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Information about Zebeta

Bisoprolol is a beta-blocker used to treat high blood pressure. It may be used alone or in combination with other medicines. It interferes with certain body chemicals and allows the heart to beat more slowly and regularly.

It may also be administered for other conditions as determined by your physician.

You should not use Bisoprolol in the following cases: you are allergic to any ingredient in it; you are presently taking Mibefradil or cocaine; you have a very slow heartbeat, heart block, very low blood pressure, or uncontrolled heart failure; you are currently taking Mibefradil.

In such cases it is obligatory to consult with your doctor or health care provider before taking this drug.

Before using Bisoprolol

Before using Bisoprolol you should tell your doctor if you have any medical conditions listed below: you are pregnant, planning to become pregnant, or are breast-feeding a baby; you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement; you have allergies to medicines, foods, or other substances; you have or have ever had an adrenal gland tumor; severe allergic reaction; asthma; chronic bronchitis; chronic obstructive pulmonary disease, emphysema, or other lung disease; congestive heart failure; narrowing of blood vessels of the legs, arms, stomach, or kidneys; or an unusually slow heartbeat; diabetes; kidney problems; or overactive thyroid.

Be aware that Bisoprolol may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: bupivacaine, catecholamine-depleting agents (eg, reserpine, guanethidine), certain antiarrhythmics (eg, disopyramide, flecainide), certain calcium channel blockers (eg, diltiazem, verapamil, mibefradil), cimetidine, ketanserin, or mefloquine, because potentially life-threatening side effects on the heart may occur, including very slow heart rate, abnormal heartbeat, lightheadedness especially upon standing, difficulty breathing especially when lying down, loss of function in the heart and lungs, swelling of ankles; clonidine because excessive increases in blood pressure may occur, especially upon stopping clonidine; insulin because it may make the low blood sugar last longer and the symptoms of low blood sugar, such as a rapid heartbeat, may be masked by Bisoprolol.

It may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Bisoprolol

Use this medicine as recommended by your physician. Bisoprolol should be taken orally at the same time each day with or without food.

Do not stop taking Bisoprolol even if you feel well. Try not to miss any doses.

In case you miss a dose of Bisoprolol, take it as soon as possible. If it is almost time for your next intake, skip the missed dose and take it according to your regular dosing schedule. Do not take double doses to catch up.

Important safety information

Be careful when driving, operating machinery, or performing other hazardous activities as Bisoprolol usage may lead to dizziness, lightheadedness, or fainting. Try to avoid such activities. Alcohol and certain other medicines may increase the risk of unfavorable reactions while taking Bisoprolol. Dizziness may be increased by alcoholic beverages, hot weather, exercise, and fever. It is recommended to sit up or stand slowly, especially in the morning to prevent dizziness or fainting. You should sit or lie down at the first sign of dizziness, lightheadedness, or fainting.

You may feel tired or run down for a few weeks after the treatment is started if you take medicine for high blood pressure. Continue taking your medicine even if no symptoms bother you. Consult with your doctor if you suffer any symptom.

Diabetes patients should check their blood sugar levels closely, as Bisoprolol may affect your blood sugar. Moreover, Bisoprolol may hide signs of low blood sugar, such as a rapid heartbeat. Be sure to watch for other signs of low blood sugar. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or make you hungrier. Check blood sugar levels closely. Consult with your doctor before you change the dose of your diabetes drug.

Notify your doctor or dentist that you take Bisoprolol before you undergo any medical or dental care, emergency care, or surgery.

You should not stop taking Bisoprolol without medical consultation, as you may have WITHDRAWAL symptoms, such as chest pain, heart attack, and fast or irregular heartbeat.

Lab tests, including blood pressure measurements, may be performed while you use Bisoprolol. It is important to control your progress or to check for side effects. Follow all doctor and lab appointments strictly.

The ELDERLY may be more sensitive to the effects of Bisoprolol. Use Bisoprolol with caution in this group.

Do not use Bisoprolol in CHILDREN, as safety and effectiveness in these children have not been proved.

PREGNANCY and BREAST-FEEDING

It is not clear whether Bisoprolol is harmful to the fetus. In case you become pregnant, consult with your doctor and discuss the benefits and risks of using Bisoprolol while pregnancy. It is not clear whether Bisoprolol passes into breast milk. In case you are or will be breast-feeding a baby while you use Bisoprolol, consult with your doctor and discuss any possible risks to your baby.

Possible side effects of Bisoprolol

You should consult with your doctor in case you have any of side effects especially bothersome listed below: diarrhea; dizziness; drowsiness; fatigue; headache; lightheadedness; nausea; sleeplessness; unusual tiredness; weakness.

Seek emergency immediately in case you have any of these severe side effects: severe allergic reactions (rash; hives; itching, difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; difficulty breathing; lightheadedness or dizziness when rising from a lying or sitting position; very slow heartbeat.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.