Nebifast 5 mg (Tablet)

Unit Price: ৳ 8.50 (2 x 14: ৳ 238.00)
Strip Price: ৳ 119.00

Medicine Details

Category Details
Generic Nebivolol hydrochloride
Company Drug international ltd
Also available as
Nebifast 25 mg tablet

Indications

  • Hypertension
  • Treatment of essential hypertension
  • Chronic heart failure (CHF)
  • Treatment of stable mild and moderate chronic heart failure in elderly patients.

Pharmacology

  • Beta-adrenergic receptor blocking agent
  • Inhibits both beta1 and beta2 adrenergic receptors
  • Lacks intrinsic sympathomimetic and membrane stabilizing activity
  • Decreased heart rate
  • Decreased myocardial contractility
  • Diminution of tonic sympathetic outflow to the periphery from cerebral vasomotor centers
  • Suppression of renin activity
  • Vasodilation and decreased peripheral vascular resistance
  • Metabolized by glucuronidation and hydroxylation by CYP2D6
  • Mean peak plasma concentration occurs approximately 1.5 to 4 hours post-dosing
  • Plasma protein binding of approximately 98%
  • Metabolized via direct glucuronidation, N-dealkylation, and oxidation via cytochrome P450 2D6
  • No significant changes in the pharmacokinetics of digoxin or warfarin
  • Caution when co-administered with CYP2D6 inhibitors (quinidine, propafenone, fluoxetine, paroxetine, etc.)

Dosage & Administration

  • Recommended starting dose of 5 mg once daily
  • Dose can be increased at 2-week intervals up to 40 mg
  • More frequent dosing regimen is unlikely to be beneficial

Interaction

  • Use with care when myocardial depressants or AV conduction inhibitors are used concurrently
  • Caution with concomitant use of digitalis glycosides and beta-blockers
  • Not to be combined with other beta-blockers
  • Use caution when co-administered with CYP2D6 inhibitors (quinidine, propafenone, fluoxetine, paroxetine, etc.)

Contraindications

  • Severe bradycardia
  • Heart block greater than first degree
  • Cardiogenic shock
  • Decompensated cardiac failure
  • Sick sinus syndrome (unless a permanent pacemaker is in place)
  • Severe hepatic impairment (Child-Pugh >B)
  • Hypersensitivity to any component of this product

Side Effects

  • Headache
  • Nausea
  • Bradycardia

Precautions & Warnings

  • Abrupt Cessation of Therapy
  • Cardiac Failure
  • Angina and Acute Myocardial Infarction
  • Bronchospastic Diseases
  • Anesthesia and Major Surgery
  • Diabetes and Hypoglycemia
  • Thyrotoxicosis
  • Peripheral Vascular Disease
  • Non-dihydropyridine Calcium Channel Blockers

Use in Special Populations

  • Impaired Renal Function
  • Impaired Hepatic Function
  • Risk of Anaphylactic Reactions

Therapeutic Class

  • Beta-adrenoceptor blocking drugs
  • Beta-blockers

Storage Conditions

  • Keep below 30°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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