Does Nebivolol Interact with Clonidine?
Nebivolol and Clonidine have a major drug interaction according to U.S. FDA drug labeling data. Discontinue nebivolol several days before gradual tapering of clonidine to avoid excessive reduction of sympathetic activity. The mechanism involves added β-blocking action causing excessive sympathetic inhibition. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Major
- Nebivolol Class
- beta-Adrenergic Blocker
- Clonidine Class
- Central alpha-2 Adrenergic Agonist
- Management
- Close medical supervision required
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Nebivolol and Clonidine occurs because added β-blocking action causing excessive sympathetic inhibition. Clinically, this means discontinue nebivolol several days before gradual tapering of clonidine to avoid excessive reduction of sympathetic activity. This is classified as a major interaction, meaning it could cause serious harm if not properly managed. Your healthcare provider may need to adjust dosages, substitute one medication, or increase monitoring frequency.
What To Tell Your Doctor or Pharmacist
If you are taking Nebivolol and your doctor is considering prescribing Clonidine (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask how frequently you should be monitored while these are co-prescribed
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider