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Chemical Name: BISOPROLOL FUMARATE (bis-OH-proe-lol) and HYDROCHLOROTHIAZIDE (hye-droe-klor-oh-THYE-a-zide)
This medicine is a beta blocker and diuretic combination used to treat high
blood pressure.
WARNING: If you have angina or have had heart problems, do not suddenly stop
using this medicine without first consulting your doctor. If your doctor decides
you should no longer use this medicine, you must stop this medicine gradually
according to your doctor's instructions. Some medicines or medical conditions
may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all
prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS
MEDICINE if you are also taking dofetilide or mibefradil. ADDITIONAL MONITORING
OF YOUR DOSE OR CONDITION may be needed if you are taking cimetidine, clonidine,
diazoxide, digoxin, digitoxin, flecainide, insulin, ketanserin, lithium, or
verapamil. Inform your doctor of any other medical conditions, allergies,
pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you
have a history of heart block. Contact your doctor or pharmacist if you have any
questions or concerns about taking this medicine.
Follow the directions for using this medicine provided by your doctor. This
medicine may be taken on an empty stomach or with food. THIS MEDICINE MAY CAUSE
an increase in urine or in frequency of urination. To prevent this from
affecting sleep, try not to take a dose later than 6 pm. STORE THIS MEDICINE at
room temperature in a tightly closed container, away from heat and light. IF YOU
MISS A DOSE OF THIS MEDICINE, take the missed dose if you remember the same day.
Skip the missed dose if you do not remember until the next day. Do not take 2
doses at once.
IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to this medicine or any other
sulfonamide medicine (such as Septra DS, Bactrim DS, Gantrisin, glyburide, or
probenecid), contact your doctor or pharmacist before taking this medicine. A
severe reaction includes a severe rash, hives, breathing difficulties, or
dizziness. If you have a question about whether you are allergic to this
medicine or if a certain medicine is a sulfonamide, contact your doctor or
pharmacist. DO NOT STOP TAKING THIS MEDICINE before checking with your doctor.
BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY,
tell the doctor or dentist that you are using this medicine. DO NOT DRIVE,
OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know
how you react to this medicine. Using this medicine alone, with other medicines,
or with alcohol may lessen your ability to drive or to perform other potentially
dangerous tasks. THIS MEDICINE MAY CAUSE increased sensitivity to the sun. Avoid
exposure to the sun or sunlamps until you know how you react to this medicine.
Use a sunscreen or protective clothing if you must be outside for a prolonged
period. YOUR DOCTOR MAY HAVE ALSO PRESCRIBED a potassium supplement for you. If
so, follow the dosing carefully. Do not start taking additional potassium on
your own or change your diet to include more potassium without first checking
with your doctor. BEFORE TAKING ANY NEW MEDICINE, either prescription or
over-the-counter, check with your doctor or pharmacist. This includes
decongestants such as phenylpropanolamine. FOR WOMEN: IF YOU PLAN ON BECOMING
PREGNANT, discuss with your doctor the benefits and risks of using this medicine
during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED
while taking this medicine. FOR PATIENTS WITH DIABETES MELLITUS: this medicine
may mask signs of low blood sugar such as a rapid heart rate. Check blood
glucose levels regularly.
SIDE EFFECTS, that may go away during treatment, include dizziness or
lightheadedness. If they continue or are bothersome, check with your doctor.
CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience swelling of ankles
or feet; unusual thirst or fatigue; muscle pain or weakness; difficulty
breathing; or an unusually slow or irregular heartbeat. If you notice other
effects not listed above, contact your doctor, nurse, or pharmacist.
Drug interactions can result in unwanted side effects or prevent a medicine from
doing its job. Use our drug interaction checker to find out if your medicines
interact with each other. Check drug interactions
If overdose is suspected, contact your local poison control center or emergency
room immediately. Symptoms of overdose may include slow heart rate, dizziness,
weakness, fainting, coughing, and trouble breathing.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT
USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the
reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain
refills before your supply runs out.
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