Do not take the following medicines with Bisoprolol Fumarate without special advice from your doctor: However, do not stop taking these medicines without checking with your doctor first. Check with your doctor before taking the following medicines with Bisoprolol Fumarate; your doctor may need to check your condition more frequently: Non-steroidal anti-inflammatory drugs, such as acetylsalicylic acid, diclofenac, ibuprofen, ketoprofen, naproxen, celecoxib, or etoricoxib especially if used long-term and regularly may weaken the effectiveness of Bisoprolol Fumarate in treatment of hypertension.
However, small daily doses of acetylsalicylic acid, e. Bisoprolol Fumarate with food and drink Bisoprolol Fumarate Tablets are taken in the morning with or without food. They are swallowed with some liquid and not to be chewed. Pregnancy and breast-feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby ask your doctor or pharmacist for advice before taking this medicine.
Bisoprolol Fumarate should not be used during pregnancy unless clearly necessary. If you are planning pregnancy or become pregnant during Bisoprolol Fumarate treatment, contact the doctor for advice on consequential therapy. It is not known if bisoprolol of Bisoprolol Fumarate is excreted into breast-milk.
Therefore, breast-feeding is not recommended during Bisoprolol Fumarate treatment. Driving and using machines Bisoprolol Fumarate Tablets have only minimal or nonexistent impact to the ability to drive. Side effects related to the fall in blood pressure may include dizziness, headache, tiredness, or other side effects see section 4 which might impair the ability to drive or to operate machinery.
Would such side effects occur, you should refrain from driving and other activities requiring alertness. This should be noted especially at the beginning of the treatment and after increasing the dosage. Bisoprolol Fumarate does not usually affect the ability to drive if the therapy is well-balanced. How to take Bisoprolol Fumarate tablets Always take this medicine exactly as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure. Method of administration Swallow the tablet with a sufficient amount of fluid e. Tablets are not to be chewed.
Eating does not affect the absorption of the medicine. To treat stable chronic heart failure Treatment with bisoprolol must be started at a low dose and increased gradually. Your doctor will decide how to increase the dose, and this will normally be done in the following way: The maximum recommended daily dose is 10 mg bisoprolol. Depending on how well you tolerate the medicine, your doctor may also decide to lengthen the time between dose increases.
If your condition gets worse or you no longer tolerate the drug, it may be necessary to reduce the dose again or to interrupt treatment. In some patients a maintenance dose lower than 10 mg bisoprolol may be sufficient. Your doctor will tell you what to do. If you have to stop treatment entirely, your doctor will usually advise you to reduce the dose gradually, as otherwise your condition may become worse. Use in children and adolescents less than 18 years: There is not enough experience on the use of Bisoprolol Fumarate Tablets in children, and thus the use is not recommended with children or adolescents under 18 years of age.
Dosage adjustment is not necessary for elderly people unless they have a renal or hepatic insufficiency, see below. Patients suffering from renal or hepatic insufficiency: The dosage should be increased very gradually and cautiously in patients with severe kidney or liver problems. The dosage should not exceed 10 mg once daily in patients with severe kidney or liver problems. If you take more Bisoprolol Fumarate than you should If you or anyone else has taken an overdose of Bisoprolol Fumarate contact a doctor or hospital emergency room immediately.
In case of nausea or dizziness, place the patient in a lying down position and seek medical assistance. An unconscious patient must be turned to the recovery position however the legs may be elevated. If you forget to take Bisoprolol Fumarate Take the next tablet normally, when it is the time to take it. This medicine is known by the above name but will be referred to as Nebivolol Tablets in this leaflet.
Patient Information Leaflet Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. You may need to read it again. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. This includes any possible side effects not listed in this leaflet. What is in this leaflet: It prevents increased heart rate, controls heart pumping strength.
It also exerts a dilating action on blood vessels, which contributes to lowering the blood pressure. It is used to treat raised blood pressure hypertension. Nebivolol Tablets is also used to treat mild and moderate chronic heart failure in patients aged 70 years or over, in addition to other therapies. Talk to your doctor or pharmacist before taking Nebivolol Tablets.
Tell your doctor if you have or develop any one of the following medical problems: If you have a serious kidney problem do not take Nebivolol Tablets for heart failure and tell your doctor for further advice. You will be regularly monitored at the beginning of your treatment for chronic heart failure by your physician see section 3. This treatment should not be stopped abruptly unless recommended by your doctor see section 3. Children and adolescents Nebivolol Tablets is not recommended for use in children and adolescents because of the lack of data on the use of this medicine.
Other medicines and Nebivolol Tablets Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines, including those medicines obtained without a prescription.
Certain medicines cannot be used at the same time, while other medicines may require specific changes in the dose, for example. Always tell your doctor or pharmacist if you are using or receiving any of the following medicines in addition to Nebivolol Tablets: Nebivolol Tablets with food and drink Nebivolol Tablets can be taken with food or on an empty stomach.
The tablet should be taken with some water. Pregnancyand breast-feeding Nebivolol Tablets should not be taken during pregnancy unless clearly necessary. Breast-feeding is not recommended during treatment with Nebivolol Tablets.
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