Do not skip doses or stop taking Bystolic without first talking to your doctor. Stopping suddenly may make your condition worse or cause other serious heart problems such as severe chest pain or heart attack. You may need to use less and less before you stop the medication completely. If you need surgery, tell the surgeon ahead of time that you are using Bystolic.
Bystolic may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Bystolic is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.
Keep using Bystolic as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
Before taking this medicine
To make sure you can safely take Bystolic, tell your doctor if you have any of these other conditions:
severe liver disease; or
a heart problem such as heart block, sick sinus syndrome, slow heart rate, or heart failure.
If you have any of these other conditions, you may need a Bystolic dose adjustment or special tests:
asthma, bronchitis, emphysema;
liver or kidney disease;
diabetes;
a thyroid disorder;
a history of allergies;
problems with circulation (such as Raynaud's syndrome);
pheochromocytoma (tumor of the adrenal gland); or
if you have recently had a heart attack.
FDA pregnancy category C. It is not known whether Bystolic will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using Bystolic. It is not known whether nebivolol passes into breast milk or if it could harm a nursing baby. Do not use Bystolic without telling your doctor if you are breast-feeding a baby.
 Bystolic pregnancy and breastfeeding warnings (more detail)
