Therapeutic Indications

• The Product is recommended for use to treat the following:
• Stable heart failure
• High blood pressure (hypertension)
• Chest pain (angina) which may occur when your heart cannot get enough oxygen, such as when doing exercise

Usage Directions

• Take this medicine in the dose and duration as advised by your Doctor. Swallow it as a whole with water; do not crush, break or chew it.

Precautions & Warnings

• Please consult your doctor before consuming this medicine, in case of:
• Have myasthenia gravis (characterized by muscle weakness, weakness of facial muscles including the eye muscles and difficulty in swallowing)
• Are allergic to Bisoprolol or to any of the other ingredients of this medicine
• Have severe kidney or liver disease
• Have heart problems such as irregular or slow heart beats, have heart failure (swelling of your ankles) that suddenly becomes worse or have poor circulation (cramp in the legs or cold feet)
• Have an overactive thyroid gland
• Have a history of breathing difficulties or wheezing, asthma or other lung disorders
• Have a condition characterized by red, scaly patches on the skin (psoriasis)
• Have poor circulation, resulting in discoloration of the fingers due to lack of blood supply (Raynaud's phenomenon)
• Have diabetes mellitus (sugar diabetes)
• Have unusually low blood pressure
• Have a rare form of heart muscle disease (restrictive cardiomyopathy)
• Suffer from a tumor of a gland situated on top of the kidney (pheochromocytoma)
• Have had a heart attack within the last 3 months
• Suffer from a condition in which your blood becomes acidic (metabolic acidosis)

Indicated Side Effects

• Like all medicines, this medicine can cause side effects, although not everybody gets them
• Worsening of pre-existing heart failure causing increased breathlessness or fluid retention
• Slow heartbeat (seen in patients with severe heart failure)
• Feeling of coldness or numbness in the fingers or toes
• Weakness (in patients with heart failure)
• Nausea, vomiting, diarrhoea, constipation
• Low blood pressure (especially in patients with heart failure)
• Tiredness
• Dizziness, headache
• Weakness (in patients with high blood pressure or angina)
• Muscle weakness and cramps
• Breathing problems (in patients with asthma or a history of obstructive airways disease)
• Breathing problems (in patients with asthma or a history of obstructive airways disease)
• Depression
• Sleep disturbances
• Fainting
• Nightmares, hallucinations
• Dryness of the eyes (may be troublesome if you use contact lenses)
• Allergic reactions (including itching, flushing, rash)
• Runny nose caused by swelling and irritation inside the nose
• Inflammation of the liver (symptoms are yellowing of the skin or the white of your eyes, loss of appetite, stomach discomfort, pale stools and dark urine), increase in liver enzymes on examination
• Hearing problems
• Increased blood levels of some fats
• Problems with erection
• Hair loss
• Inflammation, redness and watering of the eyes (conjunctivitis)
• Red, scaly patches on the skin or worsening of psoriasis

Interactions

• Please inform your doctor if you have recently consumed or are consuming any of the below mention medicine:
• Ergotamine derivatives used to treat migraine attacks
• Verapamil, Clonidine, Amlodipine, Diltiazem, Methyldopa used for the treatment of high blood pressure
• Phenytoin used to treat seizures
• Disopyramide, Flecainide and Amiodarone used for the treatment of irregular heart beat
• Adrenaline, noradrenaline used to treat hypersensitivity reactions and to restore cardiac rhythm in cardiac arrest
• Eye-drops used for the treatment of glaucoma (increased pressure in the eyes)
• Rifampicin used for the treatment of infections
• Medicines used for the treatment of diabetes e.g. insulin and other oral antidiabetic medicines
• Mefloquine, used for the treatment and prevention of malaria
• General anaesthetics
• Barbiturates used for sedation and to induce sleep
• Digitalis, Isoprenaline and dobutamine for heart problems
• Non-steroidal anti-inflammatory drugs (NSAIDs) used for the treatment of swelling and inflammation
• Medicines used for depression e.g. tricyclic antidepressants, monoamine oxidase inhibitors (e.g hydralazine) or phenothiazines

Storage Condition

• Store in a cool and dry place away from sunlight or as mentioned on Product/Label.

Disclaimer

• We make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. Please consult your doctor and discuss all your queries related to any disease, medicine, health conditions, all possible side effects, drug interactions etc. The contents of this website are for informational purposes only and should not be considered or used as a substitute for qualified physician.