Do not take this medicine with any of the following medications:

-aliskiren in patients who are diabetic
This medicine may also interact with the following medications:

-aliskiren
-beta-blockers like metoprolol and propranolol
-certain medicines for blood pressure like benazepril, captopril, lisinopril,
-certain potassium-sparing diuretics like amiloride, spironolactone, and triamterene
-clonidine
-digoxin
-diltiazem
-disopyramide
-diuretics
-fluoxetine
-heparin
-lithium
-NSAIDS, medicines for pain and inflammation, like ibuprofen and naproxen
-paroxetine
-potassium salts or potassium supplements
-propafenone
-quinidine
-reserpine
-verapamil

They need to know if you have any of these conditions:

-diabetes
-heart disease
-kidney disease
-liver disease
-lung or breathing disease like asthma
-pheochromocytoma
-thyroid disease
-an unusual or allergic reaction to nebivolol, valsartan, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure and when you should contact him or her.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not sit or stand up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child, particularly in the second or third trimester. Talk to your health care professional or pharmacist for more information.

This medicine may increase blood sugar. Ask your healthcare provider if changes in diet or medicines are needed if you have diabetes.

Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw any unused medicine after the expiration date.