Bisnorm 5mg/2.5mg Tablet

Tablet
Rs.124for 1 strip(s) (10 tablets each)
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Composition FOR Bisnorm

S-Amlodipine(5mg),Bisoprolol(2.5mg)

food interaction for Bisnorm

alcohol interaction for Bisnorm

pregnancy interaction for Bisnorm

lactation interaction for Bisnorm

food
alcohol
pregnancy
lactation
Bisnorm 5mg/2.5mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
It is unsafe to consume alcohol with Bisnorm 5mg/2.5mg Tablet.
UNSAFE
Bisnorm 5mg/2.5mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
CONSULT YOUR DOCTOR
Bisnorm 5mg/2.5mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
CONSULT YOUR DOCTOR

SALT INFORMATION FOR Bisnorm

S-Amlodipine(5mg)

Uses

S-Amlodipine is used in the treatment of Angina (heart-related chest pain) and Hypertension (high blood pressure).

How it works

S-Amlodipine is a calcium channel blocker. In high blood pressure, it normalizes the blood pressure by relaxing the blood vessels to reduce the pressure on them, thereby improving the blood flow in the body. The enhanced blood flow in the body further relaxes the heart muscles by reducing the workload on the heart. It also improves the oxygen flow in the body, thereby, preventing any heart-related chest pain.

Common side effects

Ankle swelling, Dizziness, Edema (swelling), Fatigue, Flushing (sense of warmth in the face, ears, neck and trunk), Headache, Palpitations, Abdominal pain, Muscle cramp, Nausea, Sleepiness, Visual disturbance, Dyspepsia, Breathlessness, Change in bowel habits, Depression, Mood changes, Tremors, Taste change, Fainting, Hypoesthesia (decreased sensitivity to stimuli), Paresthesia (tingling or pricking sensation), Ringing in ear, Hypotension (low blood pressure), Arrhythmia (irregular heartbeats), Cough, Vomiting, Dryness in mouth, Hair loss, Purpura, Urticaria, Skin discoloration, Sweating, Joint pain, Muscle pain, Micturition disorders, Erectile dysfunction, Breast enlargement in male, Chest pain, Change in body weight, Confusion, Allergic reaction, Hepatitis B (viral infection of liver), Increased liver enzymes
Bisoprolol(2.5mg)

Uses

How it works

Bisoprolol is a beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body.

Common side effects

Headache, Fatigue, Dizziness, Upper respiratory tract infection, Slow heart rate, Bronchospasm, Dryness in mouth

SUBSTITUTES FOR Bisnorm

No substitutes found

Expert advice FOR Bisnorm

  • Take it at the same time every day to help you remember to take it.
  • A sudden drop in your blood pressure may occur, especially when you first start taking S-Amlodipine. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • It can cause ankle or foot swelling. To reduce the swelling, raise your legs while you are sitting down. Talk to your doctor if it does not go away.
  • It may cause dizziness. Do not drive or perform any activity that requires mental focus until you know how S-Amlodipine affects you. 
  • Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding. 

Frequently asked questions FOR Bisnorm

S-Amlodipine

Q. How long does it take for S-Amlodipine to work?
S-Amlodipine starts working on the day it is taken. However, it may take weeks to see the full effect. You should continue taking the medicine even if you feel better or if you do not notice any considerable difference. Consult your doctor if you have any concerns or you feel worse after taking the medicine.
Q. Does S-Amlodipine cause itching?
S-Amlodipine may cause itching in some patients, though it is an uncommon side effect. However, if you experience severe itching contact your doctor.
Q. Is S-Amlodipine bad for the kidneys?
No, there is no evidence that S-Amlodipine causes deterioration of kidney problems. S-Amlodipine can be used in normal doses in patients with kidney problems. In fact, its blood pressure-lowering effect helps to prevent injury to the kidneys due to hypertension.
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Q. Should I take S-Amlodipine in the morning or at night?
S-Amlodipine can be taken anytime in the morning or evening, usually prescribed once daily. Take the medicine as advised by the doctor. It is advised to take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.
Q. How long do I need to take S-Amlodipine?
You should keep on taking S-Amlodipine for as long as your doctor has recommended you to take it. You may need to take it lifelong. Do not stop taking it, even if you feel well or your blood pressure is well controlled. If you stop taking S-Amlodipine, your blood pressure may increase again and your condition may worsen.
Q. Is S-Amlodipine a beta-blocker?
No, S-Amlodipine is not a beta-blocker. It belongs to a class of medicines known as calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so that blood can easily flow through the blood vessels.
Q. What are the serious side effects of S-Amlodipine?
S-Amlodipine may cause some serious side effects such as liver problems (yellowing of skin, nausea, vomiting, and loss of appetite), pancreatitis (severe stomach pain, nausea, and vomiting), and recurrent chest pain which may be indicative of a heart attack. However, these side effects are rarely seen. Remember that your doctor has prescribed this medicine to you because the benefit to you is greater than the risk of any potential side effects. Follow your doctor's advice.
Q. What should I avoid while taking S-Amlodipine?
Consult your doctor first before starting any new prescription or non-prescription medicines or supplements. Take low sodium and low-fat diet, and adhere to the lifestyle changes as advised by your doctor. Avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking S-Amlodipine. Stop smoking and taking alcohol as this helps to lower your blood pressure and prevents heart problems.
Q. I have developed swelling over my ankles after using S-Amlodipine. What should I do?
S-Amlodipine can cause ankle or foot swelling. To reduce swelling raise your legs while you are sitting down. Talk to your doctor if it does not go away.

Bisoprolol

Q. Is Bisoprolol a diuretic?
No, Bisoprolol is not a diuretic. Bisoprolol is a beta-blocker medicine which works by blocking the hyperactivity of the nerve impulses in the heart. This relaxes the heart muscles and eventually calms the heart.
Q. Is Bisoprolol effective?
Bisoprolol is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Bisoprolol too early, the symptoms may return or worsen.
Q. What is the best time to take Bisoprolol?
Bisoprolol can be taken anytime in the morning or evening, usually prescribed once daily. However, your very first dose of Bisoprolol may make you feel dizzy, so it is better to take your first dose at bedtime. After that, if you do not feel dizzy, you may take it any time of the day. Follow the advice of your doctor. It is advised to take it at the same time each day so that you remember to take it and consistent levels of medicine are maintained in the body.
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Q. What if I forget to take a dose of Bisoprolol?
If you have missed a dose of Bisoprolol, take it as soon as you remember it. However, if it is almost time for your next dose, take it in the regular schedule instead of taking the missed dose. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.
Q. How many hours does Bisoprolol take to reduce high blood pressure?
Bisoprolol starts showing its effect within 2 hours, but it can take up to 2 to 6 weeks to reach its full effect. You may not feel any difference in blood pressure, but this does not mean that the medicine is not working. Take it exactly as directed by your doctor. It's important to keep taking your medicine in the prescribed dose and duration to get the maximum benefit of Bisoprolol.
Q. What if I take more than the prescribed dose of Bisoprolol?
If you take more than the prescribed dose, your heart rate may slow down and you may find it difficult to breathe. It can also cause dizziness and trembling. It is advised to go to a hospital immediately, but do not drive yourself to avoid any mishap. Get someone else to drive you or call for an ambulance. Take the Bisoprolol packet or leaflet inside it, plus any remaining medicine, with you.
Q. What are the most common side effects of Bisoprolol?
The most common side effects of Bisoprolol are cold extremities, fatigue, slow heart rate, nausea, diarrhea and dizziness. However, these are usually mild and short-lived and not everyone will experience these side effects. But, if these do not resolve and bother you, consult your doctor to know about ways of coping up with them. Your doctor may also suggest ways of preventing them in future.
Q. Can Bisoprolol cause dizziness? How do I prevent it?
Yes. Bisoprolol can cause dizziness as a side effect. If this happens to you, you should sit or lie down until the symptoms pass. However, this is temporary and usually goes away as the treatment continues. Also, you should avoid alcohol while taking it, as it may worsen the dizziness.
Q. What should I tell my doctor before taking Bisoprolol?
Bisoprolol is not suitable for everyone. Before taking Bisoprolol you must tell your doctor if you are allergic to Bisoprolol or any of its ingredients. You must tell the doctor if you have low blood pressure or a slow heart rate, serious blood circulation problems in your limbs (such as Raynaud's phenomenon), which may make your fingers and toes tingle or turn pale or blue. Inform your doctor if you are suffering or have suffered from metabolic acidosis (when there's too much acid in your blood), lung disease or asthma. Let your doctor know about all the other medicines you are taking because they may affect, or be affected by, this medicine. Tell your doctor if you're trying to get pregnant, are already pregnant or breastfeeding to prevent any harmful effects on the baby.
Q. Is Bisoprolol safe in pregnancy?
No, Bisoprolol is not safe to be taken in pregnancy. It can have many harmful effects on the fetus/newborn and can even cause complications in pregnancy. The use ofBisoprolol may decrease the blood supply to the fetus, slow down its growth, cause intrauterine death, abortion or early labor. Therefore, it is advised to consult your doctor if you are planning a baby or if you become pregnant during the course of treatment with this medication.
Q. What other lifestyle changes should I make while taking Bisoprolol?
Lifestyle changes play a major role in keeping you healthy if you are taking Bisoprolol. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Bisoprolol and to keep yourself healthy.

Content on this page was last updated on 29 November, 2023, by Dr. Varun Gupta (MD Pharmacology)