Europe — EMA
Massido (Nebivolol)
GNH USA supplies Massido (Nebivolol), a selective β1‑blocker indicated for hypertension. Request a quote for worldwide pharmaceutical supply to global
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What is Nebivolol?
Nebivolol, the active ingredient in Massido, is a beta blocker presented as a tablet for oral use. It treats hypertension in adult patients. GNH USA supplies Massido as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Nebivolol used for?
Nebivolol is indicated for the management of high blood pressure, acting on the cardiovascular system to lower systemic pressure.
Hypertension: reduces systolic and diastolic blood pressure in patients with essential hypertension.
What are the side effects of Nebivolol?
Nebivolol may cause a range of adverse reactions that vary in frequency and severity.
Common Side Effects: - Headache: mild to moderate pain in the head. - Dizziness: sensation of light‑headedness, especially on standing. - Fatigue: feeling unusually tired or weak. - Nausea: upset stomach or urge to vomit. - Bradycardia: slower than normal heart rate. - Peripheral edema: swelling of the ankles or feet.
Serious or Rare Side Effects: - Severe bradycardia: markedly low heart rate requiring medical attention. - Symptomatic hypotension: dangerously low blood pressure causing faintness. - Acute heart failure exacerbation: worsening of cardiac function. - Allergic reactions: rash, itching, swelling, or anaphylaxis. - Liver injury: abnormal liver function tests or jaundice. - Bronchospasm: narrowing of airways, especially in patients with asthma.
What precautions apply to Nebivolol?
Nebivolol requires careful monitoring and specific safety measures before and during therapy. - Blood pressure monitoring: check regularly to ensure therapeutic targets are met. - Hepatic impairment: use cautiously in patients with severe liver disease. - Abrupt discontinuation: taper dose to avoid rebound hypertension. - Respiratory conditions: avoid in uncontrolled asthma or severe COPD. - Drug interactions: review concomitant medications for potential additive effects. - Store at ambient temperature: keep below 25 °C, in the original container, protected from moisture and light.
What does Nebivolol interact with?
Nebivolol can interact with several medicines, influencing its efficacy or safety.
Major Interactions (Avoid): - Other β‑blockers: may cause excessive bradycardia or hypotension. - Calcium‑channel blockers (verapamil, diltiazem): increase nebivolol plasma levels. - CYP2D6 inhibitors (paroxetine, fluoxetine): raise nebivolol concentrations. - Insulin or sulfonylureas: mask hypoglycaemic symptoms. - Antihypertensive combinations: risk of additive blood‑pressure lowering.
Moderate Interactions (Monitor Closely): - NSAIDs: may reduce antihypertensive effect. - Diuretics: monitor electrolytes and renal function. - Antidepressants (sertraline): observe for heart‑rate changes. - Antidiabetic agents: watch for altered glucose control. - Lipid‑lowering drugs (statins): assess for rare muscle toxicity.



