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BIHASAL 5

Uses For bisoprolol

Bisoprolol is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled .

Bisoprolol is a beta-blocker. It works by affecting the response to nerve impulses in certain parts of the body, like the heart. As a result, the heart beats slower and decreases the blood pressure. When the blood pressure is lowered, the amount of blood and oxygen is increased to the heart .

Bisoprolol is available only with your doctor's prescription .

Before Using bisoprolol

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For bisoprolol, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to bisoprolol or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of bisoprolol in the pediatric population. Safety and efficacy have not been established .

Geriatric

Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of bisoprolol in the elderly .

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Using bisoprolol with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Albuterol
Amiodarone
Arformoterol
Bambuterol
Bitolterol
Broxaterol
Clenbuterol
Clonidine
Colterol
Diltiazem
Dronedarone
Fenoldopam
Fenoterol
Fentanyl
Formoterol
Hexoprenaline
Isoetharine
Levalbuterol
Metaproterenol
Pirbuterol
Procaterol
Reproterol
Rimiterol
Ritodrine
Salmeterol
Terbutaline
Tretoquinol
Tulobuterol
Verapamil

Using bisoprolol with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Acarbose
Acetohexamide
Alfuzosin
Amlodipine
Arbutamine
Benfluorex
Bunazosin
Chlorpropamide
Digoxin
Doxazosin
Felodipine
Gliclazide
Glimepiride
Glipizide
Gliquidone
Glyburide
Guar Gum
Insulin
Insulin Aspart, Recombinant
Insulin Glulisine
Insulin Lispro, Recombinant
Lacidipine
Lercanidipine
Manidipine
Metformin
Methyldopa
Mibefradil
Miglitol
Moxisylyte
Nicardipine
Nifedipine
Nilvadipine
Nimodipine
Nisoldipine
Nitrendipine
Phenoxybenzamine
Phentolamine
Pranidipine
Prazosin
Repaglinide
Rifapentine
St John's Wort
Tamsulosin
Terazosin
Tolazamide
Tolbutamide
Trimazosin
Troglitazone
Urapidil

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Bisoprolol Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

Body aches or pain
chest pain
chills
cough
difficult or labored breathing
ear congestion
fever
headache
loss of voice
nasal congestion
pain or tenderness around eyes and cheekbones
shortness of breath or troubled breathing
sneezing
sore throat
stuffy or runny nose
tightness in chest
unusual tiredness or weakness
wheezing

Rare

Chest discomfort
lightheadedness, dizziness, or fainting
slow or irregular heartbeat

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Anxiety
blurred vision
cold sweats
coma
confusion
cool, pale skin
decreased urine output
depression
dilated neck veins
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
extreme fatigue
fast heartbeat
increased hunger
irregular breathing
nausea
nervousness
nightmares
noisy breathing
seizures
shakiness
slurred speech
sweating
swelling of face, fingers, feet, or lower legs
weight gain

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: