Amlodipine + Bisoprolol

Find more information about this combination medication at the webpages for Amlodipine and Bisoprolol

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Brand Name

Besicor AM 2.5mg Tablet 15s , Bisoheart AM 5mg/5mg Tablet 10s ... show more

Approved Treatment Indication:

Hypertension, Supraventricular Tachycardia ... show more

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This medicine contains a combination of 2 drugs Amlodipine and Bisoprolol.
Amlodipine and Bisoprolol are both used to treat the same disease or symptom but work in different ways in the body.
Most doctors will advise making sure that each individual medicine is safe and effective before using a combination form.

Summary

What conditions are Amlodipine and Bisoprolol used for?
Amlodipine and Bisoprolol are used to treat high blood pressure (hypertension) and certain heart conditions. Amlodipine is also used to treat chest pain (angina), while Bisoprolol is used for heart failure and to prevent heart attacks.
How do Amlodipine and Bisoprolol work in the body?
Amlodipine works by blocking calcium channels in the blood vessels, causing them to relax and widen, which lowers blood pressure and reduces the heart's workload. Bisoprolol is a beta-blocker that reduces heart rate and the force of heart contractions, also lowering blood pressure and decreasing the heart's demand for oxygen.
What are the usual dosages and routes of administration of Amlodipine and Bisoprolol?
The usual adult daily dose for Amlodipine is 5 mg, which can be increased to a maximum of 10 mg. For Bisoprolol, the typical starting dose is 5 mg per day, which can be adjusted up to 10 mg or even 20 mg if necessary. Both medicines are taken orally once a day.
What are the most commonly observed adverse effects of Amlodipine and Bisoprolol?
Common side effects of Amlodipine include swelling of the ankles or feet, dizziness, and flushing. Bisoprolol may cause fatigue, dizziness, and cold extremities. Both medications can lead to low blood pressure, which may cause dizziness or fainting.
What are the important safety warnings and contraindications of Amlodipine and Bisoprolol?
Amlodipine should be used cautiously in patients with severe liver impairment. Bisoprolol is not recommended for patients with severe bradycardia (slow heart rate), heart block, or severe heart failure. Both medications should be used with caution in patients with low blood pressure or those at risk of hypotension (abnormally low blood pressure).

Government Approvals

None

WHO Essential Medicine

Known Teratogen

Pharmaceutical Class

Beta-Adrenergic Blocker and Calcium Channel Blocker and Dihydropyridine Calcium Channel Blocker

Controlled Drug Substance

Summary

What conditions are Amlodipine and Bisoprolol used for?
Amlodipine and Bisoprolol are used to treat high blood pressure (hypertension) and certain heart conditions. Amlodipine is also used to treat chest pain (angina), while Bisoprolol is used for heart failure and to prevent heart attacks.
How do Amlodipine and Bisoprolol work in the body?
Amlodipine works by blocking calcium channels in the blood vessels, causing them to relax and widen, which lowers blood pressure and reduces the heart's workload. Bisoprolol is a beta-blocker that reduces heart rate and the force of heart contractions, also lowering blood pressure and decreasing the heart's demand for oxygen.
What are the usual dosages and routes of administration of Amlodipine and Bisoprolol?
The usual adult daily dose for Amlodipine is 5 mg, which can be increased to a maximum of 10 mg. For Bisoprolol, the typical starting dose is 5 mg per day, which can be adjusted up to 10 mg or even 20 mg if necessary. Both medicines are taken orally once a day.
What are the most commonly observed adverse effects of Amlodipine and Bisoprolol?
Common side effects of Amlodipine include swelling of the ankles or feet, dizziness, and flushing. Bisoprolol may cause fatigue, dizziness, and cold extremities. Both medications can lead to low blood pressure, which may cause dizziness or fainting.
What are the important safety warnings and contraindications of Amlodipine and Bisoprolol?
Amlodipine should be used cautiously in patients with severe liver impairment. Bisoprolol is not recommended for patients with severe bradycardia (slow heart rate), heart block, or severe heart failure. Both medications should be used with caution in patients with low blood pressure or those at risk of hypotension (abnormally low blood pressure).

Indications and Purpose

How does combination of Amlodipine and Bisoprolol work?

Amlodipine works by blocking calcium channels in the blood vessel walls, leading to relaxation and widening of the vessels, which lowers blood pressure and reduces the heart's workload. Bisoprolol, on the other hand, is a beta-blocker that reduces the heart rate and the force of heart contractions, also lowering blood pressure and decreasing the heart's demand for oxygen. Both medications help improve blood flow and reduce the risk of heart-related complications, but they achieve these effects through different mechanisms in the body.

How effective is combination of Amlodipine and Bisoprolol?

Clinical studies have demonstrated that Amlodipine effectively lowers blood pressure and reduces the frequency of angina attacks by relaxing blood vessels. Bisoprolol has been shown to decrease heart rate, lower blood pressure, and improve survival rates in patients with heart failure. Both medications have been proven to reduce the risk of cardiovascular events, such as heart attacks and strokes, when used as part of a comprehensive treatment plan. Their effectiveness is supported by extensive research and clinical trials, making them reliable options for managing cardiovascular conditions.

Directions for Use

What is the usual dose of combination of Amlodipine and Bisoprolol?

The usual adult daily dose for Amlodipine is 5 mg, which can be increased to a maximum of 10 mg depending on the patient's response and tolerance. For Bisoprolol, the typical starting dose is 5 mg per day, which can be adjusted up to 10 mg or even 20 mg if necessary. Both medications are taken once daily, and the dosage may vary based on individual health conditions and the doctor's recommendations. It's important to follow the prescribed dosage to effectively manage blood pressure and heart conditions.

How does one take combination of Amlodipine and Bisoprolol?

Amlodipine can be taken with or without food, and there are no specific food restrictions associated with its use. Bisoprolol should also be taken consistently, either with or without food, but it's important to take it the same way each day. Patients should avoid alcohol while taking these medications, as it can enhance side effects like dizziness. It's crucial to follow the healthcare provider's instructions and not to stop taking these medications suddenly without consulting a doctor, as this can lead to adverse effects.

For how long is combination of Amlodipine and Bisoprolol taken?

Amlodipine and Bisoprolol are typically used as long-term treatments for managing high blood pressure and heart conditions. The duration of use is often indefinite, as these medications help maintain cardiovascular health and prevent complications. Both drugs are usually taken daily, and their continued use is essential for effective management of the conditions they treat. Regular monitoring by a healthcare provider is important to ensure their effectiveness and adjust dosages if necessary.

How long does it take for combination of Amlodipine and Bisoprolol to work?

Amlodipine typically starts working within 24 to 48 hours, but it may take a week or two to see the full effect on blood pressure. Bisoprolol, on the other hand, begins to work within a few hours, with its peak effect occurring within 2 to 4 hours. Both medicines are used to manage high blood pressure and heart-related conditions, but they work through different mechanisms. Amlodipine is a calcium channel blocker that relaxes blood vessels, while Bisoprolol is a beta-blocker that reduces heart rate and the heart's workload.

Warnings and Precautions

Are there harms and risks from taking combination of Amlodipine and Bisoprolol?

Common side effects of Amlodipine include swelling of the ankles or feet, dizziness, and flushing. Bisoprolol may cause fatigue, dizziness, and cold extremities. Both medications can lead to low blood pressure, which may cause dizziness or fainting. Significant adverse effects, though rare, include severe allergic reactions, worsening of heart failure, or very low heart rate. It's important to report any unusual symptoms to a healthcare provider promptly. Regular monitoring can help manage and mitigate these side effects.

Can I take combination of Amlodipine and Bisoprolol with other prescription drugs?

Amlodipine can interact with other blood pressure medications, leading to an increased risk of low blood pressure. It may also interact with certain heart medications, such as diltiazem, increasing the risk of side effects. Bisoprolol can interact with other beta-blockers and medications that affect heart rate, such as digoxin, potentially leading to bradycardia (slow heart rate). Both medications can interact with drugs that affect liver enzymes, altering their effectiveness. It's crucial to inform healthcare providers of all medications being taken to manage these interactions.

Can I take combination of Amlodipine and Bisoprolol if I am pregnant?

Amlodipine is generally not recommended during pregnancy unless absolutely necessary, as there is limited data on its safety. Bisoprolol should be used with caution during pregnancy, particularly in the first trimester, as it may affect fetal development. Both medications should only be used if the potential benefits outweigh the risks. It's crucial to consult a healthcare provider to discuss the risks and benefits of using these medications during pregnancy and to explore alternative treatments if necessary.

Can I take combination of Amlodipine and Bisoprolol while breastfeeding?

Amlodipine is generally considered safe during breastfeeding, as only small amounts are excreted in breast milk. However, caution is advised, and monitoring for any adverse effects in the infant is recommended. Bisoprolol is also excreted in breast milk, and while it is generally considered safe, close monitoring of the infant for signs of beta-blockade, such as slow heart rate or low blood pressure, is important. It's essential to consult a healthcare provider before using these medications while breastfeeding to ensure safety for both mother and child.

Who should avoid taking combination of Amlodipine and Bisoprolol?

Amlodipine should be used cautiously in patients with severe liver impairment, as it can affect liver function. Bisoprolol is contraindicated in patients with severe bradycardia (slow heart rate), heart block, or severe heart failure. Both medications should be used with caution in patients with low blood pressure or those at risk of hypotension. It's important to inform healthcare providers of any existing health conditions before starting these medications. Regular monitoring and adherence to prescribed dosages are crucial to minimize risks.