INTRODUCTION
BISELECT 2.5MG contains Bisoprolol which belongs to group of medicines called beta-blockers. It is used alone to treat high blood pressure and angina pectoris (chest pain caused by blockages in the arteries that supply the heart muscle). This medicine used in combination to treat heart failure. It works by affecting the body’s response to some nerve impulses in the heart and slows down the heart rate and makes the heart more efficient at pumping blood around the body. It is a cardioselective β blocker lacking intrinsic sympathomimetic activity, suitable for angina, hypertension and CHF.
Before taking this medicine, tell your doctor know if you have any liver problems, slow heart rate, severe circulation problems, severe heart failure or low blood pressure. It is not recommended for use in children. The ability to drive or operate machinery may get affected while taking this medicine. Consult your doctor for advice. The most common side effects are tiredness, feeling weak, dizziness, headache, coldness or numbness in hands or feet and low blood pressure.
USES OF BISELECT 2.5MG
- Treats high blood pressure and angina pectoris (pain in the chest caused by blockages in the arteries leading to the heart)
- Treats heart failure (in combination)
HOW BISELECT 2.5MG WORKS
BISELECT 2.5MG by decreasing contractility and the need for oxygen through competitive inhibition of β1-adrenergic receptors, decreases the cardiac workload. It also reduces the renin output in the kidneys, which normally increases blood pressure.
DIRECTIONS FOR USE
Take this medicine according to the dose and frequency as advised by your doctor. Do not chew, crush or break the medicine. It may be taken with or without food.
SIDE EFFECTS OF BISELECT 2.5MG
SERIOUS
- Slow or irregular heart rate
- Worsening of heart failure
- Dizziness, weakness or have breathing difficulties
COMMON
- Tiredness
- Feeling weak, dizziness
- Headache
- Coldness or numbness in hands or feet
- Low blood pressure
- Stomach problem such as nausea, vomiting, diarrhea or constipation
RARE
- Hearing problems
- Allergic runny nose
- Yellowing of the skin or whites of the eyes
- Itching, flush, rash
- Impaired erection (reduced sexual performance)
- Nightmares, hallucinations
- Fainting
HOW TO MANAGE SIDE EFFECTS
Diarrhoea:
Drink plenty of fluids to avoid dehydration. ORS should be used to prevent dehydration.
Nausea:
Stick to simple normal meals and do not eat rich or spicy foods.
Constipation:
Eat high rich fiber foods, fruits, vegetables and whole grains.
Dizziness:
Get up and move around to feel awake, take small naps to edge off the sleepiness. Give your eyes a break to avoid fatigue and eat a healthy food to boost energy.
Vomiting:
Drink clear or ice-cold drinks. Eat light, bland foods and avoid fried, greasy, or sweet foods.
WARNING & PRECAUTIONS
PREGNANCY
BISELECT 2.5MG should be used with caution in pregnant women. Consult your doctor before taking this medicine.
BREASTFEEDING
BISELECT 2.5MG is not recommended for use in breastfeeding women unless necessary. Discuss the risks and benefits with your doctor.
DRIVING AND USING MACHINES
The ability to drive or operate machinery may get affected while taking this medicine. Consult your doctor for advice.
KIDNEY
BISELECT 2.5MG should be used with caution in patients suffering from active kidney diseases. Consult your doctor for advice.
LIVER
BISELECT 2.5MG should be used with caution in patients suffering from liver function impairment or active liver diseases. Consult your doctor for advice.
ALLERGY
Do not take if you are allergic (hypersensitive) to Bisoprolol or any other ingredients of this medicine.
HEART DISEASE
BISELECT 2.5MG is not recommended in patients with active heart diseases. Discuss the risks and benefits with your doctor.
OTHERS
Tell your doctor if you had or have a condition such as:
- Severe asthma or chronic lung disease
- Severe blood circulation problem in limbs (Raynaud’s syndrome)
- Untreated phaeochromocytoma
- Metabolic acidosis
- Very low blood pressure
- Diabetes
- Strict fasting (fasting from solid food)
- History of a scaly skin rash (psoriasis)
- Thyroid disorder
INTERACTIONS
Inform your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription or the following:
- Medicines used for control blood pressure and heart problems (e.g amiodarone, amlodipine, clonidine, digitalis glycosides, diltiazem, disopyramide, felodipine, flecainide, lidocaine, methyldopa, moxonidine, phenytoin, propafenone, quinidine, rilmenidine, verapamil)
- Medicines used to treat depression (e.g. imipramine, amitriptyline, moclobemide)
- Medicines to treat any mental illness
- Medicines used to treat epilepsy (e.g. phenobarbital)
- Pain killers (acetyl salicylic acid, diclofenac, indomethacin, ibuprofen, naproxen)
- Medicines for asthma or blocked nose
- Medicines used for eye disorders
- Adrenaline, dobutamine, noradrenaline
- Mefloquine
- Rifampicin (used to treat infections)
- Medicines used to treat severe headaches or migraines (ergotamine derivatives)
