Bisoren 5

Indications

Bisoren 5 is indicatedin-

• Angina
• Hypertension
• Moderate to severe heart failure

 

Pharmacology

The most selective ß1 blocker is Bisoprolol Hemifumarate. It has the highest affinity for the ß1 receptor of any beta-blocker currently on the market. Blocks the ß1 adrenergic receptor in the heart and vascular smooth muscle, lowering heart rate and cardiac output and lowering arterial blood pressure. In patients with non-ß1 selective ß1-blockers, ß-blockers can impact lipid metabolism, however Bisoprolol does not produce any changes in the cholesterol fraction, including the cardioprotective HDL-cholesterol, over long-term medication.

 

Dosage & Administration

Heart Failure: Initially 1.25 mg once daily (in the morning) for 1 week then, if well tolerated, increased to 2.5 mg once daily for 1 week, then 3.75 mg once daily for 1 week, then 5 mg once daily for 4 weeks, then- 7.5 mg once daily for 4 weeks, then 10 mg once daily maximum 10 mg daily.

Angina: Usually 10 mg once daily (5 mg may be adequate in some patients) max 20 mg daily.

Hypertension: The dose of Bisoprolol must be individualized to the needs of the patient. The usual starting dose is 5 mg once daily. In some patients, 2.5 mg may be an appropriate starting dose. If the antihypertensive effect of 5 mg is inadequate, the dose may be increased to 10 mg and then, if necessary, to 20 mg once daily.

 

Interactions

Bisoprolol should not be combined with other ß-blocking agents.

 

Contraindications

In patients with cardiogenic shock, overt heart failure, second or third degree A-V block, right ventricular failure secondary to pulmonary hypertension and sinus bradycardia.

 

Side-Effects

Gastro-intestinal disturbances, bradycardia, hypotension, headache, fatigue, sleep disturbances, dizziness, vertigo, thrombocytopenia, visual disturbances, alopecia may be occurred.

 

Pregnancy & Lactation

The safety of bisoprolol during pregnancy has not been established. No data is available for lactation

 

Precautions & Warnings

Monitoring of renal, hepatic and hematopoietic function should be performed at regular intervals during long-term treatment with bisoprolol.

 

Therapeutic Class

Anti-adrenergic agent (Beta blockers), Beta-adrenoceptor blocking drugs, Beta-blockers

 

Storage Conditions

Store in a dry place away from light and heat. Keep out of the reach of children.

 

Pharmaceutical Name

Renata Limited

 

Generic

Bisoprolol Hemifumarate

 

Related Products

• Bislol 5
• Bisocor 5
• Bisopro 5