Valvozid (5mg) 10 Tablets

Bisoprolol, a selective beta-1 adrenoceptor antagonist, works by blocking the activation of these receptors in the heart and other target organs. It competitively binds to beta-1 receptors, located mainly in the heart, inhibiting the effects of catecholamines like norepinephrine and epinephrine. This blockade decreases the heart rate and reduces cardiac contractility, leading to a drop in blood pressure. By slowing the heart rate and reducing the force of contraction, Bisoprolol decreases oxygen demand on the heart, enhances coronary blood flow, and prevents ischemia, especially in conditions where the heart's oxygen supply is compromised. This mechanism makes Bisoprolol effective in managing hypertension and certain heart conditions, where controlling heart rate and blood pressure is crucial.

Bisoprolol 5mg

Beta-blocker

Tablet

The following are the uses of Bisoprolol 5mg Tablet:

• Used for managing hypertension (high blood pressure) to lower the risk of associated health problems.
• Used for controlling heart rate in conditions like atrial fibrillation, helping to maintain a regular rhythm.
• Used for treating angina, relieving chest pain by reducing the heart's workload.
• Used for improving heart function in heart failure, enhancing efficiency and symptom management.
• Used for preventing migraines, particularly in individuals with cardiovascular risk factors.
• Used for supporting the management of anxiety-related tachycardia, calming rapid heart rate.
• Used for long-term maintenance of cardiovascular health in certain patients.
• Used for stabilizing heart function and blood pressure during surgical procedures.

Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

• For hypertension (high blood pressure)- The usual starting dose is 5 mg taken once daily. The maximum recommended dose is 10 mg per day.
• For heart failure- The usual starting dose is 1.25 mg taken once daily. The dose should be increased slowly every 3-7 days according to your tolerance. The target dose is 5 mg per day.
• For atrial fibrillation- The dose is dependent on what dose you're currently on and the purpose of treatment. If you're currently on a high dose of a beta-blocker, it is safe to start with a higher dose of Bisoprolol. For starter doses or conversion from other anti-arrhythmic drugs, a lower dose is recommended.

In the case of an overdose of Bisoprolol 5mg Tablets, individuals may experience symptoms such as severe dizziness, a slow heartbeat, and difficulty breathing. It is crucial to recognize that an overdose can lead to a significant drop in blood pressure, causing lightheadedness and potential loss of consciousness. If you suspect an overdose, it is important to seek medical advice promptly. Contact a healthcare professional or emergency services for guidance on the appropriate steps to take, as they can provide specific instructions for managing the situation effectively.

In the case of a missed dose of Bisoprolol 5mg Tablet, it is important to take the medication as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. If you miss multiple doses, contact your healthcare provider for guidance on how to safely resume your medication without affecting your treatment plan. It is recommended to establish a routine to help you remember to take your medication at the same time each day.

To take Bisoprolol 5mg Tablet, swallow the tablet whole with a glass of water, preferably at the same time each day, as directed by your healthcare provider, usually once daily, either in the morning or evening.

Here are the conditions or situations when Bisoprolol 5mg Tablet should not be used:

• Should not be used in patients with a known allergy or hypersensitivity to Bisoprolol or other beta-blockers.
• Contraindicated in patients with severe bradycardia (very slow heart rate).
• Not suitable for individuals with cardiogenic shock or decompensated heart failure.
• Should not be used in patients with severe peripheral arterial disease or Raynaud's syndrome.
• Contraindicated during episodes of bronchial asthma or severe chronic obstructive pulmonary disease (COPD).
• Not recommended for patients with metabolic acidosis.
• Should be avoided in patients with a history of severe chronic allergic reactions.
• Do not use in patients with untreated phaeochromocytoma.
• Not suitable for individuals with sick sinus syndrome (unless a permanent pacemaker is in place).
• Should not be used in patients with severe renal impairment or those undergoing dialysis.

The side effects of Bisoprolol 5mg Tablet may include:

• Fatigue and weakness
• Dizziness or lightheadedness
• Cold extremities (hands and feet)
• Slow heart rate (bradycardia)
• Gastrointestinal issues such as nausea, diarrhea, or constipation
• Sleep disturbances
• Shortness of breath, especially during exercise
• Impaired sexual function

Following are the precautions and warnings for Bisoprolol 5mg Tablet:

• Do not abruptly discontinue the medication; gradually reduce the dosage under medical supervision to prevent potential heart problems.
• Regular monitoring of blood pressure, heart rate, and kidney function is essential during treatment.
• Patients with existing kidney or liver problems should use with caution and under medical supervision.
• May cause dizziness or lightheadedness; patients should rise slowly from a sitting or lying position to prevent falls.
• Not recommended for individuals with severe heart failure or certain heart rhythm disorders.
• Elderly patients may be more susceptible to the effects and side effects of Bisoprolol, requiring careful monitoring.
• Inform your doctor if you have a history of lung diseases, diabetes, or thyroid problems before starting this medication.

Following are the drug interactions for Bisoprolol 5mg Tablet:

• Drugs that can increase the levels of Bisoprolol include rifampicin, phenytoin, and phenobarbital, which may reduce its effectiveness.
• Bisoprolol can enhance the effects of other medications that lower blood pressure, such as diuretics, ACE inhibitors, and other beta-blockers, leading to excessive hypotension.
• The use of Bisoprolol with certain antiarrhythmic medications, like amiodarone or flecainide, may cause a decrease in heart rate and worsen heart block.
• Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can reduce the antihypertensive effect of Bisoprolol.
• Bisoprolol may mask the symptoms of hypoglycemia when used with insulin or oral hypoglycemic agents.
• The concurrent use of Bisoprolol and certain antidepressants, such as tricyclic antidepressants, can result in increased heart rate and blood pressure.
• Drugs that affect liver metabolism, like CYP2D6 inhibitors (e.g., quinidine), may increase Bisoprolol levels in the body.
• Combining Bisoprolol with digoxin can increase the risk of bradycardia and other cardiac side effects.

Following are the food interactions to be aware of when taking Bisoprolol 5mg Tablet:

• Grapefruit and grapefruit juice should be avoided as they can decrease the breakdown of Bisoprolol, leading to increased drug levels in the body and potentially causing more side effects.
• Alcohol consumption should be minimized as it can lower blood pressure further, especially when combined with Bisoprolol, which may cause excessive dizziness and lightheadedness.
• Limit the intake of foods high in potassium, such as bananas, oranges, and spinach, as Bisoprolol can sometimes increase potassium levels in the blood.
• Avoid or reduce the consumption of high-sodium foods like processed meats, canned soups, and fast food, as Bisoprolol is less effective in reducing blood pressure when sodium levels are high.
• Caffeine-rich foods and beverages like coffee, tea, and chocolate may need to be reduced as they can block the effect of Bisoprolol, making it less effective in controlling blood pressure.
• Inform your doctor if you have a history of vitamin deficiencies, as Bisoprolol may affect the absorption of vitamins B12 and folate.
• Always follow the dietary instructions provided by your healthcare professional, as individual dietary needs may vary.
• There are no specific food requirements for the absorption of Bisoprolol, but maintaining a balanced diet is generally recommended.

Bisoprolol 5mg Tablets should be stored in a cool, dry area, preferably at room temperature, ensuring protection from light and moisture. The medication packaging should be tightly sealed to maintain its integrity and effectiveness. It is crucial to keep the tablets away from heat sources like heaters or radiators, as temperature fluctuations can impact their quality. Always adhere to the expiration date on the packaging, and dispose of any unused or expired tablets promptly. Proper disposal is essential; do not flush them or pour them down the drain. Consult your pharmacist or healthcare professional for the appropriate disposal method. Keep the medication securely stored, out of children's reach, to prevent accidental consumption.

Following are the quick tips for Bisoprolol 5mg Tablet:

• Take the tablet at the same time each day to maintain a consistent level in your body.
• It can be taken with or without food, but taking it with food may help prevent stomach upset.
• Ensure you swallow the tablet whole with a glass of water, do not crush or chew it.
• Do not suddenly stop taking this medication without consulting your doctor.
• Regularly monitor your blood pressure and heart rate as advised by your doctor.
• Store the tablets in a cool, dry place, away from direct sunlight and moisture.
• Inform your doctor about all the medications you are currently taking to avoid any potential drug interactions.
• Contact your doctor immediately if you experience dizziness, slow heartbeat, or any severe symptoms.

Lab tests are not required when taking Bisoprolol Fumarate 5mg. However, vital signs should be monitored periodically. A physician will advise you on how often you should check your blood pressure and heart rate and whether adjustments are needed. This is based on their assessment of your overall condition and their decision on whether you need a different dosage of the medication. Regular monitoring of blood pressure and heart rate is crucial to ensure the medication's effectiveness and safety. New or worsening symptoms should be immediately reported to your doctor, and they will decide if you need laboratory tests to investigate the matter further. It is essential to inform your doctor if you have any severe side effects. Remember that your doctor is there to help you and that their instructions are aimed at keeping you safe and healthy while using this medication.