What NEVA 5MG is used for?
It is used to treat,
- high blood pressure (hypertension)
- elderly patients suffering from mild to moderate heart failure in addition to standard therapy (e.g. with diuretics, digoxin, ACE inhibitors, angiotensin II antagonists)
Talk your doctor before taking this medicine, if you
- are allergic to nebivolol or any of the other ingredients of this medicine
- have liver problems
- had a heart attack
- have missed heart beats
- have or have had asthma or other serious breathing problems
- have a tumour of the adrenal gland called a phaeochromocytoma
- suffer from a slow heart beat
- suffer from low blood pressure or have very poor circulation
- are diabetic
- have an over active thyroid gland
- have a skin condition called psoriasis
- NEVA 5MG should not be given to pregnant or breast-feeding mothers unless the benefits to the mother outweigh the risks to the baby
- If you are pregnant or breast-feeding or are planning to have a baby, ask your doctor for advice before taking this medicine
- NEVA 5MG is not recommended for use in children or adolescents below 18 years
Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription or the following.
- medicines to lower your blood pressure such as verapamil, diltiazem, clonidine, guanfacine
- medicines containing floctafenine or sulpiride
- medicines to treat abnormal heart rhythms such as amiodarone, quinidine, hydroquinidine, disopyramide
- medicines to treat depression or other mental problems such as paroxetine, fluoxetine, thioridazine
- barbiturates (used for epilepsy, anxiety or insomnia)
- baclofen (a muscle relaxant)
- amifostine (used in cancer therapy)
- mefloquine (antimalaria drug)
- organic nitrates (to treat chest pain)
- quinidine (used to slow down the heart)
- terbinafine (for fungal or yeast infections)
- bupropion (to help in cessation of smoking)
- chloroquine (for malaria or rheumatoid arthritis)
- levomepromazine (for mental health problems)
- stimulants containing dopamine
- insulin or any oral anti-diabetic medicines
- Always take this medicine exactly as your doctor has told you
- Try to take your tablets at the same time each day
- Swallow the tablet with a glass of water
- You may take your tablets with or without food
- The tablet can be divided into 4 equal doses
Treatment for high blood pressure
Use in adults:
- The usual dose is 5 mg of NEVA 5MG once a day. It usually takes 1 – 2 weeks for the medicine to work but occasionally it may take up to 4 weeks
Elderly:
- If you are over 65 years and taking NEVA 5MG to lower your blood pressure the usual starting dose is 2.5 mg per day. However, your doctor may increase this to 5 mg per day if they feel this is necessary
Patients with kidney disease:
- The usual dose is 2.5 mg once a day. However, your doctor may increase your dose to 5 mg per day if required
Patients taking NEVA 5MG and another medicine to lower your blood pressure
- When taken with hydrochlorothiazide the usual daily dose is 5 mg of Nebivolol and 12.5 – 25 mg of hydrochlorothiazide per day
Treatment for heart failure:
- Your doctor will start you on a low dose and gradually increase your dose over 1 – 2 weekly intervals until your condition has stabilised. The usual starting dose is 1.25 mg once daily for 1 –2 weeks, this may be increased to 2.5 mg once daily, then to 5 mg once daily and then to 10 mg once daily. The maximum recommended dose is 10 mg once daily. Your doctor will tell you how much to take
Patients with kidney disease
- NEVA 5MG is not recommended for use in patients with severe kidney disease
Patients with liver disease
- If you suffer from liver disease do not take NEVA 5MG
If you take more NEVA 5MG
- Contact your doctor or casualty department immediately. Take the container and any remaining tablets with you
If you forget to take NEVA 5MG
- If you forget to take a dose of NEVA 5MG do not take a double dose to make up for a forgotten dose. Take the next dose on time. If you miss several doses, contact your doctor
If you stop taking NEVA 5MG
- If you suddenly stop taking NEVA 5MG you are likely to suffer from side effects, or your illness may get worse. If you need to stop taking this medicine your doctor will reduce your dose slowly over a 2week period
- headache
- tingling or pins and needles
- fainting on standing up
- stomach upset, feeling tired
- fluid retention (swelling)
- shortness of breath, dizziness
- worsening of heart failure
- low blood pressure
- swelling of the lower limbs (such as swollen ankles)
- Keep out of reach of children
- Do not use this medicine after the expiry date
- Store at room temperature (15-25ºC)