Bisoprolol-Teva is a drug (tablets) that belongs to the group of beta-blockers. The instructions for use highlight the following features of the drug:
How to dissolve vascular plaques, normalize blood circulation, blood pressure and forget the way to the pharmacy
- Sold only with a doctor's prescription
- During pregnancy: contraindicated
- When breastfeeding: contraindicated
- In childhood: contraindicated
- For liver dysfunction: with caution
- If renal function is impaired: with caution
Contraindications
- Acute heart failure;
- chronic heart failure in the stage of decompensation;
- cardiogenic shock;
- collapse;
- AV blockade II and III degrees (without pacemaker);
- SSSU;
- sinoatrial block;
- severe bradycardia (heart rate <50 beats/min);
- Prinzmetal's angina;
- pronounced decrease in blood pressure (systolic blood pressure <90 mm Hg);
- history of severe forms of bronchial asthma and COPD;
- late stages of peripheral circulatory disorders;
- Raynaud's disease;
- pheochromocytoma (without simultaneous use of alpha-blockers);
- metabolic acidosis;
- simultaneous use of MAO inhibitors (except for MAO type B inhibitors);
- children and adolescents up to 18 years of age;
- hypersensitivity to bisoprolol and other beta-blockers.
Dosage form:
film-coated tablets
Compound
1 film-coated tablet contains:
active substance:
bisoprolol fumarate 5.00 or 10.00 mg;
Excipients:
microcrystalline cellulose, mannitol, croscarmellose sodium, magnesium stearate;
shell:
hypromellose, titanium dioxide, macrogol-6000.
Round, biconvex, film-coated tablets, white or almost white, engraved on one side: “BISOPROLOL 5” (dosage 5 mg) or “BISOPROLOL 10” (dosage 10 mg).
special instructions
Use with caution for psoriasis and when there is a family history of psoriasis, diabetes mellitus in the decompensation phase, or with a predisposition to allergic reactions. In case of pheochromocytoma, the use of bisoprolol is possible only after taking alpha-blockers. Avoid sudden withdrawal of bisoprolol; the course of treatment should be completed slowly with a gradual reduction in dose. Before surgery, the anesthesiologist should be informed about treatment with bisoprolol. Bisoprolol at a dose of more than 10 mg/day should be used only in exceptional cases. This dose should not be exceeded in case of renal failure (creatinine clearance less than 20 ml/min) and severe liver dysfunction. B Avoid drinking alcohol during treatment. Use with caution in patients whose activities require concentration and high speed of psychomotor reactions.
Bisoprolol-Teva
The effectiveness and tolerability of drugs may be affected by concomitant use of other drugs. This interaction can also occur when two drugs are taken within a short period of time. The doctor must be informed about the use of other medications, even if used without a prescription.
Class I antiarrhythmic drugs (for example, quinidine, disopyramide, lidocaine, phenytoin; flecainide, propafenone), when used simultaneously with bisoprolol, can reduce AV conduction and myocardial contractility.
Class III antiarrhythmic drugs (eg, amiodarone) may worsen AV conduction disturbances.
The effect of beta-blockers for topical use (for example, eye drops for the treatment of glaucoma) may enhance the systemic effects of bisoprolol (lowering blood pressure, lowering heart rate).
Parasympathomimetics, when used simultaneously with bisoprolol, may enhance AV conduction disturbances and increase the risk of developing bradycardia.
The simultaneous use of Bisoprolol-Teva with beta-agonists (for example, isoprenaline, dobutamine) may lead to a decrease in the effect of both drugs.
The combination of bisoprolol with adrenergic agonists that affect beta and alpha adrenergic receptors (for example, norepinephrine, epinephrine) may enhance the vasoconstrictor effects of these drugs that occur with the participation of alpha adrenergic receptors, leading to an increase in blood pressure. Such interactions are more likely when using non-selective beta-blockers.
Mefloquine, when used simultaneously with bisoprolol, may increase the risk of bradycardia.
Allergens used for immunotherapy or allergen extracts for skin testing increase the risk of severe systemic allergic reactions or anaphylaxis in patients receiving bisoprolol.
Iodine-containing radiopaque diagnostic agents for intravenous administration increase the risk of developing anaphylactic reactions.
Phenytoin, when administered intravenously, and agents for inhalation anesthesia (hydrocarbon derivatives) increase the severity of the cardiodepressive effect and the likelihood of lowering blood pressure.
The effectiveness of insulin and hypoglycemic agents for oral administration may change during treatment with bisoprolol (masks the symptoms of developing hypoglycemia: tachycardia, increased blood pressure).
The clearance of lidocaine and xanthines (except theophylline) may be reduced due to a possible increase in their concentration in the blood plasma, especially in patients with an initially increased clearance of theophylline under the influence of smoking.
Methods of use
The dosage, frequency and duration of use of the medicinal product depend on the diagnosis, condition and age of the person. You can take the medicine as needed to lower your blood pressure. For chronic diseases, the drug should be taken in courses.
The maximum permissible daily dose is 20 mg, the frequency of administration is 1 time per day. For high blood pressure that is difficult to reduce, tablets can be taken 2 times a day without exceeding the maximum dose . You should not lower your blood pressure with a large dose at once, as this creates the risk of a heart attack.
If hypertension and cardiac ischemia are being treated, then the dose is 5 mg once a day. However, it is permissible to increase the dosage by 2 times.
Angina pectoris with high blood pressure is treated with large doses - 20 mg per day.
In some cases, the dosage is selected personally by a specialist. As a rule, reception is carried out on an increasing basis. Treatment begins with a minimum dose of 1.25 mg, taken once a day for a week.
During the second week, treatment is carried out in doses of 2.5 mg. In the third week, the dose should be 3.75 mg. In the period from the fourth to the eighth weeks, take 5 mg, from the ninth to the twelfth - 7.5 mg. If there are no serious side effects, the treatment course ends with a dosage of 10 mg.
Bisoprolol-Teva tablets: reviews of the drug
Veronika Nefedova, Perm I was prescribed Bisoprolol-Teva because of heart pain. Yes, and the pressure was constantly jumping, once there was even a crisis, they took me to the hospital. There they gave me IVs and injections, after which I decided to take treatment seriously. Now I take the pills, there are no problems with my heart, the pain has gone, my blood pressure is normal. I even stopped measuring it several times a day; there’s simply no need. The pills suit me, despite the long list of side effects, I tolerated it well, no symptoms appeared. Evgeniy Puzyrev, Norilsk Not only is the pressure constantly high, reaching 170/100, but also arrhythmia with tachycardia, the whole bouquet was collected, as they say. The doctor prescribed Bisoprolol-Teva tablets. After taking it for 2 weeks, I noticed obvious improvements. The pressure has decreased and is not yet constantly normal, but does not rise above 140. The tachycardia has passed, and there seems to be no arrhythmia. I am happy with the medicine, it is inexpensive, most people are able to afford it. Natalya Rykhtikova, Smolensk My heart began to beat faster, the tachycardia was such that I thought my heart would just jump out of my chest. This condition has become permanent, regardless of physical activity or experiences. Bisoprolol-Teva tablets were prescribed, but they did not bring the desired effect. At first, the tachycardia decreased, but still the pressure did not drop to normal, and a week later the heart began to beat faster again. Maybe they just didn’t suit me, or maybe they were defective. Victor Ivanov, Abakan The doctor prescribed Bisoprolol-Teva tablets to reduce blood pressure, but after I started taking them, severe headaches and insomnia appeared. This turns out to be a side effect. In general, as soon as I read the instructions, I did not want to take the medicine, but the doctor insisted, saying that side effects were rare. I had to change doctor and drug. I won’t advise anyone, it’s better to overpay a little, but buy a better quality product. You shouldn’t skimp on your health at all; you’ll only make things worse for yourself. Olga Bugreeva, Saratov My husband and I take these pills to maintain normal blood pressure. Both are already middle-aged and their blood pressure is high. Both have arrhythmia and tachycardia. Tablets are just indicated for these symptoms. They help us, but we are very frightened by the large number of side effects and contraindications. So far, thank God, nothing has touched us. Yulia Bekasova, Khabarovsk I take Bisoprolol to normalize blood pressure. I have been suffering from this disease for many years; in general, it is hereditary. My parents and grandmother also suffered from problems with the cardiovascular system. My grandfather had a stroke. Therefore, I monitored my blood pressure especially carefully. Now there are no problems, but personally I would like the drug to not return symptoms after discontinuation. Unfortunately, you will have to constantly support the body. Yuri Kongarov, St. Petersburg For the first time, problems with blood pressure were encountered while on vacation in a hot country. At first I decided that this was how the body was reconfiguring itself, but when I returned home, I realized that it was a signal for help. After undergoing examination, it turned out that there was an arrhythmia. I was prescribed Bisoprolol tablets, I can tell right away that my blood pressure has decreased, but it still sometimes rises. Especially after experiences or stress.
Instructions for use
This remedy has great biochemical activity at the cellular level. The action of Bisoprolol-Tev is:
reducing oxygen starvation of the heart;- decrease in heart rate in different states of the body;
- decrease in cardiac output intensity;
- inhibition of atrioventricular conduction;
- antianginal and hypotensive effects;
- decrease in blood volume per unit time;
- stimulation of blood vessels in the periphery;
- increasing the duration of diastole.
These mechanisms of action are aimed at reducing the load on the heart during high blood pressure, as well as creating conditions for maintaining its healthy condition.
Indications for use
Bisoprolol-Teva, due to its mechanisms of action, is aimed at treating people suffering from chronic forms of cardiovascular diseases accompanied by high blood pressure.
The drug owes its popularity precisely to this specificity. The following reviews from people suffering from hypertension speak for themselves.
Analogs
Analogues of any drug are products containing the same active substance. Analogues of Biosprolol-Teva include:
- bisoprolol;
- Aritel core;
- concor;
- coronal;
- nipperthene;
- concor cor;
- bisocard.
The difference between analogues lies in the specifics of the effects and the manufacturer.
Reviews
There are many reviews on the Internet about the drug Bisoprolol-Teva, both positive and negative, for example the following:
“My blood pressure has been periodically rising for a long time, but I have always managed to bring it down with simple, cheap means like capoten. But one day problems came to my street. The pressure remained at 170 for a whole week and did not respond to any pill known to me. I had to go to the doctors. After spending a lot of money on pills with different names, I finally found something that worked for me. It turned out to be Bisoprolol-Teva. The product is expensive, but effective. Knocked my blood pressure down with the first pill. "
“I have problems with the liver, my heart and blood vessels are healthy. However, the pressure regularly rises to 180. Doctors say that this is a reaction to intoxication, so the pressure must be maintained at a certain level. I do this with Bisoprolol-Teva. I manage to survive without problems even for several days!
“My health is fine. I want to praise the drug on behalf of my mother, a woman of advanced age who suffers from heart failure. With the help of bisoprolol, I manage to maintain her health at an acceptable level. The drug is indispensable for heart patients.”
