Description
• রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন
Indications:
Betacor is indicated for:
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Management of hypertension
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Treatment of stable chronic heart failure with reduced ejection fraction
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Prevention of angina pectoris (chest pain)
Pharmacology:
Bisoprolol is a selective beta-1 adrenergic receptor blocker. It reduces heart rate and cardiac output by inhibiting sympathetic stimulation. This leads to decreased myocardial oxygen demand and lower blood pressure. Being cardioselective, it primarily affects the heart and has minimal effect on beta-2 receptors in the lungs.
Dosage & Administration:
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Hypertension or angina: 5 mg once daily, may be increased up to 10 mg if needed
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Chronic heart failure: Start at 1.25 mg daily, titrate slowly based on tolerance
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Should be taken in the morning, with or without food
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Swallow the tablet whole with water
Interaction:
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May enhance the effects of other antihypertensive agents
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Use cautiously with calcium channel blockers (verapamil, diltiazem) due to risk of heart block
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May mask symptoms of hypoglycemia in diabetic patients
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Interacts with digoxin, insulin, and some anesthetics
Contraindications:
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Hypersensitivity to Bisoprolol
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Acute heart failure or cardiogenic shock
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Severe bradycardia or hypotension
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Second- or third-degree AV block without a pacemaker
Side Effects:
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Common: Fatigue, dizziness, bradycardia, cold extremities, headache
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Rare: Depression, sleep disturbances, bronchospasm in sensitive individuals
Pregnancy & Lactation:
Should be used only if clearly needed during pregnancy. May affect fetal growth. Caution is advised during lactation, as small amounts may pass into breast milk.
Precautions & Warnings:
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Do not discontinue abruptly; taper off gradually
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Use with caution in patients with asthma, diabetes, liver or kidney dysfunction
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Monitor heart rate, blood pressure, and ECG regularly
Therapeutic Class:
Selective beta-1 adrenergic receptor blockers (Cardioselective beta-blockers)
Storage Conditions:
Store below 30°C, in a dry place away from light and moisture. Keep out of reach of children.
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