package.