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Bisoprolol
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General Information
 
Uses
 
What should I know before taking this drug
 
Precautions
 
Dosage information
  
Adverse reactions
 
Storage
 
Additional information if any
 
Concor tab[Merck]
Corbis tab [Unichem]
 
Bisoprolol is a prescription drug available from your pharmacy store only with the prescription of a qualified medical practitioner.
 
Bisoprolol is pronounced as: BIS-oh-PROE-lol
 
Bisoprolol is a cardio vascular and cardio selective beta blocker.
 
Bisoprolol is used in the management of
  • Hypertension,
  • Angina (chest pain) and
  • Mild to moderate heart failure
  • Take bisoprolol exactly as prescribed by your doctor. If do not understand these instructions ask your pharmacist, nurse or doctor to explain them to you.
  • Do not take the medication in larger amounts or for longer duration than recommended by your doctor. Take bisoprolol with a full glass of water.
  • Take bisoprolol at the same time every day to avoid forgetting.
  • Do not skip doses or stop taking bisoprolol without consulting your doctor.
  • Bisoprolol when taken regularly can effectively reduce the severity of angina (chest pain) episodes.
  • Bisoprolol should be tapered gradually over a period of weeks Stopping suddenly may worsen hypertension or cause other serious cardiac problems like worsening of angina or heart attack.
  • Always remember to inform your health expert if you are currently taking any OTC or prescription drugs like,
    1. Oral hypoglycaemic drugs
    2. Clonidine
    3. Digoxin
    4. NSAIDs like Ibuprofen, Indomethacin etc
    5. Other antihypertensive drugs
  • Inform your doctor if you have following medical diseases , as Bisoprolol should be used cautiously in these conditions
    1. Bronchial asthma, chronic bronchitis
    2. History of heart failure or heart attack within 1month
    3. Slow pulse rate with heart block
    4. Raynaud’s disease
    5. Diabetes
    6. Liver or kidney disease
    7. Pheochromocytoma( adrenal gland tumour)
    8. Overactive thyroid state
Do not use bisoprolol if you have first degree heart bloc, low cardiac out put and low blood pressure.
 
Children:
Old people:
Pregnant woman: bisoprolol belongs to  FDA pregnancy category D. This means that bisoprolol can harm an unborn baby and cause birth defects if used during pregnancy. Do not use bisoprolol with out your doctor consent however its use is justified if the benefits to the mother outweigh the risks. Always inform your doctor if you are pregnant or are planning for conception.
 
Lactating women: bisoprolol passes into breast milk and harm nursing baby. Do not use bisoprolol with out the consent from your doctor if you are breastfeeding your child.
 
Other:
Visit your doctor regularly for monitoring your blood pressure and pulse rate when taking bisoprolol.
 
Bisoprolol is available in the form of tablets.
 
Use as directed by your physician, your physician prescribes depending on the severity of disease.
 
Use the complete course of medication as prescribed by your physician even though you feel better after one or two days of usage of medication.
 
If it is almost the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not take two doses at same time to cover up the missed dose.
 
In case of overdose contact your nearest poison control centre or emergency medical centre for immediate care by physician.
 
The overdose symptoms of Bisoprolol are
  • Shortness of breath
  • Convulsions
  • Swelling in the ankles
  • Slow pulse rate
  • Wheezing
Bisoprolol may cause following side effects
  • Sleep disturbances
  • Drowsiness
  • Headache
  • Fatigue
  • Nausea
Consult your doctor immediately if notice following symptoms.
  • Allergic reaction like swollen lips, hives, difficulty in breathing, rashes. Peeling of skin etc
  • Oedema in both the feet, unusual weight gain
  • Chest pain, breathing difficulty,
  • Irregular heartbeat, slow pulse
  • Behavioural changes
  • Decrease in sexual interest or performance
Store bisoprolol at room temp (15 – 30 degrees C). Avoid excessive heat, moisture or direct sunlight, never store in the bathroom.
Keep it out of reach of children. Make sure that any leftover portion is disposed off safely.
 
  • Bisoprolol causes dizziness when used for the first time when getting up from sitting or lying down position due to postural hypotension. Therefore when dizzy do not drive or get involve in activity which requires you to be alert.
  • Never stop bisoprolol abruptly without consulting your doctor as it causes rebound hypertension and worsening of angina or attack of MI.
  • If you are a diabetic on bisoprolol medication keep a close watch on your blood sugar levels as it may cause hypoglycaemia and mask its symptoms.
  • Strictly avoid alcohol when on bisoprolol medication as it increases its side effects
  • Inform your surgeon or dentist prior to any planned procedure regarding bisoprolol medication as it may increase the side effects of anaesthetic drugs.
  • Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
  • Adopt healthy lifestyle changes like regular exercise, healthy diet, quit smoking, alcohol to lower your blood pressure and improve your overall health.
 
It is imp to read manufacturing packaging instruction carefully if available and always do not hesitate to consult pharmacist or physician for any information.

For possible drug interactions please refer the link below http://www.healthplus24.com/DrugInteraction.aspx

Written by: Healthplus24 team
Date: Mar2nd,09

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Disclaimer : Every effort has been made to ensure that the information provided by healthplus24 team is accurate, up to date and complete but no guarantee is made to that effect. The information contained herein is intended to supplement not substitute for the expertise and knowledge of health care professional. The information is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, adverse effects etc. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Healthplus24 team disclaims any liability for the decisions you make based on this information.

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  Pregnancy Categories  
 
Category A
Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).

Category B
Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.

Category C
Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Category D
There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Category X
Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.
 

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