Skip to content
Chronic Care High Blood Pressure Beta-Blockers Bystolic
Chronic Care ... Bystolic

Bystolic (nebivolol) prescription available online

If you suffer from high blood pressure, Bystolic can help. Get a new prescription or refill of Bystolic from a board-certified primary care doctor online.*

Treats high blood pressue Request Bystolic in as little as 15 minutes, with or without insurance Save up to 62% on Bystolic with RX discount card*
Book an appointment
Top Online Doctors | Step 2
*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of high blood pressure. If that is the case, they will guide you towards in-person and specialist care with resources and referrals.
circles-dark.18c7e306

About Bystolic (nebivolol)

Bystolic is considered a beta blocker, which blocks the activity of specific natural chemicals in the human body. These chemicals are associated with high blood pressure and risk of complications like peripheral vascular disease, heart attacks, and strokes. In doing so, Bystolic relaxes blood vessels and slows heart rate. Like any beta blocker, this medication can only treat high blood pressure. It is ineffective against low blood pressure because it will not help balance blood pressure levels when you have hypotension.

 

Some conditions that Bystolic is known to treat include hypertension or high blood pressure. Bystolic is available only by prescription. It is available in a generic formulation under the name nebivolol.

 

Bystolic may be prescribed as a capsule. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage you are prescribed.

 

If you are prescribed Bystolic, be sure to take the beta blocker as prescribed unless your doctor specifically tells you to stop.

 

If you don’t adhere to your prescription, the beta blocker may not fully treat your high blood pressure. If you stop taking Bystolic suddenly, then you may notice imbalances in your blood pressure levels. People with high blood pressure who stop taking Bystolic suddenly may also experience a worsening of their condition. This can cause a further increased risk of heart failure, peripheral vascular disease, and other health problems associated with high blood pressure. Patients with high blood pressure (hypertension) will likely use this medication over a long period of time. This helps to avoid making blood flow problems worse due to high blood pressure.

Bystolic uses

There is one FDA-approved use for Bystolic, but it may also be used off-label to treat other conditions. Your online medical professional may prescribe it for any of the following common reasons. It’s also possible that your healthcare provider may prescribe it for other reasons not listed here. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

High blood pressure (hypertension)

High blood pressure (hypertension) is a condition where blood pressure levels rise too high. This can lead to several problems in the body, including poor blood flow, heart failure, and more. Over time, the condition adversely affects blood vessels. When the walls of blood vessels become damaged, the risk of heart failure, heart attack, and stroke greatly increases. Beta-blockers work by blocking the action of certain channels or chemicals in the body. This helps to reduce blood pressure, which ultimately contributes to improved blood flow. When blood flow increases, it reduces the risk of inadequate blood supply to certain parts of the body.

 

Bystolic side effects

The side effects associated with taking Bystolic are typically mild. Most Bystolic side effects are associated with discomfort in the gastrointestinal tract.

Bystolic has some common side effects. They may include:

  • Nausea

  • Diarrhea

  • Stomach pain

  • Tiredness

  • Headaches

  • Insomnia (inability to fall asleep)


Other side effects, which are less common but might be more severe, could include:

  • Shortness of breath

  • Breathlessness with mild exertion

  • Slow heartbeat

  • Uneven heartbeat

  • Swollen ankles and feet

  • Numbness in the hands or feet

  • Cold feeling in fingers or toes


Very rare allergic reactions to Bystolic may cause trouble breathing, hives, a skin rash, and swelling in the face. An irregular heartbeat can also occur. Patients should immediately stop using these beta blockers if they experience an allergic reaction and seek emergency medical care right away

You should call your doctor if you notice any of these side effects or if you develop any other new or concerning symptoms. Tell your doctor if your symptoms do not improve after using the prescription medicine for some time. This can help the doctor determine if the prescription medicine is appropriate for reducing your risk of coronary artery disease, heart failure, and other diseases.

circles-dark.18c7e306

How to take Bystolic

Your pharmacist will provide you with instructions on how to take your Bystolic prescription.

 

Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

 

Bystolic can come in different forms and doses, so be sure to follow the specific instructions on your prescription. It is typically prescribed once per day. The specific dosage forms, the strength of each dose, and the number of doses does depend on the blood flow problems you have, as well as your current blood pressure levels. The healthcare professional may advise you to call your doctor immediately if you experience certain side effects.

What to avoid while taking Bystolic

Bystolic has multiple drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs.

Never combine Bystolic with other beta blockers unless your doctor decides to consider this treatment option. Tell your doctor about any over-the-counter medications you use, as well as other prescription medications or herbal products. This can help to ensure you do not have to worry about drug interactions.

Some of the medications that can cause drug interactions with Bystolic to include:

  • Reserpine

  • Ticlopidine

  • Methimazole

  • Digitalis

  • Cimetidine

  • Clonidine

  • Certain antibiotics

  • Anti-malaria rugs

  • Other heart medications

  • Heart rhythm drugs

  • Medications that treat HIV/AIDs


Tell your doctor if you use any medication or herbal products that can cause your blood pressure lower.

Ask your doctor or pharmacist if it is acceptable to consume alcohol while taking Bystolic. Alcohol may further increase blood pressure. The high blood pressure makes the risk of serious adverse reactions more plausible in this case. Alcohol, combined with Bystolic, may also increase the risk of severe renal impairment or severe hepatic impairment.

Medication alternatives to Bystolic

If your healthcare provider prefers to put you on another treatment altogether, they may suggest another medication called beta-blockers or a blood pressure medication in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

Beta-blockers

Inderal (propranolol) Toprol XL (Metoprolol) Lopressor (metoprolol tartrate) Tenormin (Atenolol) Corgard (Nadolol) Trandate (Labetalol) Ziac (Hydrochlorothiazide / Bisoprolol) Coreg (Carvedilol) Betapace Zebeta

Edema and Diuretics

People with high blood pressure and existing heart disease may experience excessive water retention in their bodies. This makes it harder for the heart to pump blood to all areas. It may also have an adverse impact on weight control and can lead to unusual tiredness and peripheral edema. Water retention can also put pressure on blood vessels, for example, and contribute to kidney disease. In these cases, certain medications known as diuretics may be used. This can help to prevent water retention from making blood flow problems worse.

Diuril (Chlorothiazide)
Bumex (Bumetanide)
Hygroton (Chlorthalidone) Demadex (Torsemide) Hydrodiuril (Hydrochlorothiazide) Zaroxolyn (Metolazone) Lozol (Indapamide) Lasix (furosemide) Aldactone (Spironolactone)

Bystolic prescription FAQs

How much does Bystolic cost?

Generic Bystolic, called nebivolol, may be as little as around $20 per month without insurance if discount coupons are used. Brand name Bystolic will be more expensive. Nebivolol is quite well covered, in general, by insurance.

How can I refill my Bystolic prescription?

Since Bystolic is only available by prescription, book a virtual appointment with one of our top-rated board-certified doctors to discuss refilling your Bystolic prescription. If you qualify, you can pick up Bystolic from your local pharmacy.

Is it better to take Bystolic in the morning or at night?

Tell your doctor if you find that Bystolic has a sedative effect when you take it. The medication can be taken in the morning or at night. However, the drug information may sometimes recommend using a regular dosing schedule at night. This may help to improve blood circulation and reduce the risk of high blood pressure in the morning. Taking the medication at night may also lessen specific side effects, such as severe chest pain or drowsiness.

Does Bystolic affect sleep?

Bystolic produces a slight amount of sedative effect in some people. In these cases, the medication might help the patient sleep better.

How long does it take for Bystolic to lower your blood pressure?

Bystolic is not an immediate-acting drug but instead takes a bit of time to produce results, with peak effect coming about 4 hours after ingestion. Note that the timing may differ if you use other medicines with Bystolic, such as certain calcium channel blockers. Talk to your healthcare provider if you are not sure.

Who should not take Bystolic?

Bystolic is not recommended for pregnant people, as it may potentially cause harm to the unborn baby. Tell your doctor if you have problems with low blood sugar, trouble breathing, and a slow heartbeat. You should also advise your doctor if you have had a heart attack in the past or currently have kidney failure. When you tell your doctor about these factors, they can determine whether Bystolic or other medicines are the proper treatment.

What happens if I miss a dose of Bystolic?

It’s generally OK to wait until your next scheduled dose if you miss one, or understand that if you make up a dose, you’ll need to wait until that time the following day to not overdo the effects of Bystolic. That’s because, in general, it’s a medicine you should only take once every 24 hours.

What happens if I take too much Bystolic?

An overdose of Bystolic can be dangerous. Call a poison control center if you think you took too much medication.

 

3 simple steps to request your Bystolic prescription today

How It Works Step 1
Step 1

Book a Bystolic prescription request appointment.

Book a same day appointment from anywhere.
How It Works Step 2
Step 2

Talk to your medical provider regarding your Bystolic prescription.

Visit with a doctor on your smartphone or computer.
How It Works Step 3
Step 3

Pick up Bystolic, if provided

We can send prescriptions to any local pharmacy.

Bystolic prescription pricing details

To get a new or refill on your Bystolic prescription, join our monthly membership and get discounted visits.

 

30 days of free membership

  • Same-day appointments 7 days a week
  • Unlimited messages with your Care Team
  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

Paying with insurance

Membership

$19.99

First month free

+

Visits

Copay

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

We accept these insurance plans and many more:


humanaaetnacigna logo background

 

Paying without insurance

Membership

$19.99

First month free

+

Visits

$129

Visit price without insurance

Initial visits are $129.
Book an appointment
*If we're unable to treat you, we'll provide a full refund. Please note that any medication or lab work costs are not included. Please refer to our refund policy for additional information.

Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.



PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.