Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C22H25F2NO4.ClH |
| Molecular Weight | 441.896 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 4 / 4 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.O[C@H](CNC[C@@H](O)[C@@H]1CCC2=C(O1)C=CC(F)=C2)[C@H]3CCC4=CC(F)=CC=C4O3
InChI
InChIKey=JWEXHQAEWHKGCW-VCVZPGOSSA-N
InChI=1S/C22H25F2NO4.ClH/c23-15-3-7-19-13(9-15)1-5-21(28-19)17(26)11-25-12-18(27)22-6-2-14-10-16(24)4-8-20(14)29-22;/h3-4,7-10,17-18,21-22,25-27H,1-2,5-6,11-12H2;1H/t17-,18-,21-,22+;/m1./s1
| Molecular Formula | C22H25F2NO4 |
| Molecular Weight | 405.435 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 4 / 4 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
| Molecular Formula | ClH |
| Molecular Weight | 36.461 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: https://www.drugbank.ca/drugs/DB04861 | https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/021742s000_LBL.pdf | https://www.ncbi.nlm.nih.gov/pubmed/18485134 | https://www.ncbi.nlm.nih.gov/pubmed/9825177 | https://www.ncbi.nlm.nih.gov/pubmed/21283024 | https://www.ncbi.nlm.nih.gov/pubmed/1681809 | https://www.ncbi.nlm.nih.gov/pubmed/1357130https://www.drugbank.ca/drugs/DB04861 | https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/021742s000_LBL.pdf | http://www.bystolic.com/
Sources: https://www.drugbank.ca/drugs/DB04861 | https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/021742s000_LBL.pdf | https://www.ncbi.nlm.nih.gov/pubmed/18485134 | https://www.ncbi.nlm.nih.gov/pubmed/9825177 | https://www.ncbi.nlm.nih.gov/pubmed/21283024 | https://www.ncbi.nlm.nih.gov/pubmed/1681809 | https://www.ncbi.nlm.nih.gov/pubmed/1357130https://www.drugbank.ca/drugs/DB04861 | https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/021742s000_LBL.pdf | http://www.bystolic.com/
Nebivolol is a competitive and highly selective beta-1 receptor antagonist with mild vasodilating properties, possibly due to an interaction with the L-arginine/nitric oxide pathway. In preclinical studies, nebivolol has been shown to induce endothelium-dependent arterial relaxation in a dose dependent manner, by stimulation of the release of endothelial nitric oxide. Nitric oxide acts to relax vascular smooth muscle cells and inhibits platelet aggregation and adhesion. Activation of β1-receptors by epinephrine increases the heart rate and the blood pressure, and the heart consumes more oxygen. Nebivolol blocks these receptors which reverses the effects of epinephrine, lowering the heart rate and blood pressure. In addition, beta blockers prevent the release of renin, which is a hormone produced by the kidneys which leads to constriction of blood vessels. At high enough concentrations, this drug may also bind beta 2 receptors. Marketed under the brand name BYSTOLIC, Nebivolol is indicated for
the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.
CNS Activity
Sources: https://link.springer.com/article/10.1007/BF03258299 | https://books.google.ru/books?id=2Q5hCgAAQBAJ&pg=PA188&lpg=PA188&dq=nebivolol retrieved from Pharmacotherapeutics For Advanced Practice Nurse Prescribers By Teri Moser Woo, Marylou V Robinson, p.188https://link.springer.com/article/10.1007/BF03258299 | https://books.google.ru/books?id=2Q5hCgAAQBAJ&pg=PA188&lpg=PA188&dq=nebivolol retrieved from Pharmacotherapeutics For Advanced Practice Nurse Prescribers By Teri Moser Woo, Marylou V Robinson, p.188 | https://www.ncbi.nlm.nih.gov/pubmed/23128558
Curator's Comment: Nebivolol is a highly lipophilic drug and, thus, it may penetrate the central nervous system (CNS) in humans.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
| 0.7 nM [Ki] | |||
Target ID: CHEMBL213 |
0.35 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | BYSTOLIC Approved UseBYSTOLIC is a beta-adrenergic blocking agent indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. BYSTOLIC may be used alone or in combination with other antihypertensive agents . Launch Date2007 |
|||
| Primary | BYSTOLIC Approved UseBYSTOLIC is a beta-adrenergic blocking agent indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. BYSTOLIC may be used alone or in combination with other antihypertensive agents . Launch Date2007 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.48 ng/mL |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEBIVOLOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7.76 ng × h/mL |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEBIVOLOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
11 h |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEBIVOLOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2% |
unknown |
NEBIVOLOL plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
Disc. AE: Hyperhidrosis, Pallor... AEs leading to discontinuation/dose reduction: Hyperhidrosis Sources: Pallor Depressed level of consciousness Hypokinesia Hypotension Sinus bradycardia Hypoglycemia Hypokalemia Respiratory failure Vomiting |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Headache, Nausea... AEs leading to discontinuation/dose reduction: Headache (0.4%) Sources: Nausea (0.2%) Bradycardia (0.2%) |
5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Disorder fetal... AEs leading to discontinuation/dose reduction: Disorder fetal Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Depressed level of consciousness | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Hyperhidrosis | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Hypoglycemia | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Hypokalemia | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Hypokinesia | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Hypotension | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Pallor | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Respiratory failure | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Sinus bradycardia | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Vomiting | Disc. AE | 500 mg single, oral Overdose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy Health Status: healthy Sources: |
| Bradycardia | 0.2% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Nausea | 0.2% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Headache | 0.4% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Disorder fetal | Disc. AE | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 50, 55 |
no | |||
Page: 50, 55 |
no | |||
Page: 50, 55 |
no | |||
Page: 50, 55 |
no | |||
Page: 50, 55 |
no | |||
Page: 50, 55 |
no | |||
Page: 50, 55 |
no | |||
Page: 50, 55 |
no |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 28, 50, 55 |
minor | |||
Page: 17.0 |
yes | yes (co-administration study) Comment: from product label: fluoxetine coadministration led to increased AUC by 8% and Cmax by 3-fold Page: 17.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Different pharmacological properties of two enantiomers in a unique beta-blocker, nebivolol. | 2008 |
|
| [Genetic polymorphisms in drug metabolizing enzymes--impact on treatment with beta-blockers]. | 2004-04-08 |
|
| Antioxidant activity of nebivolol in the rat aorta. | 2004-01 |
|
| [Nebivolol in the treatment of ischemic heart disease patients with chronic heart failure]. | 2004 |
|
| The shift in the "paradigm" of the pharmacology of hypertension. | 2004 |
|
| [Beta blocker improves the endothelial function. Gas-forming blood vessel protection]. | 2003-12-18 |
|
| Efficacy and tolerability profile of nebivolol vs atenolol in mild-to-moderate essential hypertension: results of a double-blind randomized multicentre trial. | 2003-12 |
|
| Nebivolol and its 4-keto derivative increase nitric oxide in endothelial cells by reducing its oxidative inactivation. | 2003-11-19 |
|
| [Endothelial dysfunction and metabolic effects of nitric oxide in human]. | 2003-11-13 |
|
| [Beta-1 blockade plus NO release. Additional organ protection for patients with hypertension]. | 2003-10-02 |
|
| Beta-blocker treatment of patients with diastolic heart failure and arterial hypertension. A prospective, randomized, comparison of the long-term effects of atenolol vs. nebivolol. | 2003-10 |
|
| Long-term treatment with nebivolol improves arterial reactivity and reduces ventricular hypertrophy in spontaneously hypertensive rats. | 2003-09 |
|
| Lack of inverse agonistic activity of nebivolol, its D- and L-enantiomers and of in vivo metabolized nebivolol in human myocardium. | 2003-08-22 |
|
| Comparison of effects on systolic and diastolic left ventricular function of nebivolol versus atenolol in patients with uncomplicated essential hypertension. | 2003-08-01 |
|
| Involvement of the beta3 adrenoceptor in nebivolol-induced vasorelaxation in the rat aorta. | 2003-08 |
|
| Third-generation beta-blockers stimulate nitric oxide release from endothelial cells through ATP efflux: a novel mechanism for antihypertensive action. | 2003-06-03 |
|
| The combination of nebivolol plus pravastatin is associated with a more beneficial metabolic profile compared to that of atenolol plus pravastatin in hypertensive patients with dyslipidemia: a pilot study. | 2003-06 |
|
| A comparison of the beta1-selectivity of three beta1-selective beta-blockers. | 2003-06 |
|
| Different effect of antihypertensive drugs on conduit artery endothelial function. | 2003-06 |
|
| [Initial data on nebivolol in heart failure. Beta blockers strengthen older hearts, too]. | 2003-05-29 |
|
| Comparative effects of a two-week treatment with nebivolol and nifedipine in hypertensive patients suffering from COPD. | 2003-05-28 |
|
| Comparison of the new cardioselective beta-blocker nebivolol with bisoprolol in hypertension: the Nebivolol, Bisoprolol Multicenter Study (NEBIS). | 2003-05 |
|
| Evaluation of the efficacy and tolerability of nebivolol versus lisinopril in the treatment of essential arterial hypertension: a randomized, multicentre, double-blind study. | 2003-05 |
|
| Effects of nebivolol on ischemia-induced metabolic changes in dog hearts. | 2003-05 |
|
| Nebivolol prevents vascular NOS III uncoupling in experimental hyperlipidemia and inhibits NADPH oxidase activity in inflammatory cells. | 2003-04-01 |
|
| [Hemodynamic effects of the beta blocker nebivolol]. | 2003-04 |
|
| Angiotensin-converting enzyme inhibition but not beta-adrenergic blockade limits transforming growth factor-beta overexpression in acute normotensive anti-thy1 glomerulonephritis. | 2003-04 |
|
| Beta 1-adrenoceptor selectivity of nebivolol and bisoprolol. A comparison of [3H]CGP 12.177 and [125I]iodocyanopindolol binding studies. | 2003-01-26 |
|
| [Influence of the beta-blocker nebivolol on left ventricular function in patients with chronic heart failure]. | 2003-01-15 |
|
| Effect of forced titration of nebivolol on response rate in obese hypertensive patients. | 2003-01 |
|
| [Nebivolol effects on platelet aggregation and anticoagulation system]. | 2003 |
|
| [Heart rate control with nebivolol in patients with tachysystolic atrial fibrillation]. | 2003 |
|
| [The use of nebivolol in menopausal women with hypertension]. | 2003 |
|
| [Dynamics of a 24-h profile of arterial pressure and function of the vascular endothelium in nebivolol treatment of hypertensive patients]. | 2003 |
|
| [Pharmacological modulation of NO synthesis in patients with arterial hypertension and endothelial dysfunction]. | 2003 |
|
| [Effect of nebivolol on the state of pituitary-gonadal system and lipid peroxidation in young and middle aged men with hypertension]. | 2003 |
|
| [Clinical and metabolic effects of cardioselective beta-adrenoblockers nebivolol and metoprolol in patients with hypertension and ischemic heart disease associated with type 2 diabetes]. | 2003 |
|
| [Use of nebivolol in patients with mild and moderate hypertension]. | 2003 |
|
| [Beta blocker enhances NO liberation in the endothelium. Vascular tone long-term improvement]. | 2002-12-05 |
|
| Gateways to clinical trials. | 2002-12 |
|
| No-dependent vasodilation induced by nebivolol in coronary circulation is not mediated by beta-adrenoceptors or by 5 HT1A-receptors. | 2002-12 |
|
| Nebivolol ameliorates nitric oxide deficient hypertension. | 2002-06-20 |
|
| [Effect of nebivolol on the level of constitutional, inducible, and total NO-synthase in serum of patients with type II diabetes mellitus]. | 2002 |
|
| [Effect of enape combined with nebilet in hypertension]. | 2002 |
|
| [Functional and biochemical characteristics of the vasodilator effects of nebivolol in patients with arterial hypertension]. | 2002 |
|
| [Assessment of efficacy and safety of nebivolol in patients with stable effort angina]. | 2002 |
|
| [Effects of nebivolol on microcirculation, platelet aggregation and blood viscosity in patients with essential hypertension]. | 2002 |
|
| Nebivolol: comparison of the effects of dl-nebivolol, d-nebivolol, l-nebivolol, atenolol, and placebo on exercise-induced increases in heart rate and systolic blood pressure. | 1998-09 |
|
| Effects of D-nebivolol and L-nebivolol on left ventricular systolic and diastolic function: comparison with D-L-nebivolol and atenolol. | 1993-08 |
|
| Relationship between the sympatholytic action of nebivolol and hypotension. | 1992-07 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7596131
After a 4-week placebo run-in period, 30 patients (mean age 48 years) were randomly allocated to double-blind treatment with either DL-nebivolol 5 mg or D-nebivolol 2.5 mg once daily for 4 weeks.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2575531
Nebivolol and d-nebivolol (SRRR) inhibited noradrenaline-induced cAMP accumulation with IC50 values of 22 and 15 nM, respectively in rat living cardiac cells.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:11:31 GMT 2025
by
admin
on
Mon Mar 31 18:11:31 GMT 2025
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| Record UNII |
JGS34J7L9I
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| Record Status |
Validated (UNII)
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| Record Version |
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NCI_THESAURUS |
C29576
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m7786
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C81656
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1457833
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