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Bisoprolol + Hydrochlorothiazide

Uses of Bisoprolol + Hydrochlorothiazide

  • The primary use of Bisoprolol + Hydrochlorothiazide is for the management of high blood pressure in adults. This combination medicine belongs to the class of beta-blockers and thiazide diuretics.

Side effects of Bisoprolol + Hydrochlorothiazide

  • Fatigue

  • Dizziness

  • Headache

  • Nausea

  • Stomach pain

  • Decreased sexual ability

How Bisoprolol + Hydrochlorothiazide works

  • Bisoprolol + Hydrochlorothiazide is a combination medicine that manages hypertension.

  • Bisoprolol is a beta blocker. It works by slowing down your heart rate and decreasing the force with which your heart muscle contracts. This reduces the amount of work your heart has to do and decreases your blood pressure.

  • Hydrochlorothiazide is a thiazide diuretic or a "water pill." It increases the amount of urine your kidneys make, helping your body to get rid of extra salt and water. This lowers your blood volume and reduces your blood pressure.

  • Working in combination, these medicines provide more effective control over blood pressure than when either component is used on its own.

Certified content

Written By

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Dr. Michelle FrankMedical Content Writer| 8 years

Doctor of Medicine

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Bisoprolol + Hydrochlorothiazide is available for use via the oral route in the form of tablets.

Age and Dose Restrictions

  • This medicine is meant for adults only.

Contraindications

  • Bisoprolol + Hydrochlorothiazide is contraindicated in patients with known allergy to bisoprolol or hydrochlorothiazide, cardiogenic shock, severe bradycardia (very slow heartbeat), second or third degree heart block, sick sinus syndrome, severe heart failure, and anuria (inability to produce urine).

Other Medications to Avoid

  • Bisoprolol + Hydrochlorothiazide may interact with other blood pressure medicines such as ACE inhibitors (e.g., lisinopril and captopril), angiotensin receptor blockers (e.g., losartan and azilsartan), calcium channel blockers (e.g., amlodipine and nicardipine), antiarrhythmic medications (e.g., amiodarone and quinidine), digoxin, clonidine, insulin or oral diabetes medicines (e.g., metformin and sitagliptin), lithium, nonsteroidal anti-inflammatory medicines (e.g., ibuprofen and aspirin), corticosteroids (e.g., prednisone and hydrocortisone), cholestyramine or colestipol, and norepinephrine.

Overdose and Missed Dose

  • In case of an overdose of Bisoprolol + Hydrochlorothiazide, symptoms may include severe dizziness or fainting, slow or irregular heartbeat, difficulty breathing, seizures, and electrolyte imbalances. If an overdose is suspected, seek emergency medical attention immediately.

  • If you forget to take a dose of this medicine, take it as soon as you remember. But avoid repeating the dose.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • Drinking plenty of water can help manage some of the side effects, like dizziness and headache.

  • Eating small meals more frequently instead of big meals can help manage nausea or upset stomach.

Use in Driving and Operating Machinery

  • Bisoprolol + Hydrochlorothiazide may cause dizziness or lightheadedness. Avoid driving or operating machinery until you know how this medicine affects you.

Use in Pregnancy and Lactation

  • Bisoprolol + Hydrochlorothiazide should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Breastfeeding while taking this medication is not recommended.

Caution in Other Conditions

  • Patients with heart problems, circulation disorders, breathing disorders, kidney or liver disease, thyroid disorders, diabetes, gout, systemic lupus erythematosus, and those planning to have surgeries should exercise caution when taking Bisoprolol + Hydrochlorothiazide.

Special Dietary and Lifestyle Recommendations

  • Monitor your blood pressure regularly.

  • Limit alcohol as it may worsen some side effects of Bisoprolol + Hydrochlorothiazide.

  • Maintain a low-salt and low-fat diet to manage your blood pressure.

  • Ensure adequate hydration by drinking enough fluids throughout the day.

Frequently asked questions

Yes, Bisoprolol + Hydrochlorothiazide can cause allergies in individuals who are sensitive to bisoprolol, hydrochlorothiazide, or any of the inactive ingredients in this medicine.

Certain serious side effects of Bisoprolol + Hydrochlorothiazide may include mental or mood changes, such as confusion or depression. If you notice these or any other significant changes in your mood or mental state while taking this medicine, please inform your doctor right away.

There is no specific information that suggests Bisoprolol + Hydrochlorothiazide affect menstruation. However, if you notice any changes in your menstrual cycle while taking this medicine, please consult with your doctor.

There are some lifestyle changes that can help manage high blood pressure, such as maintaining a healthy diet, regular exercise, limiting alcohol intake, and quitting smoking. However, these should not replace prescribed medication without your doctor's advice.

Bisoprolol + Hydrochlorothiazide does not typically cause dependency or withdrawal symptoms. However, this medicine should not be stopped abruptly without consulting your doctor, as it may worsen your condition.

While it is not common, Bisoprolol + Hydrochlorothiazide may affect your appetite in some cases. If you notice a significant change in your appetite, do bring it to the attention of your doctor.

While it is not common, Bisoprolol + Hydrochlorothiazide may affect your appetite in some cases. If you notice a significant change in your appetite, do bring it to the attention of your doctor.

Terms & Conditions


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