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Concor Cor 2.5mg Tablet 10'S

Hypertension
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    Introduction About CONCOR COR 2.5 TABLET

    CONCOR COR 2.5 TABLET is a beta-blocker used to manage various cardiovascular conditions such as heart failure, high blood pressure (hypertension), angina, and arrhythmias. It helps to reduce the workload on your heart and maintain optimal heart rhythm.

    It works by decreasing the heart rate, allowing the heart to pump blood more efficiently. By lowering the force of contraction and heart rate, it reduces the oxygen demand of the heart muscle. Bisoprolol helps correct irregular heartbeats by regulating the electrical activity of the heart. It reduces the output of the heart, leading to a decrease in blood pressure levels.

    Take CONCOR COR 2.5 TABLET exactly as prescribed by your doctor. Swallow the tablet whole with water, preferably in the morning. Do not skip doses or stop taking the medication without consulting your doctor.

    CONCOR COR 2.5 TABLET is generally well-tolerated, but some of the common side effects may include fatigue or tiredness, dizziness, cold hands and feet and low blood pressure. Side effects are rare and mild for most individuals. Contact your doctor if you experience anything unusual.

     

    Uses Of CONCOR COR 2.5 TABLET

    • Hypertension
    • Angina (Chest Pain)
    • Arrhythmia (Irregular Heartbeat)
    • Congestive Heart Failure (CHF)

    Benefits of CONCOR COR 2.5 TABLET

    • Improves survival rates in heart failure patients.
    • Reduces the frequency of angina attacks.
    • Helps maintain a regular heart rhythm for arrhythmias.

    1. Effectively manages high blood pressure:

    • Reduces Heart Rate: CONCOR COR 2.5 TABLET blocks beta-1 adrenergic receptors in the heart, slowing the heart rate. A slower heart rate reduces the heart's oxygen and energy demands, lowering blood pressure.

    2. Reduces symptoms and improves the quality of life in patients with angina and heart failure:

    • Reduces Symptoms: Decreases the frequency and severity of chest pain (angina). Alleviates shortness of breath, fatigue, and swelling in heart failure patients
    • Improves Physical Activity: Enhances exercise tolerance, allowing patients to perform daily activities with less discomfort
    • Gives Better Long-Term Outcomes: Protects against complications such as arrhythmias, hospitalizations, and worsening heart failure
    • Psychological Relief: Reduced physical symptoms contribute to decreased anxiety and better mental well-being

    3. Helps to restore and maintain normal heart rhythm in arrhythmias:

    • Blocks Beta-1 Adrenergic Receptors: Bisoprolol selectively blocks beta-1 receptors in the heart, reducing the effects of adrenaline and stress hormones. This helps to calm overactive electrical signals that can cause irregular rhythms

    4. Cardioprotective Effects:

    • Reduces long-term damage to the heart by reducing stress on the cardiovascular system

    5. Improves Circulation:

    • Enhances blood flow to critical organs, ensuring adequate oxygen supply

    6. Symptom Relief:

    • Reduces symptoms such as palpitations, chest pain, and shortness of breath

    7. Lowers Risk of Complications:

    • Helps to reduce severe outcomes like heart attacks, strokes, or further heart damage

    How CONCOR COR 2.5 TABLET Works

    CONCOR COR 2.5 TABLET contains Bisoprolol, a selective beta-blocker that works by slowing down the heart rate and reducing the force of contraction, which decreases the demand for oxygen and helps the heart to pump blood more efficiently.

    How Does CONCOR COR 2.5 TABLET Help?

    For Patients with hypertension: CONCOR COR 2.5 TABLET helps to maintain optimal blood pressure levels and reduces long-term damage to the cardiovascular system.

    For Patients with angina: CONCOR COR 2.5 TABLET improves tolerance for physical activities, reduces frequency and severity of chest pain episodes, and enhances quality of life.

    For Patients with Heart Failure: CONCOR COR 2.5 TABLET enhances heart function, reduces hospitalization risk, and improves survival rates for patients with chronic heart failure.

    For Patients with Arrhythmias: CONCOR COR 2.5 TABLET helps to stabilize the heart’s rhythm by slowing conduction through the AV node (atrioventricular node), controlling rapid heartbeats in conditions like atrial fibrillation or supraventricular tachycardia and reducing ectopic beats by calming overactive cardiac cells.

    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 CONCOR COR 2.5 TABLET

    CONCOR COR 2.5 TABLET is a prescription medicine which needs to be taken under medical supervision. Always consult your doctor or pharmacist if you have any questions or concerns about taking this medication.

    How to take CONCOR COR 2.5 TABLET:

    • Swallow the tablet whole with water, preferably in the morning
    • Bisoprolol can be taken with or without food
    • Typically, it is taken once daily, at the same time each day

    Dosage and Administration of CONCOR COR 2.5 TABLET:

    • Do not skip doses or stop taking the medication without consulting your doctor
    • 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
    • Management with CONCOR COR 2.5 TABLET requires regular monitoring by your doctor

    How long should I take CONCOR COR 2.5 TABLET?

    • Do Not Stop Abruptly: Stopping CONCOR COR 2.5 TABLET suddenly can cause a rebound effect, potentially worsening your condition (e.g., increased blood pressure, chest pain, or irregular heartbeats)
    • Regular Monitoring: Your doctor will regularly check your blood pressure, heart rate, and other parameters to decide whether to continue, adjust, or stop the medication
    • Lifestyle Modifications: Along with medication, lifestyle changes (healthy diet, exercise, stress management) may reduce the need for prolonged medication, but this decision will be decided by your physician

    What if I forgot to take CONCOR COR 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

    Overdose

    Symptoms of overdose are decreased heart rate, severe difficulty in breathing, feeling dizzy or trembling due to decreased blood sugar

    Side Effects Of CONCOR COR 2.5 TABLET

    While CONCOR COR 2.5 TABLET is generally well-tolerated, some common side effects may include:

    • fatigue or tiredness
    • dizziness
    • cold hands and feet
    • low blood pressure

    When to Consult a Doctor?

    • slow 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

    • When getting up from a seated or lying position, do so gradually to prevent sudden drops in blood pressure (orthostatic hypotension)
    • Stay Hydrated: Dehydration can worsen dizziness, so drink plenty of water throughout the day
    • Check Blood Pressure Regularly
    • Avoid Excess Sodium: Excess salt can raise blood pressure too much when combined with CONCOR COR 2.5 TABLET, potentially leading to rebound dizziness

    Tiredness

    • Aim for 7-8 hours of quality sleep each night, practice good sleep hygiene, such as maintaining a regular sleep schedule and avoiding screen time before bed
    • Engage in light to moderate exercise to boost energy levels and improve circulation
    • Eat a balanced diet, stay hydrated, as dehydration can worsen fatigue

    Warning & Precautions

    Pregnancy

    Monitoring required

    Bisoprolol should not be used during pregnancy unless clearly necessary. If management with bisoprolol is considered necessary, the uteroplacental blood flow and the fetal growth should be monitored. In case of harmful effects on pregnancy or the fetus alternative management should be considered.

    Breastfeeding

    Contraindicated

    Human studies have shown that Bisoprolol is excreted into breast milk in small amounts. The concentration of the drug in milk correlates with its plasma levels in the mother. Therefore, breastfeeding is not recommended during therapy with CONCOR COR 2.5 TABLET.

    Driving and Using Machines

    Use with Caution

    Do not drive or operate any machines until you know the effect of CONCOR COR 2.5 TABLET on your ability to drive.

    Kidney

    Use with Caution

    CONCOR COR 2.5 TABLET should be taken with caution in patients with severely impaired kidney diseases. Dosage adjustment and careful monitoring are required in such patients. Therefore, inform your doctor if you have any pre-existing kidney diseases as a precaution.

    Liver

    Use with Caution

    CONCOR COR 2.5 TABLET should be used with caution in patients with severely impaired liver function. Regular medical check-ups and blood tests are required in such patients. Therefore, inform your doctor if you have any pre-existing liver diseases as a precaution.

    Allergy

    Contraindicated

    Do not take CONCOR COR 2.5 TABLET if you are allergic to Bisoprolol or any of the other ingredients of this medicine

    Lungs

    Use with Caution

    CONCOR COR 2.5 TABLET should be used with caution if you have chronic lung disease or less severe asthma.

    Heart Disease

    Contraindicated

    CONCOR COR 2.5 TABLET should not use if you have acute heart failure, worsening heart failure requiring injection of medicines into a vein, that increase the force of contraction of the heart, slow heart rate, low blood pressure, certain heart conditions causing a very slow heart rate or irregular heartbeat, cardiogenic shock (acute serious heart condition causing low blood pressure and circulatory failure). Therefore, inform your doctor if you have any pre-existing heart diseases as a precaution.

    Use In Pediatrics

    Contraindicated

    CONCOR COR 2.5 TABLET is not recommended for use in children or adolescents.

    Use In Geriatrics

    Consult your doctor

    Management with CONCOR COR 2.5 TABLETmust be started at a low dose and increased gradually. Your doctor will decide how to increase the dose. Consult your doctor before taking the medicine.

    Other Warnings for CONCOR COR 2.5 TABLET

    Before taking CONCOR COR 2.5 TABLET, inform your doctor if you have,

    • type 1 diabetes
    • strict fasting
    • ongoing desensitization therapy
    • less severe blood circulation problem in the limbs
    • history of a scaly skin rash (Ex. psoriasis)
    • thyroid disorder
    • to undergo general anaesthesia

    Who should not take [GBNKEYWORD

    CONCOR COR 2.5 TABLET is not recommended for use if you have:

    • Raynaud’s syndrome (severe blood circulation problem in the limbs)
    • unmanaged pheochromocytoma
    • metabolic acidosis
    • low blood pressure
    • peripheral arterial occlusive disease (late-stage vascular condition causing impaired perfusion of the arms and legs)

    Safety Advice

    1. Regularly check your blood pressure and pulse to ensure the medication is working effectively and within safe limits.
    2. Limit or avoid alcohol, as it can increase side effects like dizziness or low blood pressure.
    3. Bisoprolol may cause dizziness or fatigue. Avoid driving, operating heavy machinery, or performing tasks requiring alertness until you know how the medication affects you.
    4. 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.
    5. Follow your doctor’s instructions regarding dosage and timing. Taking it regularly at the same time each day improves effectiveness.
    6. Bisoprolol may not be safe during pregnancy or breastfeeding. Consult your doctor for advice before use.
    7. 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.

    Diet and Lifestyle Advice

    Lifestyle Tips for Managing Heart Conditions:

    1. Follow a Heart-Healthy Diet:

    • Include fiber, fruits, vegetables, whole grains, and legume. Consume healthy fats like olive oil, nuts, and avocados
    • Reduce salt intake to manage blood pressure and prevent fluid retention, especially in heart failure

    2. Regular Physical Activity:

    • Aim for at least 30 minutes of moderate-intensity exercise per week, such as walking, swimming, or cycling

    3. Maintain a Healthy Weight:

    • Maintain a healthy body weight reduces the burden on your heart and helps manage blood pressure
    • Avoid extreme dieting can be harmful to your heart and overall health

    4. Monitor Blood Pressure and Cholesterol

    • Monitor your blood pressure and cholesterol levels regularly to detect the problems early
    • Take prescribed medications as directed to manage hypertension, cholesterol, and other heart conditions

    What to eat when taking CONCOR COR 2.5 TABLET for hypertension”

    • Always take low-sodium foods like fresh fruits and vegetables, whole grains such as brown rice, oats, and quinoa, fresh lean meats, fish, and poultry
    • Take potassium-rich foods such as bananas, oranges, apricots, leafy greens like spinach, sweet potatoes, beans and lentils
    • Eat omega rich foods such as salmon, mackerel and flaxseeds, chia seeds, and walnuts
    • Drink decaffeinated beverages, herbal teas, or water instead of coffee, caffeinated sodas, or energy drinks

    Drug - Drug interaction

    1. Interactions with Other Cardiovascular Medications: Calcium Channel Blockers (e.g., Verapamil, Diltiazem), Beta-Blockers or Antiarrhythmics (e.g., Amiodarone), Digoxin

    • Effect: It may increase the risk of bradycardia (slow heart rate), low blood pressure, and heart block
    • Recommendation: Avoid combining or use with close monitoring under medical supervision.

    2. Interactions with Antidiabetic Medications: Insulin and Oral Antidiabetics (e.g., Metformin, Sulfonylureas):

    • Effect: Bisoprolol may mask hypoglycemia symptoms (e.g., rapid heartbeat) and prolong recovery from low blood sugar
    • Recommendation: Monitor blood sugar levels closely and educate patients on recognizing hypoglycemia symptoms like sweating or confusion

    More Information

    Why does the prescribed dose of CONCOR COR 2.5 TABLET regularly is crucial to avoid complications like arrhythmias or high blood pressure spikes?

    1. Maintains Consistent Blood Pressure Control

    • CONCOR COR 2.5 TABLET helps relax blood vessels and slows the heart rate, reducing the strain on the heart
    • Consistent dosing ensures stable blood pressure levels, reducing fluctuations that can harm the cardiovascular system

    2. Reduces Rebound Tachycardia and Arrhythmias

    • CONCOR COR 2.5 TABLET regulates the heart rate, reducing it from beating too fast or irregularly
    • A steady dose keeps the heart rhythm stable, reducing the risk of life-threatening complications

    3. Supports Effective Heart Failure Management

    • In heart failure, CONCOR COR 2.5 TABLET improves the heart's pumping efficiency and reduces symptoms like fatigue and breathlessness
    • Consistent use helps stabilize heart function and reduces disease progression

    4. Enhances Long-Term Heart Protection

    • Regular use of beta-blockers like CONCOR COR 2.5 TABLET provides cumulative benefits, such as reducing the risk of future cardiovascular events
    • Consistent management routine ensures maximum long-term benefits and reduces the risk of emergency situations.

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    FAQs About CONCOR COR 2.5 TABLET

    Q: What is CONCOR COR 2.5 TABLET used for?

    A:It is used to manage hypertension, angina, arrhythmias, and chronic heart failure.

    Q: Can CONCOR COR 2.5 TABLET be taken for long-term use?

    A: Yes, it is often prescribed for long-term management of cardiovascular conditions. Follow your doctor's advice for best results.

    Q: Is it safe to take CONCOR COR 2.5 TABLET with other medications?

    A: Inform your doctor about any other medications you are taking to avoid potential drug interactions.

    Q: How does CONCOR COR 2.5 TABLET work?

    A: CONCOR COR 2.5 TABLET works by blocking beta-1 receptors, reducing heart rate, lowering blood pressure, and stabilizing heart rhythms.

    Q: How should I take CONCOR COR 2.5 TABLET?

    A: Swallow the tablet whole with water, preferably in the morning. Do not skip doses or stop taking the medication without consulting your doctor.

    Q: What are the common side effects of CONCOR COR 2.5 TABLET?

    A: Some of the common side effects may include fatigue or tiredness, dizziness, cold hands and feet and low blood pressure.

    Q: Is taking CONCOR COR 2.5 TABLET safe during pregnancy or while breastfeeding?

    A: CONCOR COR 2.5 TABLET should not be used during pregnancy unless clearly necessary. If management with bisoprolol is considered necessary, the uteroplacental blood flow and the fetal growth should be monitored. In case of harmful effects on pregnancy or the fetus alternative management should be considered. Human studies have shown that Bisoprolol is excreted into breast milk in small amounts. The concentration of the drug in milk correlates with its plasma levels in the mother. Therefore, breastfeeding is not recommended during therapy with CONCOR COR 2.5 TABLET.

    Q: Can I stop taking CONCOR COR 2.5 TABLET once I feel better?

    A: No. Do not stop taking CONCOR COR 2.5 TABLET without consulting your doctor even if you feel better.

    Q: Can I take CONCOR COR 2.5 TABLET with my diabetes medication?

    A: CONCOR COR 2.5 TABLET can generally be taken with diabetes medications, but it requires caution and close monitoring. Bisoprolol, as a beta-blocker, may interact with diabetes management in several ways.

    Q: What precautions should I take while using CONCOR COR 2.5 TABLET?

    A: Regularly monitor your blood pressure and heart rate, avoid sudden movements to reduce dizziness, and inform your doctor of any other medical conditions or medications you are taking.

    Q: Can CONCOR COR 2.5 TABLET be used for heart failure?

    A: Yes. CONCOR COR 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 CONCOR COR 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: Where can I buy CONCOR COR 2.5 TABLET?

    A: Yes, you can purchase CONCOR COR 2.5 TABLET from Netmeds, a reputable online pharmacy. Simply visit the website, search for the medication, and place your order. It is important to ensure that you provide accurate prescription details and follow their purchasing guidelines. Additionally, always consult with your healthcare provider before purchasing or taking any medication.

    Q: Does CONCOR COR 2.5 TABLET increase blood sugar levels?

    A: Yes. CONCOR COR 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

    1. Barbara G. wells, Terry L. schwinghammer, Joseph T. dipiro, Cecily V. dipiro. Heart failure. Pharmacotherapy handbook. Tenth edition. 2017. Page – 120.
    2. Pascal de Groote, Pierre-Vladimir Ennezat, Fréderic Mouquet. Bisoprolol in the treatment of chronic heart failure. NIH National Library of medicine National Centre for Biotechnology Information. Pubmed Central. August 2007. [Accessed on 11th July 2025] 
    3. Linda Wagner, Charlotte Kenreigh. Bisoprolol. Science Direct. [Accessed on 11th July 2025]
    4. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in June 2021] [Accessed on 11th July 2025]
    5. McDermott Laboratories Ltd. Bisoprolol. [Revised in July 2022] [Accessed on 11th July 2025]
    6. Papaloizou Ltd. Concor (Bisoprolol). [Revised in August 2022] [Accessed on 11th July 2025]
    7. Drug Bank. Bisoprolol. [Accessed on 11th July 2025]
    8. Merck Healthcare KGaA. [Accessed on 11th July 2025]
    9. Merck Healthcare KGaA. [Revised on November 2020] [Accessed on 11th July 2025]

    Author Details

    Written By Dr. Karthikeyan Rajagopal - M.Pharm (Pharmacology)
    Reviewed For Accuracy By Dr. Thamada Manikanta Praveen - MBBS, MD (General Medicine)
    Last updated on 11 Jul 2025 | 03:11 PM(IST)
    Lab updated