Getting to Know Bystolic
Bystolic, containing the active ingredient nebivolol, is a prescription medication designed to manage high blood pressure. Though Bystolic can be effective for many individuals, it might not be suitable for everyone due to potential side effects and its price. Fortunately, various alternatives to Bystolic exist that might be more appropriate for different people.
Substitute Medications for Bystolic
Here are some alternatives to Bystolic to consider:
- Coreg (carvedilol)
- Side effects: Dizziness, bradycardia, bronchospasm, electrical heart block, congestive heart failure, lupus erythematosus, hypotension, shortness of breath
- Dosage: 3.125-25 mg twice daily
- Toprol XL (metoprolol extended release)
- Side effects: Dizziness, bradycardia, bronchospasm, electrical heart block, congestive heart failure, lupus erythematosus, shortness of breath, depression
- Zestril (lisinopril)
- Side effects: Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia, angioedema
- Dosage: 2.5-40 mg once daily
- Lotensin (benazepril)
- Side effects: Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia, angioedema
- Dosage: 5-40 mg once or twice daily
- Hydrochlorothiazide (HCTZ)
- Side effects: Dizziness, hypotension, hypokalemia, hyponatremia, hypercalcemia, hyperuricemia, sun sensitivity
- Dosage: 12.5-50 mg once daily
- Cozaar (losartan)
- Side effects: Dizziness, hypotension, cough, renal impairment, hyperkalemia, angioedema
- Dosage: 25-100 mg once daily
- Diovan (valsartan)
- Side effects: Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia, angioedema
- Dosage: 80-320 mg once daily (or daily dose divided into two doses)
- Avapro (irbesartan)
- Side effects: Dizziness, hypotension, cough, renal impairment, hyperkalemia, angioedema
- Dosage: 75-150 mg once daily
- Norvasc (amlodipine)
- Side effects: Dizziness, hypotension, peripheral edema, palpitations, flushing, angina
- Dosage: 2.5-10 mg once daily
- Lotrel (combination amlodipine/benazepril)
- Side effects: Dizziness, hypotension, cough, peripheral edema, palpitations, flushing, angina, renal impairment, headache, hyperkalemia, angioedema
- Dosage: 2.5 mg/10 mg, 5 mg/10 mg, 5 mg/20 mg, 5 mg/40 mg, 10 mg/20 mg, or 10 mg/40 mg once daily
- Cardizem CD (diltiazem extended release)
- Side effects: Dizziness, hypotension, peripheral edema, bradycardia, electrical heart block or rhythm abnormality
- Dosage: 120-480 mg once daily
- Aldactone (spironolactone)
- Side effects: Dizziness, renal impairment, hyperkalemia, breast pain, gynecomastia, menstrual irregularity, stomach irritation or ulcer
- Dosage: 12.5-100 mg once daily for hypertension (or up to 200-400 mg daily for some indications)
- Hydralazine
- Side effects: Hypotension, headache, lupus erythematosus, tachycardia, angina, palpitations
- Dosage: 10-50 mg four times daily (or up to 100 mg three times daily for congestive heart failure with low ejection fraction)
- Cardura (doxazosin)
- Side effects: Dizziness, hypotension, headache, palpitations, edema, shortness of breath, blurred vision
- Dosage: 1-16 mg once daily (or maximum of 8 mg for benign prostatic hyperplasia)
Further Alternatives to Bystolic
Here are additional Bystolic alternatives:
- Tenormin (atenolol)
- Lopressor (metoprolol)
- Bisoprolol
- Inderal LA (extended-release propranolol)
- Coreg CR (extended-release carvedilol)
- Trandate (labetalol)
- Ziac (bisoprolol/HCTZ)
- Tenoretic (atenolol/HCTZ)
- Altace (ramipril)
- Accupril (quinapril)
- Fosinopril
- Captopril
- Perindopril
- Benicar (olmesartan)
- Micardis (telmisartan)
- Atacand (candesartan)
- Tekturna (aliskiren)
- Chlorthalidone
- Calan SR (extended-release verapamil)
- Nifedical XL (extended-release nifedipine)
- Felodipine XR
- Isradipine
- Lotensin HCT (HCTZ/benazepril)
- Capozide (HCTZ/captopril)
- Vaseretic (HCTZ/enalapril)
- Accuretic (HCTZ/quinapril)
- HCTZ/fosinopril
- Exforge (amlodipine/valsartan)
- Azor (amlodipine/olmesartan)
- Twynsta (amlodipine/telmisartan)
- Benicar HCT (HCTZ/olmesartan)
- Hyzaar (HCTZ/losartan)
- Diovan HCT (HCTZ/valsartan)
- Micardis HCT (HCTZ/telmisartan)
- Avalide (HCTZ/irbesartan)
- Atacand (HCTZ/candesartan)
- Tekturna HCT (HCTZ/aliskiren)
- Tribenzor (amlodipine/HCTZ/olmesartan)
- Exforge HCT (amlodipine/HCTZ/valsartan)
- Catapres (clonidine)
- Catapres TTS (clonidine patch)
- Methyldopa
- Terazosin
- Lasix (furosemide)
Cautions When Using Bystolic
Each patient is distinct, and a treatment that works for one person might not be the best choice for another. It is essential to work closely with your healthcare provider to determine the most suitable treatment plan for your unique needs.
In addition to medication, lifestyle changes like regular exercise, maintaining a healthy weight, and reducing sodium intake can significantly lower blood pressure and might reduce the need for medication.