Bisogamma 10 mg. 30 tablets

What is Bisogamma and what it is used for
The drug in Bisogamma is bisoprolol. Bisoprolol belongs to a group of medicines called beta-blockers. These drugs affect the body's response to some nerve impulses, especially in the heart. As a result, bisoprolol slows the heart rate and thus increases the heart's efficiency in pumping blood. At the same time, the need for oxygen and blood supply to the myocardium is decreasing.
Bisogamma is used to treat high blood pressure and angina pectoris (chest tooth).

2. What you need to know before using Bisogamma
Do not use Bisegoma:
Do not use Bidogamma if any of the following conditions apply to you:

if you are allergic to bisoprolol or any of the other ingredients of this medicine (listed in section 6);
severe bronchial asthma;
serious problems related to the circulation of your limbs (such as Raynaud's syndrome) that may cause them to become numb, pale or bruised;
untreated phaeochromocytoma, which is a common adrenal gland tumor;
metabolic acidosis - a state of increased acidity of the blood.
Do not use Bisogamma if you have any of the following heart diseases:

acute heart failure not under medical supervision;
aggravated heart failure requiring intravenous therapy with agents that increase the strength of cardiac contractions;
cardiogenic shock, which is an acute cardiac condition, leading to a decrease in blood pressure and a severe blood circulation disorder;
some heart conditions leading to slow or uneven heartbeat (second or third degree AV block, sinoatrial block, sick sinus syndrome);
low blood pressure that causes problems;
slowing of the heart rate causing problems.
Warnings and precautions
If any of the conditions listed below apply to you, tell your doctor, special precautions may be required (eg, appointment of additional treatment or more frequent research):

diabetes;
strict diet;
prolonged desensitization therapy (eg to prevent hay fever);
some heart disease (such as Prinzmetal's heart rhythm or angina);
problems in the blood circulation of extremities with moderate weight;
chronic pulmonary disease or moderate-to-moderate asthma;
flaky skin rash (psoriasis);
adrenal tumor (pheochromocytoma);
thyroid disease.
In addition, tell your doctor if you are going to:

desensitization therapy (for example, to prevent hay fever) because Bismogamma may cause an allergic reaction or increase its severity;
anesthesia (eg due to surgery), as Bismogamma may affect your response to this procedure.
Children and adolescents
The use of Bidogamma in children and adolescents is not recommended.

Other medicines and Bissogama
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Do not take the following medicines at the same time as Bisogamma before consulting your doctor:

Some calcium antagonists used to treat high blood pressure, angina pectoris or irregular heartbeat such as verapamil and diltiazem;
Some medicines used to treat high blood pressure such as clonidine, methyldopa, moxonidine, rilmenidine. However, do not stop taking these medicines before consulting your doctor first.
Check with your doctor before taking the following medicines at the same time as Bismogamma: Your doctor may need to check your condition more often:

Some calcium antagonists of the dihydropyridine type, such as felodipine and amlodipine, used to treat high blood pressure and angina pectoris.
Class I antiarrhythmic drugs (eg quinidine, disopyramide, lidocaine, phenytoin, flecainide, propafenone). These medicines are used to treat irregular or irregular heartbeat.
Class III antiarrhythmic drugs (eg amiodarone). These medicines are used to treat irregular or irregular heartbeat.
Topical beta-blockers (eg eye drops to treat glaucoma).
Nervous system drugs that are used to stimulate internal organs or treat glaucoma (parasympathomimetics) or are used in critical situations to treat severe circulatory disorders (sympathomimetics).
Antidiabetic medicines, including insulin.
Anesthetics (eg during surgical operations).
Digitalis used to treat heart failure.
Non-steroidal anti-inflammatory drugs (NSAIDs) used to treat arthritis, pain or inflammation (eg ibuprofen, diclofenac).
Epinephrine, a medicine used to treat acute life-threatening allergic reactions and heart arrest.
Any medicine you can take
Pregnancy, breastfeeding and fertility
Pregnancy
If you are pregnant or are breast-feeding, think you may be pregnant or plan to become pregnant, ask your doctor before taking this medicine.
He / She will decide whether you can take Bidogamma during pregnancy.

Breastfeeding
It is not known whether Bisogamma passes into human breast milk. Therefore, it is not recommended to use Bizogamma during breast-feeding.

Driving and using machines
The ability to drive or use machines may be affected by Biozgamma depending on your tolerability.
Please pay special attention at the beginning of treatment, when increasing the dose or switching to another medicine as well as with the simultaneous use of alcohol.

3. How to use Bisogamma
Always use this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.
Treatment should generally begin gradually with low doses that slowly increase. In all cases, the dose should be adjusted individually, especially according to pulse rate and therapeutic success.

Dosage
For both indications, the recommended dose is one tablet of Bisogamma 5 mg or half a tablet of Bisogamma 10 mg (equivalent to 5 mg of bisoprolol) once a day.
If necessary, the dose may be increased to one tablet of Bisogamma 10 mg or two tablets of Bisogamma 5 mg (equivalent to 10 mg bisoprolol) once daily.
The maximum recommended dose is 20 mg once a day.

Duration of therapy
Bison is usually prolonged.

Dose in impaired renal and / or hepatic function
In patients with mild to moderate renal or hepatic functional impairment, dose adjustment is generally not required. In patients with severe renal impairment (creatinine clearance <20 ml / min) and in patients with severe hepatic impairment, a daily dose of 10 mg of bisoprolol should not be exceeded.

Dosage in elderly patients
No dose adjustment is necessary in these patients.

Application method
Take the tablet with a little water in the morning before or during meals. Do not break or chew the tablet.
The tablet can be divided into equal doses.

If you take more Bisogamma  than you should
If you take more Bisogamma  than you should, please tell your doctor immediately. He will decide what measures to take.
The most common signs of overdosage of Bismogamy include slow heartbeat (bradycardia), abrupt narrowing of the airway leading to breathing difficulties (bronchospasm), significant blood pressure lowering, acute heart failure or low blood sugar.

If you forget to take Bisogamma
Do not take a double dose to make up for the forgotten tablet. Continue on your next morning treatment with the usual dose.

If you stop taking Bisogamma
Never stop taking Bisogamma without consulting your doctor. Otherwise, your condition may get worse. In particular, in patients with ischemic heart disease, treatment should not be stopped abruptly. If you need to stop your treatment, your doctor will recommend a gradual dose reduction.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.

Adverse reactions are ranked on the basis of the following frequency grouping:
Common (may occur in less than 1 in 10 people):

fatigue, dizziness, headache: These symptoms occur mainly at the beginning of treatment. They are mild and usually disappear within 1-2 weeks after initiation of treatment;
feeling cold or tingling of limbs;
low blood pressure;
gastrointestinal complaints such as nausea, vomiting, diarrhea, constipation.
Uncommon (may occur in less than 1 in 100 people):

delayed heart rate (bradycardia);
worsening of heart failure;
feeling weak;
sleep disorders;
depression;
heart rate disorders;
breathing difficulties, bronchospasm in patients with asthma or chronic respiratory disease;
muscle weakness and muscle spasms.
Rare (may occur in less than 1 in 1,000 people):

increased fat in the blood;
reduced tearing;
hearing disorders;
allergic rhinitis;
increased levels of some liver enzymes (ALAT, ASAT), inflammation of the liver (hepatitis);
allergic skin reactions such as itching, redness, rash;
impaired erection;
nightmares, hallucinations;
seizures.
Very rare (may occur in less than 1 in 10,000 people):

inflammation and redness of the eye (conjunctivitis);
How to store Bisogamma
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date which is stated on the carton or blister after EXP. The expiry date refers to the last day of that month.
Store below 25 ° C.
Store in the original carton.
Do not dispose of medicines in the sewer or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

6. Package Contents and Additional Information
What BISOGAMMA contains 10 mg film-coated tablets
The active substance is bisoprolol fumarate.
One film-coated tablet contains 10 mg of bisoprolol fumarate.

Excipients:

Tablet core: Crospovidone, pregelatinized maize starch, microcrystalline cellulose, highly dispersed silica, magnesium stearate;
Film coating: Macrogol 6000, Polysorbate 20, Titanium dioxide (E171), Calcium carbonate, Talc, Iron oxide yellow (E172), Hypromellose (HPMC 5), Hypromellose (HPMC 50).
What Bisogamma 10 mg looks like and contents of the pack
Beige-brown film-coated tablets with one tab (snap-tab shape). The tablet can be divided into equal doses (See "Tablet Breakout Notice" at the end of the leaflet).
Original packs of 30, 50 and 100 film-coated tablets.

Write a review