Before taking nebivolol,
tell your doctor and pharmacist if you are allergic to nebivolol, any other medications, or any of the ingredients in nebivolol tablets. Ask your pharmacist for a list of the ingredients.
tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: amiodarone (Cordarone, Pacerone); beta blockers such as acebutolol (Sectral), atenolol (Tenormin, in Tenoretic), betaxolol, bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard, in Corzide), pindolol, propranolol (Inderal, InnoPran XL, in Inderide), sotalol (Betapace, Betapace AF, Sorine), timolol; bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban); calcium channel blockers such as diltiazem (Cardizem, Dilacor, others) and verapamil (Calan, Covera, Isoptin, Verelan, in Tarka); chlorpheniramine (antihistamine in allergy and cold medications); cimetidine; clomipramine (Anafranil); clonidine (Catapres, Kapvay, in Clorpres); digoxin (Lanoxin); disopyramide (Norpace); duloxetine (Cymbalta); fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax); haloperidol (Haldol); insulin; oral medications for diabetes; methadone (Dolophine, Methadose); paroxetine (Paxil); propafenone (Rythmol); quinidine; reserpine; ritonavir (Norvir, in Kaletra); and sildenafil (Revatio, Viagra). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor if you have a slow heart rate, heart or liver disease, or heart failure. Your doctor may tell you not to take nebivolol.
tell your doctor if you have or have ever had asthma or other lung diseases, diabetes, hyperthyroidism (an overactive thyroid gland), problems with blood circulation, kidney disease, severe allergies, or pheochromocytoma (a tumor that develops on a gland near the kidneys and may cause high blood pressure and fast heart rate).
tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking nebivolol, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking nebivolol.
you should know that nebivolol may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
you should know that if you have allergic reactions to different substances, your reactions may be worse while you are using nebivolol, and your allergic reactions may not respond to the usual doses of injectable epinephrine.