Bisoprolol tablets 2.5mg No. 30




Biprolol-Zdorovye film-coated tablets are indicated for:
Arterial hypertension; ischemic heart disease (angina pectoris); chronic heart failure with systolic dysfunction of the left ventricle in combination with ACE inhibitors, diuretics, and if necessary - cardiac glycosides.Composition
Active ingredient: bisoprolol;
1 tablet contains bisoprolol fumarate - 2.5 mg.
Excipients: calcium hydrogen phosphate anhydrous, microcrystalline cellulose, corn starch, crospovidone; colloidal silicon dioxide, magnesium stearate, dry mixture "Opadry white" containing titanium dioxide (E 171), hypromellose, triacetin; sunset yellow FCF, sunset yellow S (E 110), tartrazine (E 102).
Contraindication
Acute heart failure or heart failure in a state of decompensation requiring inotropic therapy; cardiogenic shock; II and III degree blockade (except in patients with an artificial pacemaker); sick sinus syndrome; sinoatrial blockade; symptomatic bradycardia; symptomatic arterial hypotension; severe bronchial asthma; late stages of peripheral circulatory disorders or Raynaud's disease; metabolic acidosis; hypersensitivity to bisoprolol or to other components of the drug.Method of application
The drug should be taken without chewing, in the morning on an empty stomach, during or after breakfast, with a small amount of liquid.
The maximum recommended dose of bisoprolol fumarate is 10 mg once daily.
Application features
Pregnant women
During pregnancy, the drug is used only when the expected benefit to the mother outweighs the potential risk to the fetus.
Children
Not applicable.
Drivers
With caution.
Overdose
In case of overdose (for example, a daily dose of 15 mg instead of 7.5 mg), cases of third-degree atrioventricular block, bradycardia and dizziness have been recorded. Common signs of overdose with β-blockers are bradycardia, hypotension, acute heart failure, hypoglycemia and bronchospasm. Several cases of overdose in patients with arterial hypertension and/or ischemic heart disease (maximum dose - 2000 mg of bisoprolol) are currently known. Bradycardia and/or hypotension were noted. All patients recovered. There is a wide variability in individual sensitivity to a single high dose of bisoprolol; patients with heart failure may be more sensitive to the drug. Therefore, treatment should be started with a gradual increase in dosage.
Side effects
General disorders: Common: asthenia (in patients with chronic heart failure), fatigue*.
Uncommon: asthenia (in patients with arterial hypertension or ischemic heart disease).
* Applies only to patients with arterial hypertension or ischemic heart disease. These symptoms usually occur at the beginning of therapy, are mild and disappear within the first 1-2 weeks.
Interaction
Combinations not recommended for use. Treatment of chronic heart failure. Class I antiarrhythmics (e.g. quinidine, disopyramide, lidocaine, phenytoin, flecainide, propafenone): possible potentiation of the effect on AV conduction and increased negative inotropic effect.
Combinations to be used with caution. Treatment of arterial hypertension or ischemic heart disease (angina pectoris). Class I antiarrhythmics (e.g. quinidine, disopyramide, lidocaine, phenytoin, flecainide, propafenone): possible potentiation of the effect on AV conduction and increased negative inotropic effect.
Storage conditions
Store in the original packaging at a temperature not exceeding 25 °C.
Keep out of reach of children.
Shelf life - 2 years.
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