Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mgGeneric Alternative to Ziac
What is a generic medication?
Generic medications are significantly discounted copies of brand name medication that have the same active ingredients, intended use, dosage, side effects, effects, and route of administration as the original brand name medication. In other words, generic medications have the same pharmacological effects as their brand-name counterparts. Over half of all prescribed medications are for generic medications.
Bisoprolol Fumarate/Hydrochlorothiazide Drug Information
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You can easily place an order on our website in under 5 minutes. First you need to set up an account with us, create a payment method, and send us your prescriptions. Alternatively, you can order by downloading our order form or by placing an order over the phone. Delivery can take approximately 2 weeks to North America, and 4 weeks to other countries.
Bisoprolol Fumarate/Hydrochlorothiazide Overview
This combination medication is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg contains two medications. Bisoprolol is a beta blocker that works by blocking the effect of certain natural chemicals (e.g., epinephrine) on the heart and blood vessels. This slows your heartbeat, lowers blood pressure, and reduces strain on the heart. Hydrochlorothiazide is a "water pill" (diuretic) that works by increasing the amount of urine that you make. This causes your body to get rid of extra salt and water, which probably helps to relax the blood vessels so that blood can flow more easily. These two drugs are used together when one medication is not controlling your blood pressure. Using these two drugs together can also reduce the amount of each drug you must take, thereby decreasing the chances of side effects.
Bisoprolol Fumarate/Hydrochlorothiazide Warnings
If you have chest pain (angina) or heart disease (e.g., coronary artery disease, ischemic heart disease, high blood pressure), do not stop using Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg without first consulting your doctor. Your condition may become worse when the drug is suddenly stopped. If your doctor decides you should no longer use Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, you must gradually decrease your dose according to your doctor's instructions. When gradually stopping Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, it is recommended that you temporarily limit physical activity to decrease strain on the heart.worsening chest pain, tightness or pressure in the chest, chest pain spreading to the jaw/neck/arm, sweating, trouble breathing, or fast/irregular heartbeat.
How to Use Bisoprolol Fumarate/Hydrochlorothiazide
Take Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg by mouth with or without food, usually once daily as directed by your doctor. The Dosage of Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg is based on your medical condition and response to therapy. It is best to avoid taking Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg within 4 hours of your bedtime to avoid having to get up to urinate. Consult your doctor or pharmacist if you have questions about your dosing schedule. If you are also taking cholestyramine or colestipol, take bisoprolol/hydrochlorothiazide at least 4 hours before or at least 4 to 6 hours after either of those drugs. Use Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg regularly in order to get the most benefit from it. To help you remember, take it at the same time each day. It is important to continue taking Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg even if you feel well. Most people with high blood pressure do not feel sick. It may take up to 3 weeks before you get the full benefit of Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg. Inform your doctor if your condition worsens (e.g., your routine blood pressure readings increase).
Bisoprolol Fumarate/Hydrochlorothiazide Precautions
Before taking Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, tell your doctor or pharmacist if you are allergic to bisoprolol or hydrochlorothiazide; or to other beta blockers (e.g., metoprolol, atenolol); or to other thiazide diuretics (e.g., chlorothiazide); or if you have any other allergies. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg should not be used if you have certain medical conditions. Before using this medicine,certain types of heart rhythm problems (e.g., sinus bradycardia, second- or third-degree atrioventricular block), certain serious heart conditions (cardiogenic shock, severe heart failure), inability to urinate (anuria). Before using Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, tell your doctor or pharmacist your medical history,kidney disease, liver disease, heart failure (treated, stable type), lung disease (e.g., asthma, bronchitis, chronic obstructive pulmonary disease-COPD), overactive thyroid (hyperthyroidism), diabetes, gout, untreated salt imbalance (e.g., high calcium, low potassium/magnesium), loss of too much body water (dehydration), blood circulation problems (e.g., peripheral vascular disease), certain muscle diseases (e.g., myasthenia gravis), lupus, recent nerve surgery (e.g., sympathectomy), skin cancer. Before having surgery, tell your doctor or dentist that you are taking Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Drink plenty of fluids while taking Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg to help prevent dizziness. Too much sweating, diarrhea, or vomiting may cause you to feel lightheaded. Avoid heavy exercise and hot weather. Report prolonged diarrhea or vomiting to your doctor. If you have diabetes, Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg may mask the fast/pounding heartbeat you would usually feel when your blood sugar falls too low (hypoglycemia). Other symptoms of low blood sugar, such as dizziness/sweating, are unaffected by Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg also may make it harder to control your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg may reduce the potassium levels in your blood. Ask your doctor about adding potassium to your diet. A potassium supplement may be prescribed by your doctor. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg may make you more sensitive to the sun. It may also increase your risk for skin cancer, especially if you take it for a long time. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you get sunburned, have skin blisters/redness, or notice new or changed moles/skin lesions. Kidney function declines as you grow older. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg is removed by the kidneys. Therefore, elderly people may be at greater risk for side effects while using Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg. During pregnancy, Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg should be used only when clearly needed. It may harm an unborn baby. Discuss the risks and benefits with your doctor. Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg passes into breast milk and could have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Bisoprolol Fumarate/Hydrochlorothiazide Misdose
If you miss a dose of Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Bisoprolol Fumarate/Hydrochlorothiazide Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.arbutamine, cisapride, dofetilide. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg. Before using Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use,alpha blockers (e.g., prazosin, terazosin), diazoxide, digoxin, drugs that affect heart rhythm (e.g., disopyramide), epinephrine, fenoldopam, fingolimod, lithium, other drugs for high blood pressure (e.g., clonidine), probenecid, rifamycins (e.g., rifampin), St John's wort. Some products have ingredients that could raise your blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen). Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg can affect the results of certain lab tests (e.g., parathyroid, protein-bound iodide, tyramine and phentolamine tests). Make sure laboratory personnel and all your doctors know you use Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg. This document does not contain all possible interactions. Therefore, before using Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
Bisoprolol Fumarate/Hydrochlorothiazide Side Effects
What are Bisoprolol Fumarate/Hydrochlorothiazide side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Bisoprolol Fumarate/Hydrochlorothiazide may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Bisoprolol Fumarate/Hydrochlorothiazide as a result of an interaction with other medications.
Side Effects of Bisoprolol Fumarate/Hydrochlorothiazide
The side effects of Bisoprolol Fumarate/Hydrochlorothiazide may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Bisoprolol Fumarate/Hydrochlorothiazide. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Bisoprolol Fumarate/Hydrochlorothiazide may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Bisoprolol Fumarate/Hydrochlorothiazide, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Bisoprolol Fumarate/Hydrochlorothiazide.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Bisoprolol Fumarate/Hydrochlorothiazide, or any other medication, should contact their physician. General information about Bisoprolol Fumarate/Hydrochlorothiazide and the side effects associated with Bisoprolol Fumarate/Hydrochlorothiazide are described in the following:
Common Bisoprolol Fumarate/Hydrochlorothiazide Side Effects
- hypochloremic alkalosis
- general weakness
Less Frequent Bisoprolol Fumarate/Hydrochlorothiazide Side Effects
- kidney disease with reduction in GFR
- bronchospastic pulmonary disease
- chest pain
- abnormal sexual function
- orthostatic hypotension
- abdominal pain with cramps
- nasal congestion
Rare or Very Rare Bisoprolol Fumarate/Hydrochlorothiazide Side Effects
- thrombocytopenic disorder
- Stevens-Johnson syndrome
- acute pancreatitis
- interstitial nephritis
- squamous cell carcinoma of skin
- obstructive hyperbilirubinemia
- systemic lupus erythematosus
- erythema multiforme
- exfoliative dermatitis
- hypersensitivity angiitis
- hemolytic anemia
- aplastic anemia
- toxic epidermal necrolysis
- secondary angle-closure glaucoma
- interstitial pneumonitis
- neutropenic disorder
- thrombocytopenic disorder
- acute confusion
- cardiac arrhythmia
- chronic heart failure
- peripheral vasoconstriction
- orthostatic hypotension
- psoriasiform eruption
- ischemic colitis
- Peyronie's disease
- renal colic
- peptic ulcer
- mesenteric artery thrombosis
- skin rash
- headache disorder
- muscle spasm
- general weakness
- blurred vision
- gastrointestinal irritation
- erectile dysfunction
- basal cell carcinoma of skin
- symptoms of anxiety
- dream disorder
- dry eye
- ocular irritation
- hearing loss
- pruritus of skin
- abdominal pain with cramps
- upper respiratory infection
- libido changes
- erectile dysfunction
- abnormal hepatic function tests
- mood changes
Bisoprolol Fumarate/Hydrochlorothiazide Storage
Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Bisoprolol Fumarate/Hydrochlorothiazide 10/6.25mg when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
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