Please note: a valid prescription is required for all prescription medication.
What Bystolic Is and How It Works
Bystolic® is nebivolol, a cardioselective beta blocker used to lower blood pressure. It reduces heart rate and the force of contraction, which may decrease cardiac workload. It can also enhance nitric oxide pathways in blood vessels, which may support vasodilation.
CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
This page helps you review key facts, see tablet strengths, and plan safe use. Ships from Canada to US with transparent ordering steps. We also outline typical access questions, including nebivolol cost without insurance, so you can plan ahead.
For background on treatment goals and safety points, see our Bystolic Patient Guide and condition overview in Hypertension.
Who It’s For
This medicine is indicated for adults to manage elevated blood pressure. It may be used alone or combined with other antihypertensives as directed by a prescriber.
People with specific cardiac conditions should avoid it unless a clinician decides otherwise. Do not use if you have severe bradycardia, heart block greater than first degree without a pacemaker, cardiogenic shock, or decompensated heart failure requiring intravenous support.
Use caution if you have asthma or other bronchospastic disease, peripheral vascular disease, diabetes, or severe liver impairment. Ask your clinician whether bystolic for hypertension is appropriate given your full medical history and current medications.
Dosage and Usage
Take your dose once daily at the same time each day. You can take it with or without food. Swallow tablets with water. Follow your prescriber’s instructions on titration and treatment duration.
Do not stop suddenly unless your clinician instructs you. A gradual taper may be recommended to help reduce the risk of withdrawal effects, especially if you have coronary artery disease. If you also take another beta blocker or a non-dihydropyridine calcium channel blocker, your prescriber may monitor heart rate and blood pressure more closely.
Measure your blood pressure at home on a regular schedule using a validated cuff. Keep a log for clinic visits. If you need a once-daily beta blocker alternative for comparison, your clinician may discuss options like Metoprolol SR.
Strengths and Forms
This treatment is supplied as oral tablets in multiple strengths. Availability may vary by pharmacy and manufacturer.
- bystolic 5 mg tablets
- 2.5 mg tablets
- 10 mg tablets
- 20 mg tablets
Tablets may appear as different colors or shapes depending on the manufacturer. Packaging sizes can differ. Your prescriber will select a strength based on clinical response and tolerability.
Missed Dose and Timing
If you miss a dose, take it when you remember. If it is almost time for your next dose, skip the missed one and resume your usual schedule. Do not take two doses at the same time.
If vomiting occurs shortly after a dose, follow label guidance or contact your prescriber or pharmacist for advice. Keep a simple reminder system to support consistent daily use.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excess heat and light. Keep them in the original, child-resistant container with the label intact. Do not store in a bathroom or other humid area.
When traveling, pack enough tablets for the entire trip plus a few extra days. Carry your medicine in hand luggage with a copy of your prescription. Use a pill organizer only if it preserves tablet identity and dryness. Keep all medicines out of reach of children and pets.
Benefits
Beta blockers can reduce the workload on the heart and help lower blood pressure. This agent is cardioselective at usual doses, which may limit effects on the lungs compared with nonselective beta blockers. Once-daily dosing can simplify routines.
The treatment may be combined with thiazide diuretics, ACE inhibitors, or ARBs when additional control is needed. If combination therapy is considered, your clinician may also discuss options like Telmisartan based on your health profile.
Side Effects and Safety
- Headache or dizziness
- Fatigue or weakness
- Slow heart rate
- Nausea or stomach discomfort
- Diarrhea or constipation
- Sleep changes
Serious risks can include significant bradycardia, hypotension, heart block, worsening heart failure, or severe allergic reaction. Beta blockers can mask some signs of low blood sugar, such as rapid heartbeat, in people with diabetes. Bronchospasm can occur, particularly in patients with reactive airway disease.
Stop use and seek urgent care for symptoms such as fainting, severe shortness of breath, chest pain, swelling of the face or throat, or a heartbeat that is very slow or irregular. Discuss side effects and risk mitigation with your prescriber.
Drug Interactions and Cautions
Tell your clinician about all prescription drugs, over-the-counter medicines, and supplements you use. Interactions may occur with other heart-rate–lowering agents, such as non-dihydropyridine calcium channel blockers, certain antiarrhythmics, or digoxin. Clonidine requires careful coordination when starting or stopping.
CYP2D6 inhibitors can raise nebivolol levels. Anesthetics and alcohol may enhance hypotension. Carefully monitor if you have diabetes, as glucose-lowering medicines combined with a beta blocker can mask hypoglycemia symptoms. Always consult the prescribing information for full interaction details.
What to Expect Over Time
Blood pressure response can vary. Your clinician may adjust therapy over time based on readings, tolerability, and overall cardiovascular risk reduction goals. Lifestyle measures, such as a low-sodium eating pattern and regular activity, may support treatment results.
If your prescriber changes the form or strength as part of ongoing care, you may hear references such as bystolic 10 mg in clinic discussions. Keep taking the medicine consistently unless your clinician advises a change. Track home readings and bring the log to appointments.
Compare With Alternatives
Multiple antihypertensives are available, and the best choice depends on comorbidities, tolerability, and response. If a different beta blocker is preferred, your prescriber may consider Bisoprolol for cardioselective coverage, or Carvedilol if alpha and beta blockade is desired. Selection should align with guideline-based care.
Pricing and Access
We list current options transparently so you can review bystolic price and consider alternatives with your prescriber. Many patients explore Canadian pricing with US delivery from Canada to help manage out-of-pocket spending. Availability and final pharmacy dispensing may vary by province and manufacturer.
If you are comparing categories and related options, see our Cardiovascular page. Looking for periodic offers? Visit Promotions for current site updates. Checkout uses encrypted processes to protect your information.
Availability and Substitutions
Both brand and generic nebivolol products may be available in selected strengths. If a specific version is out of stock, your prescriber may approve a therapeutically equivalent option. Ask whether bystolic generic is appropriate for your prescription and pharmacy access.
Patient Suitability and Cost-Saving Tips
This medicine may suit adults who need beta-blocker therapy and can take a once-daily tablet. It may be less suitable if you have severe hepatic impairment, symptomatic bradycardia, or advanced heart block without a pacemaker. Your clinician will assess risks and benefits.
For cost planning, consider multi-month supplies when appropriate and permitted. Set refill reminders a week before you run low. Keep one pharmacy of record to simplify counseling and interaction checks. If your regimen changes, update your medication list and home blood pressure log.
Questions to Ask Your Clinician
- Is a beta blocker the right class for my risk profile?
- How will we monitor my blood pressure and heart rate at home?
- What symptoms should prompt a call or visit?
- Could this interact with my other heart or diabetes medicines?
- Should we add a diuretic, ACE inhibitor, or ARB if needed?
- What is the plan if I miss several doses?
- Are there lifestyle changes that fit my current treatment plan?
Authoritative Sources
For complete and current prescribing details, review official references before making any changes:
- FDA DailyMed: Nebivolol Tablets Prescribing Information
- Health Canada DPD: Nebivolol Product Monograph
- FDA Label: Bystolic (Nebivolol) Tablet Information
Ready to proceed? You can place your order with prompt, express shipping with temperature-controlled handling when required. Medical disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
What is nebivolol and how does it work?
Nebivolol is a cardioselective beta blocker. It lowers blood pressure by reducing heart rate and contractility, and it can promote vasodilation via nitric oxide pathways.
Can I stop this medication abruptly?
Do not stop suddenly unless told to do so by your clinician. A supervised taper may be needed to reduce withdrawal risks, especially if you have coronary artery disease.
Can I take it with other blood pressure medicines?
Yes, clinicians often combine classes for control. It may be used with thiazide diuretics, ACE inhibitors, or ARBs when appropriate. Your prescriber will individualize therapy.
What if I feel dizzy after a dose?
Sit or lie down until it passes. Hydrate and rise slowly. If dizziness persists or worsens, contact your prescriber for guidance.
Does it affect blood sugar awareness?
Beta blockers can mask some symptoms of low blood sugar, such as a fast heartbeat. People with diabetes should monitor glucose closely and discuss plans with their clinician.
Can I drink alcohol while taking it?
Alcohol may enhance blood pressure–lowering effects and increase dizziness. Ask your clinician about safe limits and timing with your regimen.
Is it safe during pregnancy or breastfeeding?
Safety data are limited. Your clinician will weigh potential risks and benefits. Do not start or continue in pregnancy or while breastfeeding without medical advice.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
You Might Also Like
Related Articles
Zepbound storage: Keep It Safe With Clear Temperature Rules
This guide explains Zepbound storage so your medication stays effective. You will learn temperature limits, how long doses can stay unrefrigerated, travel practices, and what to do if a pen…
Zepbound and Fatigue: Practical Tips to Ease Tiredness Safely
Feeling drained after starting tirzepatide can be unsettling. Many users describe a mix of low energy, mild aches, and disrupted sleep early on. If you are navigating Zepbound and fatigue,…
Mounjaro Heart Benefits Beyond Weight Loss: Evidence-Based Guide
Patients often ask how tirzepatide might support cardiovascular health beyond weight loss. Understanding Mounjaro heart benefits requires looking at mechanisms, evolving trial data, and safety signals. This guide synthesizes key…
Ozempic Rebound: A Practical Guide to Prevent Weight Regain
Many people stop GLP-1 therapy and wonder what comes next. Appetite changes, routine shifts, and metabolism can collide. A clear plan helps you keep progress steady and predictable, not reactive.…





