Prelizer-AM 2.5 mg+5 mg (Tablet)

Unit Price: ৳ 6.00 (3 x 14: ৳ 252.00)
Strip Price: ৳ 84.00

Medicine Details

Title

  • Bisoprolol & Amlodipine Combination Tablet

Categories

  • Medicine
  • Pharmaceutical product

Description

  • Treatment for hypertension
  • Combination therapy for adequately controlled blood pressure
  • Pharmacology consists of Amlodipine and Bisoprolol Fumarate
  • Dosage: one tablet once daily for controlled blood pressure
  • Caution in heart failure patients
  • Not recommended for pregnant or lactating women
  • Storage: Keep in a dry place below 30°C, protect from light

Dimensions

  • Standard tablet size

Color Options

  • Not applicable

Functions

  • Controls blood pressure
  • Inhibits transmembrane influx of calcium ions
  • Reduces peripheral vascular resistance

Materials

  • Amlodipine
  • Bisoprolol Fumarate
  • Excipients used in tablet formulation

Technical Specifications

  • Beta1-selective adrenoceptor blocking agent
  • Inhibits calcium ion influx across cell membranes
  • Greater effect on vascular smooth muscle cells than on cardiac muscle cells

Design Elements

  • Standard tablet shape and form

Usability Features

  • Once daily dosage for convenience
  • Caution in patients with impaired hepatic function
  • Not recommended for patients with obstructive airways diseases

Interaction

  • Combinations not recommended: Verapamil, diltiazem, centrally-acting antihypertensive drugs
  • Combinations to be used with caution: Strong or moderate CYP3A4 inhibitors, simvastatin, Tacrolimus, Cyclosporine
  • Combinations to be considered: Mefloquine, Rifampicin, Ergotamine derivatives, MAO inhibitors

Contraindications

  • Acute heart failure
  • Obstruction of the outflow tract of the left ventricle
  • Cardiogenic shock
  • Second or third degree AV block
  • Sick sinus syndrome
  • Severe bronchial asthma
  • Untreated phaeochromocytoma
  • Hypersensitivity to Bisoprolol, Amlodipine, or excipients

Side Effects

  • Common: Dizziness, headache, somnolence, palpitations, edema, fatigue
  • Uncommon: Insomnia, mood changes, visual disturbances, bradycardia, bronchospasm
  • Rare: Allergic reactions, nightmares, hepatitis, increased triglycerides

Precautions & Warnings

  • Caution in patients with heart failure or impaired hepatic function
  • Avoid in patients with obstructive airways diseases
  • Caution in patients with diabetes mellitus
  • Gradual withdrawal advised before surgery

Use in Special Populations

  • Geriatric use: Usual doses may be administered with caution in the elderly
  • Pediatric use: Safety and efficacy not established for those below 18 years
  • Patients with Liver disease: Caution in hepatic impairment, particularly severe cases
  • Patients with Kidney disease: No dosage adjustment for mild to moderate renal impairment

Overdose Effects

  • Signs of beta-blocker overdose: Bradycardia, hypotension, bronchospasm, hypoglycemia
  • Signs of amlodipine overdose: Excessive peripheral vasodilation, systemic hypotension

Therapeutic Class

  • Anti-hypertensive

Storage Conditions

  • Keep in a dry place below 30°C, protect from light, keep out of reach of children

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