Reported Reactions

Drugs › beta-Adrenergic blocker

Brand name · Nebivolol hydrochloride

Bystolic: adverse event reports filed with FDA

2,841 reports list it as a suspect or interacting product, 2008–2026. Class: beta-Adrenergic blocker.

2,841
reports as suspect product
0% of all reports · about 155 a year
21
reports, 12 months to June 2026
28 in the 12 months before
31.1%
marked serious by the reporter
78.7% across the class
1.8%
record death among outcomes, as reported
50 reports · not verified by FDA

2,841 adverse event reports received by FDA list the brand name Bystolic (nebivolol hydrochloride) as a suspect or interacting product, from March 2008 to June 2026. A further 13,449 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 21 reports listed it, down 25% from 28 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 155 reports a year and 0% of the 20,646,523 reports in the database, and 1.9% of the reports for the beta-Adrenergic blocker class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dizziness (8.4%), fatigue (8.1%) and blood pressure increased (6.9%). A report can list several reactions, so shares add to more than 100%; 398 different terms appear across these reports. Dizziness is recorded in 8.4% of these reports, a larger share than in the median beta-Adrenergic blocker drug (4.8%).

31.1% of the reports are marked serious by the reporter (78.7% across the class); 1.8% record death among the outcomes and 10.2% record hospitalisation, as reported. 61.9% of the reports came from consumers, and the largest patient age group is 45 to 64 (20.4%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

03365Jul 2021: 4Aug 2021: 9Sep 2021: 4Oct 2021: 3Nov 2021: 2Dec 2021: 02022Jan 2022: 65Feb 2022: 1Mar 2022: 1Apr 2022: 1May 2022: 1Jun 2022: 4Jul 2022: 1Aug 2022: 2Sep 2022: 1Oct 2022: 1Nov 2022: 3Dec 2022: 322023Jan 2023: 1Feb 2023: 2Mar 2023: 9Apr 2023: 2May 2023: 1Jun 2023: 9Jul 2023: 7Aug 2023: 7Sep 2023: 4Oct 2023: 3Nov 2023: 7Dec 2023: 32024Jan 2024: 6Feb 2024: 1Mar 2024: 7Apr 2024: 4May 2024: 2Jun 2024: 3Jul 2024: 1Aug 2024: 3Sep 2024: 4Oct 2024: 2Nov 2024: 0Dec 2024: 32025Jan 2025: 1Feb 2025: 7Mar 2025: 0Apr 2025: 3May 2025: 1Jun 2025: 3Jul 2025: 2Aug 2025: 2Sep 2025: 2Oct 2025: 2Nov 2025: 1Dec 2025: 32026Jan 2026: 2Feb 2026: 3Mar 2026: 1Apr 2026: 0May 2026: 1Jun 2026: 2

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02494982008: 4420082009: 4982010: 43420102011: 922012: 9620122013: 1122014: 8020142015: 1032016: 36820162017: 972018: 30720182019: 1982020: 13320202021: 392022: 11320222023: 552024: 3620242025: 272026: 92026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Bystolic reports recording the termmedian drug in beta-adrenergic blocker

  1. Dizzinesslight-headedness or unsteadiness8.4%238
  2. Fatiguetiredness8.1%231
  3. Blood pressure increaseda raised blood pressure reading6.9%197
  4. Headachehead pain6.7%191
  5. Dyspnoeashortness of breath6.4%181
  6. Drug ineffectivethe medicine did not work as expected6.2%177
  7. Off label useused for a purpose or in a way not on the label4.3%123
  8. Insomniadifficulty sleeping4.1%116
  9. Nauseafeeling sick4%115
  10. Hypertensionhigh blood pressure3.8%109
  11. Diarrhoealoose or frequent stools3.5%99
  12. Chest painchest pain3.4%98
  13. Palpitationsawareness of the heartbeat3.3%93
  14. Rashskin rash3.1%89
  15. Wrong technique in product usage processthe product was used in the wrong way3.1%89
  16. Alopeciahair loss3%84
  17. Oedema peripheralswelling of the legs, ankles or hands2.9%83
  18. Weight increasedweight gain2.9%83
  19. Pain in extremitypain in an arm or leg2.8%80
  20. Bradycardiaslow heart rate2.7%76
  21. Astheniaweakness or lack of energy2.6%73
  22. Feeling abnormalfeeling odd or not right2.4%69
  23. Drug hypersensitivityan allergic-type reaction to a medicine2.4%67
  24. Hypotensionlow blood pressure2.3%66
  25. Coughcough2.2%63
  26. Malaisegeneral feeling of being unwell2.1%59
  27. Pruritusitching2.1%59
  28. Heart rate increaseda fast heart rate reading2%58
  29. Drug interactionan interaction between medicines1.9%55

Top 30 of 398 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 22 drugs in the beta-adrenergic blocker class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death1.8%50
Life-threatening0.9%26
Hospitalisation (initial or prolonged)10.2%289
Disability1.1%30
Congenital anomaly0%0
Other serious21.9%623
Not serious68.9%1,957

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 148,208 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%0
2 to 110.1%3
12 to 170.1%2
18 to 444.5%129
45 to 6420.4%579
65 to 7414.3%407
75 and over13.5%383
Age not given47.1%1,338

Patient sex

Female58%1,647
Male33.3%946
Not given8.7%248

Who reported

Physician21.3%605
Pharmacist3%85
Other health professional10%285
Lawyer0.1%3
Consumer or non-health professional61.9%1,758
Not given3.7%105

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypertension1,24743.9%
Blood pressure measurement331.2%
Blood pressure increased321.1%
Arrhythmia200.7%
Atrial fibrillation170.6%
Tachycardia160.6%

The indication field is filled in by the reporter and is often blank; shares are of all 2,841 reports.

In context

MeasureBystolicbeta-Adrenergic blockerAll reports
Reports as suspect product2,841148,20820,646,523
Share of that pool—1.9%0%
Reports, latest 12 months21—1,332,454
Marked serious31.1%78.7%57.4%
Death recorded among outcomes, per 1,000 reports1813191
Hospitalisation recorded, per 1,000 reports102387213
Consumer-filed share61.9%26.8%45.8%
Top term, share of reportsDizziness 8.4%median 4.8%2.4%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the beta-adrenergic blocker class

DrugName typeReportsLatest 12 monthsMarked serious
Metoprololgeneric27,4101,52088.2%
Bisoprololbrand22,8811,45499.1%
Atenololgeneric17,02244484.9%
Propranololgeneric13,7331,17787.1%
Metoprolol succinategeneric10,41666465.4%
Metoprolol tartrategeneric9,10355772.4%
Bisoprolol fumarategeneric8,29254698.2%
Propranolol hydrochloridegeneric6,10248471.9%
Timololgeneric4,8189720.7%
Hemangeolbrand4,3834415.4%
Nebivololgeneric4,21138693.9%
Toprol Xlbrand3,3413544.5%
Labetalolgeneric2,96019288.7%
Timolol maleategeneric2,74312029.9%
Tenorminbrand1,7861480.2%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Bystolic reports

How many adverse event reports has FDA received for Bystolic?

2,841 reports list Bystolic as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 21 of them arrived in the latest 12 months. Another 13,449 list it only as a concomitant medication.

What reactions are recorded in Bystolic reports?

dizziness (8.4%), fatigue (8.1%), blood pressure increased (6.9%), headache (6.7%) and dyspnoea (6.4%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Bystolic was responsible.

How serious are the reports?

31.1% are marked serious by the reporter. Among the outcomes recorded, 1.8% of reports include death and 10.2% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (61.9%), physician (21.3%) and other health professional (10%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Bystolic rising?

21 reports in the 12 months to June 2026, down 25% from 28 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Bystolic was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Bystolic?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Bystolic as a suspect or interacting product; reports listing it only as a concomitant medication (13,449) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.