Do not skip doses or stop taking nebivolol without first talking to your doctor.
Before taking this medicine
You should not take nebivolol if you are allergic to it, or if you have:
a serious heart condition such as heart failure, "AV block" (2nd or 3rd degree), or sick sinus syndrome (unless you have a pacemaker);
very slow heartbeats;
severe liver disease; or
if your heart cannot pump blood properly.
Tell your doctor if you have ever had:
asthma, bronchitis, emphysema;
a heart attack;
problems with circulation (especially in your feet and legs);
diabetes (taking nebivolol can make it harder for you to tell when you have low blood sugar);
a thyroid disorder;
liver or kidney disease;
allergies; or
pheochromocytoma (tumor of the adrenal gland).
Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether nebivolol will harm an unborn baby. However, having high blood pressure during pregnancy may cause complications such as diabetes or eclampsia (dangerously high blood pressure that can lead to medical problems in both mother and baby). The benefit of treating hypertension may outweigh any risks to the baby.
You should not breastfeed while using nebivolol.
How should I take nebivolol?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
You may take nebivolol with or without food.
Your blood pressure will need to be checked often.
If you need surgery, tell the surgeon ahead of time that you are using nebivolol.
You should not skip doses or stop using nebivolol suddenly. Stopping suddenly may make your condition worse or cause serious heart problems, including heart attack. Follow your doctor's instructions about tapering your dose.
Keep using  nebivolol as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.
Store at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include slow heart rate, dizziness, vomiting, trouble breathing, or feeling like you might pass out.
