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Introduction About BISOMAX 2.5 TABLET
BISOMAX 2.5 TABLET is a heart medicine used in the management of hypertension, angina, arrhythmia and as a secondary therapy to reduce the risk of further heart attacks in patients with chronic heart conditions.
Depending on your condition and its severity, your doctor may prescribe this medication alone or alongside other treatments. BISOMAX 2.5 TABLET can be taken on an empty stomach or with food, but it’s important to take it consistently at the same time each day for optimal effectiveness.
It may take several weeks to experience the full benefits of the medication, and in some cases, long-term use may be required. Even if you feel fine, continue taking it as stopping the medication suddenly can worsen your condition, particularly in individuals with high blood pressure who often do not experience noticeable symptoms.
Common side effects include fatigue, headache, dizziness, slow heart rate, and nausea, which are typically mild and temporary. In some cases, it may cause shortness of breath or low blood pressure. To minimize side effects, your doctor may begin treatment with a low dose and gradually increase it. If any side effects persist or become troublesome, consult your doctor.
Before starting BISOMAX 2.5 TABLET, inform your doctor if you have liver issues, a very slow heart rate, severe circulation problems, serious heart failure, or low blood pressure. Pregnant or breastfeeding women should seek medical advice before use. Regular blood pressure monitoring is recommended to ensure the medication is working effectively. Avoid alcohol as it may intensify certain side effects.
Uses Of BISOMAX 2.5 TABLET
- Hypertension
- Angina (Chest pain)
- Arrhythmia (irregular heart rate)
- stable heart failure (in combination with other medicines)
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Benefits of BISOMAX 2.5 TABLET in hypertension
BISOMAX 2.5 TABLET helps lower blood pressure by reducing the heart rate and the force of heart contractions. This decreases the workload on the heart and helps protect against complications like stroke, heart attack, and kidney problems.
Benefits of BISOMAX 2.5 TABLET in Angina
By reducing the heart’s oxygen demand, this medicine alleviates chest pain caused by insufficient blood flow to the heart. It improves exercise tolerance and reduces the frequency and severity of angina attacks.
Benefits of BISOMAX 2.5 TABLET in Arrhythmia
BISOMAX 2.5 TABLET helps stabilize heart rhythm by slowing electrical signals in the heart. This is particularly effective in conditions like atrial fibrillation or tachycardia, where the heart beats abnormally fast or irregularly.
Benefits of BISOMAX 2.5 TABLET in heart failure
BISOMAX 2.5 TABLET is beneficial in managing chronic heart failure as it improves heart function over time. By decreasing heart rate and reducing strain on the heart, it enhances the heart’s efficiency and improves symptoms like shortness of breath, fatigue, and fluid retention.
How BISOMAX 2.5 TABLET Works
BISOMAX 2.5 TABLET contains a medicine called Bisoprolol which is a selective beta-1 adrenergic receptor blocker. It works primarily on the heart by reducing the effects of adrenaline and other stress hormones on these receptors. This results in:
- Slower Heart Rate: Bisoprolol decreases the heart rate, allowing the heart to pump blood more efficiently.
- Reduced Heart Workload: By lowering the force of contraction and heart rate, it reduces the oxygen demand of the heart muscle.
- Stabilized Heart Rhythm: Bisoprolol helps correct irregular heartbeats by regulating the electrical activity of the heart.
- Lower Blood Pressure: It reduces the output of the heart, leading to a decrease in blood pressure levels.
These actions make bisoprolol effective in managing conditions like high blood pressure, angina, arrhythmias, and heart failure. Its selective action on beta-1 receptors minimizes side effects related to beta-2 receptors, such as bronchoconstriction.
How to use BISOMAX 2.5 TABLET
- Take BISOMAX 2.5 TABLET exactly as prescribed by your doctor.
- Typically, it is taken once daily, at the same time each day.
- The tablet can be taken with or without food. Swallow it whole with water; do not crush, break, or chew the tablet.
- Continue taking the medicine even if you feel well unless advised otherwise by your doctor. Stopping it suddenly can worsen your condition, so always follow your doctor’s instructions for discontinuation.
- Always consult your doctor or pharmacist if you have any questions or concerns about taking this medication.
What if I forgot to take BISOMAX 2.5 TABLET:
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for a missed one.
Overdosage of BISOMAX 2.5 TABLET:
If you or anyone else accidentally take too much of BISOMAX 2.5 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are decreased heart rate, severe difficulty in breathing, feeling dizzy or trembling due to decreased blood sugar.
Side Effects Of BISOMAX 2.5 TABLET
Like all medicines, BISOMAX 2.5 TABLET may cause certain side effects, although not everybody gets them
Some of the most common side effects of BISOMAX 2.5 TABLET are:
- tiredness, feeling weak
- dizziness (while standing up), headache
- slow heartbeat
- coldness, numbness in your hands or feet
- low blood pressure
- gastrointestinal symptoms (nausea, vomiting, diarrhoea or constipation)
- muscle weakness, muscle cramps
Stop taking BISOMAX 2.5 TABLET and contact your doctor immediately if you experience any of the following side effects:
- slowing of heart rate
- worsening of heart failure (increased breathlessness and swelling of legs)
- slow or irregular heartbeat
- worsening of symptoms of blockage of the main blood vessel to the legs
- dizziness or weakness or have breathing difficulty
- allergic reactions
How To Manage Side Effects
Dizziness Or Drowsiness
Avoid sudden movements when getting up from a sitting or lying position. Rise slowly to give your body time to adjust and prevent lightheadedness. Drink plenty of water throughout the day to maintain proper blood circulation and prevent dehydration, which can worsen dizziness. Refrain from consuming alcohol, as it can increase the dizziness caused by bisoprolol and may lower blood pressure further. If you feel dizzy, sit or lie down immediately to avoid falling. Rest until the sensation passes. Keep your blood sugar stable by eating small, balanced meals regularly, as low blood sugar can contribute to dizziness. If dizziness persists or worsens, consult your doctor, as your medication dose may need adjustment.
Warning & Precautions
Pregnancy
Monitoring requiredBISOMAX 2.5 TABLET may not be safe for use during pregnancy. While human studies are limited, animal studies suggest it may have harmful effects on the developing baby. Your doctor will carefully assess the potential benefits and risks before prescribing this medication. Always consult your doctor for guidance.
Breastfeeding
ContraindicatedBISOMAX 2.5 TABLET is not recommended for use in breastfeeding women as it is not known if this medicine passes into breast milk. Consult your doctor before taking BISOMAX 2.5 TABLET.
Driving and Using Machines
Use with CautionDo not drive or operate any machines until you know the effect of BISOMAX 2.5 TABLET on your ability to drive.
Kidney
Use with CautionBISOMAX 2.5 TABLET should be taken with caution in patients with severely impaired kidney diseases. Consult your doctor before taking BISOMAX 2.5 TABLET.
Liver
Use with CautionBISOMAX 2.5 TABLET should be used with caution in patients with severely impaired liver function. Consult your doctor before taking BISOMAX 2.5 TABLET.
Allergy
ContraindicatedDo not take BISOMAX 2.5 TABLET if you are allergic to Bisoprolol or any of the other ingredients of this medicine.
Lungs
ContraindicatedBISOMAX 2.5 TABLET is not recommended for use in patients with breathing problems such as Asthma and COPD. Consult your doctor before taking BISOMAX 2.5 TABLET.
Heart Disease
Use with CautionInform your doctor about your pre-existing heart conditions as a precaution before taking BISOMAX 2.5 TABLET.
Use In Pediatrics
ContraindicatedBISOMAX 2.5 TABLET is generally not recommended for use in children. Consult with your child’s doctor before giving BISOMAX 2.5 TABLET to your child.
Use In Geriatrics
Consult your doctorBISOMAX 2.5 TABLET can be used elderly patients without dose adjustment. Your doctor might suggest the lowest dose to you. Consult your doctor before taking BISOMAX 2.5 TABLET.
Others
BISOMAX 2.5 TABLET is not recommended for use if you have:
- Raynaud’s syndrome (severe blood circulation problem in the limbs)
- unmanageed pheochromocytoma
- metabolic acidosis
- low blood pressure
- peripheral arterial occlusive disease (late-stage vascular condition causing impaired perfusion of the arms and legs)
Before taking BISOMAX 2.5 TABLET, inform your doctor if you have:
- diabetes type 1
- strict fasting
- ongoing desensitisation therapy
- less severe blood circulation problem in the limbs
- history of a scaly skin rash (Ex. psoriasis)
- thyroid disorder
- to undergo general anaesthesia
Safety Advice
- Avoid discontinuing bisoprolol tablets suddenly, as it may cause a rebound effect, leading to increased heart rate or blood pressure. Always consult your doctor before stopping.
- Regularly check your blood pressure and pulse to ensure the medication is working effectively and within safe limits.
- Limit or avoid alcohol, as it can increase side effects like dizziness or low blood pressure.
- Bisoprolol may cause dizziness or fatigue. Avoid driving, operating heavy machinery, or performing tasks requiring alertness until you know how the medication affects you.
- Let your doctor know if you have conditions such as asthma, diabetes, low blood pressure, or severe circulation problems, as bisoprolol may not be suitable in these cases.
- Follow your doctor’s instructions regarding dosage and timing. Taking it regularly at the same time each day improves effectiveness.
- Bisoprolol may not be safe during pregnancy or breastfeeding. Consult your doctor for advice before use.
- Avoid Excessive Heat or Prolonged Standing as they can lower blood pressure further and may increase the risk of dizziness or fainting.
- Inform any healthcare professional treating you that you are on bisoprolol, especially before surgery or dental procedures.
- Follow a healthy diet and exercise plan as recommended by your doctor to manage your underlying condition effectively alongside the medication.
By adhering to these precautions, you can safely use bisoprolol and reduce the risk of adverse effects.
Interactions
A) Drug - Drug interactions:
Before taking BISOMAX 2.5 TABLET, inform your doctor if you are taking any of the following medicine:
- medicines used to manage heart diseases such as irregular or abnormal heartbeat, high blood pressure or angina pectoris (Ex. quinidine, lidocaine, flecainide, disopyramide, phenytoin, propafenone, verapamil, diltiazem, digoxin, isoprenaline, dobutamine, clonidine, methyldopa, adrenaline, nor-adrenaline, moxonodine, rilmenidine, amiodarone, felodipine and amlodipine)
- medicines used for glaucoma (Ex. timolol, pilocarpine)
- medicines used to manage diabetes (Ex. insulin, metformin, tolbutamide)
- medicines used in anaesthesia (Ex. propofol, lidocaine)
- medicines used to manage pain or inflammation (Ex. Ibuprofen, diclofenac, acetyl salicylic acid)
- mefloquine (used for management, management of malaria)
- medicines used for depression (Ex. imipramine, isocarboxazid, amitriptyline, clomipramine, moclobemide)
Synopsis
| Drug | : | Bisoprolol |
| Pharmacological Category | : | Beta-blockers |
| Therapeutic Indication | : | Hypertension, Angina, Stable heart failure |
| Dosage Forms | : | Tablet |
More Information
Relevant Health Articles
Angina: Causes, Symptoms And Treatment
FAQs About BISOMAX 2.5 TABLET
Q: What is BISOMAX 2.5 TABLET used for?
A: BISOMAX 2.5 TABLET is a beta-blocker used to manage high blood pressure, angina (chest pain caused by reduced blood flow to the heart), irregular heart rhythms (arrhythmias), and chronic heart failure. It also helps reduce the risk for further heart attacks and relieves symptoms of an overactive thyroid gland.
Q: How does BISOMAX 2.5 TABLET work?
A: BISOMAX 2.5 TABLET works by blocking beta-1 receptors in the heart, reducing heart rate and the force of contractions. This lowers blood pressure, decreases oxygen demand, stabilizes heart rhythm, and reduces the heart’s workload, improving symptoms and preventing complications.
Q: How should I take BISOMAX 2.5 TABLET?
A: Take BISOMAX 2.5 TABLET exactly as prescribed by your doctor, typically once daily at the same time. Swallow the tablet whole with water, with or without food. Do not skip doses or stop taking it abruptly without consulting your doctor.
Q: What are the common side effects of BISOMAX 2.5 TABLET?
A: Common side effects include dizziness, fatigue, slow heart rate, headache, and nausea. These are usually mild and temporary. If you experience severe side effects like shortness of breath or fainting, consult your doctor immediately.
Q: Can I take BISOMAX 2.5 TABLET during pregnancy or breastfeeding?
A: BISOMAX 2.5 TABLET is not recommended during pregnancy or breastfeeding unless prescribed by your doctor. Discuss the potential risks and benefits with your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
Q: Is alcohol safe to consume while taking BISOMAX 2.5 TABLET?
A: Avoid alcohol while taking BISOMAX 2.5 TABLET, as it can increase side effects like dizziness and may lower blood pressure further.
Q: How long does it take for BISOMAX 2.5 TABLET to work?
A: The effects of BISOMAX 2.5 TABLET can be seen within a few hours, but it may take several weeks to experience its full benefits. Continue taking the medication as prescribed for long-term management.
Q: What precautions should I take while using BISOMAX 2.5 TABLET?
A: Regularly monitor your blood pressure and heart rate, avoid sudden movements to prevent dizziness, and inform your doctor of any other medical conditions or medications you are taking.
Q: Can BISOMAX 2.5 TABLET be used for heart failure?
A: Yes, BISOMAX 2.5 TABLET is effective in managing chronic heart failure. It reduces the strain on the heart, improves heart function, and helps control symptoms like shortness of breath and fatigue.
Q: What should I do if I miss a dose of BISOMAX 2.5 TABLET?
A: If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for a missed one.
Q: Does BISOMAX 2.5 TABLET increase blood sugar levels?
A: Yes. BISOMAX 2.5 TABLET may increase blood sugar levels. Contact your doctor if you experience any symptoms like increased thirst and hunger or increased urination.
References
- Barbara G. wells, Terry L. schwinghammer, Joseph T. dipiro, Cecily V. dipiro. Heart failure. Pharmacotherapy handbook. Tenth edition. 2017. Page – 120
- Pascal de Groote, Pierre-Vladimir Ennezat, Fréderic Mouquet. Bisoprolol in the treatment of chronic heart failure. NIH National Library ofmedicine National Centre for Biotechnology Information. Pubmed Central. August 2007. [Accessed on 3rd May 2022] click here
- Linda Wagner, Charlotte Kenreigh. Bisoprolol. Science Direct. [Accessed on 3rd May 2022] click here
- Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in June 2021] [Accessed on 3rd May 2022] click here
- McDermott Laboratories Ltd. Bisoprolol. [Revised in July 2022] [Accessed on 3rd May 2022] click here
- Papaloizou Ltd. Concor (Bisoprolol). [Revised in August 2022] [Accessed on 3rd May 2022] click here
- Drug Bank. Bisoprolol. [Accessed on 3rd May 2022] click here
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