Betabis-A 2.5 mg+5 mg (Tablet)

Unit Price: ৳ 6.00 (3 x 10: ৳ 180.00)
Strip Price: ৳ 60.00

Medicine Details

Title

  • Bisoprolol & Amlodipine Tablets

Categories

  • Medicine
  • Healthcare
  • Pharmaceuticals

Description

  • A combination of bisoprolol and amlodipine indicated for the treatment of hypertension
  • Consists of a dihydropyridine calcium antagonist and a beta1-selective adrenoceptor blocking agent

Indications

  • Treatment of hypertension as substitution therapy
  • Adequate control of blood pressure with individual products given concurrently

Pharmacology

  • Inhibits transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle
  • Reduces peripheral vascular resistance and blood pressure
  • Beta1-selective adrenoceptor blocking agent with low affinity to beta2 receptors

Dosage & Administration

  • One tablet once daily for patients with adequately controlled blood pressure

Interactions

  • Not recommended with calcium antagonists of verapamil and diltiazem type
  • Combinations to be used with caution with strong or moderate CYP3A4 inhibitors, simvastatin, tacrolimus, etc.
  • Combinations to be considered with mefloquine, rifampicin, ergotamine derivatives, MAO inhibitors

Contraindications

  • Acute heart failure or during episodes of heart failure decompensation
  • Obstruction of the outflow tract of the left ventricle
  • Sinoatrial block, symptomatic bradycardia, severe bronchial asthma
  • Untreated phaeochromocytoma, hypersensitivity to bisoprolol, amlodipine, or any excipients

Side Effects

  • Common: Dizziness, headache, edema, fatigue
  • Uncommon: Insomnia, mood changes, visual disturbances, dyspnea, myalgia
  • Rare: Allergic reactions, nightmares, confusion, increased triglycerides

Pregnancy & Lactation

  • Not recommended for use

Precautions & Warnings

  • Caution in patients with heart failure, impaired hepatic function, or obstructive airways diseases
  • Considerations for patients with diabetes mellitus, first degree AV block, Prinzmetal’s angina, psoriasis, thyrotoxicosis
  • Advice for patients undergoing general anesthesia
  • Gradual withdrawal before surgery

Use in Special Populations

  • Caution for geriatric use, no established safety and efficacy for pediatric use
  • Special caution in hepatic or severe hepatic impairment, renal impairment, or undergoing dialysis

Overdose Effects

  • Signs of beta-blocker overdose: bradycardia, hypotension, bronchospasm, hypoglycemia
  • Signs of amlodipine overdose: excessive peripheral vasodilation, reflex tachycardia, systemic hypotension
  • Discontinuation of treatment and supportive, symptomatic treatment recommended

Therapeutic Class

  • Anti-hypertensive

Storage Conditions

  • Keep in a dry place below 30°C
  • Protect from light
  • Keep out of the reach of children

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