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In this episode, I discuss a medication known as nebivolol (Bystolic).

Everybody welcome back to drug talk as always am your host garyx amble today we’re gonna discuss you to medication known as nibble all its brand name is buy stall ik now before i talk with the medication itself just keep in mind that this channel is for information purposes only and not to be used as a source for recommendations for your personal health care

Sonam if at all is a long-acting cardio selective beta blocker it blocks beta one adrenal receptors in terms of indications for use nibble all is indicated to be used in the treatment of hypertension or high blood pressure and as an off-label indication that can be used to treat congestive heart failure as well as it can be used prophylactically for migraines now

Before somebody was to use nibble all there are some contraindications that they must clear as well as some precautions and warnings that there should be made aware of if a patient’s have the hypersensitivity to nibble o or any other component of the product they would not be able to use this medication this medication cannot be used in patients who have second

Or third degree heart block patients with severe hepatic or liver impairment cannot use the bibble o and it can’t be used in patients who have cardiogenic shock or severe bradycardia now in terms of precautions patients who have coronary artery disease who stop nibble all abruptly may experience angina pectoris or chest pain or caused a myocardial infarction or

Heart attack therefore the medication when being stopped should be stopped over the course of one to two weeks at minimum the use of this medication is not recommended in patients who have branko diseases it’s also not recommended to use this medication with other beta blockers aside from beta blockers this medication should also not be used with calcium channel

Blockers as it may affect the heart rate or rhythm in diabetes this medication may mask signs of hypoglycemia such as tachycardia or a rapid heart rate and there would be an increased risk of toxicity in patients who have severe renal or kidney impairment now when somebody is cleared of the contraindications and made aware of the precautions and warnings and they

Start to use nibble they can expect to receive their dose orally if somebody is using the bivolo to treat hypertension or high blood pressure they would typically start off with a dose of five milligrams taking once daily with or without food the dose can then be increased in two week intervals all the way up to 40 milligrams daily in congestive heart failure

They may start with 1.25 milligrams and increase the dose up to 10 milligrams per day now as with all medications there are some side effects or adverse reactions the patients may experience while using the bibble all so we’ll go over some of those here now one to three percent of patients may experience nausea up to four percent may experience dizziness and up

To nine percent two may experience a headache when patients may also experience a somnolence as well as a more rare but serious side effects would be enjoying a pectoris or chest pain a myocardial infarction or a heart attack as well as ventricular arrhythmia it’s all we’re going to talk about today with nibble all or by stalag it’s always a very thankfully good

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Transcribed from video