Nebivolol: Hi, to cut a long story short , I... - AF Association

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Nebivolol

Fruitcake100
Fruitcake100

Hi, to cut a long story short , I came off Bisoprolol 3.75 a month ago and asked GP to go on Nebivolol as others seemed happier on it, GP not happy , he said Nebivolol which I had read good reports on was not heart specific , only used for people over 70 and not as good for AF and mild AV regurgitation as Bisoprolol.I had loads of bad side affects on Bisop but so far feeling great with no side affects on Nebivolol. Now just a tad worried that possibly I am not on the correct drug for my condition , my heart beat is about 80 resting and irregular .. .... . .. .. ..... etc. Just interested to hear what other people think about Nebivolol, I have read what I can find but don’t understand lots of it. Thank you kind folks.

14 Replies
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Hi Fruitcake :-) I have never taken any beat blocker other than Nebivolol for P-AF and it suits me fine . My once high blood pressure is down and pulse ok too if a little slow but that doesn't matter , as Dr Gupta says 'it is only a number it is how you feel that counts'.

I have never heard age mentioned or discussed in any literature as a reason to not prescribe Nebivolol .Beta blockers are not generally recommended for asthmatics like myself but if they are it is usually Nebivolol which is prescribed, it is often well tolerated.

I am told at the Dr's pharmacy when I re order my prescription that Nebivolol is 'more difficult to acquire ' I suspect the cost has a lot to do with it not being regularly prescribed.

Nebivolo cost.

bnf.nice.org.uk/medicinal-f...

Bisoprolol cost

bnf.nice.org.uk/medicinal-f...

Finvola
Finvola
in reply to doodle68

Oh my, that's an eye opener Doodle! What jumps out at me is the tremendous difference for the same drug from different sources.

Wow that explains a lot. Thanks

Hidden
Hidden
in reply to doodle68

Oh now we know why the want everyone on bisoprolol don't we!

Coco51
Coco51
in reply to doodle68

This sounds interesting but the page won't open for me. I get message: error 403 forbidden. Would love to know what is the price difference quoted? Thanks

Fruitcake - glad you find Nebivolol better than Bisoprolol too. There are a few posts of mine on the subject as my GP recently changed me from Bisoprolol to Nebivolol.

The 70 year-old thing seems to refer to heart failure - there is a link in a recent thread on the subject. What I have read of Nebivolol states that it blocks adrenaline receptors in the heart but not in the lungs and I assume in my layman's mind that this is the reason is makes us less breathless.

Your post has made me decide to pin down someone who might be able to answer these questions about Nebivolol and I'll post anything I glean from talking to him.

Thankyou that would be interesting .

Hi Fruitcake, we have both changed round about the same time from Bisoprolol (5mg) to Nebivolol (5mg). Like yourself I had read good reports from others. My reason to change was purely down to being forever cold, (hands, feet and nose) (although all fine in this heat/weather), I was hoping that it might make a difference. Tbh there has been NO noticeable change whatsoever, as I put a jumper on when the temperature dropped to 19c.

With regards to HB; mine is usually around 52 bpm, sometimes dropping into the mid to high 40s.

Fruitcake100
Fruitcake100
in reply to john6

Thankyou for your reply, it is a shame the Nebivolol is not having the desired affect , as usual I guess everyone is different, the change in me has been quite dramatic , not breathless and full of energy but I haven’t noticed any change in temperature. If anything being female and the weather very hot I think I suffer more from the heat than the cold. I hope you find something to warm up dem bones!

teckthick
teckthick
in reply to john6

Hi John6.. I was/am on Bisop 2.5 twice daily with similar side effect of numb feet and hands. Bisop also fatigued me but doc not willing to change it. My consultant prescribed verapamil 240mg daily to assist regulate heart rhythm and one of the side benefits is that numbness is gone from hands and feet.

Really interesting discussion... I was on Bisoprolol... varying doses from 1.25mgs to 10mgs... it didn’t help my afib but the side effects were horrendous... I’m not on it now since my ablation 6 weeks ago but I’m storing up my research just in case things change for me and I have to go back onto a beta blocker in the future... I’m just on Flecainide 50mg x 2 a day. I’ll look further into Nebivolol... thank you!

🌻

Lord, the price differential is staggering! I found the side-effects of bisoprolol to be unbearable and did nothing for my AF and was changed to Nevibolol post CV which was way better. After three months and with my EP's agreement I stopped the Nevibolol and have relied purely on Flecainide for the last few years.

I went from Bisoprolol to 5 mg Nebivolol about a year ago and found it much better....less fatigue etc. My EP was reluctant to prescribe it at first and I think it is to do with cost to Medicare here in Australia. Apparently it is approved more for heart failure here than for Hypertension. I still suffer from fatigue sometimes but nowhere near as bad as Bisoprolol. Also a study was done on over 70 year olds (I'm 72) and it received positive comments

Hi Fruitcake,

interesting topic. I too am on Bisoprolol 3.75. I get the cold feet thing. Also some days I'm fine and the next, I feel washed out and don't feel like doing anything. Do you think it's the Bisop doing this? if so, I'll need to check it out with my GP.

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